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Justice and Health Connect: Sharing
Data to Address Health Disparities in
the Criminal Justice System
David H. Cloud
Substance Use and Mental Health
Program
Vera Institute of Justice
[email protected]
The Vera Institute of Justice
• www.vera.org
• Substance Use and Mental Health Program
– Jail diversion and reentry, Rockefeller drug law
reforms, indigent defense for people with MHN,
competency restoration reform, health reform
and the CJ system, social impact bonds
• Justice and Health Connect
– www.jhconnect.org
Why should health and justice agencies share
information?
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Make use of untapped data resources
Reduce health disparities in the criminal justice system
Reduce costs and improve efficiency
Increase access to treatment
Reduce crime
Improve identification of health needs in jails and prisons
Bolster diversion and reentry
Evidence-based practices
Capitalize on health reform/curb correctional healthcare costs
The Policy Environment
Health Reform
The Affordable Care Act:
(1)
(2)
(3)
(4)
A) ACA Objectives that impact criminal justice populations?
Medicaid expansions
Outreach to enroll vulnerable/high cost populations into health plans
Expand, integrate, and coordinate comprehensive services
HIT
B) What are opportunities for health-justice information sharing?
(1) Targeted enrollment into Medicaid
(2) Linkage to ACA supported health services (e.g. health homes)
Policy Climate:
Justice Reform
Justice Reform Factors
Dept. of Justice Information Sharing initiatives (e.g. Global Information Sharing
Initiative)
Overcrowding/growing correctional healthcare costs
Investment in treatment alternatives to incarceration
Justice and Mental Health Collaboration Act (Bipartisan support)
The challenges of justice and health data
sharing
1. Privacy Law :
What can we do?
2. Ethics:
What should we do?
3. Cultural Clash
How do we work together?
4. Technology:
How do we do it?
Introducing Justice and Health Connect
Justice and Health Connect
www.jhconnect.org
Evolution of JH Connect: D.C. Forensic Project; working with large
datasets.
Aim: to increase the ability of government agencies and community
organizations to share information across health and justice
systems.
Features: Toolkit, myth-busters, resource library, fact sheets,
templates, pod-casts, links galore.
Audience: Practitioners in criminal justice and public health
Toolkit
www.jhconnect.org
Resource Library
www.jhconnect.org
Busting Myths
www.jhconnect.org
Breaking down Privacy Laws
Ethical Dilemmas of Information Sharing
Templates: Information Sharing Agreements
Templates: Multi-Party Consent Forms
Technology
Identifying Data Systems
Spectrum of Technological Solutions
– Secure email exchanges
– Electronic health records (EHRs)
– Cloud computing and web-based solutions
– Health Information Exchanges
Questions and Feedback
Thank you!!
Please reach out!
www.jhconnect.org
David H. Cloud, Substance Use and Mental
Health Program
– [email protected]