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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
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?
• 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 EnvironmentHealth Reform
The Affordable Care Act: A) ACA Objectives that impact criminal justice populations?
(1) Medicaid expansions (2) Outreach to enroll vulnerable/high cost populations into health plans(3) Expand, integrate, and coordinate comprehensive services (4) 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 ClashHow do we work together?
4. Technology: How do we do it?
Introducing Justice and Health Connect
Justice and Health Connectwww.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
Toolkitwww.jhconnect.org
Resource Librarywww.jhconnect.org
Busting Mythswww.jhconnect.org
Breaking down Privacy Laws
Ethical Dilemmas of Information Sharing
Templates: Information Sharing Agreements
Templates: Multi-Party Consent Forms
TechnologyIdentifying 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
