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David H. Cloud Substance Use and Mental Health Program Vera Institute of Justice dcloud@vera

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 dcloud@vera.org. The Vera Institute of Justice. www.vera.org Substance Use and Mental Health Program

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David H. Cloud Substance Use and Mental Health Program Vera Institute of Justice dcloud@vera

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  1. 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 dcloud@vera.org

  2. 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

  3. 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

  4. The Policy EnvironmentHealth Reform The Affordable Care Act: 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? • Targeted enrollment into Medicaid • Linkage to ACA supported health services (e.g. health homes)

  5. Policy Climate:Justice Reform

  6. The challenges of justice and health data sharing • Privacy Law : What can we do? • Ethics: What should we do? • Cultural Clash How do we work together? 4. Technology: How do we do it?

  7. Introducing Justice and Health Connect

  8. 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

  9. Toolkitwww.jhconnect.org

  10. Resource Librarywww.jhconnect.org

  11. Busting Mythswww.jhconnect.org

  12. Breaking down Privacy Laws

  13. Ethical Dilemmas of Information Sharing

  14. Templates: Information Sharing Agreements

  15. Templates: Multi-Party Consent Forms

  16. TechnologyIdentifying Data Systems

  17. Spectrum of Technological Solutions • Secure email exchanges • Electronic health records (EHRs) • Cloud computing and web-based solutions • Health Information Exchanges

  18. Questions and Feedback Thank you!! Please reach out! www.jhconnect.org David H. Cloud, Substance Use and Mental Health Program • dcloud@vera.org

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