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Helping Michigan Parolees With Medical Needs MPRI Re-entry

Breaking the Cycle of Crime. 95% of all inmates will leave prison 650,000 released nationally every yearMI - 50,000 inmates living in 42 facilitiesMI spends $2 billion annually one of 4 states that spend more on corrections than on higher education12,000 are paroled annuallyHalf will commit

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Helping Michigan Parolees With Medical Needs MPRI Re-entry

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    1. Helping Michigan Parolees With Medical Needs – MPRI Re-entry A Successful Community Health Pathway Vondie Woodbury – Director, Coordinated Community Benefit Affairs – Trinity Health Corporation Director, Community Benefit – Mercy Health Partners Executive Director, Muskegon Community Health Project

    2. Breaking the Cycle of Crime 95% of all inmates will leave prison 650,000 released nationally every year MI - 50,000 inmates living in 42 facilities MI spends $2 billion annually – one of 4 states that spend more on corrections than on higher education 12,000 are paroled annually Half will commit new crimes or violate parole rules In MI 6,000 return to prison annually at a cost of more than $180 million

    3. Breaking the Cycle of Crime In Michigan prior to MPRI: Inmates left prison with a $75 bus ticket 2-week voucher for a cheap hotel Many lack social security card, birth certificate or a state ID No help with substance abuse or mental health issues Parole officers working with 60-80 offenders did not have time to help. 48% of parolees returned to prison

    4. What is MPRI? The Mission of MPRI …is to significantly reduce crime and enhance public safety by implementing a seamless system of services for offenders from the time of their entry to prison through their transition, community reintegration and aftercare in their communities. Michigan Department of Corrections

    5. MPRI History Started in 2005 with 8 pilot counties Additional counties (including Muskegon) added in 2007 Went statewide 2008 Initial funding $12 million Fy10 $50 million

    6. Michigan Re-entry 18 County re-entry collaborations $30 M appropriation from State for FY-09 Increases to over $50 million in FY-10 Contracts are managed locally – county level

    7. Basic Structure and Process of MPRI

    8. Typical MPRI Process A Local Coalition is Established (single or multi-county) Coalition develops semi-annual Action Plan Action Plan approved by MDOC – funded Individual subcontractors responsible for core activities: housing, transportation, job placement/training, mental health and substance abuse MPRI Coordinator is HUB for Multi-functional Collaborative operation

    10. Muskegon’s MPRI Collaborative Goodwill Industries West Michigan Therapy Michigan Rehabilitation Services Department of Human Services Muskegon Community Health Project Department of Corrections & Parole Orchard View Community Ed Community Mental Health Victim’s Services Shoreline Prison Facility Local Police Agencies Faith Based Organizations

    11. 6 months prior to release “in-reach” team meets with parolee in prison; process is explained. Immediately prior to release – exit interview; appointments scheduled; Upon release each contractor coordinates their piece of the puzzle; Payment is based upon successful completion of each part of process (e.g. job placement; a place to live;) Parolee Interface

    12. Using Local Health Navigation – Muskegon’s Approach

    13. Background MDOC Michigan Prison System Health Care $330 million a year for inmate health care (based on a projected number of 48,000 inmates) Annual health cost per prisoner of $6,600 4,000 prisoners estimated to have chronic diseases 524 estimated to be medically fragile

    14. Why Medical Navigation? 90% of parolees return to community as uninsured without medical home; No medical records returned with parolee; Pharmaceutical support for chronic disease terminated after 30-days Parolees were unaware of medical safety net support structure Significant level of imbedded chronic disease Job retention could be affected

    15. Muskegon’s Basic MPRI Health Initiative Incorporated Health Care navigation as part of Muskegon’s MPRI collaborative process in 07 Only site in state piloting approach 1,037 parolees have received assistance since 2007 Designated community health navigator is part of community in-reach and support team for parole; Health Project is HUB for Health Care Initiative Program expanded 09 to include 11 additional counties

    16. Muskegon’s Basic Re-entry Health Initiative Goals Secure Medical Record Conduct Health Assessment Screen for enrollment into Medicaid, FSP, etc. Identify and schedule first appointment for medical home Provide for pharmaceutical assistance Provide chronic disease self management

    17. Action Pathway for Medical Assistance – How Does it Work?? STEP ONE: Individual is identified as eligible for parole and the MPRI program

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