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Jail Medical Contracting: Best Practices for Supporting Stepping Up Goals
Across the country, county criminal justice, behavioral health, and social service system leaders are grappling with reducing the number of people with serious mental illness (SMI) in criminal justice systems, including county jails, often by using “front-end” strategies. Counties frequently struggle with using data to gauge the impact of these strategies on reducing the number of people with SMI in jails. One challenge for obtaining baseline data on SMI in jails centers on contracted private medical providers and their role in collecting and sharing data on SMI. This virtual discussion will equip participants with knowledge about the role contracted medical providers have in either screening for SMI, assessing for SMI, or both; collecting and sharing data with jail administration and how contracts can support this process; and best practices for screening, assessment, and collecting and sharing data for contracts with third-party medical providers. Jail administrators, jail data analysts, and staff from jail medical and mental health providers are especially encouraged to attend this webinar. Read More
Site Snapshot: Update on How Three Counties Are Serving High-Needs Populations
The CSG Justice Center is highlighting three of these communities: Bernalillo County, New Mexico; Fulton County, Georgia; and Polk County, Iowa. Each of these jurisdictions is both a Stepping Up Innovator and a MacArthur Foundation Safety and Justice Challenge site. This snapshot focuses on the sites’ successes and challenges in their work with priority populations, as well as some of their upcoming goals. Read more about where these counties started. Read More
Stepping Up Pennsylvania: Findings and Recommendations from the Behavioral Health-Criminal Justice State Policy Scan Project
Across the country, communities struggle to address the high number of people with serious mental illnesses (SMI) cycling through their local criminal justice systems. The CSG Justice Center partnered with the Pennsylvania Commission on Crime and Delinquency’s (PCCD) Mental Health and Justice Advisory Committee to conduct a statewide policy scan. The purpose of the scan was to identify opportunities for the state to help counties continue to reduce the number of people with SMI in local criminal justice systems—especially county jails. CSG Justice Center staff made recommendations rooted in research and best practices with proposed action items. These recommendations focus on three priority areas: (1) improving local capacity to collect data and share information, (2) increasing local diversion as early as possible, and (3) increasing local availability of and connections to housing. (Photo credit: Schindlerdigital, CC BY-SA 4.0, via Wikimedia Commons) Read More
Site Snapshot: How Three Counties Are Serving High-Needs Populations
The CSG Justice Center is highlighting three of these communities: Bernalillo County, New Mexico; Fulton County, Georgia; and Polk County, Iowa. To understand their progress and their challenges, we will check in with these counties over the course of the next two years. Each of these jurisdictions is both a Stepping Up Innovator County and a MacArthur Foundation Safety and Justice Challenge site. Read More
Set, Measure, Achieve: Stepping Up Guidance to Reach Prevalence Reduction Targets
How can local justice systems reduce the prevalence of serious mental illness in their populations? This brief from the Stepping Up partners supports counties in setting targets for reducing the number of people with serious mental illness in their jails, measuring progress toward meeting these targets, and achieving results. With suggested minimum goals, tips, and calculation formulas, this guidance positions counties to realize system improvements from one year to the next. Read More
Stepping Up Month of Action
Since the launch of Stepping Up in 2015, more than 475 counties in 43 states have passed a resolution or proclamation to join the initiative and commit to creating a data-driven, systems-level plan to reduce the prevalence of mental illness in their jails and improve outcomes for people with mental illnesses in their communities. In 2018, dozens of counties participated in the Stepping Up Day of Action to highlight the important work happening in their communities. But there’s much more work to be done. Throughout 2019, the Stepping Up partners are asking counties to “Step Up” their efforts by completing the Stepping Up County Self-Assessment to identify a priority goal for this year (learn more here). Read More
Dauphin County, Pennsylvania: A County Justice and Mental Health Systems Improvement Project
The CSG Justice Center conducted an in-depth, cross-systems data analysis of the flow of people who have serious mental illnesses (SMI) through the Dauphin County criminal justice system. This report includes the key findings and policy recommendations. Read More
Douglas County, Kansas: A County Justice and Behavioral Health Systems Improvement Project
In 2018, elected officials and criminal justice and behavioral health leaders in Douglas County, Kansas, asked The Council of State Governments Justice Center to conduct an in-depth, cross-systems data analysis of the flow of people with serious mental illnesses and co-occurring substance addictions through the local criminal justice system and to identify ways to achieve better health and public safety outcomes. This report presents opportunities to expand what Douglas County is already doing well and improve upon systems performance. Read More
In Focus: Collecting and Analyzing Baseline Data
In Focus: Collecting and Analyzing Baseline Data is a new brief from the Stepping Up partners designed to help counties collect and analyze baseline data on the prevalence of people in their jails who have serious mental illnesses (SMI), specifically along the recommended four key measures: (1) the number of people booked into jail who have SMI; (2) their average length of stay in jail; (3) the percentage of people with SMI who are connected to treatment; and (4) their recidivism rates. Once collected, these baseline data allow county leaders to identify the system improvements and programs needed to reduce the number of people in jail who have SMI and provide benchmarks against which progress can be measured. Read More