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 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 Environment Health 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)

5. 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)

6. 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?

7. Introducing Justice and Health Connect

8. 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

9. Toolkit www.jhconnect.org

10. Resource Library www.jhconnect.org

11. Busting Myths www.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. Technology Identifying 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 dcloud@vera.org