Jail-In Reach Services

Speaker Nancy provided background on Cal AIM.
- Objective: Bold transformation to offer a range of whole-person care services.
- Focus: Services for individuals facing complex life and health challenges.
- Key Development: As of January 2023, California approved targeted medical services for youth and eligible adults in state prisons, county jails, and youth correctional facilities for up to 90 days prior to release.
Justice Evolve Initiative aims to ensure continuity of healthcare coverage and services for incarcerated individuals transitioning back into the community.
- Includes provision of prescribed medications, durable medical equipment, and access to support programs and services.
Integrated approach involving collaboration among health plans, community-based organizations, and justice-involved organizations.
- Emphasis on the importance of feedback and the journey of learning together for better implementation.

Background: Psychologist with 16 years of experience at San Mateo County Jail.
- Managed Correctional Health and Recovery Services, focusing on Continuum of Care and re-entry services.
- Involved in HMA learning collaborative, supporting jails and communities in treatment efforts.

Background: Psychologist with extensive experience in correctional health care, holding various administrative roles within Delaware's correctional system.
- Currently provides technical assistance to jails across the country, focusing on substance use disorder treatment and re-entry planning.

ECM providers play a crucial role in delivering services within jails.
- Direct communication and engagement with incarcerated individuals facilitate better outcomes and treatment continuation post-release.
Highlights the need for arrangements and appointments setup before release.
Addressing the fact that most people incarcerated will return to their communities, making pre-release support crucial.

Importance of understanding the healthcare ecosystem inside jails, described as often an underserved population.
Available services and communication protocols with jail healthcare staff.
Understanding jail clearance and visiting protocols is vital to collaboration.
Essential to know how community supervision functions.

Depicts the relation between the justice system components (courts, probation, jails, etc.) and community treatment providers, including ECM and CS providers.
- Emphasizes the necessity of viewing the jail as an extension of the broader healthcare system and establishing effective communication.

The Sheriff is responsible for all jail services and operations.
- A single Health Authority oversees medical, mental health, and substance use services inside the jail, ensuring adherence to community standards of care.
- Equal treatment standards expected for individuals with serious health issues.
Community Standard of Care:
- Concept: One standard of care should apply whether inside or outside the jail.

Overview of the various models concerning the provision of medical services in jails:
- Direct Care Model: County Employees offering services.
- Contracted Model: Private companies handle services.
- State University Model: Public medical schools manage on-site care.
- Hybrid Model: Multiple providers involved across different streams (county, contracted, community).

Emphasis on the complexity of communication within and between jails and community services.
- Importance of establishing clear lines of communication with jail staff; understanding the hierarchy is critical.
- Navigating operational protocols requires respect, persistence, and advocacy.
Tips for collaboration:
- Always communicate with jail staff about your role and intent.
- Explore options for gaining access and sharing client information.

Types of community supervision used in various jurisdictions:
- Drug Courts
- Mental Health Diversion Courts
- Variances in conditions for court-ordered supervision, ensuring adherence.
Importance of garnering ongoing reminders about conditions that individuals must follow post-release to avoid recidivism.

Practical steps for executing re-entry planning:
- Listing community resources and health professionals.
- Identifying required follow-ups and crucial appointment arrangements pre-release.
- Understanding the importance of timely health information exchange upon transition from jail to community providers.

Recognition of lived experience in supporting individuals during re-entry:
- Peer support recognized for its efficacy in aiding recovery, providing a relatable voice for navigating systems.
Encouragement for integrating peers into teams within correctional settings.

Highlighting the necessity of maintaining health insurance - Medi-Cal- for returning individuals:
- Benefits include reduction in emergency room visits and improved access to treatment.
- Mandatory Medi-Cal applications within 90 days before release under the Cal AIM framework.

Justice-involved individuals exhibit significant needs for supportive treatment.
Call to action for breaking down systemic barriers to care and fostering inter-agency collaboration.
Importance of getting acquainted with jail operations and respecting the complexity of the correctional system.

Participants to reflect on real-life situations regarding client interactions in jail settings, focusing on strategies for enhancing safety and treatment engagement.
- Discussion of a hypothetical client expressing suicidal thoughts: assess safety and ensure appropriate actions are taken.
- Key queries for jail staff and hown to finesse collaborative relationships to enhance treatment efficacy post-release.

Reminder of the value of participant feedback via a post-webinar survey, aiming to improve future sessions.