Report Highlights How States Can Help People Leaving Prison and Jail Get Mental Health Care and Substance Use Treatment

By CSG Justice Center Staff

critical-connections-cover-300The National Reentry Resource Center released on Wednesday Critical Connections—a discussion paper that identifies key questions state and local leaders should ask as part of their efforts to help people leaving prison and jail with mental health needs get community-based treatment.

“In my state of Michigan, and indeed every state, connecting people leaving prison or jail with mental health or substance use treatment often depends on their access to health care coverage—with public health care coverage, such as Medicaid, playing a particularly vital role,” said Lynda Zeller, deputy director of Behavioral Health and Developmental Disabilities for Michigan’s Department of Health and Human Services.

Eligibility for publicly funded health care coverage and the type of treatment and services that coverage supports can vary from state to state. Despite these differences, government officials in every jurisdiction must work through a common set of challenges to connect people who are eligible for coverage and other federal benefits (including social security and veterans benefits) to those plans and programs. With that in mind, Critical Connections focuses on five key issues:




Within each of these issues, the discussion paper poses questions that state and local officials should consider when connecting people to some combination of Medicaid, Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI), or veterans’ benefits and facilitating access to treatment and services in the community. Drawing on examples from local practices and state legislative and administrative actions from 30 states, the paper illustrates how leaders in different states have worked through these considerations using a wide range of strategies.

For instance, while every state must consider how it assists people who are scheduled to be released from prison or jail with their benefit applications, the paper examines the varying ways policymakers have chosen to determine who will provide the assistance with the applications, when and how this assistance will be provided, and with what funding (Issue 3). Examples of how states have addressed these questions include Ohio—where peer educators working inside the prison ensure that people are enrolled, connected to managed care plans, and have a transition plan in place prior to release—and Oklahoma—where the Department of Corrections has a memorandum of understanding in place with the Social Security Administration to streamline access to SSI and SSDI benefits prior to release, particularly for people with mental illnesses.

“In developing this paper, the CSG Justice Center and its partners recognize that state and federal health care policies are in constant flux and will continue to shift, possibly dramatically, in the coming years,” said Tracy Plouck, director of the Ohio Department of Mental Health and Addiction Services.

John Wetzel, director of Pennsylvania’s Department of Corrections, added, “Regardless of where you stand on Medicaid, the Affordable Care Act or any other government-funded health care and benefits, the issues remain the same: A large number of people need behavioral health care coverage and quality treatment and services to help them avoid cycling through prison or jail. So, this paper will be an indispensable resource to policymakers seeking to reduce recidivism and promote recovery.”

Critical Connections was made possible through funding and support from the U.S. Department of Justice’s Bureau of Justice Assistance.

“We recognize there is no one-size-fits-all approach to an issue as complicated as this one,” said Denise O’Donnell, director of the Bureau of Justice Assistance. “This paper demonstrates just how much innovation is occurring across the nation, and in doing so, highlights opportunities for state and local leaders to learn from each other.”