facilitating outreach & enrollment for the justice- involved populations david young, community...
TRANSCRIPT
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Facilitating Outreach & Enrollment for the Justice-
Involved Populations
David Young, Community Health Specialist, [email protected]
Jen Gross, Field Operations Manager, Planned Parenthood of Montana
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Introductions
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Questionnaire
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Learning Objectives• To provide an overview of the Montana
correctional system• To define the justice-involved populations• To share results of two health-focused projects
in a county jail• To provide an example of putting theory into
practice• To discuss challenges for the future
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Justice-Involved Populations
• Inmates in jails & prisons• Residents of prerelease centers• Residents of treatments centers• Returning citizens on probation or parole
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Definitions
• Parole – The supervised release into a community of an inmate prior to the completion of a sentence, as a result of a decision by the state Board of Pardons and Parole, and subject to conditions imposed by the board.
• Probation – The court’s release of an offender, subject to supervision by the department and under direction of the court. Juvenile probation is supervised by the Montana Supreme Court.
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Top 10 Adult Conviction OffensesFY 2010 2014‐
Males Females1 Felony DUI 1 Possession of drugs2 Possession of drugs 2 Theft3 Criminal endangerment 3 Criminal endangerment4 Theft 4 Distribution of drugs5 Burglary 5 Felony DUI6 Distribution of drugs 6 Issuing a bad check7 Partner/family member assault 7 Fraudulently obtaining drugs8 Assault with a weapon 8 Forgery9 Possession & intent to distribute 9 Burglary10 Criminal mischief 10 Possession with intent to distribute
OMIS Data Extracted 8/6/2014From: MT DOC 2015 Biennial Report.
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Health-Related Projects
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Inmates Have High Incidence of Chronic Health Conditions
• Asthma• Hypertension• Tuberculosis• Diabetes• Hepatitis• HIV/AIDS• Substance Abuse & Mental Health Issues
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NRC Publications 2013 & 2014
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Two-Part Project*• Part I – Improving Health Literacy and Personal
Health Management of Inmates October 1, 2011 – August 31, 2012
• Part II – Promoting Health Insurance and Enrollment Literacy with Inmates
October 1, 2013 – August 30, 2014
*Express Outreach Awards, National Network of Libraries of Medicine (NNLM) Pacific Northwest Region (PNR), University of WA, Seattle, WA
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Administrative Core Team - HIL
• Jackie Keery, PD, Program Director, GCDC• Dave Young, Co-PD, MSU• Erin Hamilton, MSU Student Intern• Katie Liebenstein, MSU SCOPE Student Intern• Morgan Bennett, AmeriCorps*VISTA volunteer• Cody Warner, Department of Sociology &
Anthropology, MSU• Clarann Weinert, College of Nursing, MSU
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Collaborators/Partners• Gallatin County Detention Center • Montana State University (Extension, College
of Nursing, Dept of Soc & Anthro & Library)• Gallatin City-County Health Department• Community Health Partners• Gallatin Mental Health Center• Bozeman Public Library• Gallatin County Reentry Task Force
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Overall Goal
to engage, educate and prepare inmates to enroll in health insurance coverage under the ACA upon release from the Gallatin County Detention Center (GCDC)
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By the year 2014 nearly all Americans will be required to have health insurance or pay a penalty.
Why Have Health Insurance?
Things you will learn:•How to get started•How to review health insurance plans•How to choose the best plan•How to enroll in the health insurance marketplace
This project is a collaborative effort between the Gallatin County Detention Center and Montana State University
This workshop on health insurance coverage and the Affordable Care Act will run two hours per day, Monday through Friday, for one week.
The Affordable Care Act will affect everyone. Attend this workshop and find out how it affects you and your family.
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Interventions
• Nine Handouts • Three Instructor-Led Workshops– Four Teaching/Learning Modules (PPTs & videos)• Staying Healthy – Health Literacy & Health Insurance
Literacy• Affordable Care Act & Your Health• Financial Literacy & Health• Making a Smart Choice – Plan Selection
• Two Self-Directed Study Sessions
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Workshop Format
Day
Time
Activity
Monday
9:00am – 11:00am
Introduction, Consent Forms, Q1, Module #1
Tuesday
2:00pm – 4:00pm
Self-directed study in Computer Lab
Wednesday
9:00am – 11:00am
Modules #2 & #3
Thursday
2:00pm – 4:00pm
Self-directed study in Computer Lab
Friday
9:00am – 11:00am
Module #4, Q2, Receive Grad Certificate
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Resources - NACo
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Resources - NACo
1. Questions & Answers: The Affordable Care Act and County Jails – October 2014
2. Health Coverage and County Jails: Inpatient Exception – November 2014
3. Health Coverage and County Jails: Suspension vs. Termination – December 2014
4. Questions and Answers: The Affordable Care Act and County Jails – May 2015
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Resources - CMS
1. Ten ways jails can help make connections to new health insurance opportunities.
2. Ten ways corrections systems can help link returning offenders to health insurance.
3. Ten ways court systems can help link returning offenders to health insurance.
4. Ten ways probation & parole officers can help link people to new health insurance opportunities.
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Lesson’s Learned• Health-based instruction with inmates must
include– Health literacy– Numeric/financial literacy– Health insurance literacy
• Adequate health insurance for inmates is dependent upon– Medicaid expansion– Medicaid suspension/termination upon arrest
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Connecting the Dots
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Putting Theory into Practice
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Targeting Justice-Involved Individuals
In Billings:• Alpha House (Sept 2014)
– 27 presentations– 195 individuals educated
• Passages (March 2015)
– 22 presentations– 140 individuals educated
• Montana Women’s Prison (August 2015)
– 2 presentations– 12 individuals educated– 54 staff educated
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Getting Started: TacticsTactic #1Leverage existing partnerships
Ask yourself these questions:• Who do I already work with?• If I don’t have existing
relationships within justice-involved organizations, who do I know who does?
• What is my angle? • How do I help potential &
current partners understand the value?
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Getting Started: TacticsTactict #2Program layering
• Planned Parenthood Health Care Providers
• Planned Parenthood Outreach Educators
• Planned Parenthood Advocates
Efficient Use of Resources = More Bang for Your Buck
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Getting Started: TacticsTactic #3Education for staff
• MT DOC Clinical Services Division– 54 staff educated
• Alpha House– 12 staff educated
• MT Women’s Prison
Opportunities:• Staff meetings• One-on-ones• Stakeholder meetings• Presentations
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Challenges
• Medicaid coverage gap & lack of income• Prerelease not defined by CMS for the
purposes of the ACA• Unable to preemptively submit applications
for Marketplace coverage (before release)• Stress of reintegration to society• Mandated vs. self-motivated enrollment
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Lessons Learned
• The time is right – DOC mandate• Follow up is key for justice-involved
populations• Moving from education to action – help others
discover their own self-interest• Track O/E work within justice-involved
populations – be specific
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Looking Ahead
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Where to Start?
• Determine what facility or facilities are is in your county/community working with offenders
• Contact your local Sheriffs Office/Department• Contact your local jail administrator• Contact your local Probation & Parole Office• Establish partnerships with county health
office and nearest community health center
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