Tuesday Apr 27, 10:00 AM

106 Roundtables

106 – A | As Juvenile Residential Populations Decline, How Do We Transform Services to Best Meet Their Needs?

106 – B | Use of Surrogates for Patients Who Lack Capacity to Provide Informed Consent

106 – C | Reducing Recidivism With Jail-Based Medication-Assisted Treatment

106 – D | Corrections and Medicaid: A Partnership to Improve Claims Processing, Purchasing Power, and Data Reporting


106 – A  Thanks to juvenile justice reform, the numbers of confined youth have been declining across the country in recent years. The COVID-19 pandemic has reduced the numbers even more. But many of those youth living in the community are still legally under JJS authority – and many still have significant health and mental health needs. How do juvenile care providers reinvent services to ensure these youth get the care they need as seamlessly as possible?

Learning Objectives:
– Review trends in juvenile detention and confinement
– Examine health needs of youth under the legal authority of the juvenile justice system
– Explore ways to ensure continuity of care for these youth

Level: Basic

Speakers:
Elizabeth Lowenhaupt, MD, FAAP, CCHP
Jennifer Clifton, DNP, FNP-BC, CCHP-A
106 – B  This session will offer an overview of the elements of informed consent and what states might do when an inmate is not able to provide informed consent for treatment. It will review considerations and constraints relating to interfacing with a patient’s next-of-kin and how appointment of a surrogate can help navigate many of the confidentiality issues involved.

Learning Objectives:
– Discuss the concept of medical capacity in incarcerated patients
– Describe issues related to informed consent from compromised patients
– Examine concerns with voluntary vs involuntary treatment for patients who cannot provide informed consent

Level: Basic

Speakers:
William Davies, JD
Joe Obegi, PsyD, CCHP
106 – C  Learn about the Sacramento County (California) medication-assisted treatment program highlighted in the NCCHC Promising Practices, Guidelines and Resources for the Field (2018). The presentation from a criminal justice manger, a medical/clinical professional, and a former program participant will identify program components proven to be successful in recidivism reduction.

Learning Objectives:
– Discuss the importance of collaboration between criminal justice, correctional health, and community-based agencies
– Describe methods to obtain program buy-in from frontline staff to executives and policy makers
– Examine the use of data to evaluate program effectiveness and efficiency

Level: Intermediate

Speakers:
Brad Rose, BS
Graham Sargent
106 – D  A state department of corrections partnered with a state Medicaid agency to leverage an existing health care claims processing system. This session will share how the initiative works as well as its benefits and results, including enhanced editing and reporting that improved payment accuracy and significant cost savings to the state.

Learning Objectives:
– Describe how existing Medicaid technology was extended to a state prison health care population
– Summarize the model and how it could be replicated by other state departments of corrections.
– Discuss the benefits of this initiative

Level: Intermediate

Speakers:
Ronna Cole, BA

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