CDC Demonstration Project: Dallas County Jail Re-entry Project Klaus Kroyer Madsen Vice President,...
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Transcript of CDC Demonstration Project: Dallas County Jail Re-entry Project Klaus Kroyer Madsen Vice President,...
CDC Demonstration Project:
Dallas County Jail Re-entry Project
Klaus Kroyer MadsenVice President, Programs
From the Frontline: Public Health Institutes Complementing the Public Health System Session
National Network of Public Health Institutes Annual ConferenceNew Orleans, May 15, 2008
Photo: whatknot
Dallas County Jail (DCJ)• 7th largest detention
facility in the nation• Receives over 100,000
admissions per year • 57% of which are
released within three days
• 68% released within seven days
• At 95% capacity, DCJ holds approx. 7,000 inmates
Photo: WD502
Jail Health Services at DCJ
• Managed by the Dallas County safety net hospital (Parkland Health and Hospital System)
• Serves about half of the inmates
Photo: WD502
• Large infrastructure projects including HIT to connect JH with Parkland Hospital and Community Oriented Primary Care Clinics
Health Status of DCJ Jail Health Patients
• 35% have mental health disorders
Top Medical diagnoses:1. Hypertension2. Asthma / Chronic obstructive pulmonary disease 3. Diabetes (Insulin and non-Insulin dependent)4. Chronic pain5. Heroine / Opiate
Towards a Holistic View of Jail Health
• Visits with Jail Health administrator to identify “wicked problems” to address
• On top of Wish List: improve jail health by eliminating recidivism!
• Conversations with County Commissioners, County and City staff to map stakeholders for community engagement process
THI Project Approach
CDC/NNPHI funding
Dallas community leadership group
THI staff (connections, expertise) Activity #2: Document processes
and strategies
Activity #3: Analyze methods for feasibility in community collaboration and effectiveness
Community development lore
Activity #4: Create community development/coalition building tools
Documentation of Texas Health Institute’s process for community change
Production of a model and tools for community change that others can use
Identification of processes that were and were not effective
Identification of key processes for community collaboration
An approach for PHIs to use in order to create change and improve health in their communities
Activity #1: Implement an intervention with community leadership group to address the issue.
Inputs Activities Outputs OutcomesActivity #1: Implement an intervention with community leadership group to address the issue. Inputs Activity Outputs Outcome
Concerned Community leaders
THI Staff (connections, expertise)
Community Development lore
Identify sponsor organization
Convene leadership group
Define Issue
Collect and share supporting data with community leaders
Working coalition that is engaged and energized and able to affect change
Increased interest about the issue among the leadership group
Community plan to address identified issues in the Dallas community
Collaboration of stakeholders that initiates implementation of the community plan
Community Meetings
• First Community Meeting– 75 community members (service providers, non-
profits and some former inmates) indentified 10 community priorities
Community Meetings
• Second Community Meeting– 30 former inmates and family members validated
and narrowed community priorities
Community Meetings
• Third Meeting– 45 community members (providers and inmate
organizations) developed task force structure to address the objective of reducing recidivism
• Employment• Housing• Continuity of Care• Mental Health / Substance Abuse
– Created steering committee for implementation and sustainability
Leadership Represented on SC
• Parkland Health and Hospital System• Dallas County
– Commissioners Court– Public Health – Sheriff’s Department
• Dallas Independent School District• Dallas Leadership Foundation• Dallas Police Department• Operation Oasis• Vision Regeneration
Outcomes
• THI helped Parkland Jail Health connect with governmental and non-governmental partners
• Established strong connections between consumer and family organizations and the provider system
• Created powerful action-oriented steering committee and task force structure for implementation and sustainability
• Continued strong support of the project sponsor
Project Impact to Date• Access to DCJ for HIV/AIDS advocacy NGO• Social worker hired to provide HIV/AIDS counseling• Voluntary HIV screenings by Public Health Dept. at
the Jail Health intake• Social worker hired to support pregnant inmates and
their families• Parkland Health Plan card to inmates upon release to
provide medical home and access to Rx• Release of homeless inmates to new public-private
partnership homeless center• Referral of inmates from drug rehabilitation center
to Community Oriented Primary Care Clinics
!
Next Steps
• Task forces to present implementation recommendations to Steering Committee
• Establishment of new identity for the initiative
• Presentation of project ideas to public sector and philanthropic funding partners
Photo: whatknot
Our Mission: To provide leadership to improve the health of Texans and their communities through education, research, and health policy development.
Klaus Krøyer MadsenTHI Vice President, [email protected]
Contact Us: www.texashealthinstiute.org / 512-279-3910 8501 N. MoPac Expressway, Suite 420 / Austin, Texas 78759