Care Coordination

“Whole Person” Care: Connecting County Health and Justice Systems for Better Inmate Care and Lower Costs

The most common concern of county jails is addressing the mental health needs of individuals in their custody, according to a 2015 NACo survey. Counties are seeking strategies to reduce the number of people with mental illnesses in jail & address challenges in coordinating mental health treatment for this population. More than 60% of people in jail also have chronic co-occurring medical conditions, such as high blood pressure, asthma or heart disease, & they often enter jail with these illnesses untreated.

County jails have a constitutional responsibility to provide people in their custody with adequate healthcare. But the cost to treat people with these illnesses in jails is significant, & counties cannot bill insurance providers or Medicaid for health care services provided in a jail facility.

How can this significant problem be managed? How can counties divert individuals to treatment versus jail? How can counties improve the health of persons while incarcerated, but also post-incarceration as they return to the community?

In this webinar presented by NACo and its partners at Netsmart and Community Oriented Correctional Health Services (COCHS), Kevin Scalia, Executive Vice President, Netsmart and Dan Mistak, J.D., MA, MS, Director of Strategy, COCHS will present “whole-person” care: how counties can coordinate care between jails, hospitals, physical health clinics, and community behavioral health provider organizations to reduce the number of people going to jails, provide better health care, connect people in jails to treatment and reduce costs.


  • Examples of how counties can connect/integrate their health & justice systems
  • Effective transitions of care to mental health & addiction services post-incarceration
  • The 21st Century Cures Act’s provisions for grant funding for implementing the Sequential Intercept Model (SIM)
  • Successful strategies for coordinating mental health care across multiple county departments that may have been operating in individual silos for many years without data sharing or transparency
  • New value-based payment models & their impact on counties & organizations servicing counties

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