Skip to main content

Advertisement

Log in

Health Care Reform, Behavioral Health, and the Criminal Justice Population

  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

The 2010 Patient Protection and Affordable Care Act (ACA) has a number of important features for individuals who are involved with the criminal justice system. Among the most important changes is the expansion of Medicaid to more adults. The current study estimates that 10% of the total Medicaid expansion could include individuals who have experienced recent incarceration. The ACA also emphasizes the importance of mental health and substance abuse benefits, potentially changing the landscape of behavioral health treatment providers willing to serve criminal justice populations. Finally, it seeks to promote coordinated care delivery. New care delivery and appropriate funding models are needed to address the behavioral health and other chronic conditions experienced by those in criminal justice and to coordinate care within the complex structure of the justice system itself.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1

Similar content being viewed by others

References

  1. Carson E, Sabol A, William J. Prisoners in 2011. Washington (DC): Bureau of Justice Statistics, Department of Justice; 2012 Available online at http://bjs.ojp.usdoj.gov/content/pub/pdf/p11.pdf. Accessed on February 10, 2013.

  2. Glaze LE, Parks E. Correctional population in the United States 2011. Bulletin NCJ 239972. Washington, DC: Department of Justice, Bureau of Justice Statistics, 2012.

    Google Scholar 

  3. Minton TD. Jail inmates at midyear 2011—statistical tables. Washington (DC): Bureau of Justice Statistics, Department of Justice; 2012. Available online at http://www.bjs.gov/content/pub/pdf/jim11st.pdf. Accessed February 10, 2013.

  4. DeNavas-Walt C, Proctor BD, Smith JA. Income, poverty, and health insurance coverage in the United States: 2011 Current Population Reports. (P60-243). Washington, DC: U.S. Census Bureau, U.S. Department of Commerce, 2012.

  5. Kaiser Family Foundation. Health insurance coverage of adults 19–64 living in poverty. 2013. Available online at statehealthfacts.org. Accessed on February 6, 2013.

  6. Congressional Budget Office. Updated estimates for the insurance coverage provisions of the Affordable Care Act. Washington, DC: CBO, March 2012.

  7. Congressional Budget Office. Estimates for the insurance coverage provisions of the Affordable Care Act updated for the recent Supreme Court decision. Washington, DC: CBO, July 2012.

  8. Kaiser Family Foundation. Where are states today? Medicaid and CHIP eligibility levels for children and non-disabled adults. Available online at http://www.kff.org/medicaid/upload/7993-02.pdf. Accessed February 6, 2013.

  9. Cuellar A, Cheema J. As roughly 700,000 prisoners are released annually, about half will gain health coverage and care under federal laws Health Affairs, 2012; 31(5): 931-938.

    Article  PubMed  Google Scholar 

  10. Kaiser Family Foundation. Status of state action on the medicaid expansion decision, as of July 1, 2013. Available online at http://kff.org/medicaid/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/. Accessed August 1, 2013.

  11. Kaiser Family Foundation. Federal medical assistance percentage (FMAP) for Medicaid and multiplier. Available online at http://www.statehealthfacts.org/comparetable.jsp?ind=184&cat=4. Accessed on February 20, 2013.

  12. Kyckelhahn T. State corrections expenditures, FY 1982–2010. Bulletin NCJ 239672. Washington, DC: Department of Justice, Bureau of Justice Statistics, 2012.

    Google Scholar 

  13. McGillen S. The financial impact of inmate healthcare: maintaining a cost effective and efficient system. Tallahassee, FL: Florida Department of Law Enforcement. Available online at http://nicic.gov/Library/024920. Accessed on February 2, 2013.

  14. Office of the Inspector General. Four state review of Medicaid payments for incarcerated beneficiaries. Washington, DC: Department of Health and Human Services, June 2004.

  15. Lyons D. High yield corrections. Criminal Justice 2013; 1: 22-25.

    Google Scholar 

  16. The Pew Center on the States. Time served: the high cost, low return of longer prison terms. Washington, DC: The Pew Charitable Trusts, 2012.

    Google Scholar 

  17. Wilper AP, Woolhandler S, Boyd JW, et al. The health and health care of US prisoners: results of a nationwide survey. American Journal of Public Health 2009; 99(4): 666-672.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Schnittker J, Massoglia M, and Uggen C. Out and down: incarceration and psychiatric disorders. Journal of Health and Social Behavior, 2012; 53(4): 448-464

    Article  PubMed  Google Scholar 

  19. National Commission on Correctional Health Care. The health status of soon-to-be-released inmates. Washington, DC: National Commission on Correctional Health Care, 2002.

    Google Scholar 

  20. Maruschak LM. HIV in prisons, 2007–08. Bulletin NCJ 228307. Washington, DC: U.S. Department of Justice, Office of Justice Program, Bureau of Justice Statistics, 2010.

    Google Scholar 

  21. Beck AJ, Harrison PM. Sexual victimization in jails reported by inmates, 2007. NCJ-221946, Washington, DC: U.S. Department of Justice, Office of Justice Programs, 2008.

    Google Scholar 

  22. Binswanger IA, Krueger PM, Steiner JF. Prevalence of chronic medical conditions among jail and prison inmates in the USA compared with the general population. Journal of Epidemiology and Community Health 2009; 63: 912–19.

    Article  PubMed  CAS  Google Scholar 

  23. Binswanger IA, Stern MF, Deyo RA, et al. Release from prison—a high risk of death for former inmates. New England Journal of Medicine 2007; 356: 157–65.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  24. Taxman FS, Perdoni ML, Harrison LD. Drug treatment services for adult offenders: the state of the state. Journal of Substance Abuse Treatment 2007;32(3):239-54.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Altice FL, Bruce RD, Lucas GM, et al. HIV treatment outcomes among HIV-infected, opioid—dependent patients receiving buprenorphine/naloxone treatment within HIV clinical care settings: results from a multi-site study. Journal of Acquired Immune Deficiency Syndrome 2011; 56(Supp1):S22-32.

    Article  CAS  Google Scholar 

  26. Berg KM, Litwin A, Li Z, et al. Directly observed anti-retroviral therapy improves adherence and viral load in drug users attending methadone maintenance clinics: a randomized controlled trial. Drug and Alcohol Dependence 2011; 113(2-3): 192-199.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Brown LS, Kritz SA, Goldsmith J, et al. Characteristics of substance abuse treatment programs providing services for HIV/AIDS, hepatitis C virus infection, and sexually transmitted infections: The National Drug Abuse Treatment Clinical Trials Network. Journal of Substance Abuse Treatment 2006; 30: 315–321.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Bini EJ, Kritz S, Brown LS, et al. Barriers to providing health services for HIV/AIDS, hepatitis C virus infection, and sexually transmitted infections in substance abuse treatment programs in the United States. Journal of Addiction Disorders 2011; 30(2): 98-109.

    Article  Google Scholar 

  29. Buck JA. The looming expansion and transformation of public substance abuse treatment under the Affordable Care Act. Health Affairs 2011; 30: 1402-1410.

    Article  PubMed  Google Scholar 

  30. Substance Abuse and Mental Health Services Administration. Mental health, United States, 2010. HHS Publication No. (SMA) 12-4681. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2012.

  31. Beck AJ, Maruschak LM. Mental health treatment in state prisons, 2000 (NCJ 188215). Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics, 2001. Available online at http://www.bjs.gov/content/pub/pdf/mhtsp00.pdf.

  32. Wells R, Morrissey JP, Lee I-H, et al. Trends in behavioral health care service provision by community health centers, 1998–2007. Psychiatric Services 2010; 61(8), 759–764

    PubMed  PubMed Central  Google Scholar 

  33. Shen Y, Zuckerman S. The effect of Medicaid payment generosity on access and use among beneficiaries, Health Services Research. 2005; 40(3): 723–744.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Cunningham P and O’Malley A. Do reimbursement delays discourage Medicaid participation by physicians? Health Affairs 2009; 28(1): w17-28.

    Article  PubMed  Google Scholar 

  35. Mittler J, Gold MR. 2003. Building and sustaining physician networks in Medi-Cal managed care and health families. Oakland, CA: Medi-Cal Policy Institute

    Google Scholar 

  36. Department of Health and Human Services, Office of the Assistant Secretary. Essential health benefits: individual market coverage. Washington, DC: DHHS/ASPE, 2011. Available online at http://aspe.hhs.gov/health/reports/2011/individualmarket/ib.shtml. Accessed February 1, 2013.

  37. Department of Health and Human Services, Office of the Assistant Secretary. Essential health benefits: comparing benefits in small group product and state and federal employee plans. Washington, DC: DHHS/ASPE, 2011. Available online at http://aspe.hhs.gov/health/reports/2011/marketcomparison/rb.pdf. Accessed February 1, 2013.

  38. Frank RG, Goldman HH, McGuire TG. Will parity in coverage result in better mental health care?? New England Journal of Medicine 2001; 345(23):1701-1704

    Article  PubMed  CAS  Google Scholar 

  39. Goldman HH, et al. Behavioral health insurance parity for federal employees. New England Journal of Medicine 2006; 354(13, March 30): 1378-1386.

  40. Dave D, Mukerjee D. Mental health parity legislation, cost-sharing and substance abuse treatment admissions. Health Economics 2011; 20(2): 161-183.

    Article  PubMed  Google Scholar 

  41. Kaiser Family Foundation. Medicaid benefits: online database. Available online at Medicaidbenefits.kff.org/.

  42. Zuckerman S, Goin D. How much will Medicaid physician fees for primary care rise in 2013? Evidence from a 2012 survey of medicaid physician fees. Washington, DC: Kaiser Family Foundation, 2012. Available online at http://www.kff.org/medicaid/upload/8398.pdf. Accessed February 20, 2013.

  43. Frank RG, Glied SA. Better but not well: mental health policy in the United States since 1950. Baltimore: Johns Hopkins University Press, 2006.

    Google Scholar 

  44. Sokol PE, Wynia MK. Writing for the AMA expert panel on care transitions. There and home again, safely: five responsibilities of ambulatory practices in high quality care transitions. American Medical Association, Chicago IL 2013. Available at: www.ama-assn.org/go/patientsafety. Accessed February 12, 2013.

  45. Binswanger IA, Redmond N. Steiner JF, et al. Health disparities and the criminal justice system: an agenda for further research and action. Journal of Urban Health 2011; 89(1): 98-107.

    Article  PubMed Central  Google Scholar 

  46. Blue-Howells, JH, Clark, SC, van den Berk-Clark C et al. The U.S. Department of Veterans Affairs Veterans Justice Programs and the sequential intercept model: case examples in national dissemination of intervention for justice-involved veterans, Psychological Services 2013; 10(1): 48-53.

    Article  PubMed  Google Scholar 

  47. Morrissey JP, Steadman HJ, Dalton KM, et al. Medicaid enrollment and mental health service use following release of jail detainees with severe mental illness. Psychiatric Services. 2006; 57:809-15.

    Article  PubMed  Google Scholar 

  48. Holahan J, Headen I. Medicaid coverage and spending in health reform: national and state-by-state results for adults at or below 133% FPL. Washington. DC: Urban Institute; 2010 May

Download references

Conflict of Interest

The authors report no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alison Evans Cuellar PhD.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cuellar, A.E., Cheema, J. Health Care Reform, Behavioral Health, and the Criminal Justice Population. J Behav Health Serv Res 41, 447–459 (2014). https://doi.org/10.1007/s11414-014-9404-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-014-9404-0

Keywords

Navigation