268314 Outcomes from the Evaluation of New York City's Beyond the Bridge Program: An Intensive, Structured Treatment Model for Incarcerated, Mentally Ill Individuals

Tuesday, October 30, 2012 : 1:10 PM - 1:30 PM

Sarah Glowa-Kollisch, MPH , Bureau of Correctional Health Services, Division of Health Care Access and Improvement, New York City Department of Health and Mental Hygiene, Long Island City, NY
Daniel Selling, Psy, D , NYC Department of Health and Mental Hygiene, Correctional Health Services, East Elmhurst NY, NY
Cynthia Summers, DrPH , Bureau of Health Planning, New York City Department of Health and Mental Hygiene, Long Island City, NY
New York City (NYC) has the nation's second largest jail system, with over 80,000 new annual admissions, and an average daily census of 13,500 inmates, almost all of whom are housed on Rikers Island. One-third of these inmates are mentally ill and, of these, twenty percent are severely mentally ill. NYC's Departments of Health and Mental Hygiene (DOHMH) and Correction (DOC) have a collaborative relationship within the City's jail system; DOC oversees the security and manages all jail admissions, while DOHMH is responsible for medical, mental health, substance abuse, dental, discharge planning, and transitional health care services for all inmates. In late 2010, DOHMH and DOC implemented a pilot program, Beyond the Bridge, to provide residentially-based cognitive behavioral therapy through a highly structured, incentive-based program in three mental observation units in a jail facility on Rikers Island. An in-depth evaluation was undertaken, with data collection built into the program since its inception. Key outcome measures of the evaluation include: reduction in violent incidents and fights, reduction in uses of force by corrections officers, reduction in time spent on suicide watch and incidents of self-injurious behavior, engagement in post-release mental health treatment, and increased length of community survival. Data collection was challenging, given the scope and variety of sources, including: Medicaid claims data, the jail's Electronic Health Record (the first jail-wide EHR to be implemented in the country), hand-written logbooks, and program-generated data. Preliminary analyses are underway, and analyses of all outcome data will be completed in the summer of 2012.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
1. Describe the process used to design an effective evaluation 2. Discuss the results of this evaluation, including program impact on reduction in violence and mental health service use after release.

Keywords: Correctional Health Care, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Executive Director of Mental Health and the Director of Substance Abuse Treatment for the New York City Department of Health and Mental Hygiene, Bureau of Correctional Health Services.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.