2020-103 Audit Scope and Objectives

California Department of Corrections and Rehabilitation— Integrated Services for Mentally Ill Parolees Program

The audit by the California State Auditor will provide independently developed and verified information related to the California Department of Corrections and Rehabilitation's (CDCR) Integrated Services for Mentally Ill Parolees (ISMIP) program. The audit's scope will include, but not be limited to, the following activities:

  1. Review and evaluate the laws, rules, and regulations significant to the audit objectives.
  2. Identify and analyze the roles of state-level entities related to the ISMIP program (program) and evaluate CDCR's oversight of the program to determine whether the State's oversight is adequate.
  3. Identify the program's annual appropriations for the past 10 fiscal years. For the past five fiscal years, break down expenditures by categories covering contracts for health care providers, housing, and administration.
  4. Determine who refers participants to the program, what training they receive, and what criteria they use when referring participants.
  5. Analyze the selection process for program participants, including the following:
    1. Identify the criteria used to select participants, including an individuals' risks of homelessness and their housing statuses, and how the criteria are weighted.
    2. Determine whether CDCR uses evidence-based tools in its selection process.
    3. Determine what data, such as housing status, CDCR collects for consideration in selecting participants.
  6. Determine whether CDCR adequately collects, tracks, and analyzes ISMIP data related to housing status, the services participants receive, and recidivism. To the extent possible, determine the number and cost of services provided through the program that could have otherwise been funded through Medi-Cal.
  7. To the extent possible, for the past five fiscal years, perform the following related to recidivism rates:
    1. Calculate the recidivism rate for program participants.
    2. Determine how many eligible participants were unable to participate due to a lack of program space and their recidivism rates.
    3. Compare the recidivism rates of both groups and summarize the types of crimes for which recidivists were convicted.
  8. To the extent possible, determine the following about program participants:
    1. The number of participants who were homeless when they first enrolled in the program and the number who became homeless while participating in the program.
    2. The number of participants who receive housing assistance under the program by the type of housing provided, such as housing in treatment settings, time limited housing, or permanent housing. Determine the number of participants who share a bedroom.
    3. The number of participants who received interim interventions, such as shelter stays or bridge housing, and whether and when these participants were eventually connected to permanent housing.
    4. The dropout rate for the program, the reasons that participants drop out, and the average length of participation for those who drop out.
    5. The number of participants who remained in the program until they dropped out.
    6. The number of participants who are Medi-Cal eligible and the number enrolled in Medi-Cal.
  9. Determine who refers participants to housing, and evaluate how payments are made to housing providers.
  10. For a selection of program providers, determine the extent to which they connected participants to local housing programs.
  11. Evaluate CDCR and legislative efforts to improve the program's outcomes. Determine what steps CDCR has taken to coordinate with counties, the outcomes of those steps, and plans to improve coordination with counties in the future.
  12. Review and assess any other issues that are significant to the audit.

California State Auditor's Office
02/26/2020