Fifth Judicial District - Department of Correctional Services

DISTRICT POLICIES

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TITLE: Health Services Mental Health

POLICY

An offender's history and any LSI-R or Jesness will be reviewed to determine if mental health issues are present or if intervention has occurred in the past. These things will be reviewed to see if services should be continued. New offenders who are not coming from an institution will complete a health questionnaire prior to their intake physical, which will address issues regarding mental health concerns, any suicidal thoughts, and family mental health history. Offender mental health needs will be referred to those agencies in the community trained to perform assessments, provide intervention, prescribe necessary medications, and provide suicide prevention education. All staff with offender supervision responsibilities will be trained in recognizing mental heath issues including suicide and prevention of suicide.

DEFINITIONS

  1. Assessment - Determining whether an offender requires mental health treatment and if so whether it should inpatient, outpatient, or on a medicinally treated basis, or with a combination of interventions.
  2. Intervention - Treating a mental health condition through the use of inpatient counseling, out patient counseling, group counseling, or use of medication.
  3. Prevention - Providing education that will lead to the understanding, prevention, and treating of controllable mental health conditions or issues.

PROCEDURES

  1. Assessment
    1. New offenders complete a health questionnaire upon intake. This questionnaire will be reviewed with the offender by a health professional during the intake physical.
    2. During the initial interview with the facility PPO II/Residential Counselor, offender's histories (including any current medications and institutional health screenings) and needs assessments will be reviewed to determine if intervention should be continued or initiated.
    3. If mental health needs arise at any time while an offender is a resident in the facility, they may be referred to a community mental health agency for assessment.
  2. Intervention
    1. If initial screenings determine that mental health treatment should commence or continue, offenders will be referred to the appropriate agency for further assessment and/or intervention. These agencies may include Lutheran Social Services, Catholic Charities or Broadlawns Medical Center (BMC) Crisis Unit.
    2. Costs for intervention and/or further assessment including medication costs are the responsibility of the offender.
  3. Prevention
    1. Staff with supervisory responsibilities will be trained in recognizing mental health disorders. Staff will be trained in recognizing suicidal tendencies, as well.
    2. Staff will be consistently cognizant of mental health issues that offenders may be experiencing. This can be through observations or an offender's verbal expression of the need for mental health intervention.
    3. Staff will review medication logs to insure that offenders are taking their medications as prescribed. Discrepancies will be brought to the attention of the PPO II/Residential Counselor.
    4. With supervisory approval, staff will make emergency referrals to the Broadlawns Medical Center Crisis Unit as the need may arise
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