7. 3 Health Concerns for New Inmates During
Stressful Transition Periods
These can lead to Clinical Tragedies
8. 3 Health Concerns for New Inmates During
Stressful Transition Periods
1. Aggravating existing health conditions
2. Overlooking current health conditions
3. Developing new health concerns
These can lead to Clinical Tragedies
9. 3 Health Concerns for New Inmates During
Stressful Transition Periods
1. Aggravating existing health conditions
2. Overlooking current health conditions
3. Developing new health concerns
These can lead to Clinical Tragedies
NEED: Provide Necessary Care for New Inmates in a Continuous and Timely Manner
10. HEALTH SCREENING FOR NEW INMATES
GOAL: Identify and meet health needs of new inmates in order to
PREVENT CLINICAL TRAGEDIES
SOLUTION: ESTABLISH EFFECTIVE HEALTH SCREENING PROCESSES
11. Two types of
Incarceration Facilities:
Jail - High Volume and Shorter confinement
Prison - Low Volume and Longer confinement
12. Two types of
Incarceration Facilities:
Jail - High Volume and Shorter confinement
Prison - Low Volume and Longer confinement
Different timelines BUT a similar health screening process
14. The 5 “I”s of Health Screening
PHASE 1
Identify Current Acute Needs (injuries, intoxication, withdrawal,
suicidal ideation)
Implement Urgent Treatment in a Timely Manner
Investigate any additional Medical Needs and Provide Required
Treatment
PHASE 2
Initiate a Health Record and Establish a Baseline Health Status
Inform New Inmate of Available Healthcare Provisions and How to
Obtain Further Evaluation Through Sick Call Process.
22. PRE-CUSTODY
BOOKING
ARREST
SCREENING
PHASE ONE TIMELINE
23. PRE-CUSTODY
BOOKING
ARREST
SCREENING
PHASE ONE TIMELINE
24. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR
HOSPITAL
PHASE ONE TIMELINE
25. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR
HOSPITAL
PHASE ONE TIMELINE
26. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR POST-CUSTODY
HOSPITAL SCREENING
PHASE ONE TIMELINE
27. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR POST-CUSTODY
HOSPITAL SCREENING
PHASE ONE TIMELINE
28. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR POST-CUSTODY
CUSTODY
HOSPITAL SCREENING
PHASE ONE TIMELINE
29. Arrest Booking Pre-Custody Screening
Immediately following arrest &
booking...
Identify Current Acute Needs (injuries,
intoxication, withdrawal, suicidal ideation)
Implement Urgent Treatment in a Timely
Manner
URGENT TREATMENT MAY REQUIRE
ROUTING INMATE TO HOSPITAL CARE
BEFORE BEING ACCEPTED INTO CUSTODY
30. Custody Post-Custody Screening
Once an inmate is accepted into custody an
additional screening is needed to identify:
- Chronic Diseases
- Medication Regimens
- Mental Health Histories
- Allergies
Inmates may be scheduled for
additional “immediate” evaluation and
care, routine care, or no specific follow
up at all.
31. Custody Post-Custody Screening
Once an inmate is accepted into custody an
additional screening is needed to identify:
- Chronic Diseases
- Medication Regimens
- Mental Health Histories
- Allergies
Investigate any additional Medical Needs and
Provide Required Treatment
Inmates may be scheduled for
additional “immediate” evaluation and
care, routine care, or no specific follow
up at all.
32. HEALTH SCREENING FOR NEW INMATES
PHASE 2: FOLLOW-UP REVIEW OR
“INITIAL HEALTH ASSESSMENT”
38. Custody Initial Health Assessment
Once an inmate has been in custody for one week (prison)/two
weeks (jail) an additional screening is needed to:
The initial health assessment includes a formal physical examination performed either
by a health care practitioner or a properly trained registered nurse. If chronic
diseases are identified, the patient should either be reviewed for chronic disease
management or scheduled for review within 30 days of the confinement date.
39. Custody Initial Health Assessment
Once an inmate has been in custody for one week (prison)/two
weeks (jail) an additional screening is needed to:
Initiate a Health Record and Establish a Baseline Health Status
Inform New Inmate of Available Healthcare Provisions and How to Obtain Further
Evaluation Through Sick Call Process.
The initial health assessment includes a formal physical examination performed either
by a health care practitioner or a properly trained registered nurse. If chronic
diseases are identified, the patient should either be reviewed for chronic disease
management or scheduled for review within 30 days of the confinement date.
40. Inclusion of these areas is mandated by the
National Commission on Correctional Health
Care (NCCHC) and American Correctional
Association (ACA) standards.
Mental health screening is especially important
in the period of initial confinement. Especially
because of the high risk of suicide.
EFFECTIVE MENTAL HEALTH SCREENING CAN DRASTICALLY
REDUCE SUICIDE RATES!
A NOTE ON MENTAL AND DENTAL HEALTH
47. PRE-CUSTODY
BOOKING
ARREST
SCREENING
REVIEW OF ENTIRE HEALTH SCREENING PROCESS
48. PRE-CUSTODY
BOOKING
ARREST
SCREENING
REVIEW OF ENTIRE HEALTH SCREENING PROCESS
49. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR
HOSPITAL
REVIEW OF ENTIRE HEALTH SCREENING PROCESS
50. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR
HOSPITAL
REVIEW OF ENTIRE HEALTH SCREENING PROCESS
51. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR POST-CUSTODY
HOSPITAL SCREENING
REVIEW OF ENTIRE HEALTH SCREENING PROCESS
52. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
OR POST-CUSTODY
HOSPITAL SCREENING
REVIEW OF ENTIRE HEALTH SCREENING PROCESS
53. PRE-CUSTODY
BOOKING
ARREST
SCREENING
CUSTODY
CUSTODY
OR POST-CUSTODY
ONE WEEK (PRISON)
HOSPITAL SCREENING TWO WEEKS (JAIL)
REVIEW OF ENTIRE HEALTH SCREENING PROCESS
