Guidelines for Disease Management
NCCHC's guidelines help correctional health professionals to effectively manage diseases commonly found in jails, prisons and juvenile confinement facilities.
The guidelines are adapted for the correctional setting from nationally accepted clinical guidelines issued by organizations such as the National Institutes of Health; the American Diabetes Association; the National Heart, Lung, and Blood Institute; and the U.S. Department of Health and Human Services. However, they are meant to supplement — not replace — these clinical guidelines. Each guideline provides a list of recommended resources to support evidence-based practice and quality improvement.
The NCCHC guidelines encourage total disease management, which requires clear indicators of the degree of control of the patient’s disease and the more subtle distinction as to whether the condition is stable, improving or deteriorating. With a focus on the challenges and special considerations inherent in correctional settings, they are designed to help health care providers improve patient outcomes. However, the guidelines cannot and do not substitute for clinical professional judgment based on a patient's presentation.
The NCCHC guidelines were born of a study on the health needs of soon-to-be-released inmates, which was released to Congress in 2002. In a cooperative agreement with the National Institute of Justice, NCCHC reviewed national clinical guidelines and found that none addressed the unique challenges of providing care in correctional settings. To remedy this, NCCHC established a panel of experts to review existing guidelines, evidence-based medical practices and other reference materials, and adapt the materials for use by correctional health professionals.