Guidelines for Disease Management

Updated Guidelines

New juvenile guidelines address obesity and  sickle cell disease.

Forms for
Chronic Care

Three forms, along with instructions for use, are the final pieces in a program for monitoring chronic diseases.

The National Commission on Correctional Health Care has adopted several guidelines to help correctional health care professionals 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 prepared by other organizations, including 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.

The 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 care professionals.

The guidelines encourage total disease management, which requires clear indicators of the degree of control of the patient’s disease and, frequently, the more subtle distinction as to whether the condition is stable, improving or deteriorating. The guidelines also highlight barriers to appropriate treatment commonly found in correctional facilities. However, the guidelines cannot and do not substitute for clinical professional judgment based on a specific patient's presentation.

The guidelines are reviewed routinely by NCCHC and updated periodically. Be sure also to download the Definitions of Disease Control and Clinical Status.

Streamlined Format

The Guidelines for Disease Management in Correctional Settings feature streamlined content that is meant to supplement not replace nationally accepted clinical guidelines from federal or specialty organizations. With a focus on the challenges and special considerations inherent in correctional settings, they are designed to help correctional health care providers improve patient care outcomes. Each guideline provides a list of recommended resources to support evidence-based practice and quality improvement.

The guidelines posted below were reviewed and, as necessary, updated in mid-2011.
Some guidelines remain under review and will be issued as they are available.

 
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