| Section
E: Inmate Care and Treatment |
Y-E-01
Information on Health Services
(Essential) |
Formerly Y-33
This essential standard intends that the juveniles have
knowledge about the availability of, and access to,
health care services. Topics that must be addressed
orally and in writing in a form and language juveniles
understand include how to access health services, the
grievance process and fee-for-service program, if one
exists. Written documentation may include facility
handbooks, a handout or postings in the housing areas. A
sign regarding access must be posted in the intake area. |
|
Y-E-02
Receiving Screening
(Essential)
(Name change from Receiving
Screening and Medical Clearance) |
Formerly Y-34
This essential standard is intended to fulfill a
threefold purpose: to identify and meet any immediate
health needs of those admitted; to obtain necessary
urgent or emergent treatment for a juvenile in need of
care; and to identify and isolate juveniles who appear
potentially contagious. This standard remains basically
the same.
This standard includes two Performance Measures for
internal evaluation of the effectiveness of the
receiving screening process. |
Y-E-03
Receiving Screening for Transfers
(Essential) |
New
This essential standard is intended to offer an
appropriate alternate intake process in facilities where
juveniles are transferred in from other facilities
within the same correctional system. It ensures that
juveniles continue to receive appropriate health
services for health needs already identified and
unnecessary repetitive tests are avoided. This process
includes a face-to-face interview by health or
health-trained staff, and that the record is reviewed by
health staff within 12 hours. |
Y-E-04
Health Assessment
(Essential) |
Formerly Y-35
This essential standard intends that clinicians assess
and plan for meeting the health needs of the juvenile
and is basically the same, requiring the full health
assessment within 7 days of admission to the juvenile
system. It explicitly notes that when the hands-on
physical is done by a mid-level practitioner, review of
significant findings by the physician is required; and
when trained RNs do the hands-on physical, the physician
must review all findings.
This standard includes two Performance Measures for
internal evaluation of the timeliness and effectiveness
of the health assessment process. |
Y-E-05
Mental Health Screening and Evaluation
(Essential)
(Name change from Mental Health Assessment) |
Formerly Y-36
This essential standard intends to ensure that the
mental health needs, including those related to
developmental disability and/or addictions, are
identified. This standard remains basically the same.
Screening by mental health staff or trained health staff
takes place on all juveniles within 14 days of admission
to the system. Further evaluation is done by qualified
mental health professionals for those juveniles whose
screen is positive. This includes appropriate individual
and/or group testing regarding intellectual functioning.
See also essential Y-G-04 Mental Health Services, which
is a new companion to this standard and explicitly
addresses mental health services. |
Y-E-06
Oral Care
(Essential)
(Name change from Oral Screening and Oral Health Care) |
Formerly Y-37
This essential standard remains basically the same and
intends that juveniles’ serious dental needs are met.
Routine dental problems are managed in a timely fashion
in keeping with current community standards of practice.
Requirements for oral care by a dentist according to
treatment priorities remain. Oral screening by the
dentist or trained health staff takes place within 7
days of admission; instruction on oral health within 14
days; and a dental examination within 60 days. |
Y-E-07
Nonemergency Health Care Requests and Services
(Essential)
(Name change from Daily Handling of Non-Emergency Medical Requests and
Sick Call) |
Formerly Y-38 & Y-39
This essential standard intends that juveniles’
routine health care needs are met. It combines and
clarifies requirements for the daily handling of
nonemergency medical requests and the sick call process
itself. There are four elements specified with explicit
compliance indicators for each. These requirements are
essentially the same as in previous versions: (1) all
juveniles have the opportunity to request care daily;
(2) requests are reviewed for immediacy of need and
required intervention (triaged) daily; (3) frequency and
duration of sick call by qualified health care
professionals (may be physicians, mid-level
practitioners, nurses) conducted in a clinical setting
meets the needs of population; and (4) providers’
clinics (physician and/or mid-level) available in timely
manner. General expectations regarding the timeliness of
sick call is within 24 hours (72 for weekends) of the
request (face-to-face triage by health staff is a sick
call encounter). The expectation for the provider clinic
appointment is dependent on the nature of the request. |
| Deleted: Former Y-41 Direct Orders |
(Issues addressed are monitored through compliance with
other standards, e.g., Y-D-02 Medication Services.) |
Y-E-08
Emergency Services
(Essential) |
Formerly
Y-42
This essential standard intends that sufficient
emergency health planning occurs to prevent bad outcomes
in relation to emergencies. It remains basically the
same, requiring community hospital availability and an
emergency on-call system for health staff when such
hospitals are not located nearby.
This standard includes two Performance Measures for
internal evaluation of the effectiveness of the
emergency services. |
Y-E-09
Segregated Juveniles
(Essential) |
Formerly Y-40
The intent of this standard is to ensure that juveniles
placed in segregation maintain their medical and mental
health while physically and socially isolated from the
remainder of the population. It remains basically the
same, including daily health staff visits when health
staff are on duty and monthly reports.
Correctional staff must notify health staff when
juveniles are placed in segregation (notification is to
the health staff on-call when health staff are not on
site.
This standard includes two Performance Measures for
internal evaluation of the use and safety of the
segregation process. |
Y-E-10
Patient Escort
(Important)
(Name change from Patient Transport) |
Formerly Y-43
An intent of this important standard is that the
facility provides sufficient escorting staff so that
patients can meet scheduled health care appointments
within the facility or community; it remains basically
the same. Explicit reference is included regarding
providing necessary medications during transport and
alerting transporting staff to health needs requiring
attention during the transport. |
Y-E-11
Nursing Assessment Protocols
(Important)
(Name change from Assessment Protocols) |
Formerly Y-44
This important standard intends to ensure that nurses
who provide clinical services are trained and do so
under specified guidelines. This standard explicitly
focuses on nursing assessment guidelines and explicitly
states that the use of standing orders for preventive
medicine practices (immunizations, flu shots, etc.) is
in compliance with the intent of the standard. |
Y-E-12
Continuity of Care During Incarceration
(Essential)
(Name and content change from Continuity of Care) |
Formerly Y-45
The former standard covered
the concept of continuity from all aspects: community to
corrections, within corrections, and corrections to
community. It has been divided into appropriate
standards to address each of these aspects separately.
This
revised essential standard focuses only on continuity of
care issues that occur during incarceration and intends
to ensure that patients receive care as ordered by
clinicians. The emphasis is on being sure that
diagnostic tests and treatment that are ordered are
delivered in a timely fashion, and that results are
reviewed with changes in treatment as required. Sharing
of information among providers of different disciplines
takes place as required. |
Y-E-13
Discharge Planning
(Important) |
New
The intent of this important standard is that facility
clinicians ensure that patients’ health needs are met
during transition to a community provider as part of the
discharge process. Although new as a separate standard,
the concept of discharge planning was included in the
former Continuity of Care standard. |
