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Section G: Special Needs and Services |
P-G-01
Special Needs Treatment Plans
(Essential) |
Formerly
P-51
This essential standard is intended to ensure that
inmates with significant health conditions receive
proactive, ongoing, coordinated multidisciplinary care.
The standard itself remains basically the same while
requirements for the plan have been clarified.
Adolescents incarcerated in adult facilities, due to
their developmental needs, have been added to the list
of special needs inmates. See also P-G-02 Management of
Chronic Disease. |
P-G-02
Management of Chronic Disease
(Important) |
Formerly
P-47
This important standard intends that the food served
contributes to the inmates’ overall health. It remains
basically the same. |
P-G-03
Infirmary Care
(Essential) |
Formerly
P-52
This essential standard intends to establish the
principles and practices for infirmary care in the
facility. It is the scope of care offered, not the
designated physical space, that defines the infirmary.
This standard remains basically the same. Explicit
clarification has been added that infirmaries set up for
mental health disorders must also meet the infirmary
requirements. Clarification is included that infirmary
space may house different levels of inmates requiring
different levels of care (observation and infirmary);
and "sheltered housing" protective
environments do not constitute infirmary care. |
P-G-04
Mental Health Services
(Essential) |
New
This new essential standard makes explicit what has
always been implicit in the Standards: Health
care includes mental health care. This is in keeping
with the various courts’ definitions of health
services when it comes to access to care within the
correctional environment. Prisons already accredited
will not necessarily need to initiate additional
services; the mental health services will simply be
evaluated separately under this standard. This standard
intends that inmates with mental health problems are
able to maintain their best level of functioning. It
articulates specific mental health services required
within the prison depending on the needs of the
population. At a minimum, services include crisis
intervention, psychotropic medication management, and
short-term individual and/or group therapy. |
P-G-05
Suicide Prevention Program
(Essential)
(Name change from "Suicide Prevention" to
better reflect content of the standard.) |
Formerly
P-53
This essential standard is intended to ensure that
suicides are prevented if at all possible. When suicides
do occur appropriate corrective action is identified and
implemented to prevent reoccurrences.
This standard remains basically the same; elements to be
addressed in the suicide prevention program include:
training, identification, referral, evaluation, housing,
monitoring, communication, intervention, notification,
reporting, review, and critical incident debriefing.
Explicit clarification has been added that inmates
employed in any way in suicide prevention are adjuncts
to staff roles. |
P-G-06
Intoxication and Withdrawal
(Essential) |
Formerly
P-54
An intent of this essential standard is that inmates who
are intoxicated or undergoing withdrawal are
appropriately managed. This standard remains basically
the same. Guidance is offered to the physician regarding
factors to consider when deciding what level
intoxication can be managed within the facility with the
reminder that severe withdrawal symptoms must be managed
within a hospital environment. |
P-G-07
Care of the Pregnant Inmate
(Essential)
(Name change from "Perinatal Care" to better
reflect focus of the standard.) |
Formerly
P-55
This essential standard intends that the health of the
pregnant inmate and her unborn child are protected. It
remains basically the same. Explicit mention is made of
the availability of specialized obstetrical services
when needed. |
P-G-08
Inmates With Alcohol and Other Drug Problems
(Important) |
Formerly
P-56
The important standard intends that inmates are provided
the opportunity to address their addictions and remains
basically the same. There is clarification that the
extent of on-site treatment may vary with the needs of
the inmates and average length of stay. One compliance
indicator addresses the need for shared information
among clinicians regarding AOD care. |
P-G-09
Procedure in the Event of Sexual Assault
(Important)
(Name change from "Sexual Assault" to better
reflect focus of the standard.) |
Formerly
P-57
The important standard intends that appropriate
treatment take place for victims of sexual assault and
remains basically the same. The gathering of
"evidence" from the alleged victim with
his/her consent is acceptable and does not violate
P-I-03 Forensic Information. |
P-G-10
Pregnancy Counseling (Important) |
Formerly
P-58
This important standard intends that pregnant inmates
receive services as they would in the community. It
remains basically the same so that the pregnant inmate
has available to her the choices she would have in the
free world. |
P-G-11
Orthoses, Prostheses, and Other Aids to Impairment
(Important) |
Formerly
P-59
This important standard intends that the facility
provides resources to inmates with physical impairments.
While remaining basically the same, it makes explicit
that in the event a security concern prohibits a
specific therapeutic adjunct order by a medical
provider, alternative accommodations must be made so the
health needs of the inmate are met. |
P-G-12
Care for the Terminally Ill
(Important) |
New
As a new standard, this one comes in under the important
status category; it is a relatively new issue for the
correctional field. It intends that the facility has an
effective program that addresses the needs of the
terminally ill inmate. It focuses on care for the
terminally ill including pain management, initiation of
requests for early release in accord with the laws and
regulations of the jurisdiction involved, and gives
guidance for hospice care within the correctional
environment. |
