Training Q & A - Custody and Health Care Need to Work Together

Posted Jun 30, 2021

As part of our ongoing surveys of CCHP experiences and attitudes, we sent a survey to all CCHPs in May. We received 135 responses. "Not applicable" responses have been excluded from the percentages shown below.

One of the key elements of NCCHC accreditation is to make sure that custody and health care are working together and that custody has training in health care issues. This quarter's survey asked CCHPs about their experiences with training in their facilities.

Question 1

85% of facilities have resumed or never stopped training









86% of CCHPs said that training never paused in their facilities or that it had resumed. 

Question 2

47% of facilities say that in-house health care staff trains custody staff in-person








48% of facilities train their custody staff in person using in-house health care staff. The second most popular answer was to offer the training online with materials produced in-house.

Many respondents who said other noted that they had a blend of online and in-person training.

Question 3

50% of respondents rate the quality of training for correctional staff as "good"

Good quality training is critical. As a CCHP, if you are in a position to influence the level, quality, and content of training, you could have a significant impact on the quality of health care in your facility.

Question 4

51% of CCHPs have not yet read NCCHC's position statement on humanizing language

"Use of Humanizing Language in Correctioanl Health Care" was published in February 2021. Please take a moment to read the new statement. Dehumanizing language can affect mental health, increase stress, and impact the quality of care, so it should be a factor when you review your training materials.

Question 5

27% of CCHPs say they are investigating or making changes to their language

Most than one-third of respondents were ahead of the NCCHC position statement and reported that they already use humanizing language, and 27% say they are now investigating or actively making changes. Comments for other included:

  • Although I'd love to see humanizing language used in our facilities, they are still working on culture change overall.
  • Dept may make minor changes but believe it won't be enforced
  • For the most part, we are doing this. Nobody's perfect.
  • It will take health care staff time to refer to these new terms. It's imbedded in the correctional culture.
  • Not sure.  I've suggested it to our communications team and policy editors.
  • Right now we are inundated by changes coming with language from PREA.  These are cultural changes and will take time.  We are aware and it will be discussed.
  • Some yes, some no.  Can't and won't speak for everyone.
  • We are in the process of converting all P&P and training staff
  • We have already switched to "AIC" instead of "inmate."  
  • Work in progress changing culture. Easier in some facilities than others