Perf-Based Stds, Adult Corr. Inst. 5th ed March 2021

Part 6: Healthcare

• participating in a multidisciplinary quality improvement committee which includes a QMHP as a member. • collecting, trending, and analyzing of data combined with planning, inter - vening and reassessing services • evaluating defined data, which will result in more effective access to care, improved quality of care, and better utilization of resources • reviewing all suicides or suicide attempts and other serious incidents, (e.g.: assaults, restraints/involuntary medications) involving inmates identified with a serious mental illness • review clinical care issues, implementing measurable corrective action plans to address and resolve important problems and concerns identified specific to mental health issues, and incorporating findings of internal re- view activities into the organization’s educational and training activities • maintaining appropriate records of internal review activities • requiring a provision that records of internal review activities comply with legal requirements on confidentiality of records

Comment: Reports can be facilitated by regular participation of the facility or pro- gram administrator, health administrator, and responsible mental health authority.

Protocols : Written policy and procedure. Treatment guidelines.

Process Indicators : Offender health records. Completed screening forms. Obser- vation. Interviews.

Mental Health Crisis Intervention Training

5-ACI-6A-30

(Effective NLT October 1, 2020) Each staff, inclusive of correctional staff, assigned to a multidisciplinary services team is trained to respond to mental health related crises. This training is conducted at least annually and is es- tablished by the Mental Health Authority in cooperation with the facility or program administrator and includes instruction on: • recognition of signs and symptoms of mental illness, violent behavior, and acute chemical intoxication and withdrawal • methods for accessing health/mental health staff during a mental health crisis • implementation of suicide/self-injurious prevention interventions • procedures for placement of patient in a level of care in accordance with his/her mental health needs

NEWAug. 2018

Comment: None.

Protocols : Written policy and procedure. Training curriculum.

Process Indicators : Staff training records. Staff interviews.

4-4369

Deleted January 2006

186 Adult Correctional Institutions, Fifth Edition