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

Performance Standard 6A: Access to Services

Withdrawal Management 5-ACI-6A-41 (Ref. 4-4376)

(MANDATORY) Withdrawal management is done only under medical super- vision in accordance with local, state, and federal laws. Withdrawal manage- ment from alcohol, opiates, hypnotics, stimulants, and sedative hypnotic drugs is conducted under medical supervision when performed at the facility or is conducted in a hospital or community treatment center. Specific guidelines are followed for the treatment and observation of individuals manifesting mild or moderate symptoms of intoxication or withdrawal from alcohol and other drugs. Offenders experiencing severe, life-threatening intoxication (an over- dose), or withdrawal are transferred under appropriate security conditions to a facility where specialized care is available. Comment : Medical treatment should include current medications that are indicated to prevent serious withdrawal symptoms, and within the facility include period- ic monitoring with documentation of decompensation and/or significant changes which require additional intervention or referral to a qualified outside facility.

Protocols : Written policy and procedure. Community contract agreements.

Process Indicators : Health records. Transfer records. Interviews.

Management of Chemical Dependency 5-ACI-6A-42 (Ref. 4-4377)

Offenders have access to substance disorder information, education, and/or treatment programs for substance use disorders. When a substance use dis- order treatment program exists, the clinical management of program partici- pants includes, at a minimum, the following: • a standardized needs assessment administered to determine the level of substance use treatment needs and criminogenic risks/needs • an individualized treatment plan developed and implemented by a clinician or multidisciplinary team with appropriate training, and certification or licensure (where required by statute), in substance use disorders treatment • pre-release education related to the risk of return to substance use • program participant involvement in aftercare discharge plans.

Comment : None.

Protocols : Written policy and procedure.

Process Indicators : Offender health records. Interviews. Prerelease, preventive, or education curriculum.

Adult Correctional Institutions, Fifth Edition 193