Welcome to Corrections

Healthcare in a correctional

environment

Performance Objectives

Review the philosophies and institutions of the Oregon Department of Corrections.

Review of relevant Rules and Policies that effect the new employee, volunteer, or student.

Review special security, safety and confidentiality concerns that face corrections healthcare professionals.

Identify how to respond to inappropriate or suggestive inmate comments or compliments.

Healthcare in a Correctional Environment

Security concerns are fundamental to every activity in the institution.

Unique social and cultural structures form within the institutional ‘community’.

The patients in our ‘community’ are a challenging sub-set within the general population.

Specific recent court finding are impacting the ways care is organized and delivered.

Correctional Health Care is a growing subspecialty.

Facilities Throughout Oregon SRCI - Ontario

– Snake River Corr. Inst. • 2,791 Medium Male

• 163 Minimum Male

PRCF - Baker City– Powder River Corr. Fac.

• 175 A&D Alternative Male

• 84 Work Male

EOCI - Pendleton– Eastern Oregon Corr. Inst.

• 1617 Medium Male

TRCI - Umatilla– Two Rivers Corr. Inst.

• 1,557 Medium Male

• 127 Minimum Male

CCCF - Wilsonville – Coffee Creek Corr. Fac.

• 600 Medium Female• 600 Minimum Female• 432 Male Intake

OSP – Salem– Oregon State Penitentiary

• 2,039 Maximum Male

OSPM – Salem– Oregon State Penitentiary

Minimum• 172 Minimum Male

OSCI – Salem– Oregon State Corr. Inst.

• 882 Medium Male

State Facilities SCI - Salem

– Santiam Corr. Inst.• 387 Minimum Male

MCCF – Salem– Mill Creek Corr. Fac.

• 217 Minimum Work Male

CRCI – Portland– Columbia River Corr. Inst.

• 530 Minimum Male

SCCI – North Bend– Sutter Creek Corr. Inst.

• 213 Alternative Incarceration– Male and Female

• 29 Minimum Work Male

WCCF – Lakeview– Warner Creek Corr. Fac.

• 378 Minimum Work Male

SFFC – Tillamook– South Fork Forest Camp

• 188 Minimum Male work camp

DRCI - Madras – Deer Ridge Corr. Inst.

• XX Medium Male• XX Minimum Male

Future Facilities– Junction City– White City

Oregon Department Of Corrections

Mission

Vision

Values

Oregon Accountability Model (OAM)

Mission

Holding offenders accountable for

their actions

Reducing the risk of future criminal

behavior.

&

Maintain security while preparing

inmates for successful re-entry

into the community

Health Services Mission

To promote public safety by holding

offenders accountable for their actions and reducing the risk of

future criminal behavior.

To deliver professional, quality, constitutionally mandated health care using an efficient, managed care system in support of the mission of the DOC

Oregon Department Of Corrections

Vision– We take a proactive role in the development of

the criminal justice policy.– We create partnerships with Oregon

communities to hold offenders accountable, engage victims, and enhance the quality of life for the citizens of Oregon.

– We are a committed, creative, and productive organization which recognizes safety and security as an essential business practice.

Oregon Department Of Corrections

Vision– We require sound fiscal management of public

resources using outcome-oriented strategies.– We provide offender programs and resources

which support the department's mission.– We are a diverse, skilled work force which

shares the responsibility for outcomes across organizational boundaries.

Oregon Department Of Corrections

Values

We ValueOur responsibilities

IntegrityTeamwork

Respecting othersConstructive change

The participation of all

Oregon Department Of Corrections

Oregon Accountability Model

Role Model

Reinforce

Redirect

Create a Pro-socialLearning Environment

Reinforce Pro-social Behavior

Intervene and RedirectAnti-social Behavior

Relevant Policy

Code of Ethics…. Policy 20.1.2

Code of Conduct…. Policy 20.1.3

CAN’T• Blue Denim or Look Like It• Bright Orange or Lime Green• Insignias, Writing & Pictures• Sheer or Tight Fitting

Clothing • Bare Midriff, Thighs, Back• Jewelry • Cell phones, electronics• Hair on the shoulders

CAN• Black Denim• Scrubs• Lab Coat• Stethoscope

Be sensitive to the prison environment

Dress Code …Policy 20.1.6

Relevant Policy

Identification Cards …Policy 20.5.15

– Identification must be worn at all times while in the facility.

– Use only for access to the facility.• It is not used as a secondary identification.• It is not used for personal favors.• Use only during work time.

Relevant Policy

Smoke Free Workplace…. Policy 20.6.3

– Designated smoking areas.

– No smoking on the premises.

Relevant Policy

Keys and Locks…Policy 40.1.2– No personal locks– Keys kept on person at all times.

Inmate Counts ….Policy40.1.3

Relevant Rules From Oregon Administrative

Rules (OAR’s)

Rules of Prohibited Conduct …Rule#105– Many rules are in place within the corrections

environment that prohibit things that are allowable within the outside community.

Visiting ….Rule#127– If you need to visit a friend or relative, you

must follow the regular visiting rules.

Relevant OAR’s (continued)

Health Services ….Rule #124– Health Services rule outlines our program and

the Policies and Procedures for the care provided for the patients within the facilities.

• Medical

• Dental

• Mental Health

• Pharmacy

• Radiology – Laboratory

• Health Care Records

Relevant OAR’s (continued)

SMU .…Rule # 048

Mental Health Tx Program….Rule #047

Suicide Prevention ….Rule #076

National Commission on Correctional Health Care The NCCHC is the organization we are

certified by The commission establishes standards of

care similar to JCAHO does in the community

Our policy/procedure manual is coded and taken directly from the NCCHC Standards

Relevant Rules / Policies

Health Services Policy and Procedure Manual

Pay particular attention to the institution’s:– Sick Call– Emergency Response– Bloodborne Pathogens– Confidentiality

Relevant Rules / Policies

Health Services Nursing Protocols

– Allows the properly trained nurse to provide more independent initial treatment for the patients.

• Medical - Routine• Dental - Routine• Medical - Emergency

Prison Rape Elimination Act

Unanimously passed by Senate and House Signed into law in 2003 Establishes a “Zero Tolerance” standard Makes PREVENTION a top priority and

establishes a National Commission to develop national standards.

Personal Interaction

The inmate population is a unique community, with special characteristics.

Security is a primary concern, always. Practicing Health Care in a Non-Health

Care Environment. Special challenges to the ‘normal’ Patient-

Provider relationship.

Professional Boundaries

Don’t look to work to meet your personal needs

Maintain balance in your life

Staff Protection

Learn the proper procedure for inmates to obtain things.

Let someone know if you think you are being cultivated

Misconduct Reports

Know what to do in a crisis

Security Emergency

Fire Emergency

Hostage Situation

Security and Teamwork Adhere to all facility security procedures. Remember that

security is the responsibility of all employees, volunteers and contractors.

Demonstrate respect in all interactions. Strive for an environment of mutual respect.

Be proactive when observing and intervening in offender behavior.

Role model pro-social behavior in a professional, firm, fair and consistent manner.

Identify, process and control contraband. Report all incidents immediately… honestly and

accurately.

So, in summary;

Remember where you are. The rules and restrictions exist for good reason,

don’t bend or break them. Problems arise when information isn’t shared…

know when and how to do it. If you don’t know or don’t understand, just ask.

WELCOME TO CORRECTIONS !!!!!