Suicide Training

11-?ay-Z?i? 15:25 Public Records Lau Request: Suicide prevention pol 6582393196 p+1 May 2017 Barnstable County sherif? Of?ice Barnstable County Sherif?s office 6000 Sheriff's Place, Bourne. MA 02532 To whom :t May Concern Pursuant to the Massachusetts Public Records Law, M.G c.66, 510, I he eby request the following records; All policies, procedures, and training materials related to suicide and suicide prevention I also request that, if appropriate, fees be waived as we believe this reqUEst is in the public interest, as suggested but not Stipulated by the recommendations of the Massachusetts Supervisor 0? Public Records. The rednested cocuments will be made available to the general free of charge as part of the public information service at MuckRock com processed by a representative of the news media/p ess and is made in the process of news gathering and not for commercial usage i expect the request to be filled in an access;ble format, including for screen readers, which provide text-to-speech for persons unable to read print Files that are not accessible to screen readers include for example, image files as well as physical documents In the event that there are fees, would be grateful if you would inform me of the total charges in adVance of my request I would prefer the request filled electronically, by e-mail attachment if available or CD-ROM if not Thank you in advance for your anticipated cooperation in this matter I look forward to receiving your response to this requeSL within 10 business days, as the statute reqUires Sincerely, Andrew Quemeru Filed Via MuckRock com E-mai; (Preferred) 37549-70116265?reruests muckrock com For mailed responses pl~ase addre :3ee note)? MuckRock MR 37548 411A Highland Ave MA 02134-251 PLEASE NOTE *his "equesr is not filed by a MuckRock sta"f member, but is being sent through MuckRock by the above in order to better track, share, and manage public records reqiests A154 note that improperly addressed (i.e with the requester's name rather .han "MuckRock News? and the department number) requests might be retu ned as undeliverable . - - BARNSTABLE COUNTY OFFICE POLICY AND PROCEDURE E?ctive Dore! 1/01: 2004: Approval: Number: Amended Date: 02/05/2003 10/022013 05/15/2009 05/22-2014 ?uff/?6? 03/04/2010 05/212015 6 05/25/2011 03 08/2017 03 28/20} 2 Sheriff James M. Cummings Title: Suicide Prevention Protocol/Observation Watch Section: Heoith Services ACA Standard/s: 4-ALDF-2A-52, 4C?i9, 4C-27, 4C-32. Source: CMR 932.04- 06 Annual Review Date: No. Pages 05/04/2017 08 POLICY: The purpose of this document is to establish Bamstable County Sheriff?s Of?ce policy for suicide identi?cation, prevention, protocol and documentation. Because no policy can foresee all events, this policy shall be used as a guideline. Staff are to be aware of the potential for suicidal inmates in a correctional setting and are expected to be diligent, compassionate and proactive when dealing with inmates who are exhibiting behaviors, statements or actions that may be indicative of an individual who is or may be suicidal or a threat to hurt themselves . In the event an inmate commits suicide the scene of the suicide will be treated in a manner consistent with the investigation of an inmate death. All necessary measures shall be taken to preserve and document the evidence. CANCELLATION: This policy cancels all previous Sheriff?s Of?ce policy statements, bulletins, directives, orders, notices rules or regulations which are inconsistent with this policy. APPLICABILITY: This policy applies to all Sheriff?s Of?ce managers, employees, volunteers/student interns and contracted personnel. ACCESS TO POLICY: This policy will be maintained within the central policy ?le of the Sheriff?s Of?ce (Policy and Procedure Of?ce) and will be accessible to all employees. The policy is available to all staff members electronically through the intranet. DEFINITIONS: Suicidal g? Observation Watch Ball Watch Padded Observation Self Iniurious Services Observation Cell Suicide Prevention Protocol Having thoughts or actions intending to kill oneself intentionally. Q-S is the code used in LEAPS ?eld ofthe CJIS Computer System to identify or report individuals who have attempted or threatened suicide while in law enforcement custody. The periodic monitoring of an individual because of behavior related to suicide or self-injury that may be past or present or a serious medical condition that requires periodic observation. The continuous observation of an individual who is actively suicidal or self-injurious or who has a serious medical condition that requires constant observation. The garment authorized to be worn when an inmate is considered being actively suicidal and all items including clothing are removed for the inmate?s safety. When an individual has the desire to hurt themselves. The contracted mental health provider oversees the mental health of the inmate population at the BCCF. Only trained services personnel may clear or modify an individual on observation watch. The Health Services Observation Cell (HLI34) or another appropriate cell is used to monitor serious health concerns including but not limited to suicidal inmates. Any inmate assigned to an observation call or other appropriate cell shall be under constant observation(eye ball watch). Suicide Prevention Protocol are the guidelines set forth by the Barnstable County Sheriff?s Of?ce on what action shall be taken based upon the threat the inmate possesses to themselves. Individualized Step-down Treatment Plan: A treatment plan tailored to the needs of the individual on a suicide prevention protocol. This treatment plan may include components such as withholding certain items such as razors and uniforms and/or providing ?nger foods at meal time in place of food requiring the use of utensils which the inmate may use to harm themselves. PROCEDURE: A. B. l. ADMISSION SCREENING: All newly arriving inmates of the BCCF shall be screened for at risk behavior in the following manner: 1. Every inmate, including transfers booked into the facility, shall have an admission medical screening performed upon arrival by a quali?ed health care professional or health trained personnel. During this process Health Services Department/contracted medical provider staff will evaluate whether the inmate is suicidal, may be suicidal, or has a prior history of suicide attempts or thoughts. This assessment shall be based on statements made by the inmate and their behavior. Committed inmate?s names and identifying statistics shall also be processed through the DCIJIS system by the Barnstable County Sheriffs Of?ce Classi?cation Department, Intake/Records Department or personnel by the facility shift supervisor. If a Q-S, attempted suicide noti?cation is reported, the booking of?cer shall notify the facility shift supervisor immediately. If the Q-S inquiry is af?rmative, the booking/intake officer shall write a report stating such. The report shall be documented by health services within the health services module of the facility SIRS so that proper departmental noti?cation is sent out. 9-5 HISTORY: If an inmate comes up as a positive Q-5 in the DCJIS system or makes statements indicating a past history or exhibits suicidal behavior, the facility shift supervisor should adhere to the Suicide Prevention protocol until the inmate is seen by a member of the contracted mental health provider. Furthermore the facility shift supervisor shall enter any incident involving an inmate who attempted, or threatened suicide while in custody of the BCSO, into the LEAFS (CJIS) computer system. The LEAFS printout for a positive Q-S hit shall be attached to Q5 paperwork and forwarded to mental health staff. All staff should err on the side of caution when rendering decisions regarding suicide protocol. C. D. If Q-S inquiry is positive, a positive Q-S Identi?cation Form shall be completed by the booking/receiving of?cer. The escorting zone of?cer and unit of?cers shall complete their corresponding section of the form and forward it to the Facility Shift Supervisor. Inmates who remain on Q- 5 status shall have a positive Q-S identi?cation form completed whenever they are moved from a housing unit until the inmate is cleared from suicide prevention checks by a member of the contracted mental health provider. IDENTIFICATION OF SUICIDALIAT RISK BEHAVIOR: All BCSO staff shall be responsible for acting on any statements or identi?able behaviors that indicate an inmate may pose a risk for self- injury, suicide or possible suicidal behaviors or immediate medical concerns, etc. All staff shall report to the Facility Shift Supervisor any such concern and take action consistent with BCSO suicide prevention protocol or medical risk watch protocol. SUICIDE PREVENTION PROTOCOL l. BCSO security staff in conjuncture with the facility shift supervisor and health service personnel may place an inmate on suicide prevention protocol. Once placed on suicide prevention protocol only a member of the contracted mental health provider may clear the individual or alter the conditions of the protocol. If placed on medical risk watch due to serious concerns for the individual?s well-being, only health services personnel may clear or modify the terms of the watch. Individualized step-down treatment plans may be incorporated with the 15 or 30 minute documented checks listed below and may include components such as withholding items with which the inmate may use to harm themselves. The regular inmate meal may be replaced with an alternate meal such as ??nger foods? consisting of the same nutritional value to prevent the inmate from having access to potentially harmful utensils. Ifthe Q-S or previous suicidal event is over six months old and the inmate is exhibiting no warning signs consistent with suicidal behavior they should be placed in general population and documented checks must occur at least every 30 minutes. If the Q-S or previous suicidal event is within six months old and the inmate is exhibiting no warning signs of suicidal behavior they should be placed in general population and documented checks must occur at least every 15 minutes. If an inmate exhibits signs, behaviors, statements, or actions indicating they are currently suicidal the inmate must have all personal items including all clothing and identi?cation bracelet removed immediately. The inmate should be placed in the Health Services Observation Cell (HL134) ,or another appropriate cell, given an observation gown and placed under constant and continuous observation (eye ball watch). All documentation will be made at 15 minute intervals; however the observation in this circumstance will be continuous. When dealing with pre? arraignment detainees the Facility Shift Supervisor should follow policies #3 7.01 Searches and Strip Searches and #3]7.02- Acceptance of Detainees prior to strip searching any inmate. If an inmate is currently on a constant observation watch and is due to be transported to court, the escorting of?cer shall complete a Court Mental Health Form (attached) and ensure the completed form is given to Transportation Supervisor prior to the inmate leaving the facility for court. The white c0py- of the Court Mental Health Form will be given to court personnel and the yellow c0py will be ?led in the inmate?s medical record. MEDICAL RISK WATCH The facility shift supervisor and health service personnel may place an inmate on medical risk watch due to a serious health issue unrelated to suicide (recent head injury, the ingestion of a dangerous amount of drug/alcohol or both etc.). The observation intervals will be determined by the facility shift supervisor in conjunction with health service staff and will be either continuous ?eye ball? or in intervals of 15 or 30 minutes. Once placed on medical risk watch only BCSO health service personnel may clear the individual or alter the conditions of the protocol. SUICIDE PREVENTION PROGRAM A suicide prevention program is approved by the health authority and approved by the facility administrator or designee. It includes procedures for intake, screening, identifying, and supervising suicide-prone inmates as well as individualized treatment plans tailored to each inmate?s level of care needs. It ensures a review of critical incidents by administration, security, and health services. The program includes staff and inmate critical incident debrie?ng. The program is reviewed and signed annually. All staff with responsibility for inmate supervision are trained on an annual basis in the implementation of the program. Training includes but is not limited to: a. understanding the demographic and cultural parameters of suicidal identifying warning signs and of suicidal behavior b. behavior, including incidence and variation in precipitating factors 0 responding to depressed and suicidal inmates d. communication between correctional and health care personnel e. using referral procedures f. observation and suicide watch procedures g. follow-up monitoring of inmates who make a suicide attempt RESPONSIBLE STAFF: The Sheriff, Special Sheriff, Superintendent, Assistant Superintendent, the Assistant Deputy Superintendents and the Health Authority shall be responsible for implementing and monitoring this policy. ANNUAL REVIEW DATE: The Policy and Procedure Of?ce shall ensure that this policy is reviewed annually. SEVERABILITY CLAUSE: If any article, section, subsection, sentence, clause or phrase is for any reason held to be unconstitutional, contrary to statute, in excess of the authority of the Sheriff or otherwise inoperative, such decision shall not affect the validity of any other article, section, subsection, sentence, clause or phrase of these regulations. Attachments (2): Medical Dept/Court Mental Health Risk Form (1 pg.) Records Dept/Positive Q-S Identi?cation (1 pg.) Click here to Sign offon oolicv Barnstable County Correctional Facility 6000 Sheriff?s Place, Boume, MA 02532 Phone 508.563.4416 Fax: 508.563.4585 Medical Dept. I Court Mental Health Risk Form To: COURT OF RECORD From: BCCF MENTAL HEALTH DEPARTMENT (508) 563-4416 CC: CHART NAME OF INMATE: DATE OF BIRTH: DATE: RE: INMATE AT RISK: THE INMATE NAMED ABOVE IS CURRENTLY ON A MENTAL HEALTH WATCH AT BCCF. THE INMATE IS ON WATCH DUE TO CONCERN FOR POTENTIAL ACTS OF SELF HARM. THE INMATE NAMED ABOVE IS CONSIDERED TO BE AT RISK FOR SELF HARM AND SHOULD BE MONITORED AT ALL TIMES TO ENSURE SAFETY. BCCF STAFF SIGNATURE I DATE BCCF STAFF NAME (PRINTED) WHITE: COURT COPY YELLOW: INMATE MEDICAL RECORD or I COPY TO COURT I COPY TO INMATE MEDICAL RECORD Barnstable County Correctional Facility 6000 Sheriff?s Place, MA 02532 508-563-4371 Records Dept. I Positive 0-5 Identification has been identi?ed in Inmate Name DCJIS as having a positive Q-S. The above named inmate has been placed on (circle one): 15 Minute Q-S Visual Checks 30 Minute Q-S Visual Checks Constant Observation (Eyeball Watch) will remain on the above determined suicide prevention checks until seen and cleared by Services staff. The above named inmate is being moved from intake to the following housing assignment: Booking Of?cer Date I am aware of the above named inmate being placed on Q-S status Medical Department Date I have received the above named inmate for transport from Intake and acknowledge receipt of his/her Q-S status. Zone Of?cer Date I have received the above named inmate and acknowledge receipt of hisfher Q-S status. Pod Of?cer Date I acknowledge the review of the above noted Q-S inmate placement. Shift Supervisor Date White copy: Records Department Yellow or Second Copy: Medical Department Revised September, 2016 BARNSTABLE COUNTY OFFICE POLICY AND PROCEDURE E??ecilve Date: 1! -'01 2004 Approval: Number Amended Date: 02/] 9/2 008 10/29/2000 05/15/2009 7 02/23/2010- 05/2l/2015 Sheriff James M. Cummings Title: Mental Health Services Section: Health Services ACA Standard/s: 4-ALDF-4C-27. 4028. 4C-29. 4030. 4C-34, 4C-40 Source: CMR 932.13 Annual Review Date: No. Pages 05/04/2017 08 POLICY: The purpose of this document is to establish Barnstable County Sheriff?s Of?ce (BCSO) policy and procedure to provide mentally ill, retarded or severely disturbed inmates committed by the Court to the Barnstable County Correctional Facility access to mental health services. The BCSO shall provide inmates already housed in the facility and diagnosed as having illness access to professional assistance. CANCELLATION: This policy cancels all previous Sheriff? 5 Of?ce policy statements, bulletins, directives, orders, notices rules or regulations which are inconsistent with this policy. APPLICABILITY: This policy applies to all Sheriff?s Of?ce managers, employees, volunteers/student interns and contracted personnel. ACCESS TO POLICY: This policy will be maintained within the central policy ?le of the Sheriff?s Of?ce (Policy and Procedure Of?ce) and will be accessible to all employees. The policy is available to all staff members electronically through the intranet. PROCEDURE: A. MENTAL HEALTH CARE PERSONNEL 1. All mental health services will be performed by quali?ed mental health professionals. The Director of Health Services shall keep copies of licenses and certi?cations of the mental health service personnel. The mental health authority shall review and approve all activities and services carried out by the contracted mental health provider. B. MENTAL HEALTH SERVICES 1. Mental health services include at a minimum: a. screening for mental health problems on intake as approved by the mental health professional b. referral to outpatient services for the detection, diagnosis, and treatment of mental illness c. crisis intervention and the management of acute episodes d. stabilization of the mentally ill and the prevention of deterioration in the correctional setting e. referral and admission to licensed mental health facilities for inmates whose needs exceed the treatment capacity of the facility f. obtaining and documenting informed consent C. MENTAL HEALTH SCREENING 1. Pre- admission screening and referral for care of mentally ill or retarded inmates whose adaptation to the correctional environment is signi?cantly impaired is done at the court before the inmate is committed to the Barnstable County Correctional Facility (BCCF). All inmates receive an initial mental health screening at the time of admission to the facility by Health Services staff and/or booking Of?cer in SIRS. The mental health Screening includes, but is not limited to: a. Inquiry into whether the inmate: 1. has a present suicide ideation 2. has a history of suicidal behavior 3. is presently prescribed medication 4. is being treated for mental health problems 5. has a history of inpatient and/or outpatient treatment 6. has a history of treatment for substance abuse b. Observation of: 1. general appearance and behavior 2. evidence of abuse and/or trauma 3. current of depression, anxiety, and/or aggression c. Disposition of inmate: 1. general population with appropriate referral to mental health care service 2. referral to appropriate mental health care service for emergency treatment 3. Committed inmate?s names and identifying statistics shall be processed through DCJ IS by the Intake/Records Department or the Classi?cation Department. If a Q-S, attempted suicide noti?cation is reported, the booking of?cer shall notify the Facility Shift Supervisor immediately. If the Q-S inquiry is af?rmative, the booking/intake of?cer shall make a report stating such. The report shall be documented by Health Services within the electronic medical records program so that proper departmental noti?cation is sent out. a. Constant Observation, 15 and 30 minute checks on inmates will be logged on the Suicide Observation Log (attached). b. lfa Q-S inquiry is positive, a Positive Q-S Identi?cation Form (attached) shall be completed by the booking/receiving of?cer. The escorting zone of?cer and unit of?cer shall complete their corresponding sections of the form and forward it to the Facility Shift Supervisor. Inmates who remain on Q-S status shall have a positive Q-S identi?cation form completed whenever they are moved from a housing unit and/or to court. This form shall be used until the inmate is cleared from suicide prevention checks by mental health staff. D. MENTAL HEALTH APPRAISAL inmates who are referred as a result of the mental health screening or by staff referral will receive a mental health appraisal by a quali?ed mental health person within [4 days of admission to the facility. If there is documented evidence of a mental health appraisal within the previous 90 days, a new mental health appraisal is not required except as determined by the designated mental health authority. Mental health examinations include, but are not limited to: 3 assessment of current mental status and condition assessment of current suicidal potential and person-specific circumstances that increase suicide potential assessment of violence potential and person-speci?c circumstances that increase violence potential review of available historical records of inpatient and outpatient treatment review of history of treatment with medication review of history of groups, and classes or support groups review of history of drug and alcohol treatment review of educational history review of history of sexual abuse victimization and predatory behavior assessment of drug and alcohol abuse and/or addiction use of additional assessment tools, as indicated referral to treatment, as indicated development and implementation of a treatment plan, including recommendations concerning housing, job assignment, and program participation E. MENTAL HEALTH REFERRAL Inmates referred for mental health treatment receive a comprehensive evaluation by a licensed mental health professional. The evaluation is completed within 14 days of the referral request date and includes at least the following: a. b. c. review of mental health screening and appraisal data direct observations of behavior collection and review of additional data from individual diagnostic interviews and tests assessing personality, intellect, and coping abilities compilation ofthe individual?s mental health history development of an overall treatment/management plan with appropriate referral to include transfer to a mental health facility for inmates whose needs exceed the treatment capability of the facility. F. CONSULTATION FOR INMATES WITH ILLNESSES l. Inmates already incarcerated at the Bamstable County Correctional Facility who demonstrate behavior related to issues shall be examined by an on-site quali?ed health care professional. If it is determined by the health care professional that the inmate cannot function in the correctional environment, a consultation between the health care professional and the Sheriff or their designee shall occur to determine what action shall be taken. 2. If an inmate is diagnosed with severe mental illness or is developmentally disabled a consultation between the health care professional and the Sheriff or their designee shall occur before the following actions can be taken: a. Housing assignments b. Program assignments c. Disciplinary measures d. Transfers in and out of the facility 3. When immediate action is required, consultation to review the apprOpriateness of the action occurs as soon as possible, but no later than 72 hours. 4. All consultation between the Health Services staff and mental health staff shall be documented in the inmate?s electronic medical ?le. RESPONSIBLE STAFF: The Sheriff, Special Sheriff, Superintendent, Assistant Superintendent and the Assistant Deputy Superintendents and the Health Authority shall be responsible for implementing and monitoring this policy. ANNUAL REVIEW DATE: The Policy and Procedure Of?ce shall ensure that this policy is reviewed annually. SEVERABILITY CLAUSE: If any article, section, subsection, sentence, clause or phrase is for any reason held to be unconstitutional, contrary to statute, in excess of the authority of the Sheriff or otherwise inoperative, such decision shall not affect the validity of any other article, section, subsection, sentence, clause or phrase of these regulations. Attachments (3): Medical Dept/Suicide Observation Log (1 pg.) Records Dept./Positive Q-S Identi?cation (l pg.) Medical Dept. lCourt Mental Health Risk Form (1 pg.) Click here to sign offon policv LII Barnstable County Correctional Facility 6000 Sheriff?s Place, Bourne, MA 02532 Medical Phone 508.563.4416 Medical Fax 508.563.4585 Medical Dept. Suicide Observation Log Observation (Eyeball watch) :l 15 Min Observation 30 Min Observation Medical Risk Watch Name: Date: Housing Unit: Observation Report Comments Of?cer?s Name (print) Meals: Breakfast Lunch Dinner Health Services Notes: Supervisor?s Signature: Health Services Signature: Barnstable County Correctional Facility 6000 Sheriffs Place, MA 02532 508-563-4371 Records Dept. I Positive Q-5 Identification has been identi?ed in lnmate Name DCJIS as having a positive Q-S. The above named inmate has been placed on (circle one): 15 Minute Q-S Visual Checks 30 Minute Q-S Visual Checks Constant Observation (Eyeball Watch) He/She will remain on the above determined suicide prevention checks until seen and cleared by Services staff. The above named inmate is being moved from intake to the following housing assignment: Booking Of?cer Date I am aware of the above named inmate being placed on Q-S status Medical Department Date I have received the above named inmate for transport from Intake and acknowledge receipt of his/her status. Zone Of?cer Date 1 have received the above named inmate and acknowledge receipt of hisfher status. Pod Of?cer Date I acknowledge the review of the above noted Q-5 inmate placement. Shift Supervisor Date Whlte copy: Records Department Yellow or Second Copy: Medical Department Revised September, 2016 Barnstable County Correctional Facility 6000 Sheriff?s Place, Boume, MA 02532 Phone 508.563.4416 Fax: 508.563.4585 Medical Dept. I Court Mental Health Risk Form To: COURT OF RECORD From: BCCF MENTAL HEALTH DEPARTMENT (508) 563-4416 CC: CHART NAME OF INMATE: DATE OF BIRTH: DATE: RE: INMATE AT RISK: THE INMATE NAMED ABOVE IS CURRENTLY ON A MENTAL HEALTH WATCH AT BCCF. THE INMATE IS ON WATCH DUE TO CONCERN FOR POTENTIAL ACTS OF SELF HARM. THE INMATE NAMED ABOVE IS CONSIDERED TO BE AT RISK FOR SELF HARM AND SHOULD BE MONITORED AT ALL TIMES TO ENSURE SAFETY. BCCF STAFF DATE BCCF STAFF NAME (PRINTED) WHITE: COURT COPY YELLOW: INMATE MEDICAL RECORD or 1 COPY TO 1 COPY TO INMATE MEDICAL RECORD 5/15/2017 Pl and Cull dE? I . Iopuh ulnur. l1 r I '1 personal (IUHIIU Separation from bmzinl Fsummr: ISUMUUH I?muntlal for :5 arm?: mental ?Wynn-(es What is a Risk Factor? #1 RISK FACTOR .3 Hum: of a lartj? samplv (1f I: mat-t: luw' width; that appears t-r Lt mum than maultt he vx1- 5/15/2017 5/15/2017 r. R3: Fact0'5f-_ .. ind? Ci 1-.-. .1 Pile; On Fam?y h1st0ry0fsuludo Family Violvm to physual or sexual abuse b- Havmg aa?ess to guns or other firearms ang exposed to othms' SLn(.Idal behavmr 2:12:53?" 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