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National Commission on Correctional Health Care (NCCHC) (Chicago, IL)

A comprehensive reference that provides guidance in the provision of health services to inmates is presented. This manual contains the following chapters: introduction; historical overview -- the movement to improve correctional health care; legal considerations in the delivery of health care services in prisons and jails; ethical considerations and the interface with custody; the organizational structure of correctional health services; staffing considerations; health care delivery system model; programming for special health needs; women's health needs and services; health promotion and disease prevention; planning correctional health facilities; data management and documentation; improving the quality of correctional health care; cost considerations -- financing, budgeting, and fiscal management; and conclusions and future issues. Appendixes provide: Health Summary for Classification; sample organizational structure charts; coverage factor calculation summary; comparative analysis of health care standards in prisons and jails; sample health record forms; matrix for special health needs; sample mental health policies; NCCHC's "Position Statement on the Administrative Management of Inmates With HIV-Positive Test Results or AIDS"; sample clinic/infirmary equipment list; sample quality improvement policy and guidelines; cost-comparison tables; and about the NCCHC.

Correctional Health Care: Guidelines for the Management of an Adequate Delivery System cover

“The intent of the curriculum is to provide prisons, jails, community confinement, and juvenile detention facilities with specialized training for medical and mental health personnel on specific aspects of Prison Rape Elimination Act (PREA). Specifically, this curriculum provides training on how to detect and assess signs of sexual abuse, preserve physical evidence, and respond effectively and professionally to victims.

“The intended audience is health professionals. This includes but is not limited to physicians, psychologists, nurses, physician assistants, nurse practitioners, health administrators, social workers, and other professionals who provide, support, or administer health care services in correctional environments.

“The curriculum contains four modules and should take four hours to complete, including breaks and time for questions. All modules are considered essential: Facilitators guide; Introduction (10 minutes); Module 1: Detecting and Assessing Signs of Sexual Abuse and Harassment (55 minutes); Module 2: Reporting and the PREA Standards (50 minutes); Module 3: Effective and Professional Responses (30 minutes); [and] Module 4: The Medical Forensic Examination and Forensic Evidence Preservation (60 minutes).”

Specialized Training: PREA Medical and Mental Care Standards Cover

"Transgender people face an array of risks to their health and well-being during incarceration, and are often targets of physical assault and emotional abuse. They are commonly placed in correctional facilities according to their genitals and/or sex assigned at birth, regardless of their gender presentation. The health risks of overlooking the particular needs of transgender inmates are so severe that acknowledgment of the problem and policies that assure appropriate and responsible provision of health care are needed … Because jails, prisons, and juvenile confinement facilities have a responsibility to ensure the physical and mental health and well-being of inmates in their custody, correctional health staff should manage transgender patients in a manner that respects their biomedical and psychological needs." Twenty-five principles are provided to help correctional health professionals assure that the needs of transgender offenders are met. These principles are organized into the following sections—health management, patient safety, and discharge planning.

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