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Consistent with the Order dated June 10, 2019 \(doc. 2569\), ADOC and/or its mental-health vendor developed the training materials related to suicide risk assessments, discharge from suicide watch, follow-up examinations, and preplacement screening...) >> endobj 314 0 obj << /D [29 0 R /XYZ 65 185 0] /S /GoTo >> endobj 315 0 obj << /A 321 0 R /Next 303 0 R /Parent 4 0 R /Prev 322 0 R /Title (11. 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Within the timeframes set forth in sections 2.1 and 2.3 above, licensed MHPs and CRNPs must complete the training on suicide prevention, assessing suicidality, and procedures of suicide watch.) >> endobj 323 0 obj 23471 endobj 324 0 obj 13502 endobj 325 0 obj << /D [20 0 R /XYZ 65 322 0] /S /GoTo >> endobj 326 0 obj << /A 329 0 R /Next 330 0 R /Parent 4 0 R /Prev 320 0 R /Title (2.3. Within two \(2\) years of the Effective Date1F and every two \(2\) years thereafter during this Agreement, a psychiatrist or psychologist as to CRNPs and psychiatrist, psychologist, or CRNP as to MHPs will review the documentation for three \(3\) suic...) >> endobj 327 0 obj << /D [29 0 R /XYZ 65 265 0] /S /GoTo >> endobj 328 0 obj << /A 331 0 R /Next 322 0 R /Parent 4 0 R /Prev 332 0 R /Title (10.8.6. Licensed MHPs may conduct these follow-up examinations but only if they are conducted in person.) >> endobj 329 0 obj << /D [20 0 R /XYZ 65 213 0] /S /GoTo >> endobj 330 0 obj << /A 333 0 R /Next 334 0 R /Parent 4 0 R /Prev 326 0 R /Title (2.4. Any person who conducts the suicide prevention training must be, at a minimum, a MHP.) >> endobj 331 0 obj << /D [29 0 R /XYZ 65 304 0] /S /GoTo >> endobj 332 0 obj << /A 335 0 R /Next 328 0 R /Parent 4 0 R /Prev 336 0 R /Title (10.8.5. CRNPs may conduct these follow-up examinations but only if they are conducted in person.) >> endobj 333 0 obj << /D [21 0 R /XYZ 65 642 0] /S /GoTo >> endobj 334 0 obj << /A 337 0 R /Next 338 0 R /Parent 4 0 R /Prev 330 0 R /Title (2.5. ADOC and/or its mental-health vendor may designate a suicide prevention trainer at each ADOC major facility.) >> endobj 335 0 obj << /D [29 0 R /XYZ 65 344 0] /S /GoTo >> endobj 336 0 obj << /A 339 0 R /Next 332 0 R /Parent 4 0 R /Prev 340 0 R /Title (10.8.4. Licensed psychiatrists or licensed psychologists may conduct these follow-up examinations either in person or via telepsychiatry with a licensed MHP or CRNP in the room.) >> endobj 337 0 obj << /D [21 0 R /XYZ 65 602 0] /S /GoTo >> endobj 338 0 obj << /A 341 0 R /Next 342 0 R /Parent 4 0 R /Prev 334 0 R /Title <322E362E204561636820706572736F6E2077686F20636F6E64756374732074686520737569636964652070726576656E74696F6E20747261696E696E67206D75737420636F6D706C6574652061208D747261696E2D7468652D747261696E65728E2070726F6772616D206265666F72652070726F766964696E67207375636820747261696E696E672E> >> endobj 339 0 obj << /D [29 0 R /XYZ 65 397 0] /S /GoTo >> endobj 340 0 obj << /A 343 0 R /Next 336 0 R /Parent 4 0 R /Prev 344 0 R /Title (10.8.3. Follow-up examinations do not take the place of otherwise scheduled mental health appointments, though they may occur in connection with or contiguous with such appointments. The mental health staff conducting the follow up examinations shall...) >> endobj 341 0 obj << /D [21 0 R /XYZ 65 563 0] /S /GoTo >> endobj 342 0 obj << /A 345 0 R /Next 346 0 R /Parent 4 0 R /Prev 338 0 R /Title <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> >> endobj 343 0 obj << /D [29 0 R /XYZ 65 506 0] /S /GoTo >> endobj 344 0 obj << /A 347 0 R /Next 340 0 R /Parent 4 0 R /Prev 348 0 R /Title (10.8.2. Each follow-up examination will be conducted out-of-cell in a confidential setting, unless such an examination is not possible due to documented clinical concerns resulting in the inmate being transferred to a higher level of care;) >> endobj 345 0 obj << /D [21 0 R /XYZ 65 523 0] /S /GoTo >> endobj 346 0 obj << /A 349 0 R /Next 350 0 R /Parent 4 0 R /Prev 342 0 R /Title <322E382E204E6577204D4850732077696C6C20736861646F7720612073656E696F72204D48502C207073796368696174726973742C2070737963686F6C6F676973742C206F722043524E5020666F7220746872656520283329206D656E74616C206865616C746820726F756E647320696E205265737472696374656420486F7573696E6720556E697420288D5248558E29207072696F7220746F20696E646570656E64656E746C7920636F6E64756374696E6720524855206D656E74616C206865616C746820726F756E64732E2020546865792077696C6C20616C736F207265636569766520747261696E696E672072656C6174656420746F20742E2E2E> >> endobj 347 0 obj << /D [29 0 R /XYZ 65 573 0] /S /GoTo >> endobj 348 0 obj << /A 351 0 R /Next 344 0 R /Parent 4 0 R /Prev 352 0 R /Title (10.8. The following provisions apply to all suicide watch follow-up examinations:) >> endobj 349 0 obj << /D [21 0 R /XYZ 65 401 0] /S /GoTo >> endobj 350 0 obj << /A 353 0 R /Next 354 0 R /Parent 4 0 R /Prev 346 0 R /Title (2.9. On an annual basis starting with the earlier of the first complete fiscal year or calendar year after the Effective Date, all persons working within any ADOC major facility who have any direct contact with inmates must be trained on suicide preve...) >> endobj 351 0 obj << /D [28 0 R /XYZ 65 108 0] /S /GoTo >> endobj 352 0 obj << /A 355 0 R /Next 348 0 R /Parent 4 0 R /Prev 356 0 R /Title (10.7. Suicide watch cells must be cleaned between inmate admissions to eliminate biohazards and control infectious diseases.) >> endobj 353 0 obj << /D [21 0 R /XYZ 65 320 0] /S /GoTo >> endobj 354 0 obj << /A 357 0 R /Next 358 0 R /Parent 4 0 R /Prev 350 0 R /Title (2.9.1. Persons working in an RHU will receive additional training related to the purpose and proper procedure for conducting RHU rounds, along with their role in the referral process and the role of mental-health staff in the evaluation of risk.) >> endobj 355 0 obj << /D [28 0 R /XYZ 65 148 0] /S /GoTo >> endobj 356 0 obj << /A 359 0 R /Next 352 0 R /Parent 4 0 R /Prev 360 0 R /Title (10.6.5. be provided socks to wear inside the suicide watch cell.) >> endobj 357 0 obj << /D [21 0 R /XYZ 65 253 0] /S /GoTo >> endobj 358 0 obj << /A 361 0 R /Next 362 0 R /Parent 4 0 R /Prev 354 0 R /Title (2.9.2. Psychiatrists, psychologists, CRNPs, and MHPs will receive additional training on the importance of correctional risk factors such as safety concerns, recent disciplinary actions, and secondary gain; the use of constant observation and close wa...) >> endobj 359 0 obj << /D [28 0 R /XYZ 65 173 0] /S /GoTo >> endobj 360 0 obj << /A 363 0 R /Next 356 0 R /Parent 4 0 R /Prev 364 0 R /Title <31302E362E342E2072656365697665207468652073616D652070726976696C656765732028652E672E2C207669736974732C2070686F6E652063616C6C732C206D61696C29206166666F726465642062792074686520696E6D6174659073206C61737420686F7573696E672061737369676E6D656E742028652E672E2C20706F70756C6174696F6E2C20524855293B> >> endobj 361 0 obj << /D [21 0 R /XYZ 65 185 0] /S /GoTo >> endobj 362 0 obj << /A 365 0 R /Next 366 0 R /Parent 4 0 R /Prev 358 0 R /Title (2.9.3. Observers will receive additional training on general curriculum related to observation obligations, access to medical, mental-health, and correctional staff, and conflict resolution, along with facility-specific processes and procedures \(inclu...) >> endobj 363 0 obj << /D [28 0 R /XYZ 65 213 0] /S /GoTo >> endobj 364 0 obj << /A 367 0 R /Next 360 0 R /Parent 4 0 R /Prev 368 0 R /Title (10.6.3. be allowed shampoo, hair combs or brushes, hair grease, lotion, and feminine hygiene products;) >> endobj 365 0 obj << /D [22 0 R /XYZ 65 723 0] /S /GoTo >> endobj 366 0 obj << /A 369 0 R /Next 370 0 R /Parent 4 0 R /Prev 362 0 R /Title <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> >> endobj 367 0 obj << /D [28 0 R /XYZ 65 253 0] /S /GoTo >> endobj 368 0 obj << /A 371 0 R /Next 364 0 R /Parent 4 0 R /Prev 372 0 R /Title (10.6.2. be allowed to use flexible thumbprint, flexible finger, or similar toothbrushes that will be returned after each use twice daily, or no-shank fingertip toothbrushes that will be maintained in individual containers or bags for later use;) >> endobj 369 0 obj << /D [22 0 R /XYZ 65 628 0] /S /GoTo >> endobj 370 0 obj << /A 373 0 R /Next 374 0 R /Parent 4 0 R /Prev 366 0 R /Title (2.10. For training purposes, on a quarterly basis, ADOC and/or its mental-health vendor must conduct emergency preparedness drills at each ADOC major facility, including scenarios involving self-injury and suicide attempts. During the emergency prepa...) >> endobj 371 0 obj << /D [28 0 R /XYZ 65 320 0] /S /GoTo >> endobj 372 0 obj << /A 375 0 R /Next 368 0 R /Parent 4 0 R /Prev 376 0 R /Title (10.6.1. have a regular meal offered on a silicone or pressed cardboard tray with a thumb-handle miniature spork or a paper / cardboard eating utensil if the inmate has misused regular cutlery on suicide watch. If a sack meal is necessary, then a menu...) >> endobj 373 0 obj << /D [22 0 R /XYZ 65 533 0] /S /GoTo >> endobj 374 0 obj << /A 377 0 R /Next 378 0 R /Parent 4 0 R /Prev 370 0 R /Title (3. ACCESS.) >> endobj 375 0 obj << /D [28 0 R /XYZ 65 415 0] /S /GoTo >> endobj 376 0 obj << /A 379 0 R /Next 372 0 R /Parent 4 0 R /Prev 380 0 R /Title (10.6. Each inmate on suicide watch will have shower shoes or other footwear for movement outside his or her suicide watch cell. Unless clinically indicated otherwise, inmates on suicide watch will:) >> endobj 377 0 obj << /D [22 0 R /XYZ 65 397 0] /S /GoTo >> endobj 378 0 obj << /A 381 0 R /Next 382 0 R /Parent 4 0 R /Prev 374 0 R /Title <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> >> endobj 379 0 obj << /D [28 0 R /XYZ 65 468 0] /S /GoTo >> endobj 380 0 obj << /A 383 0 R /Next 376 0 R /Parent 4 0 R /Prev 384 0 R /Title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endobj 381 0 obj << /D [22 0 R /XYZ 65 371 0] /S /GoTo >> endobj 382 0 obj << /A 385 0 R /Next 386 0 R /Parent 4 0 R /Prev 378 0 R /Title (3.2. After intake, when an inmate is transferred to another ADOC major facility, the inmate must be provided any facility-specific information concerning mental-health services and the way to access these services for himself / herself or for another ...) >> endobj 383 0 obj << /D [28 0 R /XYZ 65 549 0] /S /GoTo >> endobj 384 0 obj << /A 387 0 R /Next 380 0 R /Parent 4 0 R /Prev 388 0 R /Title <31302E342E332E20496620616E20696E6D61746520696E20612052485520686173206120534D49206F722061207073796368696174726973742C2070737963686F6C6F676973742C2043524E502C206F72204D48502064657465726D696E657320686973206F722068657220636F6E74696E75656420706C6163656D656E7420696E207468652052485520697320636F6E747261696E646963617465642C207468656E207468617420696E6D6174652077696C6C206265207472616E7366657272656420746F20612053747275637475726564204C6976696E6720556E697420288D534C558E292E20416E20696E6D6174652077697468206120532E2E2E> >> endobj 385 0 obj << /D [22 0 R /XYZ 65 290 0] /S /GoTo >> endobj 386 0 obj << /A 389 0 R /Next 390 0 R /Parent 4 0 R /Prev 382 0 R /Title <332E332E2041208D73616665747920636F6E74726163748E2077696C6C206E6F74206265207573656420666F7220696E6D617465732C2065786365707420696E20726172652063697263756D7374616E63657320776865726520636C696E6963616C206A7564676D656E7420696E6469636174657320737563682073616665747920636F6E74726163742077696C6C20737570706F72742074686520676F616C732073657420666F72746820696E2074686520696E6D61746590732074726561746D656E7420706C616E2E> >> endobj 387 0 obj << /D [28 0 R /XYZ 65 630 0] /S /GoTo >> endobj 388 0 obj << /A 391 0 R /Next 384 0 R /Parent 4 0 R /Prev 392 0 R /Title <31302E342E322E20496620616E20696E6D61746590732052485520706C6163656D656E7420636F6E74696E756573206166746572206120706572696F646963206D656E74616C2D6865616C7468206173736573736D656E742C207468656E2074686520636C696E6963616C20726174696F6E616C6520666F7220686973206F722068657220636F6E74696E75656420706C6163656D656E742077696C6C20626520696E636C75646564206F6E204D656E74616C204865616C7468204173736573736D656E742F5265706F727420666F726D2E> >> endobj 389 0 obj << /D [22 0 R /XYZ 65 237 0] /S /GoTo >> endobj 390 0 obj << /A 393 0 R /Next 394 0 R /Parent 4 0 R /Prev 386 0 R /Title <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> >> endobj 391 0 obj << /D [28 0 R /XYZ 65 683 0] /S /GoTo >> endobj 392 0 obj << /A 395 0 R /Next 388 0 R /Parent 4 0 R /Prev 396 0 R /Title <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> >> endobj 393 0 obj << /D [22 0 R /XYZ 65 184 0] /S /GoTo >> endobj 394 0 obj << /A 397 0 R /Next 398 0 R /Parent 4 0 R /Prev 390 0 R /Title (4. INTERVENTION.) >> endobj 395 0 obj << /D [27 0 R /XYZ 65 149 0] /S /GoTo >> endobj 396 0 obj << /A 399 0 R /Next 392 0 R /Parent 4 0 R /Prev 400 0 R /Title (10.4. For inmates in a RHU, the following provisions apply:) >> endobj 397 0 obj << /D [22 0 R /XYZ 65 116 0] /S /GoTo >> endobj 398 0 obj << /A 401 0 R /Next 402 0 R /Parent 4 0 R /Prev 394 0 R /Title (4.1. If ADOC or vendor staff observe an inmate attempting suicide or after completion of suicide, then such staff member will immediately call for assistance. ADOC or vendor staff will immediately respond to a suicide threat with efforts to interrupt...) >> endobj 399 0 obj << /D [27 0 R /XYZ 65 175 0] /S /GoTo >> endobj 400 0 obj << /A 403 0 R /Next 396 0 R /Parent 4 0 R /Prev 404 0 R /Title (10.3. Consistent with section 1.2 of the Psychotherapy Order, individual counseling sessions and therapeutic groups will be conducted out of cell and in a confidential setting.) >> endobj 401 0 obj << /D [22 0 R /XYZ 65 91 0] /S /GoTo >> endobj 402 0 obj << /A 405 0 R /Next 406 0 R /Parent 4 0 R /Prev 398 0 R /Title (4.2. Immediate life-saving measures will be performed by ADOC or vendor staff as soon as there are two \(2\) correctional officers present and will continue until either paramedics arrive and assume care or a physician declares such measures are no long...) >> endobj 403 0 obj << /D [27 0 R /XYZ 65 215 0] /S /GoTo >> endobj 404 0 obj << /A 407 0 R /Next 400 0 R /Parent 4 0 R /Prev 408 0 R /Title (10.2. Consistent with section 1.1 of the Psychotherapy Order, mental health treatment services shall be tailored to adequately meet the clinical needs of each inmate-patient. \(Doc. 1899-1\). Treatment shall consider and factor in the dynamic risk fac...) >> endobj 405 0 obj << /D [23 0 R /XYZ 65 697 0] /S /GoTo >> endobj 406 0 obj << /A 409 0 R /Next 410 0 R /Parent 4 0 R /Prev 402 0 R /Title (4.3. Each ADOC major facility must maintain an appropriate cut-down tool in each housing unit.) >> endobj 407 0 obj << /D [27 0 R /XYZ 65 282 0] /S /GoTo >> endobj 408 0 obj << /A 411 0 R /Next 404 0 R /Parent 4 0 R /Prev 412 0 R /Title <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> >> endobj 409 0 obj << /D [23 0 R /XYZ 65 644 0] /S /GoTo >> endobj 410 0 obj << /A 413 0 R /Next 414 0 R /Parent 4 0 R /Prev 406 0 R /Title (4.4. Unless medically contraindicated and when ADOC staff may safely proceed, after intervention during a suicide attempt, an inmate will be moved to the medical or healthcare unit at the ADOC major facility for access to appropriate medical equipment...) >> endobj 411 0 obj << /D [27 0 R /XYZ 65 349 0] /S /GoTo >> endobj 412 0 obj << /A 415 0 R /Next 408 0 R /Parent 4 0 R /Prev 416 0 R /Title (10. TREATMENT AND FOLLOW-UP EXAMINATIONS.) >> endobj 413 0 obj << /D [23 0 R /XYZ 65 604 0] /S /GoTo >> endobj 414 0 obj << /A 417 0 R /Next 418 0 R /Parent 4 0 R /Prev 410 0 R /Title (4.5. If an inmate dies as a result of a suicide attempt, then his or her body must be moved to a private area outside of any occupied housing unit and outside the view of other inmates.) >> endobj 415 0 obj << /D [27 0 R /XYZ 65 375 0] /S /GoTo >> endobj 416 0 obj << /A 419 0 R /Next 412 0 R /Parent 4 0 R /Prev 420 0 R /Title (9.5. ADOC will perform 30-minute security rounds in RHUs. Defendants shall implement the system of supervisory review and confirmation of security checks as set forth in the Immediate Suicide Prevention Order. \(Doc. 2525 at 163-164\).) >> endobj 417 0 obj << /D [23 0 R /XYZ 65 551 0] /S /GoTo >> endobj 418 0 obj << /A 421 0 R /Next 422 0 R /Parent 4 0 R /Prev 414 0 R /Title (4.6. Consistent with section V.J. of Administrative Regulation 629, ADOC and/or its vendor will debrief staff and inmates after a completed or life-threatening attempted suicide.) >> endobj 419 0 obj << /D [27 0 R /XYZ 65 428 0] /S /GoTo >> endobj 420 0 obj << /A 423 0 R /Next 416 0 R /Parent 4 0 R /Prev 424 0 R /Title (9.4. Within five \(5\) days of the conclusion of each month until an External Compliance Team is in place, ADOC will provide Plaintiffs a report showing each inmate discharged from suicide watch to RHU, when the inmate went to RHU, why the inmate went t...) >> endobj 421 0 obj << /D [23 0 R /XYZ 65 511 0] /S /GoTo >> endobj 422 0 obj << /A 425 0 R /Next 426 0 R /Parent 4 0 R /Prev 418 0 R /Title <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> >> endobj 423 0 obj << /D [27 0 R /XYZ 65 509 0] /S /GoTo >> endobj 424 0 obj << /A 427 0 R /Next 420 0 R /Parent 4 0 R /Prev 428 0 R /Title <392E332E20416E79207472616E736665722066726F6D207375696369646520776174636820746F206120524855206D75737420626520617070726F766564206279207468652044657075747920436F6D6D697373696F6E6572206F66204F7065726174696F6E7320286D616C6520666163696C69746965732920616E642044657075747920436F6D6D697373696F6E6572206F6620576F6D656E9073205365727669636573202866656D616C6520666163696C69747929206F722074686569722064657369676E65652E> >> endobj 425 0 obj << /D [23 0 R /XYZ 65 472 0] /S /GoTo >> endobj 426 0 obj << /A 429 0 R /Next 430 0 R /Parent 4 0 R /Prev 422 0 R /Title (5. REFERRALS.) >> endobj 427 0 obj << /D [27 0 R /XYZ 65 563 0] /S /GoTo >> endobj 428 0 obj << /A 431 0 R /Next 424 0 R /Parent 4 0 R /Prev 432 0 R /Title (9.2. Inmates discharged from suicide watch shall not be transferred to a RHU, unless there is a documented exceptional or exigent circumstance.) >> endobj 429 0 obj << /D [23 0 R /XYZ 65 363 0] /S /GoTo >> endobj 430 0 obj << /A 433 0 R /Next 434 0 R /Parent 4 0 R /Prev 426 0 R /Title (5.1. Anyone may refer an inmate to be evaluated for a suicide watch placement. The referring person must ensure that staff maintain constant, line-of-sight observation of the inmate who is being referred until he or she is either transferred to appro...) >> endobj 431 0 obj << /D [27 0 R /XYZ 65 602 0] /S /GoTo >> endobj 432 0 obj << /A 435 0 R /Next 428 0 R /Parent 4 0 R /Prev 436 0 R /Title (9.1.5. Each inmate placed on constant watch will be reduced to a close watch prior to release from suicide watch, unless a clinician determines and documents the propriety of discharging an inmate to a less restrictive setting to avoid unnecessarily c...) >> endobj 433 0 obj << /D [23 0 R /XYZ 65 337 0] /S /GoTo >> endobj 434 0 obj << /A 437 0 R /Next 438 0 R /Parent 4 0 R /Prev 430 0 R /Title <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> >> endobj 435 0 obj << /D [27 0 R /XYZ 65 670 0] /S /GoTo >> endobj 436 0 obj << /A 439 0 R /Next 432 0 R /Parent 4 0 R /Prev 440 0 R /Title (9.1.4. Within the timeframes set forth in sections 2.1 and 2.3 above, licensed MHPs and CRNPs must complete a training on suicide prevention, assessing suicidality, and procedures of suicide watch.) >> endobj 437 0 obj << /D [23 0 R /XYZ 65 256 0] /S /GoTo >> endobj 438 0 obj << /A 441 0 R /Next 442 0 R /Parent 4 0 R /Prev 434 0 R /Title <352E332E20436F6E73697374656E7420776974682074686520526566657272616C204F726465722C20616C6C20726566657272616C73206D757374206265207265636F72646564206F6E20616E2041444F43204D656E74616C204865616C746820526566657272616C20466F726D2E20202849642E20617420A720322E33292E> >> endobj 439 0 obj << /D [27 0 R /XYZ 65 723 0] /S /GoTo >> endobj 440 0 obj << /A 443 0 R /Next 436 0 R /Parent 4 0 R /Prev 444 0 R /Title (9.1.3. When licensed MHPs are in place at each facility, they may conduct these evaluations but only if they are conducted in person.) >> endobj 441 0 obj << /D [23 0 R /XYZ 65 175 0] /S /GoTo >> endobj 442 0 obj << /A 445 0 R /Next 446 0 R /Parent 4 0 R /Prev 438 0 R /Title <352E342E20436F6E73697374656E7420776974682074686520526566657272616C204F726465722C20656163682041444F43206D616A6F7220666163696C6974792077696C6C206D61696E7461696E2061204D656E74616C204865616C746820526566657272616C204C6F6720616E64206561636820726566657272616C20746F206D656E74616C2D6865616C74682073746166662077696C6C206265206C6F6767656420696E2073756368204D656E74616C204865616C746820526566657272616C204C6F672E202028446F632E20313832312D3120617420A72033292E> >> endobj 443 0 obj << /D [26 0 R /XYZ 65 92 0] /S /GoTo >> endobj 444 0 obj << /A 447 0 R /Next 440 0 R /Parent 4 0 R /Prev 448 0 R /Title (9.1.2. CRNPs may conduct these evaluations but only if they are conducted in person.) >> endobj 445 0 obj << /D [23 0 R /XYZ 65 136 0] /S /GoTo >> endobj 446 0 obj << /A 449 0 R /Next 450 0 R /Parent 4 0 R /Prev 442 0 R /Title <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> >> endobj 447 0 obj << /D [26 0 R /XYZ 65 132 0] /S /GoTo >> endobj 448 0 obj << /A 451 0 R /Next 444 0 R /Parent 4 0 R /Prev 452 0 R /Title (9.1.1. Licensed psychiatrists or licensed psychologists may conduct these evaluations either in person or by telepsychiatry. In the event that they are conducted by telepsychiatry, the inmate being evaluated will be in a room with a licensed MHP or CRNP.) >> endobj 449 0 obj << /D [23 0 R /XYZ 65 82 0] /S /GoTo >> endobj 450 0 obj << /A 453 0 R /Next 454 0 R /Parent 4 0 R /Prev 446 0 R /Title <352E362E20537569636964652077617463682063656C6C732077696C6C206E6F742062652064657369676E617465642061732061205248552E20204120737569636964616C20696E6D6174652073686F756C64206E6F742062652068616E64637566666564206265666F726520706C6163656D656E74206F6E20737569636964652077617463682C20756E6C6573732074686520696E6D6174659073207365637572697479206C6576656C207265717569726573206974206F72206865206F722073686520697320656E676167656420696E20736572696F7573206469737275707469766520616E642064616E6765726F757320616374697669742E2E2E> >> endobj 451 0 obj << /D [26 0 R /XYZ 65 199 0] /S /GoTo >> endobj 452 0 obj << /A 455 0 R /Next 448 0 R /Parent 4 0 R /Prev 456 0 R /Title (9.1. An inmate may be discharged from suicide watch following an out-of-cell, confidential evaluation, unless such an evaluation is not possible due to documented clinical concerns which may result in the inmate being discharged from suicide watch to ...) >> endobj 453 0 obj << /D [24 0 R /XYZ 65 683 0] /S /GoTo >> endobj 454 0 obj << /A 457 0 R /Next 458 0 R /Parent 4 0 R /Prev 450 0 R /Title (6. EVALUATION.) >> endobj 455 0 obj << /D [26 0 R /XYZ 65 266 0] /S /GoTo >> endobj 456 0 obj << /A 459 0 R /Next 452 0 R /Parent 4 0 R /Prev 460 0 R /Title (9. DISCHARGE.) >> endobj 457 0 obj << /D [24 0 R /XYZ 65 616 0] /S /GoTo >> endobj 458 0 obj << /A 461 0 R /Next 462 0 R /Parent 4 0 R /Prev 454 0 R /Title (6.1. Before an inmate is placed on suicide watch, he or she must be examined by a nurse and a body chart completed.) >> endobj 459 0 obj << /D [26 0 R /XYZ 65 292 0] /S /GoTo >> endobj 460 0 obj << /A 463 0 R /Next 456 0 R /Parent 4 0 R /Prev 464 0 R /Title (8.4. Inmates who are returned to watch status within thirty \(30\) days of release from a watch and/or who have three watch placements within six months shall be considered for referral to a higher level of care, unless clinical staff determine and docu...) >> endobj 461 0 obj << /D [24 0 R /XYZ 65 590 0] /S /GoTo >> endobj 462 0 obj << /A 465 0 R /Next 466 0 R /Parent 4 0 R /Prev 458 0 R /Title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endobj 463 0 obj << /D [26 0 R /XYZ 65 373 0] /S /GoTo >> endobj 464 0 obj << /A 467 0 R /Next 460 0 R /Parent 4 0 R /Prev 468 0 R /Title (8.3. If an inmate remains on watch for 240 hours or longer and does not meet the criteria for discharge to outpatient mental health care, then the inmate must be referred to a higher level of care \(which includes a RTU, SU, or inpatient hospitalizatio...) >> endobj 465 0 obj << /D [24 0 R /XYZ 65 551 0] /S /GoTo >> endobj 466 0 obj << /A 469 0 R /Next 470 0 R /Parent 4 0 R /Prev 462 0 R /Title <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> >> endobj 467 0 obj << /D [26 0 R /XYZ 65 427 0] /S /GoTo >> endobj 468 0 obj << /A 471 0 R /Next 464 0 R /Parent 4 0 R /Prev 472 0 R /Title (8.2. If an inmate remains on watch for 168 hours, the treatment team must meet to review a referral to a higher level of care. If the inmate is not referred to a higher level of care, the rationale must be documented in the medical chart and tracked ...) >> endobj 469 0 obj << /D [24 0 R /XYZ 65 470 0] /S /GoTo >> endobj 470 0 obj << /A 473 0 R /Next 474 0 R /Parent 4 0 R /Prev 466 0 R /Title (6.3.1. Licensed psychiatrists or licensed psychologists may conduct these evaluations either in person or by telepsychiatry.) >> endobj 471 0 obj << /D [26 0 R /XYZ 65 480 0] /S /GoTo >> endobj 472 0 obj << /A 475 0 R /Next 468 0 R /Parent 4 0 R /Prev 476 0 R /Title (8.1. If an inmate remains on watch for 72 hours, then he or she must be considered for referral to a higher level of care. If the inmate is not referred for a higher level of care, the clinical rationale must be documented in the medical chart and tr...) >> endobj 473 0 obj << /D [24 0 R /XYZ 65 403 0] /S /GoTo >> endobj 474 0 obj << /A 477 0 R /Next 478 0 R /Parent 4 0 R /Prev 470 0 R /Title (6.3.2. In the event that they are conducted by telepsychiatry, the inmate being evaluated will be in a room with a licensed MHP or a CRNP, and the evaluation must comply with the telepsychiatry requirements set forth in the Psychotherapy Order at sect...) >> endobj 475 0 obj << /D [26 0 R /XYZ 65 547 0] /S /GoTo >> endobj 476 0 obj << /A 479 0 R /Next 472 0 R /Parent 4 0 R /Prev 480 0 R /Title (8. REFERRAL TO A HIGHER LEVEL OF CARE.) >> endobj 477 0 obj << /D [24 0 R /XYZ 65 363 0] /S /GoTo >> endobj 478 0 obj << /A 481 0 R /Next 482 0 R /Parent 4 0 R /Prev 474 0 R /Title (6.3.3. CRNPs and licensed MHPs may conduct these evaluations but only if they are conducted in person.) >> endobj 479 0 obj << /D [26 0 R /XYZ 65 573 0] /S /GoTo >> endobj 480 0 obj << /A 483 0 R /Next 476 0 R /Parent 4 0 R /Prev 484 0 R /Title (7.13. This section 7.12 will apply from the first full quarter after the Effective Date until appointment of an External Compliance Team. A random sampling of the suicide risk assessments for 10% of the inmates for whom suicide risk assessments were ...) >> endobj 481 0 obj << /D [24 0 R /XYZ 65 296 0] /S /GoTo >> endobj 482 0 obj << /A 485 0 R /Next 486 0 R /Parent 4 0 R /Prev 478 0 R /Title (6.3.4. Within the timeframes set forth in section 2.3 above, licensed MHPs and CRNPs must complete a training on suicide prevention, assessing suicidality, and procedures of suicide watch.) >> endobj 483 0 obj << /D [25 0 R /XYZ 65 161 0] /S /GoTo >> endobj 484 0 obj << /A 487 0 R /Next 480 0 R /Parent 4 0 R /Prev 488 0 R /Title (7.12. To ensure continuity of care, if an inmate is transferred while on suicide watch, then mental-health staff at the sending facility will communicate with mental-health staff at the receiving facility consistent with section 3.2 of the Treatment P...) >> endobj 485 0 obj << /D [24 0 R /XYZ 65 256 0] /S /GoTo >> endobj 486 0 obj << /A 489 0 R /Next 490 0 R /Parent 4 0 R /Prev 482 0 R /Title (7. MONITORING SUICIDAL INMATES.) >> endobj 487 0 obj << /D [25 0 R /XYZ 65 229 0] /S /GoTo >> endobj 488 0 obj << /A 491 0 R /Next 484 0 R /Parent 4 0 R /Prev 492 0 R /Title <372E31312E2041444F439073206D656E74616C2D6865616C74682076656E646F72206D757374206576616C756174652065717569706D656E7420617661696C61626C6520746F206F627365727665727320746F20656E7375726520746865792063616E20636F6E6475637420617070726F707269617465206F62736572766174696F6E206F6620696E6D61746573206F6E207375696369646520776174636820616E64204D484F2E202041444F439073206D656E74616C2D6865616C74682076656E646F72206D75737420656E737572652074686520726F7574696E65206F7665727369676874206F66206F6273657276657273206279206F6E732E2E2E> >> endobj 489 0 obj << /D [24 0 R /XYZ 65 203 0] /S /GoTo >> endobj 490 0 obj << /A 493 0 R /Next 494 0 R /Parent 4 0 R /Prev 486 0 R /Title (7.1. Any inmate who is initially or subsequently determined to be acutely suicidal shall be monitored through a constant watch procedure.) >> endobj 491 0 obj << /D [25 0 R /XYZ 65 296 0] /S /GoTo >> endobj 492 0 obj << /A 495 0 R /Next 488 0 R /Parent 4 0 R /Prev 496 0 R /Title <372E31302E2041444F43206D61792064657369676E617465206172656173206F722063656C6C7320776865726520616E20696E6D61746520636F756C642062652074656D706F726172696C7920706C61636564207768656E206120737569636964652077617463682063656C6C20697320756E617661696C61626C652C2070726F7669646564207468617420616E2061637574656C7920737569636964616C20696E6D617465206973206F6E208D636F6E7374616E74206F62736572766174696F6E8E20616E642061206E6F6E61637574656C7920737569636964616C20696E6D617465206973206F6E208D636C6F73652077617463688E2064752E2E2E> >> endobj 493 0 obj << /D [24 0 R /XYZ 65 177 0] /S /GoTo >> endobj 494 0 obj << /A 497 0 R /Next 498 0 R /Parent 4 0 R /Prev 490 0 R /Title <372E322E20416E7920696E6D6174652077686F20697320696E697469616C6C79206F722073756273657175656E746C792064657465726D696E656420746F206265206E6F6E61637574656C7920737569636964616C207368616C6C206265206D6F6E69746F726564207468726F7567682061208D636C6F73652077617463682070726F6365647572658E207468617420656E7375726573206D6F6E69746F72696E6720627920746865206D656E74616C2D6865616C74682076656E646F7290732073746166662061742073746167676572656420696E74657276616C73206E6F7420746F20657863656564206576657279203135206D696E757465732E> >> endobj 495 0 obj << /D [25 0 R /XYZ 65 363 0] /S /GoTo >> endobj 496 0 obj << /A 499 0 R /Next 492 0 R /Parent 4 0 R /Prev 500 0 R /Title (7.9. On a quarterly basis after completion of the work required by section 7.7 above and during the term of this Agreement, ADOC will physically inspect the suicide watch cells completed consistent with section 7.7 above to determine whether they rema...) >> endobj 497 0 obj << /D [24 0 R /XYZ 65 137 0] /S /GoTo >> endobj 498 0 obj << /A 501 0 R /Next 502 0 R /Parent 4 0 R /Prev 494 0 R /Title (7.3. Both constant observation and close watch shall be contemporaneously documented at staggered intervals not to exceed 15 minutes on a record maintained on each individual cell door. Upon discharge from suicide watch, these records will be maintai...) >> endobj 499 0 obj << /D [25 0 R /XYZ 65 430 0] /S /GoTo >> endobj 500 0 obj << /A 503 0 R /Next 496 0 R /Parent 4 0 R /Prev 504 0 R /Title (7.8. Within six \(6\) months from the Effective Date, ADOC will explore the feasibility of converting ten \(10\) cells in the C Block at Limestone Correctional Facility into suicide resistant suicide watch cells.) >> endobj 501 0 obj << /D [24 0 R /XYZ 65 84 0] /S /GoTo >> endobj 502 0 obj << /A 505 0 R /Next 506 0 R /Parent 4 0 R /Prev 498 0 R /Title (7.4. MHO will not be used for suicide watch.) >> endobj 503 0 obj << /D [25 0 R /XYZ 65 484 0] /S /GoTo >> endobj 504 0 obj << /A 507 0 R /Next 500 0 R /Parent 4 0 R /Prev 508 0 R /Title (7.7. ADOC shall make all suicide watch cells suicide resistant according to the schedule set forth in the ADA Report, subject to and consistent with any agreements, stipulations, notices, or orders related to the ADA and/or the ADA Report.) >> endobj 505 0 obj << /D [25 0 R /XYZ 65 683 0] /S /GoTo >> endobj 506 0 obj << /A 509 0 R /Next 508 0 R /Parent 4 0 R /Prev 502 0 R /Title (7.5. Suicide watch cells shall be considered suicide resistant if they meet the requirements set forth in section III\(B\) of the ADA Report.) >> endobj 507 0 obj << /D [25 0 R /XYZ 65 537 0] /S /GoTo >> endobj 508 0 obj << /A 510 0 R /Next 504 0 R /Parent 4 0 R /Prev 506 0 R /Title (7.6. No later than 180 days from the Effective Date, ADOC will determine, in collaboration with Dr. Mary Perrien, the appropriate number of suicide resistant cells for each ADOC major facility. 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