# - PDU will assign POSTED FOR COMMENT APRIL 13 MAY 4, 2012 CLICK HERE TO PROVIDE FEEDBACK

Similar documents
Stalking in Supervised Visitation

Stalking in Supervised Visitation

SUPREME COURT OF COLORADO Office of the Chief Justice DIRECTIVE CONCERNING COURT APPOINTMENTS OF DECISION-MAKERS PURSUANT TO , C.R.S.

REPORT TO CONGRESS ON STALKING AND DOMESTIC VIOLENCE, 2005 THROUGH 2006

Regulation No. 6 Peer Review

Responding to Stalking

Privacy Policy. April 2018

Escorting / Supervision of service providers and contractors

The ChildTrauma Academy

Clinical Counseling Psychology Courses Descriptions

VFA Participation Agreement 2018 (Year 5)

THE BCCSA S CODE OF CONDUCT FOR SUBSCRIPTION BROADCASTING SERVICE LICENSEES

Metuchen Public Educational and Governmental (PEG) Television Station. Policies & Procedures

The Psychology of Stalking Definitions p. 2 Incidence and Prevalence of Stalking p. 3 This Book p. 3 Current Findings p. 4 New and Controversial

Memorandum of Understanding. between. The Ministry of Civil Defence & Emergency Management. and

Plan for Generic Information Collection Activity: Submission for. National Transportation Safety Board (NTSB).

Japan Library Association

DEPARTMENTAL GENERAL ORDER DEPARTMENT OF PUBLIC SAFETY January 8, 2003 MERCER ISLAND POLICE

Building Your DLP Strategy & Process. Whitepaper

Publishing India Group

PPM Rating Distortion. & Rating Bias Handbook

emedical How-to Guide for Health Screening Questionnaire (HSQ) Coordinators

CYRIL JACKSON PRIMARY SCHOOL CCTV POLICY

Recognizing and Responding to Stalking on Campus

S-DASH (2009) Risk Identification Checklist For Use in Stalking and Harassment Cases

Stalking ~~~~~ Presented by: Heather Putnam Danyel Albert

UTILITIES (220 ILCS 5/) Public Utilities Act.

Release Date: 1/12/2011 Contact Details: Steve Watkins Communications Team, St Ann s Hospital, St Ann s Rd, N15 3TH

FCC 396. BROADCAST EQUAL EMPLOYMENT OPPORTUNITY PROGRAM REPORT (To be filed with broadcast license renewal application)

Personnel Procedures and Policies

CUBITT TOWN JUNIOR SCHOOL CCTV POLICY 2017

Torture Journal: Journal on Rehabilitation of Torture Victims and Prevention of torture

STALKING PRESENTED BY: HEATHER PUTNAM JEN LACHANCE-SIBLEY

Rules and Policies WRBB 104.9FM. Fall 2018 (Last Updated 5/2018)

emedical Frequently Asked Questions (FAQs) Guide

FALLS CABLE ACCESS CORPORATION CABLE ACCESS CHANNEL 14 Policies & Procedures Manual

G4S ACADEMY BODYCAMS GUIDE VERSION

NOW THEREFORE, in consideration of the mutual covenants and conditions herein contained, the parties hereto do hereby agree as follows:

MEDICAL UNIVERSITY OF SOUTH CAROLINA DEPARTMENT OF PUBLIC SAFETY

Victim s Stalking and Harassment Risk Identification Checklist (VS-DASH 2009) 1

INSTRUCTIONS FOR AUTHORS

NPACT MISSION STATEMENT COMMERCIAL CONTENT NPACT PROGRAMMING PRIORITIES

Joyful Noises LLC Twin Cities Music Therapy Services LLC

21. OVERVIEW: ANCILLARY STUDY PROPOSALS, SECONDARY DATA ANALYSIS

~ ~ (208)

UNDERSTANDING TO ERADICATE HANDBOOK FOR UNDERSTANDING CORRUPTION CRIMES

BUS TOUR AUDITION INFORMATION

SOCIAL WORK An Overview of Sources

WUWF TV. Guide to Policies and Procedures WATCHDOG TELEVISION FROM THE UNIVERSITY OF WEST FLORIDA

Problem-Specific Guides Series Problem-Oriented Guides for Police. No. 22. Stalking. by the National Center for Victims of Crime

Charter Communications of NW CT Community Access Rules

CPS Department of Arts Education Music Festivals Handbook

Stalking, Questions and Answers

THE INCIDENCE AND NATURE OF STALKING VICTIMISATION

Recognizing Stalking in Intimate Partner Cases. Part I: Recognizing Stalking in Intimate Partner Violence Cases 8/8/2017

THE PSYCHOLOGY STALKIN0

Court of Queen s Bench of Alberta

REQUIREMENTS FOR MASTER OF SCIENCE DEGREE IN APPLIED PSYCHOLOGY CLINICAL/COUNSELING PSYCHOLOGY

Policy on the syndication of BBC on-demand content

Joyful Noises LLC Twin Cities Music Therapy Services LLC

2018 Visiting Undergraduate Student Application

EDITORIAL POLICY. Open Access and Copyright Policy

INSTRUCTIONS FOR AUTHORS

LIBRARY RULES AND REGULATIONS The Jan Michalski Foundation for Writing and Literature February 2018

SUMMER CELLO INTENSIVE APPLICATION July 16-21, 2018

Marlton Psychological Services 2001A Lincoln Drive West, Marlton, NJ 08053

ACCESS CHANNEL POLICY NORTH SUBURBAN COMMUNICATIONS COMMISSION JANUARY 14, 2019

INSTRUCTIONS FOR FCC 387

CHIEF BROADCAST ENGINEER

Guidelines for Reviewers

FOR PUBLIC VIEWING ONLY INSTRUCTIONS FOR FCC 387 DTV TRANSITION STATUS REPORT. All previous editions obsolete. transition. GENERAL INSTRUCTIONS

THE PAY TELEVISION CODE

21. OVERVIEW: ANCILLARY STUDY PROPOSALS, SECONDARY DATA ANALYSIS

SHORT TERM THEATRE RENTAL RENTAL PACKET (For Tenant & Non-Tenant Use)

ICOMOS ENAME CHARTER

Master of Arts in Psychology Program The Faculty of Social and Behavioral Sciences offers the Master of Arts degree in Psychology.

Stalking and Domestic Violence

APPLICATION AND EFFECTIVENESS OF THE SEA DIRECTIVE (DIRECTIVE 2001/42/EC) 1. Legal framework CZECH REPUBLIC LEGAL AND ORGANISATIONAL ARRANGEMENTS 1

Graduate Bulletin PSYCHOLOGY

Licensing & Regulation #379

PSYCHOLOGY APPLICATION DEADLINES

Psychology PSY 312 BRAIN AND BEHAVIOR. (3)

Editorial Policy. 1. Purpose and scope. 2. General submission rules

Health Professions Council Education & Training Panel 5 July 2007 NORDOFF ROBBINS MUSIC THERAPY CENTRE - MA MUSIC THERAPY

Accessible Emergency Information (TV Crawls)

Fenwick Gallery Use Policies March 29, 2014

ICOMOS ENAME CHARTER

ICOMOS Ename Charter for the Interpretation of Cultural Heritage Sites

SACRAMENTO POLICE ACADEMY NON-AFFILIATE RECRUIT QUESTIONNAIRE NAME:

Congratulations and Thank You! Premium Video Ad Prior to the Video Shoot Vendor Communications and Preparations

MUTH 5301: Dictation and Sight-Singing

POSITION DESCRIPTION

Adult Intake Form. Last Name: First Name: M.I.: City: State: Zip code: Name of emergency contact: Relationship to you: Address:

Preface. system has put emphasis on neuroscience, both in studies and in the treatment of tinnitus.

May 26 th, Lynelle Briggs AO Chair Planning and Assessment Commission

Name / Title of intervention. 1. Abstract

FORENSIC CASEBOOK. By Bob Huddleston, Eastman Chemical Co. One of the most common. reasons for marriage failure

TREATMENT OF TINNITUS

February 22, To whom it may concern:

Section One: Protecting the Under-Eighteens

Transcription:

State of Vermont Agency of Human Services Department of Corrections Title: Prison Rape Elimination Act (PREA) & Staff Sexual Misconduct Vermont Facilities Page 1 of 71 Chapter (This will be assigned by PDU.) # - PDU will assign NEW (but supersedes AHS Hotline Memo dated 02/07/2008) Attachments, Forms & Companion Documents: 1. Inmate Guide to Medical Services 2. PREA Inmate Orientation Form 3. AHS Inmate/Offender Hotline Memo 4. AHS Inmate/Offender Hotline Unit Sign 5. VT DOC Sexual Violence Screening Tool 6. Inmate Sexualized Behavior Incident Form 7. Inmate-on-Inmate Sexual Harassment Incident Form 8. Inmate-on-Inmate Sexually Abusive Contacts Incident Form (a. Victim b. Perpetrator) 9. Inmate-on-Inmate Sexually Abusive Penetration Incident Form (a. Victim b. Perpetrator) 10. Staff-on-Inmate Sexual Harassment, Indecent Exposure, and/or Voyeurism Incident Form (a. Victim b. Perpetrator) 11. Staff-on-Inmate Sexually Abusive Contacts and/or Penetration Incident Form (a. Victim b. Perpetrator) 12. Limited English Proficiency (LEP) Guidelines Local Procedure(s) Required: Yes See Section 1.d. Applicability: All staff (including volunteers and contractors) Security Level: B - Anyone may have access to this document. POSTED FOR COMMENT APRIL 13 MAY 4, 2012 CLICK HERE TO PROVIDE FEEDBACK 1 2 3 4 5 6 7 8 9 10 11 12 PURPOSE This purpose of this administrative directive is to describe how the federal Prison Rape Elimination Act (PREA) is implemented in order to eliminate sexual abuse of offenders in custody of the Vermont Department of Corrections both within instate correctional facilities and those housed out of state. This directive provides uniform guidelines and procedures to reduce the risk of prison sexual abuse. A separate administrative directive will cover field staff and offenders under community supervision. POLICY The Vermont Department of Corrections is committed to the safety of any individual confined to Department custody or lodged in a correctional facility. The Department also has a zero-tolerance standard for sexual abuse involving inmate-on-inmate behaviors and staff-on-inmate behaviors. The Department will respond to all reports of sexualized behavior or abuse as nonconsensual, regardless of perception, rumor, appearance, or participant disclosure.

13 14 15 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 2 of 71 AUTHORITY Federal Prison Rape Elimination Act (PREA), 2003. Standards for the Prevention Detection, Response, and Monitoring of Sexual Abuse in Adult Prisons and Jails, 2009. 13 V.S.A. 3257. 16 REFERENCE 17 18 19 20 21 American Correctional Association, Standards for Adult Correctional Facilities, 4 th edition, January 2003, Standard 4-4406. Department Administrative Directives #126 Sexual Misconduct, #306.01 Incapacitated Persons, #320.01 Offender Grievance System for Field & Facilities, #406.01 Inmate Instate Transportation, #403.03 Security Manual, and #410.01 Facility Rules & Inmate Discipline,; DOC Work Rules (1997). HIPAA. Agreement between the State of Vermont and the VSEA. 22 DEFINITIONS 23 Appointing Authority: The Commissioner of Corrections for DOC positions. 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 Agency of Human Services (AHS): The State agency which includes the Department of Corrections (DOC), Department of Disabilities, Aging, and Independent Living (DAIL), Department for Children and Families (DCF), Office of Vermont Health Access (OVHA), Department of Mental Health (DMH), and Vermont Department of Health (VDH). AHS Inmate/Offender Hotline: Special posted telephone number(s) designated for all inmates housed in a Vermont DOC facility, or offenders under supervision in the field, to call for the purpose of bringing forward concerns or complaints of misconduct, discrimination or harassment. Calls to the hotline are anonymous and at no time recorded or monitored by the DOC. Calls will be referred to the Department of Human Resources Investigations Unit (DHRIU) and the DOC PREA Implementation and Supervision Coordinator to conduct an investigation, when appropriate, regarding the concern, complaint or allegation. (See Attachment 2.) Chain of Custody: A process to control and document security and handling of contraband and criminal physical evidence. Consent: Vermont DOC policy dictates that an inmate cannot consent to sexualized behavior or abuse with another inmate or staff; therefore, all incidents of sexualized behavior and/or abuse will be treated as non-consensual. DOC policy does not supersede an inmate s legal right of consent. DOC Staff: For the purpose of this directive, staff includes all Vermont Department of Corrections employees, volunteers and contracted personnel working within the physical building or directly with an offender/inmate in any kind of official capacity. False Allegation: Through the investigative process, evidence proves that an assertion of sexual abuse is not true. Identifier Designation: A term, either confirmed or potential vulnerable or predatory, given to an inmate after asking them questions (Sexual Violence Screening Tool, Attachment 5), designed to determine if they may be vulnerable to sexual abuse or be possible perpetrators of sexual abuse while incarcerated. Incapacitated: When a person, as a result of his or her use of alcohol and/or other drugs, is in a state of intoxication, or mental confusion resulting from withdrawal, such that the person: 1. Appears to need medical care or supervision by approved substance abuse treatment personnel, as defined in statute, to ensure his or her safety; or 2. Appears to present a direct active or passive threat to the safety of others.

54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 3 of 71 Inmate: 1) An individual in physical custody in a confinement facility; 2) an incarcerated person, including detainees and sentenced detainees, as well as Incaps. See Incapacitated definition. Investigative Outcome: When an investigation is concluded, it will be labeled one of the following: 1. Substantiated - The event was investigated and determined to have occurred; 2. Unsubstantiated - The evidence was insufficient to make a final determination that the event occurred; 3. Unfounded - The event was determined NOT to have occurred. Medical Confidentiality: The ethical principle or legal right that a physician or other health professional will hold secret all information relating to a patient. This does not apply if an inmate reports that they have engaged in consensual sexual activity, sexually abusive contact, sexually abusive penetration, sexual harassment, and/or any incident of staff-on-inmate sexual abuse. Need-to-Know: A criterion for limiting access of certain sensitive information to individuals who require the information to make decisions or take action with regard to an offender/inmate s safety or treatment, or to the investigative process. Offender: Any person convicted of a crime or offense under the laws of this state, the United States government, or the laws of another state, who is under the supervision of the Vermont Department of Corrections. Perpetrator: An individual committing any form of sexual abuse. Post-exposure Prophylaxis (PEP): Any prophylactic treatment started immediately after exposure to a pathogen (such as a disease-causing virus), in order to prevent infection by the pathogen and the development of disease. Prison Rape Elimination Act (PREA): The federal law (9/04/2003) which supports the prevention, reduction, and elimination of sexual assault and rape within corrections systems; mandates national data collection efforts; provides funding for program development and research; creates a national commission to develop standards and accountability measures; and applies to all federal, state and local prisons, jails, police lock-ups, private facilities, and community settings such as residential facilities. PREA Coordinator: Designated facility staff person responsible for coordinating with the PREA Implementation and Supervision Coordinator regarding PREA incidents at their site, as well as overseeing the PREA inmate orientation process. PREA Designation: The act of separating inmates involved in a PREA incident for the victim s or perpetrator s safety or for the safe and orderly running of the institution. PREA Implementation and Supervision Coordinator: A staff person responsible to develop, implement, and oversee the Department s plan to comply with the PREA standards; ensure the completion of the PREA standards assessment checklist; develop and implement a training plan to fulfill the PREA training standards; monitor inmate screening procedures, investigations, and medical and mental health treatment according to the PREA standards; supervise the Department s PREA data collection; and provide appropriate access and materials to auditors. PREA Incident: Any incident of inmate sexualized behavior, staff-on inmate or inmate-on-inmate sexual abuse. Predatory Inmate: An inmate whose institutional behavior indicates they are prone to victimize other inmates, especially in regard to sexual behavior.

96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 4 of 71 Qualified Health Care Professional (QHCP): Any person who by virtue of their education, credentials and experience is permitted by law to evaluate and care for patients. This includes, but is not necessarily limited to, physicians, physician s assistants, nurses, nurse practitioners, dentists and mental health professionals. Qualified Mental Health Professional (QMHP): Any person with professional training, experience, and demonstrated competence in the treatment of mental illness, who is a physician, psychiatrist, psychologist, social worker, nurse, psychiatric nurse practitioner, or other qualified person eligible for licensure in the State of Vermont as a mental health clinician and approved by the Health Services Director to provide mental health services. Sexual Abuse: The use of debt, threats of physical harm, peer pressure, deceit, personal favors, or positional authority to force or cajole sexual favors from a person, including sexually abusive contacts, sexually abusive penetration, and/or sexual harassment. Inmate-on-Inmate Sexual Abuse: Encompasses all incidents of inmate-on-inmate sexually abusive contact, penetration and harassment as described below. 1. Sexually Abusive Contact: Non-penetrative touching by an inmate (either directly or through the clothing) of the genitalia, anus, groin, breast, inner thigh, or buttocks without penetration of another inmate without the latter s consent, or of an inmate who is coerced into sexual contact by threats of violence, or of an inmate who is unable to consent or refuse. 2. Sexually Abusive Penetration: Penetration by an inmate of another inmate without the latter s consent, or of an inmate who is coerced into sexually abusive penetration by threats of violence, or of an inmate who is unable to consent or refuse. The sexual acts included are: Contact between the penis and the vagina or the anus; Contact between the mouth and the penis, vagina, or anus; or Penetration of the anal or genital opening of another person by a hand, finger or other object. 3. Sexual Harassment: Repeated and unwelcome sexual advances, requests for sexual favors, verbal comments, or gestures or actions of a derogatory or offensive sexual nature by one inmate directed toward another. Staff-on-Inmate Sexual Abuse: Encompasses all occurrences of staff-on-inmate sexually abusive contact, penetration, indecent exposure, voyeurism and harassment. A staff solicitation of inmates to engage in sexual contact or penetration encompasses attempted staff-on-inmate sexual abuse. 1. Sexually Abusive Contact: Non-penetrative touching by a staff member (either directly or through the clothing) of the genitalia, anus, groin, breast, inner thigh, or buttocks of an inmate with or without the latter s consent that is unrelated to official duties. 2. Sexually Abusive Penetration: Penetration by a staff member of an inmate with or without the latter s consent. The sexual acts included are: Contact between the penis and the vagina or the anus; Contact between the mouth and the penis, vagina, or anus; or Penetration of the anal or genital opening of another person by a hand, finger or other object. 3. Indecent Exposure: The display by a staff member of his or her uncovered genitalia, buttocks or breast in the presence of an inmate.

138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 5 of 71 4. Voyeurism: An invasion of an inmate s privacy by staff for reasons unrelated to official duties or when otherwise not necessary for safety and security reasons. Examples include, but are not limited to, peering at an inmate who is using a toilet in their cell; requiring an inmate to expose their buttocks, genitals, or breasts; taking images of all or part of an inmate s naked body or of an inmate performing bodily functions, and distributing or publishing them. 5. Staff-on-Inmate Sexual Harassment: Repeated verbal comments or gestures of a sexual nature to an inmate by a staff member. Such statements include demeaning references to gender, sexually suggestive or derogatory comments about body or clothing, or obscene language or gestures. Sexual Assault Nurse Examiner (SANE): A registered nurse (R.N.) who has advanced education and clinical preparation in forensic examination of sexual assault victims. SANEs offer victims prompt, compassionate care and comprehensive forensic evidence collection. In addition to helping preserve the victim's dignity and reduce psychological trauma, SANE programs enhance evidence collection for more effective investigations and better prosecutions. (From www.ojp.usdoj.gov.) Sexual Exploitation: Any abuse of a position of vulnerability, differential power, or trust for sexual purposes; this includes profiting monetarily, socially, or politically from the sexual exploitation of another ; (from www.hrw.org/reports/2003/nepal0903/3.htm.) It also includes the solicitation of sexual favors from any person committed to the care and custody of the Vermont Department of Corrections or from any staff person. Sexual Misconduct: Any behavior of a sexual nature committed by staff directed toward an inmate/offender that is prohibited by federal law, Vermont statute, AHS policies, Department policies or Department work rules. Sexualized Behavior: Sexual contact committed by an inmate including, but not limited to, kissing or fondling of another person, (excluding all examples listed under sexually abusive contacts) in a manner, which produces or is intended to produce sexual stimulation or gratification where force is not substantiated. Individual behaviors include, but are not limited to, massages, indecent exposure, ejaculating on property, and fondling oneself in the presence of others. SFI-designated Inmate: An inmate designated by the Chief of Mental Health Services to be severely functionally impaired, based on an inmate s diagnosis and functioning during incarceration and the recommendation of DOC medical and mental health providers. Survey on Sexual Violence: Annual data of sexual assault within U.S. correctional facilities collected by the federal Bureau of Justice Statistics (BJS) as mandated by the federal PREA. Unusual Incident Report (UIR): An official report written by a DOC employee and documented electronically for incidents occurring within the Department and any of its operations. The Unusual Incident Report is utilized to record events of an unusual nature (such as a medical emergency, disturbance, found contraband, etc.,) violations or alleged violations of federal/state law, an event as required by DOC administrative directive, or for an incident that might lead to a criminal/internal investigation. Also referred to as an Incident Report (IR). Victim: An inmate who is harmed or adversely affected by, and/or tricked or exploited into, participating in sexually abusive contact, sexually abusive penetration, or sexual harassment. Vulnerable Inmate: For the purposes of this directive; an inmate who is at high risk to become a victim of sexual abuse by another inmate(s) due to characteristics related to age, physical stature, criminal history, and physical or mental disabilities, or past history of being victimized.

180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 6 of 71 PROCEDURAL GUIDELINES 1. GENERAL OVERVIEW a. The Department of Corrections will respond to, investigate and support the prosecution of sexual abuse within Vermont s correctional system and externally in partnership with law enforcement. Through continual education of staff and inmates, the Department will increase awareness of safe reporting mechanisms and available services to victims, thereby creating an institutional culture that discourages prison sexual abuse. Through classification and housing assignment, the Department will identify opportunities to separate and carefully monitor sexually predatory inmates and vulnerable inmates to reduce the incidence of prison sexual abuse. The Department will establish data collection systems to accurately track sexual abuse and sexualized behavior; facilitate identification of the causal factors; and annually incorporate lessons learned into improved operations, services and training toward a zerotolerance standard. b. All Department staff must understand their responsibility in the prevention, detection, and reporting of all incidents of sexual abuse. Professional, trained staff will help prevent incidents of prison sexual abuse by following the guidelines below during the performance of their duties: i. Know and enforce rules regarding sexual abuse and sexualized behavior of inmates; ii. Use professional language; iii. Treat all allegations seriously and follow appropriate reporting procedures; iv. Recognize that incidents can occur virtually anywhere, especially in areas that are not directly supervised at all times; (Sound correctional practice includes conducting frequent, random area and cell checks, providing direct staff supervision whenever possible.) v. Maintain an open line of communication with inmates; vi. Recognize that first-time, youthful, elderly, seriously functionally impaired, developmentally disabled, homosexual, and transgender inmates, and/or inmates who have committed sexual offenses are at an increased risk for prison sexual abuse; vii. Be aware of possible warning signs that might indicate that an inmate has been sexually abused or is in fear of being sexually abused; (Warning signs include, but are not limited to, isolation, depression, lashing out at others, refusing to shower, suicidal thoughts or actions, seeking protective custody, and refusing to leave segregation.) viii. Be aware of potential sexually aggressive behavior. The sexual aggressor may be known by the general population. Characteristics or warning signs may include a prior history of committing rape, history of institutional violence, use of strong arm tactics (extortion), associating or pairing up with inmates who meet the profile of a potential victim, exhibiting voyeuristic/exhibitionistic behavior, and demonstrated inability to control anger.

218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 7 of 71 c. Inmates are encouraged to report all allegations of sexual abuse and/or sexualized behavior having occurred or occurring in a correctional institution. Access to services for the inmate victim of sexual abuse will not be dependent on the victim s willingness to report allegations or provide testimony. In large measure, however, reporting of alleged sexual abuse by inmates is critical to the timely delivery of necessary services to the victim and to holding perpetrators accountable and less likely to reoffend. All such reports will be investigated within the limitations of information provided and the willingness of inmates and/or others to provide testimony. When the victims of a PREA incident can be identified, the victims will be offered access to necessary services available through DOC and its community partners. d. Facility Superintendents will develop local procedures to appropriately report 1) all forms of sexual abuse to include, but not be limited to, staff-on-inmate and inmate-on-inmate sexual harassment, sexually abusive penetration, sexually abusive contacts, indecent exposure, voyeurism, and sexualized behavior; 2) minor and major DRs given for the preceding behaviors; and 3) UIRs written describing the preceding behaviors. 2. INMATE ORIENTATION a. Relevant staff, as listed in sections b, c and d below, will give an appropriate orientation to all inmates. (See PREA Inmate Orientation Form, Attachment 2.) This information is designed to inform all inmates that the Department has a zero-tolerance policy toward sexual abuse, and that all inmates are encouraged to report any and all such incidents. b. Upon an offender s admission to Vermont Department of Corrections custody in a correctional facility, during the intake process the Booking Officer will do the following: i. Hand out the PREA brochure, You Have the Right to be Safe: A Guide for Inmates/Offenders about Sexual Abuse in Corrections Know Your Rights and Responsibilities ; ii. Give locations of the inmate phones and instructions for the operation of the Agency of Human Services Inmate/Offender Hotline for reporting incidents (see AHS Memo, Attachment 3); iii. Inform the inmate that they can report incidents of sexual abuse or behavior to any staff member (including contractors and volunteers); iv. Inform the inmate of the zero-tolerance policy of sexual abuse between both staff and inmates, and inmates and inmates. c. As part of the inmate medical screening process, medical personnel will provide the following: i. Review all questions on the Inmate Guide to Medical Services (Attachment 1); ii. Have the inmate sign the form and place it in their medical file. d. As part of the inmate orientation process by the assigned Caseworker, within the first week of incarceration the Caseworker will: i. Review the brochure, You Have the Right to be Safe with the inmate; ii. Explain how to avoid risky situations related to sexual abuse; iii. Review instructions for the operation of the AHS Inmate/Offender Hotline; iv. Explain the reporting procedure for incidents of sexual abuse;

259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 8 of 71 v. Explain how to obtain counseling services and/or medical assistance if victimized; vi. Explain what the risks and potential consequences are for engaging in any type of sexual activity while incarcerated. e. Released inmates who have been in the community for less than 90 days and have returned to a facility will be oriented by the Booking Officer only. f. The Superintendent is responsible for ensuring that 1) the brochure You Have the Right to be Safe, as well as any other designated materials, are made available in all living units and common areas; and 2) Speaking Up, a video presentation about PREA, is shown to all new inmates within their first (1st) month of incarceration. g. This video and the brochure, which the PREA Implementation and Supervision Coordinator provides to each facility, will be made available to all inmates within three (3) months of the effective date of this approved directive. h. Each Superintendent will ensure that the orientation information referred to in this directive is in the Inmate Handbook provided to all inmates at the facility. i. Each Superintendent will ensure that the AHS Inmate/Offender Hotline Unit sign (see Attachment 4) is displayed next to each inmate unit phone. 3. SEXUAL VIOLENCE SCREENING During the booking process the Sexual Violence Screening Tool, Attachment 5, will be completed in order to ensure that the Department is identifying potential victim and/or predatory inmates. This designation will not be used to restrict potential victims or perpetrators from services offered within the institution. a. During the booking process, the Booking Officer will complete Sections I and IIA of the Sexual Violence Screening Tool. The Officer will use the file, electronic database, observed behavior, information from the transporting staff and prior information to complete the form before giving it to a QHCP. b. In a private area, the QHCP will ask the inmate the questions in Sections IIB and III and complete the form. c. For any inmate scoring a yes in Section IIA or B, or three (3) or more in Sections I or III, the Booking Officer will fill out the Alert section with a designation of either Inmate identified has exhibited characteristics of being a potential target for victimization, Inmate identified has exhibited characteristics of predatory behavior, or Inmate identified has not exhibited either characteristic. d. The Booking Officer will sign and date the form and give the completed form to the Shift Supervisor (CFSS.) The CFSS will review, sign and submit the form to the Casework Supervisor. e. The staff assigning housing will use the information to determine the inmate s housing arrangements. f. Any inmate who is identified as a potential victim and/or perpetrator will be added to the multidisciplinary team roster and be discussed at the following meeting. The team is responsible for creating a facility plan for the inmate.

299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 9 of 71 g. The assigned Caseworker will document this information in electronic case notes, and notify the PREA Implementation and Supervision Coordinator of the designation and plan within three (3) business days of the team meeting. h. The PREA Implementation and Supervision Coordinator will be responsible for updating the PREA Designation List and notifying the DOC Offender Placement Coordinator. 4. CLASSIFICATION AND HOUSING In order to reduce the likelihood of sexual abuse while an inmate is in DOC custody, the Department will take the following into account when assigning housing for every inmate upon intake, or in any special circumstances. To minimize the risk of inmate sexual assault due to housing assignment, Predatory-designated inmates will not be placed with Vulnerable-designated inmates; this reduces the risk of sexual abuse against those inmates who are most at risk or by those inmates most likely to perpetrate such a crime. When a PREA incident has occurred or is alleged to have occurred, the Department s priorities are safety and security for the victim, the general inmate population, the perpetrator and the institution. It may be necessary to separate the involved inmates to prevent further victimization or retaliation. a. Intake i. All inmates will be assessed at Intake to determine whether they meet specific criteria indicating either likelihood of victimization or predatory behavior, both of which require a Sexual Violence Screening Tool designation. ii. Except as noted below, all cell assignments for inmates in celled housing will be determined using 1) the Department Conviction and Violation Summary (CVS), as well as 2) the Sexual Violence Screening Tool (Attachment 5) which recognizes key risk factors and identifiers used to track vulnerable and sexually predatory inmates. b. After a PREA Incident i. The PREA Implementation and Supervision Coordinator is responsible for working with the Facility Superintendent and the Security and Operations Supervisor (SOS) to determine an inmate s PREA separation status and for entering the separation status onto the PREA Designation List ii. If the inmate victim or perpetrator already has a PREA designation, the PREA Implementation and Supervision Coordinator is responsible for adding information from the current incident to the prior notification. iii. In all cases of inmate-on-inmate sexual abuse, the PREA Implementation and Supervision Coordinator and the Living Unit Supervisor (LUS) or designee for that site will determine if a separation should occur between the victim(s) and/or perpetrator(s). iv. After a PREA Designation status is determined, the SOS is responsible for immediately notifying the Facility Superintendent and the inmate s assigned Caseworker. The PREA Implementation and Supervision Coordinator is responsible for immediately notifying the Director of Facility Operations. v. PREA Designation will be applied in all cases of substantiated sexually abusive penetration. a) Depending on the PREA Designation the perpetrator may still live in the same unit as the victim.

341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 10 of 71 b) The LUS or designee may place inmates involved in PREA incidents together if familiar with all inmates who are in a cell or unit and confident that they do not pose a risk if housed together. 5. REPORTING AND INVESTIGATING INMATE-ON-INMATE INCIDENTS a. It is very important that the Department have clear protocol for responding to all incidents of sexual abuse and/or behavior. This will ensure that no matter when or where the incident occurs, victims will get the same level of care, and perpetrators will be held to the same level of accountability. The sections below will describe protocol first by type, from least to most serious, and then by time frame for all types of sexual abuse and/or behavior. b. Inmates are encouraged, and staff is required, to immediately report incidents of sexual abuse. Upon notification by an inmate that they have been victimized, the staff member shall immediately follow the appropriate steps for each category of incident as outlined in this directive. These categories include Inmate Sexualized Behavior; Inmate-on-Inmate Sexual Harassment; Inmate-on-Inmate Sexually Abusive Contact; Inmate-on-Inmate Sexually Abusive Penetration; Staff-on-Inmate Sexual Harassment, Indecent Exposure, and/or Voyeurism; and Staff-on-Inmate Sexually Abusive Contacts and/or Penetration. INMATE SEXUALIZED BEHAVIOR Sexualized behavior is sexual contact including, but not limited to, kissing or fondling of another person in a manner, which produces or is intended to produce sexual stimulation or gratification, and where force is not substantiated. Individual behaviors include, but are not limited to, massages, indecent exposure, ejaculating on property, and fondling oneself in the presence of others. Note: This excludes all examples listed under sexually abusive contacts. Staff will follow the protocol identified in Attachment 6, Inmate Sexualized Behavior Incident Form. INMATE-ON-INMATE SEXUAL HARASSMENT INMATE-ON-INMATE SEXUAL ABUSE Sexual harassment is repeated and unwelcome sexual advances, requests for sexual favors, verbal comments, or gestures or actions of a derogatory or offensive sexual nature by one inmate directed toward another. Staff will follow the protocol identified in Attachment 7, Inmate-on-Inmate Sexual Harassment Incident Form. INMATE-ON-INMATE SEXUALLY ABUSIVE CONTACT Sexually abusive contact is non-penetrative touching by an inmate (either directly or through the clothing) of the genitalia, anus, groin, breast, inner thigh, or buttocks without penetration of another inmate without the latter s consent; or of an inmate who is coerced into sexual contact by threats of violence; or of an inmate who is unable to consent or refuse. Staff will follow the protocol identified in Attachment 8, Inmate-on-Inmate Sexually Abusive Contacts Incident Form.

378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 11 of 71 INMATE-ON-INMATE SEXUALLY ABUSIVE PENETRATION This is penetration by an inmate of another inmate without the latter s consent, or of an inmate who is coerced into sexually abusive penetration by threats of violence, or of an inmate who is unable to consent or refuse. The sexual acts included are: contact between the penis and the vagina or the anus; contact between the mouth and the penis, vagina, or anus; or penetration of the anal or genital opening of another person by a hand, finger or other object. The staff member who received the report will immediately ensure the inmate victim is safe and kept separated from the inmate perpetrator, and notify the Shift Supervisor. Staff will follow the protocol identified in Attachment 9, Inmate-on-Inmate Sexually Abusive Penetration Incident Form. 6. REPORTING AND INVESTIGATING STAFF-ON-INMATE INCIDENTS Inmates under the custody of the Department are never regarded as being able to consent to any kind of relationship with staff. No matter who initiates the contact or how consensual the relationship is, relationships between staff and inmates are an abuse of power by staff. All incidents, regardless of time frames, must be reported immediately and will be investigated. Staff perpetrators or individuals intentionally making false allegations will be held accountable through internal and external systems. STAFF-ON-INMATE SEXUALLY ABUSIVE CONTACT Sexually abusive contact is non-penetrative touching by a staff (either directly or through the clothing) of the genitalia, anus, groin, breast, inner thigh or buttocks without penetration of an inmate with or without the latter s consent that is unrelated to official duties Staff will follow the protocol identified in Attachment 11, Staff-on-Inmate Sexually Abusive Contacts and/or Penetration Incident Form. STAFF-ON-INMATE SEXUALLY ABUSIVE PENETRATION Penetration by a staff member of an inmate with or without the latter s consent. The sexual acts included are; contact between the penis and the vagina or the anus; contact between the mouth and the penis, vagina, or anus; or penetration of the anal or genital opening of another person by a hand, finger or other object. Staff will follow the protocol identified in Attachment 11, Staff-on-Inmate Sexually Abusive Contacts and/or Penetration Incident Form. STAFF-ON-INMATE SEXUAL HARASSMENT, INDECENT EXPOSURE, AND/OR VOYEURISM This category includes an invasion of an inmate s privacy by staff for reasons unrelated to official duties, the display by a staff member of his or her uncovered body, and repeated verbal comments or gestures of a sexual nature to an inmate by a staff member. (Please see the complete definitions in the Definitions section.) Staff will follow the protocol identified in Attachment 10, Staff-on-Inmate Sexual Harassment, Indecent Exposure and/or Voyeurism Incident Form This includes non-penetrative and penetrative touching by a staff member of an inmate with or without the latter s consent, or in the case of sexually abusive contacts, that which is unrelated to official duties.

418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 12 of 71 7. SUPPLEMENTAL HOUSING OUT OF STATE INMATES a. The Department is responsible for the safety of inmates who are placed in supplemental housing correctional facilities. The Department will have protocols in place with all contract institutions regarding orientation to PREA, inmate reporting mechanisms, inmate victim safety and perpetrator accountability. b. Inmate Orientation at the OOS Facility i. As part of the inmate orientation process, within fourteen (14) business days of the inmate being assigned to a Vermont OOS DOC Caseworker, the Caseworker will send the inmate the following: a) A copy of the PREA Office brochure, You Have the Right to be Safe: A Guide about Sexual Abuse in Corrections for Inmates at Supplemental Housing Correctional Facilities Know Your Rights and Responsibilities and review the brochure with the inmate; b) A letter informing them of the: i) Assigned Caseworker s contact information; ii) Zero-tolerance policy of sexual abuse between both staff and inmates, and inmates and inmates; iii) Reporting protocol at their assigned facility; iv) Ability to report incidents of sexual abuse or behavior to any DOC or OOS contracted facility staff member (including contractors and volunteers). c. Allegation Reporting i. All Casework staff are responsible for notifying the DOC Director of Facility Operations immediately of any report of sexual abuse. ii. The Director of Facility Operations is responsible for reporting all allegations to the PREA Implementation and Supervision Coordinator immediately. iii. The OOS Casework Supervisor is responsible for working with staff at the contracted institution and gathering all incident paperwork to be submitted to the PREA Implementation and Supervision Coordinator. iv. The assigned Caseworker(s) for the inmate victim and/or perpetrator is responsible for entering appropriate electronic case notes as directed by the PREA Implementation and Supervision Coordinator and OOS Casework Supervisor. 8. RIGHTS AND RESPONSIBILITIES a. Inmates: i. Have the right to serve their incarceration free of sexual abuse; ii. Have the right to be free from retaliation, whether victim, perpetrator, or reporter, from the perpetrator or others, beginning when the allegation is made until the threat has passed as determined through the investigation process, to the degree possible within limited resources and applicable laws; iii. Have the right to access medical and mental health services if they have been victimized;

457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 13 of 71 iv. Have the right to be notified that the information of alleged sexual abuse reported to a DOC staff person will immediately be reported to a Shift Supervisor or above; v. Have the right to be informed by all DOC staff/contractors of any limits to confidentiality prior to conducting any interview with a perpetrator or victim; vi. Have the right to access treatment resources regardless of their willingness to disclose information relevant to the investigation, whether a victim or perpetrator; vii. Have the right to be assured that information obtained through the investigation is only shared with staff who are involved in the investigation or case management of the involved parties, whether victim or perpetrator, to the degree possible within limited resources and applicable laws; viii. Have the right to medical or mental health information in relation to a PREA incident not being shared with staff unless directed by the Superintendent or PREA Implementation and Supervision Coordinator; ix. Have the right to have their identity protected if they are victims of substantiated staffon-inmate sexual misconduct or sexual harassment, to the degree possible within investigation protocol and applicable laws; x. Have the right to documentation of their innocence as an alleged perpetrator in all unfounded incidents; xi. Have the right to the least restrictive level of segregation as a perpetrator until the investigation is complete. b. DOC Staff Members: i. Are responsible for immediately reporting any allegation of sexual abuse to a Supervisor or above, as mandated by Agency and Department policies, Department work rules, and this directive; ii. Are responsible for maintaining appropriate professional boundaries at all times with inmates/offenders, visitors, and staff; iii. Are responsible for comporting themselves in a manner as to foster a safe and secure workplace; iv. Are responsible for sharing victim medical or mental health information only when directed by the Superintendent or PREA Implementation and Supervision Coordinator; v. Are responsible for informing inmate victims of any limits to confidentiality prior to conducting any interview; vi. Are responsible for documenting all unfounded incidents against alleged perpetrators in DOC electronic case notes; vii. Are responsible for holding inmates accountable through all means available to the DOC, for any substantiated incident of sexual abuse; viii. Are responsible for holding inmates accountable who allege sexual abuse, and whose allegations are proven by investigators to be false, through all means available to the DOC;

496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 14 of 71 ix. Have the right to be free from retaliation, whether the victim of a false allegation, perpetrator, or reporter, from the perpetrator or others, beginning when the allegation is made until the threat has passed as determined through the investigation process, to the degree possible within limited resources and applicable laws; x. Have the right to be assured that information obtained through the investigation is only shared with staff who are involved in the investigation or case management of the involved parties whether victim or perpetrator, to the degree possible within limited resources and applicable laws; xi. Have the right to have their identity protected if they are victims of unfounded allegations of staff-on-inmate sexual misconduct or sexual harassment, to the degree possible within investigation protocol and applicable laws; xii. Have the right to documentation of their innocence as an alleged perpetrator in all unfounded incidents. c. The Department will: i. Protect inmates from sexual abuse, to the degree possible within limited resources and applicable laws; ii. Protect victims and reporters of sexual abuse from retaliation from the perpetrator or others, beginning when the allegation is made until the threat has passed as determined through the investigation process, to the degree possible within limited resources and applicable laws; iii. Protect victims and perpetrators by ensuring that information obtained through the investigation is only shared with staff who are involved in the investigation or case management of the involved parties, to the degree possible within limited resources and applicable laws; iv. Use the least restrictive level of segregation for alleged perpetrators until the investigation is complete; v. Protect the victim s identity to the degree possible within investigation protocol and applicable laws, regarding incidents of substantiated staff-on-inmate sexual misconduct or sexual harassment. Case notes will only list the PREA case ID number; vi. Protect reporters of sexual abuse from retaliation from the perpetrator or others, beginning when the allegation is made until the threat has passed as determined through the investigation process, to the degree possible within limited resources and applicable laws; vii. To the degree possible within investigation protocol and applicable laws, not include any specific information in the DOC database regarding staff member(s) who have been identified as alleged perpetrators of staff sexual abuse; viii. In cases of criminal sexualized behavior directed towards staff, the DOC will work with local law enforcement to pursue criminal charges on behalf of the staff member; ix. Ensure that allegations of staff sexual abuse or harassment are thoroughly investigated regardless of whether the staff member is terminated or resigns. d. The PREA Implementation and Supervision Coordinator will: i. Coordinate between facilities/field offices, law enforcement, and State s Attorneys in the sharing of relevant information regarding PREA incidents;

539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 15 of 71 TRAINING ii. Follow up with law enforcement and the State s Attorney regarding ongoing PREA incidents that are criminal allegations; iii. Coordinate with the Director of Facility Operations to ensure that annual audits include inspection for areas and situations where sexual abuse may be likely to occur, and recommend mitigation for those areas and situations; iv. Collect and compile data of PREA incidents to be distributed quarterly to the Director of Facility Operations, Director of Community Corrections, Re-entry, & Classification, and Facility Superintendents; v. Collect and compile data and coordinate surveys to ensure continuity of services, operational improvements, and establishment of baselines; vi. Produce an annual summary for the Commissioner on the frequency and severity of PREA incidents within DOC, including trends during the year and comparisons to previous years; vii. Facilitate an annual lessons learned staff training or in-service to examine all documentation associated with sexual abuse across all DOC facilities and field offices to identify causality and effectiveness of response, and to develop and evaluate potential solutions; viii. Submit PREA incident data to the Quality Assurance Administrator as requested; ix. Develop training standards in response to policy/directives concerning PREA incidents; x. Coordinate with the Vermont Training Center in the development and implementation of lesson plans for new employee orientation and in-service training; xi. Coordinate with facility staff to compile information collected directly from the inmate population by means of various survey methods, which relates to the prevalence of sexual abuse and/or sexual activity within the institutions, in order to provide insight into potential strategies for its reduction or elimination. The PREA Implementation and Supervision Coordinator has the responsibility and authority to develop all PREA-related training, and will work with the Director of Human Resources Development to ensure that all appropriate personnel are trained in the provisions of this directive. 1. NEW EMPLOYEES: a. Correctional Officers will complete the PREA/Staff Sexual Misconduct course at the Vermont Correctional Academy. b. Volunteers, medical providers, mental health providers, other contract staff and BGS staff will participate in and complete orientation provided by the Department Volunteer Coordinators. c. All new facility and field staff including, but not limited to, CCOs, Caseworkers, CWS/LUSs, CSTLs, medical/mental health providers, BGS, volunteers and education staff of the CHSVT, will complete the National Institute of Corrections online course, Your Role: Responding to Sexual Abuse, before starting at their worksite. 2. TRAINING TOPICS a. Facility Staff (CO, CFSS, CSS, CSTL)

579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 Master Draft PREA for Facilities Posted for Comment 4/13/12 5/04/12 Page 16 of 71 i. Sexual abuse reporting and investigative protocol ii. Inmate as victim iii. Strategies for protecting the safety of vulnerable populations iv. Maintaining appropriate professional boundaries v. Strategies for promoting effective prevention and intervention of staff-on-inmate sexual abuse and staff-on-inmate sexual harassment b. Medical/Mental Health Providers (QHCP, QMHP) i. Victim care ii. Forensic exams iii. How to detect sexual abuse during an exam iv. Reporting and investigative protocol c. Other Staff (CHSVT, contract staff, BGS) i. Sexual abuse reporting and investigative protocol ii. Maintaining appropriate professional boundaries iii. Strategies for promoting effective prevention and intervention of staff-on-inmate sexual abuse and staff-on-inmate sexual harassment. QUALITY ASSURANCE a. The Director of Facility Operations is responsible for incorporating quality assurance procedures into the Security and Compliance Audits. b. The Quality Assurance Administrator will submit PREA incident data to DOC Executives as part of QA reports.

Master Draft PREA for Facilities Posted for Comment Page 17 of 71 Attachment 1 Sample Vermont Department of Corrections INMATE GUIDE TO MEDICAL SERVICES 600 601 602 603 604 605 606 607 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 ANSWERS TO QUESTIONS YOU MAY HAVE ABOUT WHAT YOU CAN AND CAN T EXPECT FROM THE MEDICAL DEPARTMENT What health screening takes place when I arrive at a facility? A nurse will review your health status when you arrive. It is important that you let us know about any medical, mental health, or dental condition you are being treated for. If your regular doctor has records, which we can use, please let us know. You will be asked to sign the necessary permission for us to have copies. A tuberculosis skin test is done on admission. Please let us know if you have had a positive test before. Later, you will meet with a provider for a further review of your medical history and physical examination. How do I request medical attention? Fill in a sick call slip. They can be obtained from your unit officer and are picked up regularly by medical department staff. State in a few words why you want to be seen. You don t need to go into details. Your unit officer or caseworker will assist you if writing the slip is a problem for you. You can keep the yellow copy of the slip for your own records if you wish. Who will see me in the medical department? Medical staff includes nurse s aides (LNA s), nurses (LPN s and RN s), and providers, who may be nurse practitioners, physician s assistants, or physicians. A nurse can work out many problems, and that will get them taken care of most quickly. Providers are available regularly but do not work full time, so there may be a longer wait for a provider visit. Please do not ask to be scheduled with a particular provider. We work together and try to coordinate our efforts for you, and we cannot make anyone a private patient of any one provider. This applies even if as sometimes happens you have been cared for by one of us in the community. When and where do I get medication? Location of medication administration will vary from site to site. You will be given site-specific instructions regarding medication administration times and locations at the time of your intake. This information is also posted in the living units. If a medication has been prescribed to take regularly and you do not want to take it, you will be asked to sign a form stating your refusal. If the order is for use as needed (the medical term for this is p.r.n. ), you still must take the medication at a med-line time. You should tell the nurse if you feel you need your p.r.n. medication; if you do not take it, you will not have to sign a refusal for it. There must be an order from a provider for any medication you receive.