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Inmate Mental Health Care

jirair avatar
jirair
15 diapositives · 304 Views · Oct 07, 2014

This report from the Legislative Audit Bureau examines mental health care for inmates in Wisconsin, based on audits and reviews conducted between 2001 and 2008. It outlines funding allocations totaling approximately $59.8 million for mental health staffing and treatment. Key findings include the prevalence of mental illness among inmates, the impact on safety, the delivery of psychotropic medications, and the need for improvements in admissions and release planning. Recommendations for future oversight and enhancement of mental health services are discussed.

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Inmate Mental Health Care
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  1. Inmate Mental Health Care Legislative Audit Bureau April 2009

  2. Background • 2001 LAB prison health care audit • 2002 and 2006 reviews by a professional standards organization • 2002 Supermax settlement agreement • 2008 Taycheedah settlement agreement

  3. Mental Health Care Expenditures • In FY 2007-08, mental health care expenditures totaled 59.8 million, including: • $27.0 million in DOC expenditures for mental health staffing and treatment • $32.8 million in DHS expenditures to house and treat inmates at the Wisconsin Resource Center

  4. Mental Health Care Staffing(FY 2007-08) • Department of Corrections: • 127.35 FTE mental health positions • 21.51 LTE mental health positions • 96.00 FTE correctional officers at WRC • Wisconsin Resource Center: • 226.60 FTE mental health positions • 72.20 FTE other direct service staff • 105.30 FTE administrative and service staff

  5. DOC Mental Health Classifications

  6. Inmates by Mental Health Code(June 2008)

  7. Mental Health Screening • Inmates are to be screened for mental illnesses within two days of entering DOC custody • Files for inmates with mental illnesses are reviewed when they transfer between facilities • Most screenings and reviews occur on a timely basis

  8. Mental Health Services • 9 institutions operate specialized housing units for some mentally ill inmates • Psychologists and psychiatrists regularly monitor inmates on their caseloads • Individual and group therapy availability is limited

  9. Psychotropic Medications • 3,869 inmates were prescribed psychotropic medications in June 2008 • DOC expenditures for psychotropic medications totaled $6.1 million in FY 2007-08 • Most medications are delivered by correctional officers

  10. Safety and Discipline • Mentally ill inmates accounted for: • More than 90.0 percent of self-harm incidents • 80.0 percent of inmate suicides • More than 40.0 percent of segregation placements

  11. Inmate Assaults on Staff(FY 2005-06 through FY 2007-08) • 79.2 percent of assaults on staff were committed by mentally ill inmates • 84.5 percent of assault-related worker’s compensation awards resulted from assaults by mentally ill inmates • $874,200 in awards resulted from assaults by mentally ill inmates

  12. Wisconsin Resource Center • Current operating capacity is 314 inmates • Over one-third of releases are to the community • We recommend improvements to admissions policies and procedures

  13. Release Planning • DOC is implementing a pre-release curriculum for all inmates • Inmates with mental illnesses receive assistance with: • medications • disability benefits applications • post-release treatment appointments

  14. Future Considerations • Assess the Conditional Release Program model • Build upon and fully implement recent improvements • Set priorities for future improvements • Report to the Joint Legislative Audit Committee in January 2010 to help ensure effective oversight

  15. Inmate Mental Health Care Legislative Audit Bureau April 2009