The MH Authority ensures adequate MH services and eliminates any barriers to inmates
receiving health services in a timely manner. - ANSWER Access to Care
The facility has a designated MH authority responsible for MH care services. - ANSWER
Responsible MH Authority
Qualified MH professionals have sole responsibility for clinical decisions regarding the
serious MH needs of inmates. - ANSWER Clinical Autonomy
Administrative meetings are held. Staff meetings are held. Stats reports are generated
monthly. - ANSWER Administrative Meetings and Reports
The facility has policies and procedures that address each of the NCCHC standards. -
ANSWER Policies and Procedures
A CQI program monitors and improves MH care delivered in the facility. - ANSWER
Continuous Quality Improvement Program
MH staff are prepared to implement the MH aspects of the facility's emergency response
plan. - ANSWER Emergency Response Plan
Communication occurs betwen nonclinical staff regarding inmates' significant MH needs that
must be considered for classification decisions. - ANSWER Communication on Patients'
MH Needs
1
,Discussion of patient info and clinical encounters are conducted in private to encourage the
patient's use of MH services. - ANSWER Privacy of Care
Deaths are reviewed to determine the appropriateness of MH care and to determine if
changes to P&P are needed. - ANSWER Procedure in the Event of an Inmate Death
Addresses inmate's complaints about MH services. - ANSWER Grievance Mechanism for
MH Complaints
There is an effective program that includes surveillance, prevention and control of
communicable disease. - ANSWER Infection Prevention and Control Program
The MH authority promotes patient safety; institutes systems to prevent adverse and near-
miss clinical events. - ANSWER Patient Safety
MH staff work in a safe environment. - ANSWER Staff Safety
The site has P&P regarding detection, prevention and reduction of sexual abuse consistent
with federal law. - ANSWER Federal Sexual Abuse Regulations
Medical and psychological trauma of sexual abuse is minimized as much as possible by
prompt MH intervention. - ANSWER Response to Sexual Abuse
MHP's have credentials and provide services consistent with their licensure. - ANSWER
Credentials
Evaluates the appropriateness of services delivered by direct patient care staff. - ANSWER
Clinical Performance Enhancement
2
, All MHP's are appropriately oriented and participate in annual continuing ed. - ANSWER
Training for Mental Health Staff
The MH authority in cooperation with the DOC guides the mental health related training of
correctional officers. - ANSWER Mental Health Training for Correctional Officers
Personnel who administer medication are properly trained. - ANSWER Medication
Administration Training
Inmates do not provide mental health services. - ANSWER Inmate Workers
A sufficient number of staff provide inmates with adequate treatment consistent with the
standards. - ANSWER Mental Health Staffing
A trained "mental health liaison" coordinates MH services when no mental health staff are
available for 24 hours. - ANSWER Mental Health Liaison
Pharmaceutical operations are sufficient to meet the needs of the facility and conform to
legal requirements. - ANSWER Mental Health Pharmaceutical Operations
Medication services are clinically appropriate and provided in a timely manner. - ANSWER
Medication Services
Sufficient and suitable space, supplies, and equipment are available for mental health
services. - ANSWER Clinical Space, Equipment, And Supplies
On-site diagnostic services are registered and accredited. - ANSWER Diagnostic Services
Inpatient hospitalizations and specialty care are provided to patients in need of these
services. - ANSWER Inpatient Psychiatric Care
3
receiving health services in a timely manner. - ANSWER Access to Care
The facility has a designated MH authority responsible for MH care services. - ANSWER
Responsible MH Authority
Qualified MH professionals have sole responsibility for clinical decisions regarding the
serious MH needs of inmates. - ANSWER Clinical Autonomy
Administrative meetings are held. Staff meetings are held. Stats reports are generated
monthly. - ANSWER Administrative Meetings and Reports
The facility has policies and procedures that address each of the NCCHC standards. -
ANSWER Policies and Procedures
A CQI program monitors and improves MH care delivered in the facility. - ANSWER
Continuous Quality Improvement Program
MH staff are prepared to implement the MH aspects of the facility's emergency response
plan. - ANSWER Emergency Response Plan
Communication occurs betwen nonclinical staff regarding inmates' significant MH needs that
must be considered for classification decisions. - ANSWER Communication on Patients'
MH Needs
1
,Discussion of patient info and clinical encounters are conducted in private to encourage the
patient's use of MH services. - ANSWER Privacy of Care
Deaths are reviewed to determine the appropriateness of MH care and to determine if
changes to P&P are needed. - ANSWER Procedure in the Event of an Inmate Death
Addresses inmate's complaints about MH services. - ANSWER Grievance Mechanism for
MH Complaints
There is an effective program that includes surveillance, prevention and control of
communicable disease. - ANSWER Infection Prevention and Control Program
The MH authority promotes patient safety; institutes systems to prevent adverse and near-
miss clinical events. - ANSWER Patient Safety
MH staff work in a safe environment. - ANSWER Staff Safety
The site has P&P regarding detection, prevention and reduction of sexual abuse consistent
with federal law. - ANSWER Federal Sexual Abuse Regulations
Medical and psychological trauma of sexual abuse is minimized as much as possible by
prompt MH intervention. - ANSWER Response to Sexual Abuse
MHP's have credentials and provide services consistent with their licensure. - ANSWER
Credentials
Evaluates the appropriateness of services delivered by direct patient care staff. - ANSWER
Clinical Performance Enhancement
2
, All MHP's are appropriately oriented and participate in annual continuing ed. - ANSWER
Training for Mental Health Staff
The MH authority in cooperation with the DOC guides the mental health related training of
correctional officers. - ANSWER Mental Health Training for Correctional Officers
Personnel who administer medication are properly trained. - ANSWER Medication
Administration Training
Inmates do not provide mental health services. - ANSWER Inmate Workers
A sufficient number of staff provide inmates with adequate treatment consistent with the
standards. - ANSWER Mental Health Staffing
A trained "mental health liaison" coordinates MH services when no mental health staff are
available for 24 hours. - ANSWER Mental Health Liaison
Pharmaceutical operations are sufficient to meet the needs of the facility and conform to
legal requirements. - ANSWER Mental Health Pharmaceutical Operations
Medication services are clinically appropriate and provided in a timely manner. - ANSWER
Medication Services
Sufficient and suitable space, supplies, and equipment are available for mental health
services. - ANSWER Clinical Space, Equipment, And Supplies
On-site diagnostic services are registered and accredited. - ANSWER Diagnostic Services
Inpatient hospitalizations and specialty care are provided to patients in need of these
services. - ANSWER Inpatient Psychiatric Care
3
