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Policy 711Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2024/01/12, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Mental Health Services - 1Mental Health Services 711.1 PURPOSE AND SCOPE The purpose of this policy is to ensure that all incarcerated persons have access to mental health services and that incarcerated persons identified as needing these services are referred appropriately. 711.1.1 DEFINITION Definitions related to this policy include: Mental health services - A variety of psycho-social and pharmacological therapies, either individual or group, including biological, psychological, and social therapies to alleviate symptoms, attain appropriate functioning and prevent relapse. 711.2 POLICY It is the policy of this department that a range of mental health services shall be available for any incarcerated person who requires them (15 CCR 1206(g); 15 CCR 1207; 15 CCR 1209). 711.3 MENTAL HEALTH SERVICES The Jail Administrator should collaborate with the Responsible Physician and local public and private organizations to identify mental health services, treatment, and care potentially available to those incarcerated persons in need of such services. In coordination with the health authority, the Responsible Physician, and the Jail Administrator, such services shall include but are not limited to (15 CCR 1209): •Identification and referral of incarcerated persons with mental health needs. •Mental health treatment programs provided by qualified staff, including the use of telehealth. •Crisis intervention. •Basic mental health service provided to incarcerated persons as clinically indicated. •Medication support services. •Suicide prevention. •Referral, transportation, and admission to licensed mental health facilities for incarcerated persons whose psychiatric needs exceed the treatment or housing capability of the facility (Penal Code § 4011.6; Penal Code § 4011.8). •Provision of health services sufficiently coordinated such that care is appropriately integrated, medical and mental health needs are met, and the impact of any of these conditions on each other is adequately addressed. •Obtaining and documenting informed consent. •Release planning services. Santa Ana Police Department Custody Manual Mental Health Services Copyright Lexipol, LLC 2024/01/12, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Mental Health Services - 2711.4 BASIC MENTAL HEALTH SERVICES Incarcerated persons may be referred to a qualified health care professional through a variety of methods, which include the medical screening process, the mental health appraisal process, and self-referral or staff referral. Qualified health care professionals should respond to all referrals in a timely manner and initiate the appropriate treatment services. (a)If the incarcerated person has received previous mental health treatment, the incarcerated person should be asked to complete a release of information form so that treatment records can be obtained. (b)Incarcerated persons who have been determined to be in need of ongoing mental health services after their release from this facility should be provided with information about community mental health treatment resources. Arrangements for more comprehensive mental health care may be made, if appropriate. (c)Incarcerated persons who are identified as having developmental disabilities should be evaluated for special housing needs. The qualified health care professional should work in cooperation with classification personnel to establish the best, reasonably available housing option. (d)Incarcerated persons who are suspected or known to have a developmental disability should receive a mental health appraisal by the qualified health care professional or health-trained custody staff as soon as reasonably practicable but no later than 24 hours after booking. Contact will be made with the regional center within 24 hours, excluding holidays and weekends, when an incarcerated person is suspected or confirmed to have a developmental disability. Incarcerated persons who have a developmental disability should be referred, where appropriate and available, for placement in non-correctional facilities or in units specifically designated for housing a person with a developmental disability (15 CCR 1057). (e)Incarcerated persons enrolled in mental health treatment, including psychiatric medication management, should be provided information regarding the risks and benefits to treatment. Informed consent documents should be signed by the incarcerated person to establish the incarcerated person's consent to treatment. The signed forms should be placed in the incarcerated person's health record and retained in accordance with established records retention schedules. (f)A treatment plan should be established for all incarcerated persons enrolled in mental health services. 1.Psychiatric and special needs treatment plans shall be reviewed every 180 days, at a minimum. Incarcerated persons taking psychotropic medication should be seen by a psychiatrist at least every 90 days. Incarcerated persons classified as requiring mental health special needs should be seen at least monthly by a qualified health care professional. 2.Incarcerated persons enrolled in other ongoing forms of mental health treatment should have treatment plan updates completed every six months, at a minimum. 3.Incarcerated persons who present to the qualified health care professional as having notable difficulty adjusting to the correctional environment, but who are not diagnosed with a serious mental illness, should be evaluated for the Santa Ana Police Department Custody Manual Mental Health Services Copyright Lexipol, LLC 2024/01/12, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Mental Health Services - 3appropriateness of mental health treatment. Consideration should be given to the qualified health care professional and the facility staff working together to address the issues