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Policy 713Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Special Needs Medical Treatment - 1Special Needs Medical Treatment 713.1 PURPOSE AND SCOPE This purpose of this policy is the proper treatment and management of incarcerated persons with chronic diseases and special needs. This is accomplished by utilizing generally accepted clinical guidelines and establishing communication between qualified health care professionals and custodial personnel. 713.1.1 DEFINITIONS Definitions related to this policy include: Chronic disease - An illness or condition that affects an individual's well-being for an extended interval, usually at least six months, and generally is not curable but can be managed for optimum functioning within any limitations the condition creates in the individual. Chronic disease program - The incarcerated person has regular clinic visits during which a qualified health care professional monitors the medical condition and adjusts treatment as necessary. The program also includes patient education for symptom management. 713.2 POLICY It is the policy of this department to provide all individuals identified as having chronic diseases or special needs with medical treatment intended to decrease the frequency and severity of the symptoms, prevent disease progression and complication, and foster improved function. When a qualified health care professional recognizes that an incarcerated person requires accommodation due to a special need, correctional personnel should be notified in writing. Consultation between the qualified health care professional and custodial personnel should occur regarding the condition and capabilities of incarcerated persons with known special needs prior to a housing, work or program assignment, or transfer to another facility. Qualified health care professionals shall furnish special needs information regarding incarcerated persons to custodial personnel in order for them to appropriately classify and house incarcerated persons in the facility. It is the responsibility of the Jail Administrator or the authorized designee to ensure that incarcerated persons with special needs are receiving the proper care and that their needs are effectively communicated to custodial staff for appropriate accommodation (15 CCR 1206(g)). 713.3 CLINICAL PRACTICE GUIDELINES The Responsible Physician or the authorized designee is responsible for establishing and annually reviewing clinical protocols to ensure consistency with the National Clinical Practice Guidelines. The clinical protocols for the management of chronic disease and special needs include but are not limited to the following: •Asthma Santa Ana Police Department Custody Manual Special Needs Medical Treatment Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Special Needs Medical Treatment - 2•Communicable diseases •Incarcerated persons with developmental disabilities •Diabetes •Dialysis •Frail or elderly incarcerated persons •High blood cholesterol •HIV •Hypertension •Mental illness •Mobility impairments •Pregnancy •Seizure disorder •Suicidal ideation •Terminal illnesses •Tuberculosis 713.4 DOCUMENTATION Documentation in an incarcerated person's medical record should include information regarding the chronic disease protocols deployed, the person responsible for the various protocols, the extent to which the chronic disease protocols are being followed, and should include but not be limited to: •The frequency of follow-up for medical evaluation. •How the treatment plan was adjusted when clinically indicated. •The type and frequency of diagnostic testing and prescribed therapeutic regimens. •The prescribed instructions for diet, exercise, adaptation to the correctional environment, and medication. •Clinical justification of any deviation from the established protocol. A master list of all chronic disease and special needs patients should be maintained by the Responsible Physician or the authorized designee. 713.5 CHRONIC CARE PROGRAM (a)Newly incarcerated persons shall receive a medical screening. This screening includes the documentation of any acute or chronic health problems or injuries, Santa Ana Police Department Custody Manual Special Needs Medical Treatment Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Special Needs Medical Treatment - 3special needs, and any medications or treatments the incarcerated person is currently receiving. 1.If the incarcerated person has been incarcerated previously, their health records should be reviewed. 2.Current medications being taken by the incarcerated person should be verified and continued as deemed appropriate by the Responsible Physician. 3.A health assessment shall be completed within 14 days of incarceration and a physical examination conducted within six months of incarceration. 4.The status of a special needs incarcerated person should be evaluated, at minimum, every 90 days to determine the need for the continued designation. (b)Individual treatment plans are used to guide treatment for episodes of illness. The format for treatment planning may vary, but should include, at a minimum: 1.The frequency of follow-up for medical evaluation and adjustment of treatment modality. 2.The type and frequency of diagnostic testing and therapeutic regimens. 3.When appropriate, instructions about diet, exercise, adaptation to the correctional environment, and medication. (c)Reasonable effort should be made to obtain health information and records from previous health care services, with the consent of the incarcerated person, when the incarcerated person has a medical problem that was being treated prior to incarceration. (d)Upon transfer to another correctional facility, a summary of the incarcerated person's current condition, medications, and treatment plan will be forwarded to the receiving facility in a sealed envelope to maintain the incarcerated person's privacy. (e)Requests for health information from community health care providers that offer health care must be submitted with the incarcerated person's written consent. (f