Sir-1n Skirc et

• Sir-1n Skirc et IN 2e2-- '2-I EFTA00118845 a I ••••N c. U! CA 0(1. ? )-Ul t-e4121011/ Iciolci i-(cl O , 9 Co /0-7 a b I S 1,0 )41-zeg2_ s~fce 6 (-4 EFTA00118846 MCC NEW YORK TRAINING PARTICIPANT SIGN-IN LOG COURSE TITLE: Suicide Prevention/SHU Trainine COURSE CODE: TRAINING DATE(S): From: TRAINING TIMES: INSTRUCTOR(S): December 7.2018 To: December 7. 2018 TOTAL TANG HRS. 1 14 ' ' ' To: 12:00bm NOTE: OR SUMMARY MUST ATTACH AGENDA INSTRUCTORS) OF TRAINING LAST NAME (PRINTED) • FIRST NAME (PRINTED) HOP ID SIGNATURE OFFICE USE ...._ . 13. 14. 15. 16. 17. 18. 19. • 20. By signing above you attest to not only attending the above named training course, but also to understanding the course material, policies and procedures pertaining to the training. SENSITIVE - LIMITED OFFICIAL USE EFTA00118847 10/10/2018 Objectives • Understand suicide risk associated with locked units and single cells • Identify high risk groups - mentally Ill rniates - behavior disordered Inmates — sex offender and protective custody inmates J Objectives • Discuss management strategies for specific at risk inmates in this SHU • Review emergency response procedures 1 EFTA00118848 10/10/2018 BOP Inmate Suicides Mew 1_ : ei I - ilit..111.11,11,un i) • - 4$44,,,,,,,ctritoWeleatet, Locked Units • Locked units include SHUs, SMUs, ADX, Seclusion, Extended lock down units, etc • Every year between 30 and 80% of inmate suicides occur on a locked unit • Single Cells in locked units are especially risky for high-risk inmates Single Cell Suicides in SHU Caas Ca Still &C.° • Style Cel &WV Slee-41 2011 2 EFTA00118849 10/10/2018 Single Cells AR-I. It is recommended that all SHU inmates be double-celled unless there is a compelling reason not to do so. —Reduces isoiation — Reduces privacy — Provides distraction — Provides rescue opportunity Single Cells When an inmate cannot be double celled: — Place at.risa inmesss in hgher visibility cells — Reduce or eliminate tie-off points — Increased monitoring of property — Add.tional out of re it contacts with Psychology, Heath Services, Unit Team. Recreation, Education, and Religious Services High Risk Inmates Discuss local policies to ensure specific inmates are not single celled. These may include: - Psychology Advisory List (TRU-SCOPE) - Special notation on cell door - Spedal notation on SHU bo -SHU Program - Other 3 EFTA00118850 10/10/2018 -ant Good SHU Management is Good Suicide Prevention • Complete SHU rounds as directed by policy and doc-iment them accurately • Observe inmates 8 report concerns to the SHU Lieutenant, Psychology Services, and/or the next shill. as appropriate • Respond to inmate concerns and accommodate reasonable requests promptly Good SHU Management is Good Suicide Prevention • Prior to entering a SHU cell to provide assistance staff should ensure their safety which may include waiting for assistance • Cut down tools should never be used for any purpose other than responding to a suicide emergency • Know the location of the AED and now to use it Behavior Disordered Inmates • 30% suicides are committed by behaviorally disordered inmates in SHU • At nsk for suicide AND accidental death • Must be assessed by psychology EVERY time they make a new threat of self•harm • Must be taken seriously! 4 EFTA00118851 a a azs±44jsa!a 10/10/2018 Working with Behavior Disordered Inmates • Negative perceptions or frustrations may impact your professional judgment and need to be monitored • Manage through collaboration between departments • A group approach is indicated for the most demanding cases Working with Behavior Disordered Inmates • Manage with positive reinforcement - Catch them being good - Prase progress. not perfection - 'small steps• - Address reasonable requests promptly - Set one goat that is guaranteed to occur • If a Suicide Risk Management Plan is in effect. follow it exactly What is a Suicide Risk Management Plan? • The P'an we vdll discuss today is not the same as the plan used by the institution when an inmate Is in restraints • A Suicide Risk Management Plan is aso NOT — Punishment — Stricter ivies - Extreme deprivation - Social isolation - Less work lac staff S EFTA00118852 a aLlf• t v '1 MINIMS Suicide Risk Management Plan The goal of a Suicide Risk Management Plan is to increase Inmate safety by decreasing behaviors that create risk for suicide or accidental death when the Inmate cannot be engaged in positive change behaviors Suicide Risk Management Plan • A SuCide Risk Management Plan IS — Feedcadc immediate end frequent — Re•nforcement of positive behaviors or neutral behaviors that replace harmful behaviors —Coaaboratlor: between psychology, custody, other departments, and executive staff — Targetet self•harn behaviors and other behaviors that place the inmate in danger (cutting. cell fires, etc.) Creating a late Suicide Risk Management Plan Psychology Services identifies key issues through observation of the inmate and input from staff: —High risk behaviors —Elements of the environment that perpetuate dangerous behavior —Reinforcers that may be used to reward positive behavior 10/10/2018 6 EFTA00118853 a alm.HIva Creating a Suicide Risk Management Plan • These are combined Into a brief, individualized plan that indicates —Management strategies —When reinforcers will be provided —What harmful behaviors will trigger more intensive risk management strategies Enacting a Suicide Risk Management Plan • Present the plan to the inmate: this is usually done collaboratively by the Captain and Chief Psychologist • Be prepared: Behaviors usually get worse before they get better • All staff need to adhere to the plan • Discuss concerns and issues along the way to ensure staff members are being consistent Behavior Disordered Inmates • Place PDS Photo • Inrnate'S Name Here locancn • llsl Risk Factors Warning Sees speak le tho lona • DISC.115 Helpful Interventions Ewer:Mit Pte./elate.° inlerventonS 10/10/2018 7 EFTA00118854 10/10/2018 Mentally III Inmates • Approximately 30 to 60% of BOP suicides are completed by mentally ill :mates • Disorders most frequenly include Depressor Bipolar Disorder, and Schizophrenia • Symptoms may include psychosis, pow hygiene. lack of energy. poor appetite, insomnia, agitation. and tack of interest in tangs that were once of interest Mentally III Inmates • Monitor these inmates closely. look for changes in mood and behavior and report them to Psychology • Buiki positive rapport with these inmates to assn: them with problem solving and meeting they needs • During shake downs, ensure medications are riot being hoarded and property has not been modified to allow self-harm Mentally III Inmates • Place PDS Photo Here • imimes Name a Location • List Risk Factors a WarNIN Elan Steak to Me Irina • Discuss Melaka eserimmions Especially Provoninv• Ittarvitntats 8 EFTA00118855 :va-da:asco, Sex Offenders and Protective Custody • Both of these groups are at heightened risk for suicide — Both groups may be fearful of other inmabis - Both groups may be experiencing shame • Double-cell all mmates whenever possible • Convey requests to speak to Psychology immediately • Place In higher visibility cars Emergency Response • Always initiate life saving measures • Ensure the response reflects the emergent nature of the situation • All staff should carry personal protective gear • 10/10/2018 9 EFTA00118856 tvasaila7ilesizt@firdvand4a414.h.ma§avata3amik:e0§5.+5..aia.s.14.:9-0§514.5..a0cA§ 10/10/2018 I; Psychology Advisory - List --11-14 - • The Advisory List —identifies inmateswith mental health conditions who may become dangerous. self- destructive. or suicidal when placed into the SHU PSY Alert • PSY Alert is an enhanced tracking and monitoring system to ensure: —Special psychological needs are reviewed and considered by Psychology Services —Safety and securky concerns are highlighted (or non-psychology staff Phone a Friend • You are required to refer an inmate to Psychology Services if you observe behaviors that indicate she or he may be at nsk for suicide 10 EFTA00118857 I vfMa/28 INA 5 11 EFTA00118858