10/10/2018

10/10/2018 BOP Inmate Suicides Rats per IM.000 u -?‘ 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 (or high risk inmates Single Cell Suicides in SHU Dead* C44 MeV Crean • &eV* Cat fd4.) }cats 2013 rt. 2016 20,0 2 EFTA00126006 10/10/2018 Single Cells It is recommended that all Shit/ inmates be double-celled unless there is a compelling reason not to do so — Reduces Ise/aeon —Reduce, privacy — Provides distraction — Provides res=e opp ()dimity Single Cells When an inmate cannot be double celled- - Place al.risk inmates In hg her visibility ces — Reduce or aiming,* tle-Oir points Incmased noniloring of moony —Additional out of cell contacts with Psychology, Health Services, Unit Team, Recreation, Educabon, and Religious Swiss 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 all door — Special nolaiion on SHU board — SMU Program — Otter 3 EFTA00126007 10/10/2018 Good SHU Management Is Good Suicide Prevention • Complete SHU rounds as directed by policy and document them accuraiely • Observe inmates & report concerns to the SHU Lieutenant, Psychology Services. and/or the neat shift as appropriate • Respond la In male concerns and sccomrnodale reasonable requests prom" Good SHU Management Is r Good Suicide Prevention • Prior to tinkering a SHU cello provide assistance staff should ensure their safely which may include waning for assistance • Cul down tools should never be used for any purpose other Ulan responding toa suicide emergency • Know the location of the AEO and how le use rt Behavior Disordered Inmates - 30% suicides any committed by behaviorally disordered 'mates in SHU • Al risk lor suicide AND accidental death • Must be assessed by psychology EVERYtime they make a new threat of selfittems • Must be taken sedately! 4 EFTA00126008 a a &monism !a Working with Behavior Disordered Inmate • Negabye perceptions at frustrations may impact your professional judgment and need to be monitored • Manage through collaboration between departments • A group approach is II-dialed for the most demanding cases Working with Behavior Disordered Inmates • Manage with positive reinforcement - Catch there being good -Praise progress not perfection -*small steps' - Address reasonable requests promptly - Set one goal that Is guaranteed to occur • If a Suicide Risk Management Plan Is in effect. folow it exactly What is a Suicide Risk Management Plan? • The Plan we will 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 no NOT — Punishment —Strider rules — Extreme deprivation —Social isolation — Less week for staff 10/10/2018 5 EFTA00126009 a aLV01IvA Suicide Risk Management Plan The goal of a Suicide Risk Management Plan is to Increase Inmane safety by decreasing behaviors that roseate ask for suicide or accidental death when the Inmate cannot be engaged In positive change behaviors Suicide Risk Management Plan • A Suicide Risk Management Plan IS — Feectbadc Immediate and frequent — Reinforourvant of positive behaviors or neutral behaviors that replace harmful behaviors —Cotaboradorc between psychology, custody, otter departments. and exec:viva staff —Targeted set•harm behaviors and other behaviors that place the Inmate in danger (cutting. cell fires, etc.) Creating a Suicide Risk Management Plan Psychology Services identifies key issues through obServelion of the inmate and Input from staff: —High risk behaviors —Elements of the environment that perpetuate dangerous behavior —HttinfOrCers that may be used to reward positive behavior 10/10/2018 6 EFTA00126010 drivon.lva Creating a Suicide Risk Management Plan • These are combined into a brief, individualized plan that Indicates —Management strategies —When reinforcer& 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 start members are being consistent Behavior Disordered Inmates Plate PDS Photo • irowles Name Here locatiart • LS Risk ratan Wring Sign SP•oic to to Image • Maass HSU Irda:vertorts Espedity Preventative Intern:Non, 10/10/2018 7 EFTA00126011 10/10/2018 Mentally III Inmates • Approximately 30 to 60% or SOP suicides are completed by mentally ill mates • Disorders most frequently include Dapiesson Bipolar Disorder. and Schreophninia • Symptoms may Inducle periloua pow hygiene lack of energy- poor appetite, Insonnie agitalnit and lath of interest In things that were once of interest Mentally III Inmates • Monitor these inmates closely. look for changes In mood and beluvlor and report them to Psydiclogy • Build poser, rapport with these inmates to assist them with problem aching end meeting thee needs • Duthie shake downs, ensure medications am not bang hoarded and property has not been modified to flow self-harm Ti Mentally III Inmates • Place PUS Photo Here ' initatas Name a location LSI Rhk Factors %Naming Sys Son* $0 Pr Interne Distuse Helpful Ireerveivons Especially ene/on Iretivenicis 8 EFTA00126012 Vag& t alscA 10/10/2018 Sex Offenders and Protective Custody • Both of these groups ere al heightened risk for sulode — Both groups may be lawful of other Inmain - Both groups may be expenenang shame • Double-cell all Inmates wheneverpossIblet • Gamey requests to speak to Psyshoizgy Immediately • Play in higher visibility cella Emergency Response • Always initiate life saving measures • Ensure the response reflects the emergent nature of the situation • All staff should carry personal protective gear ra IP Lesson Learned From Local Mock Drills 9 EFTA00126013 ft.'s\ ••••••,.. pcisavanvoixpaiisavana4a614.tecisavata3a41449asa•a4aia4.14.!ecoasa.aocAs 10/10/2018 Psychology Advisory List • The Advisory List - idimtHies inmateswith mental health conditions who may become dangerous self destructive, or suicidal when placed into the SHU PSY Alert • PSY Alert is an enhanced track ng and monitoring system to ensure: —Special psychologcal need; are reviewed and considered by Psychology Services —Safety and security concerns I • are highlighted for nornpsychology emir Phone a Friend , • You are required to refer an Inmate to Psychology Services I/ you observe behaviors that indlr.ate one or he may be at risk for suicide • Coital collaborate In managing high risk inmates Cell to discuss small problems before they gat big 10 EFTA00126014 v2G06/283.11445 ' Review of Objectives • UrleWOW SOHO AO associated sett' tacked trete and gaba am* • Ow* high asa gnaws - modest ia In/stales - behaves, disordered inealan - sax oftener and prolicsiv• ceSoda emotes • Thsarta tMnepem nl straleases tor speak al risk Smiles n the SH Ll • Rantio .regency response prreaseures 11 EFTA00126015