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Objectives ° Discuss management Strategies for Specific at risk inmates in this SHU ° Review emergency response procedures EFTA00126018

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S IN INMATE SUICIDE Rate per 100,000 EFTA00126019

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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 EFTA00126020

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single Cells It is recommended that all SHU inmates be double-celled unless there is a compelling reason not to do so. — Reduces isolation — Reduces privacy — Provides rescue opportunity EFTA00126022

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High Risk Inmates Discuss local policies to ensure specific inmates are not single celled. These may include: — Special notation on Hot List — Special notation on cell door — Special notation on SHU board — Other yy Not 00008562 EFTA00126024

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Good SHU Management is S=mea Good Suicide Prevention ¢ Staff should wait for assistance prior to entering a SHU cell ¢ Cut down tools should never be used for any purpose other than responding to a suicide emergency ¢ Know the location of the AED and how to use it SONY_00008564 EFTA00126026

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Working with Behavior Disordered Inmates ¢ Don't allow negative perceptions or frustrations to impact your professional judgment ¢ Manage through collaboration between departments EFTA00126028

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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 also NOT: — Punishment — Stricter rules — Extreme deprivation — Social isolation — Less work for staff EFTA00126030

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Suicide Risk Management Plan ¢ A Suicide Risk Management Plan IS: — Feedback: immediate and frequent — Reinforcement: of positive behaviors or neutral behaviors that replace harmful behaviors — Collaboration: between psychology, custody, other departments, and executive staff — Targeted: self-harm behaviors and other behaviors that place the inmate in danger (cutting, cell fires, etc.) EFTA00126032

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Creating a Suicide Risk Management Plan e 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 EFTA00126034

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Behavior Disordered Inmates ¢ Place PDS Photo Here Inmate’s Name & Location List Risk Factors & Warning Signs Specific to the Inmate Discuss Helpful Interventions: Especially Preventative Interventions EFTA00126036

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Mentally Ill Inmates ¢ Monitor these inmates closely; look for changes in mood and behavior and report them to Psychology ¢ Build positive rapport with these inmates to assist them with problem solving and meeting their needs ¢ During shake downs, ensure medications are not being hoarded and property has not been modified to allow self-harm SONY_00008576 EFTA00126038

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Sex Offenders and Protective Custody ¢ Both of these groups are at heightened risk for suicide — Both groups may be fearful of other inmates — Both groups may be experiencing shame Double-cell these inmates whenever possible Convey requests to speak to Psychology immediately Place in higher visibility cells EFTA00126040

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Lesson Learned From Local Mock Drills EFTA00126042

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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 security concerns are highlighted for non-psychology staff EFTA00126044

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Review of Objectives Understand suicide risk associated with locked units and single cells Identify high risk groups — mentally ill inmates — behavior disordered inmates — sex offender and protective custody inmates Discuss management strategies for specific at risk inmates in this SHU Review emergency response procedures EFTA00126046

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EFTA00126047