Welcome to Corrections
Healthcare in a correctional
environment
Performance Objectives
 Review the philosophies and institutions of the
Oregon Department of Corrections.
 Review of relevant Rules and Policies that effect
the new employee, volunteer, or student.
 Review special security, safety and confidentiality
concerns that face corrections healthcare
professionals.
 Identify how to respond to inappropriate or
suggestive inmate comments or compliments.
Healthcare in a Correctional
Environment
 Security concerns are fundamental to every
activity in the institution.
 Unique social and cultural structures form within
the institutional ‘community’.
 The patients in our ‘community’ are a challenging
sub-set within the general population.
 Specific recent court finding are impacting the
ways care is organized and delivered.
 Correctional Health Care is a growing
subspecialty.
Facilities Throughout Oregon
 SRCI - Ontario
 CCCF - Wilsonville
– Snake River Corr. Inst.
– Coffee Creek Corr. Fac.
• 2,791 Medium Male
• 163 Minimum Male
• 600 Medium Female
• 600 Minimum Female
• 432 Male Intake
 PRCF - Baker City
– Powder River Corr. Fac.
• 175 A&D Alternative Male
• 84 Work Male
 EOCI - Pendleton
 OSP – Salem
– Oregon State Penitentiary
• 2,039 Maximum Male
 OSPM – Salem
– Eastern Oregon Corr. Inst.
– Oregon State Penitentiary
Minimum
• 1617 Medium Male
• 172 Minimum Male
 TRCI - Umatilla
– Two Rivers Corr. Inst.
• 1,557 Medium Male
• 127 Minimum Male
 OSCI – Salem
– Oregon State Corr. Inst.
• 882 Medium Male
State Facilities
 SCI - Salem
– Santiam Corr. Inst.
• 387 Minimum Male
 MCCF – Salem
– Mill Creek Corr. Fac.
• 217 Minimum Work Male
 CRCI – Portland
– Columbia River Corr. Inst.
• 530 Minimum Male
 SCCI – North Bend
– Sutter Creek Corr. Inst.
• 213 Alternative Incarceration
– Male and Female
• 29 Minimum Work Male
 WCCF – Lakeview
– Warner Creek Corr. Fac.
• 378 Minimum Work Male
 SFFC – Tillamook
– South Fork Forest Camp
• 188 Minimum Male work
camp
 DRCI - Madras
– Deer Ridge Corr. Inst.
• XX Medium Male
• XX Minimum Male
 Future Facilities
– Junction City
– White City
Oregon Department Of
Corrections
 Mission
 Vision
 Values
 Oregon Accountability Model (OAM)
Mission
Holding offenders
accountable for
their actions
&
Reducing the
risk of future
criminal
behavior.
Maintain security
while preparing
inmates for
successful reentry into the
community
Health Services
Mission
To deliver professional,
quality, constitutionally
mandated health care using
an efficient, managed care
system in support of the
mission of the DOC
To promote public
safety by holding
offenders
accountable for their
actions and reducing
the risk of future
criminal behavior.
Oregon Department Of
Corrections
 Vision
– We take a proactive role in the development of
the criminal justice policy.
– We create partnerships with Oregon
communities to hold offenders accountable,
engage victims, and enhance the quality of life
for the citizens of Oregon.
– We are a committed, creative, and productive
organization which recognizes safety and
security as an essential business practice.
Oregon Department Of
Corrections
 Vision
– We require sound fiscal management of public
resources using outcome-oriented strategies.
– We provide offender programs and resources
which support the department's mission.
– We are a diverse, skilled work force which
shares the responsibility for outcomes across
organizational boundaries.
Oregon Department Of
Corrections
Values
We Value
Our responsibilities
Integrity
Teamwork
Respecting others
Constructive change
The participation of all
Oregon Department Of
Corrections
Oregon Accountability Model
 Role Model
 Reinforce
 Redirect
Create a Pro-social
Learning Environment
Reinforce Pro-social Behavior
Intervene and Redirect
Anti-social Behavior
Relevant Policy
 Code of Ethics…. Policy 20.1.2
 Code of Conduct…. Policy 20.1.3
Dress Code …Policy 20.1.6
CAN’T
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•
•
•
•
•
•
•
Blue or Blue Denim
Bright Orange or Lime Green
Insignias, Writing & Pictures
Sheer or Tight Fitting
Clothing
Bare Midriff, Thighs, Back
Jewelry
Cell phones, electronics
Hair on the shoulders
CAN
•
•
•
•
Black Denim
Scrubs
Lab Coat
Stethoscope
Be sensitive to the prison environment
Relevant Policy
 Identification Cards …Policy 20.5.15
– Identification must be worn at all times while
in the facility.
– Use only for access to the facility.
• It is not used as a secondary identification.
• It is not used for personal favors.
• Use only during work time.
Relevant Policy
 Smoke Free Workplace…. Policy 20.6.3
– Designated smoking areas.
– No smoking on the premises.
Relevant Policy
 Keys and Locks…Policy 40.1.2
– No personal locks
– Keys kept on person at all times.
 Inmate Counts ….Policy40.1.3
Relevant Rules
From Oregon Administrative
Rules (OAR’s)
 Rules of Prohibited Conduct …Rule#105
– Many rules are in place within the corrections
environment that prohibit things that are
allowable within the outside community.
 Visiting ….Rule#127
– If you need to visit a friend or relative, you
must follow the regular visiting rules.
Relevant OAR’s (continued)
 Health Services ….Rule #124
– Health Services rule outlines our program and
the Policies and Procedures for the care
provided for the patients within the facilities.
•
•
•
•
•
•
Medical
Dental
Mental Health
Pharmacy
Radiology – Laboratory
Health Care Records
Relevant OAR’s (continued)
 SMU .…Rule # 048
 Mental Health Tx Program….Rule #047
 Suicide Prevention ….Rule #076
National Commission on
Correctional Health Care
 The NCCHC is the organization we are
certified by
 The commission establishes standards of
care similar to JCAHO does in the
community
 Our policy/procedure manual is coded and
taken directly from the NCCHC Standards
Relevant Rules / Policies
 Health Services Policy and Procedure
Manual
 Pay particular attention to the institution’s:
– Sick Call
– Emergency Response
– Bloodborne Pathogens
– Confidentiality
Relevant Rules / Policies
 Health Services Nursing Protocols
– Allows the properly trained nurse to provide
more independent initial treatment for the
patients.
• Medical - Routine
• Dental - Routine
• Medical - Emergency
Prison Rape Elimination Act
 Unanimously passed by Senate and House
 Signed into law in 2003
 Establishes a “Zero Tolerance” standard
 Makes PREVENTION a top priority and
establishes a National Commission to
develop national standards.
Personal Interaction
 The inmate population is a unique
community, with special characteristics.
 Security is a primary concern, always.
 Practicing Health Care in a Non-Health
Care Environment.
 Special challenges to the ‘normal’ PatientProvider relationship.
Professional Boundaries
Don’t look to work to meet your personal needs
Maintain balance in your life
Staff Protection
 Learn the proper procedure for inmates to
obtain things.
 Let someone know if you think you are
being cultivated
 Misconduct Reports
Know what to do in a crisis
 Security Emergency
 Fire Emergency
 Hostage Situation
Security and Teamwork
 Adhere to all facility security procedures. Remember that

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security is the responsibility of all employees, volunteers
and contractors.
Demonstrate respect in all interactions. Strive for an
environment of mutual respect.
Be proactive when observing and intervening in offender
behavior.
Role model pro-social behavior in a professional, firm,
fair and consistent manner.
Identify, process and control contraband.
Report all incidents immediately… honestly and
accurately.
So, in summary;
 Remember where you are.
 The rules and restrictions exist for good reason,
don’t bend or break them.
 Problems arise when information isn’t
shared…know when and how to do it.
 If you don’t know or don’t understand, just ask.
WELCOME TO CORRECTIONS !!!!!