California-Nevada Chapter, American Correctional Health Services
Association/Institute for Medical Quality
2012 Multidisciplinary Correctional Health Conference
Program for Thursday, November 1, 2012
Time
Presentation
0730 0830
Registration & Exhibits, Breakfast
0830 –
0900
Introduction, Welcoming Session,
Business Meeting With Membership
0900 0955
Incarcerated Skin: Common Dermatological Complaints
and Conditions Behind Bars
Michael Lee, MD – Chief Physician and Surgeon ISP, CVSP
1000 –
1055
1050 –
1125
Legal Implications for Treating Mental Illness in Jails and
Prisons
Pratap Narayan, MD Forensic Psychiatrist, Chief of Mental Health
Fresno County Jail
Break & Exhibits
Responding to Professional Board Inquiries or Complaints
11201215
1215 –
1315
1330 –
1425
1425 –
1450
1450 –
1545
1550 –
1645
Chris Swanberg, Senior Attorney, Receivers Office of Legal Affairs,
CDCR, Sacramento
General Session and Lunch
Secret Language of Inmates
Senior Special Agent Jim Moreno, San Diego
Medical and Legal Management of Self-Mutilating Inmates:
Managing Cutters, Foreign Body Ingestions and Insertions
Jeremy Colley, MD, Robert Rudas, MD. and Chris Swanberg, JD.
(Sacramento)
Break & Exhibits
Teeth And Mouth 101 PART I
What Every Dentists Wishes Non-Dentists Would Know about
Infections, Injuries and More
Dr. McQuirter, consultant oral surgeon (LA)
Your Genius Patients: How to Speak with Patients Smarter than
You Are; Talented Authors and Other Artists You Treat in Jails
and Prisons –
Bruce Barnett, MD, JD, Receiver’s Office of Legal Affairs (Sacramento)
Room
California-Nevada Chapter, American Correctional Health Services
Association/Institute for Medical Quality
2012 Multidisciplinary Correctional Health Conference
Program for Friday, November 2, 2012
Time
Presentation
07300830
Registration & Exhibits, Breakfast
0830 –
0925
09301025
1020 –
1055
1050 –
1145
Chronos 2012:
Providing Consistent Accommodations for Incarcerated Patients
Katrina Ball, DO, CME at Calipatria Prison (Imperial County)
Pre-Exposure HIV Protection (Prep) – Can We Reduce Risk of HIV
Transmission in Jail and Prison?
Robert Rudas, MD ER and Staff physician (Sacramento)
Break & Exhibits
Teeth And Mouth 101
What Every Dentists Wishes Non-Dentists Would Know about
Infections, Injuries and More - PART II
Dr. McQuirter, consultant oral surgeon (LA)
1140 –
1200
Visit Exhibits While Lunch is set Up
1200 –
1300
LUNCH TIME SPEAKER (Bristol-Myers Squibb sponsoring)
Treating Your Adult Patients With Bipolar I Disorder, Manic or Mixed
1300 –
1330
Break & Exhibits
1330 –
1425
Georgina Yoshioka, LCSW, MBA,
San Bernardino County Jails
14301525
Risk Management for Jails and Hospitals
1530
Closing Remarks, CME Certificates
Dr. Jonathan Meyer, UCSD Assistant Professor of Psychiatry
(NO CME CREDIT)
Vicarious Trauma
Linda Garrett, JD (San Francisco)
Room
LEARNING OBJECTIVES FOR LECTURES OFFERED FOR CME CREDITS:
Incarcerated Skin: Common Dermatological Complaints and Conditions Behind Bars
- Identification of most common skin conditions seen in Prison, compared to free world
- Differential diagnoses for common skin complaints
- Dangerous skin conditions that merit emergency treatment
Legal Implications for Treating Mental Illness in Jails and Prisons
- How to best provide necessary treatments for mentally ill patients who resist therapy
- What is proper process to follow treating the mentally incompetent patient
- Responding to legal complaints by inmates/advocates demanding medications not
deemed necessary by the treating physician
- Duty to report patients at risk of self harm or harm to others
Responding to Professional Board Inquiries or Complaints
- The duty of nurses, physicians, and others to respond to inquiry by licensing boards
- The professional requirement of confidentiality and waivers for board responses
- Clinical information most relevant to the board inquiry
- Caring for the patient who has filed a complaint against you before the board
- Consequences of board inquiries and follow up by board
- Reducing the number of complaints to the board
Teeth And Mouth 101What Every Dentists Wishes Non-Dentists Would Know about
Infections, Injuries and More – Parts I and II.
-
Essential oral cavity examination
Differential diagnosis for common oral/teeth complaints
When is oral finding an emergency
What to do while waiting for the dentist – treatment of pain, infection, and trauma
Common and not-so-common oral cancers
General Session and Lunch: Secret Language of Inmates
- Cultural sensitivity: the culture of inmates, their history and aspirations
- Language used by inmates to express their needs, likes and dislikes
- The role of respect among inmates and applying respect in daily interactions
- Non-verbal cues issued by inmates: what custody officers know that healthcare
providers need to learn
Medical and Legal Management of Self-Mutilating Inmates: Managing Cutters, Foreign
Body Ingestions and Insertions
- Scope of the problem: how many, what kind of mutilation or insertion, consequences
- Initial evaluation of self-cutting or inserting patients
- Integrating mental health and medical teams
- Conservative vs. Surgical approaches
- Legal issues regarding non-voluntary examination of body cavities
- Long term management, medical and legal considerations
Your Genius Patients: How to Speak with Patients Smarter than You Are; Talented Authors
and Other Artists You Treat in Jails and Prisons
- Understanding the range of education and ability to comprehend medical issues in the
patients treated in prison
- Appreciating the cultural gap between healthcare providers and inmates
- Examples of inmates who have education, skills and talents recognized nationally and
internationally
- Increasing sensitivity of health care providers to how intelligent and aware their
patients often are in regards to environment and provider actions
- Role of respect in medical care for inmates
Providing Consistent Accommodations for Incarcerated Patients
- How to prescribe medical appliances (cane, braces, CPAP, etc.) according to evidence-based
needs and outcome studies
- Developing and following policies and procedures that standardize the provision of
appliances
- How to determine need for preferential housing or activities for allegedly disabled or
impaired inmate/patients
- Role of specialists is determining need for accommodations – or do specialists confound
the task?
Pre-Exposure HIV Protection (Prep) – Can We Reduce Risk of HIV Transmission in Jail and
Prison
- Rate of conversion to HIV positive among incarcerated
- Factors leading to conversion
- Modern post exposure treatments
- New concepts in pre-exposure treatments
- The future of HIV transmission in Jail and Prisons
Vicarious Trauma
- Identifying health care providers who are at risk for psychological trauma following
exposure to violence or illness experienced by their patients
- Manifestations of vicarious trauma syndrome in healthcare providers
- Manifestations of vicarious trauma seen with inmates/patients affected by events from
their environment
- Treatment of vicarious trauma – by primary care and by specialists
Reducing Risk of Healthcare Services in Jails and Hospitals
- Common causes of injuries, damages and law suits arising from healthcare services in
the correctional environment
- Reducing injuries/illness for healthcare providers and other staff
- Reducing adverse outcomes for patient health
- Role of standards and protocols; when to adopt and how to communicate
- Documenting appropriate medical care