One of OUR Demands- A Mental Health Treatment Center

Below are  photos from a report done by the WI DOC after opening its mental health treatment center for the women's prison in Fond du Lac, WI. This facility, plus a complete redoing of policies and procedure, was mandated in the lawsuit settlement Flynn V Doyle 06-C-0537

complaint:

 https://ffupstuff.files.wordpress.com/2019/11/flynn-tci-complaint-from-aclu.pdf

settlement:
https://ffupstuff.files.wordpress.com/2019/11/flynn-doyle-settlement-agreement.pdf

The WI DOC published a powerpoint document outlining the changes in policies and rules and change in whole focus and also featuring pictures of the the new facility and graphs showing a significant decline in needs for solitary by the prisoners treated there. WE also are in contact with a former DOC psychologist who tells us the facility works well.- "not perfect, but good."


AND 
https://ffupstuff.files.wordpress.com/2019/11/what-doesnt-kill-you-makes-you-stronger.docx

And now some charts: The new environment ,combined with new rules and mission and much training, the results from the beginning were dramatic.



New Standard of Care
1.Psychiatric Treatment   
  a. Increased providers 
  b. Full-time support staff   
  c. Standardized time frames 
  d. Nurses distribute medications  

2.Mental Health Programming
 a. Intakes seen within 2 business days/no more than 72 hours
 b. WWRC Built
 c.  10+ hours of out-of-cell programming per week
 d. Segregation psychiatric appointments scheduled
  e. Annual mental health training  
  f. DBT

3. Inappropriate Use of Observation and Segregation
   a.psychological input into disciplinary process
   b.transition and step system
   c. GP inmates not placed in observation cells, no restraints during escort
   d. out- of –cell –programming space and programs
   e. Changes in observation property

4.Mental Health And medical Records  -
     a.PSU chart provided at psychiatric appointment
     b.Additional support staff for PSU
     c.Transcription service
     d.Documentation the MRs will include a clear and consistent    
     indication of whether the inmate received refused or otherwise
     missed any doses of medication
    
5.Medication Administration & Lab Delays
     a.Routine psychotropic medication orders processed and signed-off by nursing staff within twenty four (24) hours of being written 
     b.Routine laboratory orders processed and signed-off within twenty four (24) hours of being written Specimens obtained within the time frame specified by the prescriber.
     c. Nonadherence Training
     d. Medication pass times, sleepers at 7PM
     e.Pharmacy delivery system
    
6. Continuous Quality Improvement (CQI)
 a Established CQI Committee, monthly meetings
 b. Routine Audits 
 c. Inmate Complaints-Medical and Psychiatry


D. ALLIES VS ADVERSARIES

  1. Relationships with Consultant and DOJ Staff
  1. Aim for Best Practice
    1. Consultation with Licensed Psychologist
    2. Treatment plan requirements
    3. Evidence-based programming
 AND