EFTA00033520.pdf

U.S. Department of Justice Federal Bureau of Prisons Rogan StEtement OPI: CPD/PSB NUMBER: P5324.08 DATE: 4/5/2007 SUBJECT: Suicide Prevention Program RULES EFFECTIVE: 3/15/2007 1. PURPOSE AND SCOPE. The Bureau of Prisons (Bureau) operates a suicide prevention program to assist staff in identifying and managing potentially suicidal inmates. Each Warden will ensure that a suicide prevention program is implemented consistent with this policy. In addition, Wardens will facilitate a discussion regarding the issue of suicide at department head meetings, staff recalls, lieutenants' meetings, etc., to heighten staff awareness about the need to detect and report any changes in inmate behavior that might suggest suicidal intent. 2. SUMMARY OF CHANGES. This re-issuance adds the following new procedures for preventing inmate suicides: a. Suicide prevention training will include three mock suicide emergencies per year, one on each shift. One of these exercises must be conducted in the Special Housing Unit (SHU) during the morning or evening watch. b. Specific minimum criteria that must be included in a Suicide Risk Assessment and a Post-Watch Report are delineated. c. Designation of a room for suicide watch outside of the Health Services area requires written approval of the Regional Director. d. Specific criteria that exclude an inmate from consideration for an inmate companion position are delineated. e. Correctional Services will notify Psychology Services when an inmate requests protective custody (PC). Psychology Services will no longer be required to monitor SENTRY for entry of a PC code. 3. PROGRAM OBJECTIVES. The expected results of this program are: a. All institution staff will be trained to recognize signs and information that may indicate a potential suicide. SCMCWW8446 EFTA00033520 P5324.O8 4/5/2007 Page 2 b. Staff will act to prevent suicides with appropriate sensitivity, supervision, and referrals. c. Any inmate clinically found to be suicidal will receive appropriate preventive supervision, counseling, and other treatment. 4. DIRECTIVES AFFECTED a. Directive Rescinded P5324.05 Suicide Prevention Program (3/1/04) b. Directives Referenced P5270.07 Inmate Discipline and Special Housing Units (12/29/87) P529O.14 Admission and Orientation Program (4/3/03) P531O.12 Psychology Services Manual (8/13/93) P5566.O6 Use of Force and Application of Restraints (11/30/05) P6031.O1 Patient Care (1/15/05) P634O.O4 Psychiatric Services (1/15/05) c. Rules cited in this Program Statement are contained in 28 CFR 552.40 through 552.41. 5. STANDARDS REFERENCED a. American Correctional Association Standards for Adult Correctional Institutions, 4th Edition: 4-4084,4-4084-1,4- 437OM,4-4371M,and 4-4373M. b. American Correctional Association Performance Based Standards for Adult Local Detention Facilities, 4th Edition: 4- ALDF-7B-08,4-ALDF-7B-10,4-ALDF-7B-10-1,4-ALDF-4C-29M,4-ALDF-4C- 3OM,and 4-ALDF-4C-32M. 6. INSTITUTION SUPPLEMENT. See Section 7a. 7. POLICY. Each Bureau institution, other than Medical Referral Centers (MRCs), will implement a suicide prevention program that conforms to the procedures outlined in this policy. Each Bureau medical center is to develop specific written procedures consistent with the specialized nature of the institution and the intent of this policy. a. Medical Referral Centers. MRCs serve a unique evaluation/treatment function addressing the needs of a wide range of inmates, while meeting community standards of care. Psychology Services is responsible for developing an Institution Supplement that describes local procedures for managing the SCMCWWMO EFTA00033521 P5324.08 4/5/2007 Page 3 Suicide Prevention Program's components. MRC psychologists are to document significant treatment information in the Psychological Data System (PDS) so that the information is readily available for post-discharge treatment. b. Residential Reentry Center Contract Facilities. When contracts for outside facilities (including Residential Reentry Centers (RRCs)) are used, the Statement of Work will include a suicide prevention plan or program that meets accepted Bureau standards. Community Corrections Managers (CCMs) will monitor contract facilities regularly to determine their capability to manage at- risk populations effectively. The CCM will consult the Regional Psychology Services Administrator if questions arise about the adequacy of a contract facility's Suicide Prevention Program or about the need to transfer a suicidal inmate to a different facility. The CCM will contact Central Office Psychology Services when there is system-wide or interagency issues. In the event of a suicide, all possible evidence and documentation will be preserved to provide data and support for subsequent investigators doing a psychological reconstruction. Ordinarily, the Regional Director will authorize an after-action review of a suicide at a RRC, to be conducted by the Regional Psychology Administrator. The findings will be documented as a Psychological Reconstruction Report as outlined in Attachment A. c. Privately-Managed Contract Prisons. Private security contract facilities maintain a suicide prevention and intervention program in compliance with American Correctional Association (ACA) standards. Ordinarily, the Assistant Director, Correctional Programs Division, will authorize an after -action review of a suicide at a contract private prison, to be conducted under the direction of the Central Office Psychology Services Administrator. The findings will be documented as a Psychological Reconstruction Report as outlined in Attachment A. 8. PROGRAM ADMINISTRATION. a. Program Coordinator. Each institution must have a Program Coordinator for the institution's suicide prevention program. The Program Coordinator shall be responsible for managing the treatment of suicidal inmates and for ensuring that the institution's suicide prevention program conforms to the guidelines for training, identification, referral, assessment, and intervention outlined in this policy. Ordinarily, the Chief Psychologist will be the Program Coordinator. The Program Coordinator's responsibilities will not be delegated to staff other than a doctoral-level psychologist. SCMCWWM48 EFTA00033522 P5324.O8 4/5/2007 Page 4 The Program Coordinator, in conjunction with institution executive staff, must ensure that adequate coverage is available when he or she is absent from the institution for training, annual leave, etc. b. Training. While the initial period of incarceration is often a critical time for detecting potential suicides, serious suicidal crises may arise at any time. Line staff are often the first to identify signs of potential suicidal behavior based on their frequent interactions with inmates. The Program Coordinator is responsible for ensuring that appropriate training is available to staff. The Program Coordinator will ensure that all staff will be trained (ordinarily by psychology services personnel) to recognize signs indicative of a potential suicide, the appropriate referral process, and suicide prevention techniques. Wardens will include discussions of suicide prevention at department head meetings, staff recalls, etc., to remind staff of the need to observe inmates constantly for signs of suicidal behavior. 1) Training for All Staff. Suicide prevention training will be included in the Introduction to Correctional Techniques curriculum. Training in local suicide prevention procedures will be provided during Institution Familiarization Training and Annual Training (AT) at all institutions. Training for staff will focus on: ♦ identifying suicide risk factors; ♦ typical inmate profiles of completed suicides; ♦ recognition of potentially suicidal behavio