Rece William D. Gore, Sheriff JUL 05 2017 SAN Diego County Grand Jury June 29, 2017 Honorable Jeffrey B. Barton*

The Policy and Procedures Manual does not contain a comprehensive overall suicide-prevention plan with a policy statement listing the protocols (professional standards) to be used, nor does it clearly state that suicide-prevention principles must be in effect at all times. Response: The Sheriff's Department disagrees in part with this finding. The San Diego County Sheriff's Department Medical Services Division Policy & Procedure does contain suicide prevention policies and procedures. Those polices include the inmate safety program and enhanced observation housing and training. The Department recognizes the Grand Jury's concern that all suicide prevention policies and procedures are not located in one comprehensive format and has taken steps to remedy the situation.

The Sheriff's P&PM shows provisions for various training and development but does not show adequate and sustained training programs to ensure a continuum of comprehensive suicide- prevention services. Response: The Sheriff's Department disagrees in part with the finding. The Department believes that its training and development is adequate to ensure comprehensive suicide prevention training. However, the Department is continually evaluating the training provided to all of its employees in order to find ways to decrease suicide risk.

There is a need great enough for mental health services supervision in the Detention Services Bureau that a full-time Mental Health Officer for the jails should be a requirement. Response: The Sheriff's Department disagrees with the finding. Grand Jury 2016/2017 Suicides in San Diego Jails June 29, 2017

A continuous oversight of the suicide-prevention plan is needed in order to ensure that the suicide-prevention plan, the P&PM, and the facilities' physical features are kept current with suicide methods used by the inmates. Response: The Sheriff's Department agrees with the finding.