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Extracted from Consolidated Report

This investigation was originally published as part of a larger consolidated report containing multiple investigations. View the consolidated PDF for the complete document.

San Luis Obispo County Grand Jury • 2016-2017

Residential Detox R7. The County Health Agency should pilot the usage of medication-assisted treatments, i.e.,

Published: May 09, 2017 14 pages

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⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.

⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.

Findings 5 findings

F1 Page 53

There is inadequate physical space to conduct programming for male inmates. This lack of space restricts the amount of programming offered, as well as inmate participation.

F2 Page 53

There is no single official at the County Jail level that has true oversight and responsibility over all aspects of an inmate’s well-being.

F3 Page 53

Other counties sometimes contract correctional health care services to an outside provider giving the custodial side direct responsibility over all aspects of an inmate’s well-being.

F4 Page 53

Violations noted in the biennial BSCC report, issued September 7, 2016 involve health and safety issues that are largely managed by the County Health Agency.

F5 Page 53

Recent deaths of inmates at the County Jail and violations noted in the most recent BSCC report have raised public concern over the adequacy of health and safety procedures and policies related to the current population. 2016-2017 San Luis Obispo County Grand Jury Final Report County Jail 42

Recommendations 10

R1
Page 54

The Sheriff and the County Health Agency should conduct a joint review of the adequacy and appropriateness of management structure, policies, and procedures related to inmate safety, physical and mental health (including suicide prevention), and should issue a public report
R2
Page 43

Disciplinary actions taken against staff for inmate-related issues
R3
Page 43

Escapes a) Details b) Remedial actions
R4
Page 43

Use of force incidents
R5
Page 43

Health services a) How delivered b) Common medical problems c) Public health concerns
R6
Page 43

Injuries a) Injuries to inmates due to aggression/agitation b) Accidental injuries to inmates requiring medical attention great than first aid c) Injuries to staff by inmates due to assault or managing inmate aggression/agitation
R7
Page 43

Suicide a) Suicide attempts/deaths b) Serious self-injury incidents require medical attention beyond first aid
R8
Page 43

Drugs a) Drug overdoses b) Drug deaths by overdose
R9
Page 43

Deaths a) Other deaths
R10
Page 43

Training (title, hours, and instructor credentials for each type) a) Managing inmate violence b) Handling mental health behaviors c) Responding to drug/alcohol related problems 2016-2017 San Luis Obispo County Grand Jury Final Report 44 (This page intentionally blank.)

Agency Responses 1

Government agencies' official responses to this report's findings and recommendations. Click on a response to see the structured breakdown.

BoS Response County Jail

September 04, 2017 • 5 pages • 5 responses View Details ▾

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5 responses to findings and recommendations

Juvenile Hall staff members demonstrate an impressive level of care and concern for the safety, security, well-being and rehabilitation of the youth under their care.

Response: Disagree Partially

. "There is inadequate physical space to conduct programming for male inmates. This lack of space restricts the amount of programming offered, as well as inmate participation." The Sheriff's Office disagrees in part. It is often not a lack of space but conflict with inmate's classification that they can be programmed together in a group setting. The recently opened Kansas Jail (women's facility), contains two large Page 3 of 5 programming rooms and sub-dayrooms in the Maximum Security section which affords female inmates more opportunities to take advantage of the programs. The new programmin...

With its new expansion, Juvenile Hall has more space than it is likely to need.

Response: Agree

. "There is no single official at the County Jail level that has true oversight and responsibility over all aspects of an inmate's well-being." The County Health Agency agrees with this finding.

It has been 10 years since the last Juvenile Hall needs analysis was prepared.

Response: Agree

. "Other counties sometimes contract correctional health care services to an outside provider giving the custodial side direct responsibility over all aspects of an inmate's well-being." The County Health Agency agrees with this finding.

The treatment program’s repurposing of 15 beds is not expected to impact the County budget, but this depends on expected group home cost-savings or cuts in other budget areas to make the program cost-neutral. If the treatment program does not pay for itself, it adds to the expense of running a larger Juvenile Hall instead of staffing and using its infrastructure more cost-effectively.

Response: Agree

. "Violations noted in the biennial [Board of State and Community Corrections] BSCC report, issued September 7, 2016 involve health and safety issues that are largely managed by the County Health Agency." The County Health Agency agrees with this finding.

The treatment program is operating without a written operational manual.

Response: Agree

. "Recent deaths of inmates at the County Jail and violations noted in the most recent BSCC report have raised public concern over the adequacy of health and safety procedures and policies related to the current population." The County Health Agency agrees with this finding.