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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.
⚠️ 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 9 findings
F1
Page 33
The Main Adult Detention Facility, through its contractors, is providing quality medical care, drug treatment, dental care, mental health treatment, and adult educational opportunities to its inmates. The Sheriff’s Office is to be commended for its management of social services at MADF.
F2
Page 33
The Jail Based Competency Restoration program has significantly reduced the time needed to restore inmate competency to stand trial. The Sheriff’s Office is to be commended for implementing this program.
F3
Page 33
Insufficient nurse staffing in the intake/booking area contributes to delays in the admissions process during evening and night shifts.
F4
Page 33
Treatment of communicable diseases at MADF – namely, tuberculosis, HIV/AIDS, syphilis and other STDs – could be improved through broader screening on admissions and more thorough discharge planning.
F5
Page 33
The lack of a comprehensive vaccination program at MADF is a missed opportunity.
F6
Page 33
MADF’s current practice of never using maintenance medication to treat opioid addiction is controversial.
F7
Page 33
Inmates admitted on HIV/AIDS medications outside the Wellpath formulary are switched to alternative medications which may not be as effective or well-tolerated.
F8
Page 33
The inability for inmates to earn GED certification is a weakness in the MADF education program. Final Report 2018-2019
F9
Page 34
Discharge coordination is insufficient to ensure effective medical hand-offs.
Recommendations 5
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R1Page 34MADF add nurse hours to the booking area during evening and night shifts by December 31, 2019. [F3]
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R2Page 34MADF screen all inmates for syphilis at intake by December 31, 2019. [F4]
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R3Page 34MADF add discharge planning hours to strengthen hand-offs to appropriate health care provid- ers by December 31, 2019. [F9]
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R4Page 34MADF consult with an outside medical specialist to review its HIV/AIDS drug protocols and produce a report by December 31, 2019. [F7]
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R5Page 34MADF reevaluate its policy on the use of support medications for opioid abuse reflecting cur- rent best practices by December 31, 2019. [F6]