"Connecticut Department of Correction (CT DOC) contracted with Health Management Associates (HMA) to assess the current inmate medical services delivery systems and make recommendations for the system and for a medical management model. Although the assessment methodology was initially designed to incorporate in-person visits and on-site observation, this was impossible due the nation's pandemic. As a result, HMA worked diligently with CT DOC and its Health Services' Unit (HSU) to utilize all other means including extensive interviewing (phone and video calls), extensive document review to perform an operational assessment and staffing analysis, and an evaluation of medical care through comprehensive review of 632 medical charts... The assessment identified many core strengths within CT DOC's health care system as well as challenges and opportunities to improve its operations and outcomes. Findings from the chart audits aligned completely with the operational and staffing analyses"--Executive summary.

The long-awaited, much-anticipated third edition of Standards for Health Services in Correctional Institutions is now available. The third edition of this book defines the scope of services that are necessary to provide adequate care, basing these standards upon principles of public health and constitutional standards developed through litigation. Previous editions of this book have been extraordinarily influential in this field. The book has been cited as the standard for jail and prison health services in state and federal court decisions. The new edition includes significant changes including expansion of both the mental health section and children and adolescents section. This important book contains rigorously prepared community standards, reflecting a health environment to which any community, but particularly a jail or prison community, is entitled. It sets standards of health care that are respectful of prisoner patients and require prison and jail based health care workers to view themselves as independent health care workers first and foremost. The new edition of this book is easy to use and has the most comprehensive and inclusive set of standards for health services in correctional institutions. It is an essential reference for anyone working or teaching in any capacity in the field of corrections.

Over the past four decades, the rate of incarceration in the United States has skyrocketed to unprecedented heights, both historically and in comparison to that of other developed nations. At far higher rates than the general population, those in or entering U.S. jails and prisons are prone to many health problems. This is a problem not just for them, but also for the communities from which they come and to which, in nearly all cases, they will return. Health and Incarceration is the summary of a workshop jointly sponsored by the National Academy of Sciences(NAS) Committee on Law and Justice and the Institute of Medicine(IOM) Board on Health and Select Populations in December 2012. Academics, practitioners, state officials, and nongovernmental organization representatives from the fields of healthcare, prisoner advocacy, and corrections reviewed what is known about these health issues and what appear to be the best opportunities to improve healthcare for those who are now or will be incarcerated. The workshop was designed as a roundtable with brief presentations from 16 experts and time for group discussion. Health and Incarceration reviews what is known about the health of incarcerated individuals, the healthcare they receive, and effects of incarceration on public health. This report identifies opportunities to improve healthcare for these populations and provides a platform for visions of how the world of incarceration health can be a better place.

Reviews issues: Are inmates with special medical needs: including women, psychiatric patients,& inmates with chronic medical conditions - receiving the care they need? Does BOP have quality assurance systems in place that detect problems with health care, and is corrective action taken to prevent similar problems? Are BOP physicians and other health care providers qualified to perform the services they are assigned? Is BOP considering the most cost-effective alternatives to meet inmates' rising needs for medical services? 2 charts and tables.

NCCHC's Mental Health Standards parallel its Standards for Health Services in format and substance, and likewise cover the general areas of care and treatment, clinical records, administration, personnel and legal issues. The difference is that they make more explicit what the standards require for adequate delivery of mental health services. Together, these tools can help facilities determine proper levels of care, organize systems more effectively and efficiently, and demonstrate that constitutional requirements are being met.