I. IDENTIFYING: The inmate is a 32 year old white male serving a 10 years sentence for ROBB/WPN-NOT DEALY. He entered DC in 7/11/2014 TRD is 6/29/22. This is his first prison term in the state of Florida. II. REASON FOR ADMISSION: Transferring SYSM: Pt was admitted to Lake CI MHTF from Suwannee CI due to transferring SYSM indicates that inmate has a history of IMR/ SHOS and past history of suicidal attempt, delusional thinking, hallucinations, and rapid mood swing. He is easily agitated & poses a risk of harm to others with intensive inpatient treatment & court ordered medications III. RELEVANT MEDICAL AND MENTAL HEALTH HISTORY: PSYCH HISTORY: Per records indicate that he has had psychiatric hospitalizations in the community. SUBTANCE ABUSE Hx –Cocaine, Opiate, etc. MEDICAl Hx. See medical chart TCUs. Records indicate multiple CSU/TCU/ admissions. He has received treatment for Major Depressive D/O. Records indicate that IM has responded poorly to previous …show more content…
treatment interventionsdue to psychosis . IV. ADMISSION MENTAL STATUS EXAMINATION & PROVISIONAL ADMISSION DIAGNOSIS: DSM-5: The inmate has been diagnosed withF F20.3 Schizoaffective Spectrum/ Other Psychotic Disorder, F20 Schizotypal personality D/O, F60.3 Borderline Personality D/O.
ISP goals #308 dischage Readiness Skills, #153 Thought D/O, 132 Mood swing- e, #134 Paranoid Ideation. The ISP & patient’s progress were reviewed by the multidisciplinary treatment team & revised as indicated to facilitate attainment of his treatment goals. Patient’s Response to Treatment: Patient has been staffed by MDST & determined he can be discharged From TCU outpatient due to inmate no longer meet the criteria for TCU. The inmate has not displayed evidence of psychotic symptoms while in TCU. He attends and participates in most of his offered services. He has been actively attending therapeutic recreation, is involved in physical activities, and actively interacts with peers while on the wings. Inmate progress is satisfactory with medication management, case management, and counseling and other self- improvement
activities. V. SUMMARY OF PHYSICAL EXAM & LAB TEST RESULTS: See Medical Chart VI. CHRONOLOGY OF TREATMENT & PATIENT'S PROGRESS: Inmate continues working towards current ISP goals of #308 Discharge Readiness Skills, #153 Thought D/O, 132 Mood swing, #134 Paranoid Ideation. The inmate participates in most MH call outs, including counseling and MDST/psychiatric follow-ups. He has been receptive to homework assignments offered to him by his case manager, remains cooperative with mental health and security staff, and has not presented as a danger to himself or others throughout his stay on the TCU. He appears to get along well with other inmates and personnel assigned to the mental health unit as evidenced by positive interactions with other inmates. VII. CURRENT MENTAL STATUS EXAM: Patient was evaluated on 5/25/17 by MHP. On that day, he wore standard prison attire, eye contact and hygiene were appropriate, and he was cooperative with the interview. His mood was good with euthymic affect. He was alert & oriented in all spheres with no gross memory deficits. Speech was typical in rate, tone, and volume as well as articulated with a slight lisp. Thought process was clear, goal-directed, and future-focused, albeit concrete. He denied suicidal and homicidal ideation, intent or plan. He reported eating 3/3 of the meals & achieving 7-8 hours of sleep per day. VIII. DISCHARGE DIAGNOSIS: DSM- F20.3 Schizoaffective Spectrum/ Other Psychotic Disorder, F20 Schizotypal personality D/O, F60.3 Borderline Personality D/O. IX CURRENT MEDICATIONS: Haldol 5 mg Po BID, Cogentin 1 mg PO BID, Prozac 30 mg Po BID X RECOMMENDED AFTERCARE: The inmate is recommended for discharge from TCU to open population due to his no longer meeting criteria for inpatient treatment. It is the opinion of the MDST that this inmate should be discharged from inpatient treatment as he would likely function appropriately on an outpatient basis in which mental health providers would follow up with him at regular intervals. It is recommended that treatment continues to focus on the goals ISP goals #308 dischage Readiness Skills, #153 Thought D/O, 132 Mood swing, #134 Paranoid Ideation on an outpatient basis. He will receive regularly scheduled counseling and group sessions as an S-3 inmate. XI PARTICIPANTS AND SIGNATURES:
Gary Dougherty was paroled from Northeast Correctional Complex on 11/15/2017. Mr. Dougherty has a Tennessee Sentence of Attempted First Degree Murder and is currently under minimum supervision level. Mr. Dougherty was paroled to Steps Halfway House. On 04/16/18, Case Manager Ron Stephens advised me that Mr. Dougherty was discharged from Steps for several rule violations. Mr. Stephens advised that since Mr. Dougherty had been at Steps he has failed three drug screens, offered drugs to another resident, ask residents for clean urine, brought a prostitute in the house, and threatened a resident.
Inmate number three was Edward Middlehurst who was sentenced to five years for grand larceny but was actually released. He was the first carpenter at the penitentiary but after a year got sick and was moved to another cell. He is not on record on the roster after he was sick for three months, so whatever he had must have been contagious. He may have received a pardon which was a common way to deal with sick convicts.
Yet, solitary confinement is still considered necessary in order to maintain control within the prison and among inmates. Solitary confinement is seen as an effective method in protecting specific prisoners and altering violent/aggressive disobedient behaviors, (Maria A. Luise, Solitary Confinement: Legal and Psychological Considerations, 15 New Eng. J. on Crim. & Civ. Confinement 301, 324 (1989) p. 301). There is some discrepancy among researchers as to the varying effects on inmates who have undergone an extensive solitary confinement stay. Most researchers find that inmates who had no previous form of mental illness suffer far less than those who do, yet most if not all of these individuals still experience some difficulties with concentration and memory, agitation, irritability, and will have issues tolerating external stimuli, (Stuart Grassian, Psychiatric Effects of Solitary Confinement, 22 Wash. U. J. L. & Pol’y 325 (2006) p. 332). Although these detrimental psychiatric repercussions of solitary confinement currently appear, several researches have made suggestions as to how these may be avoided. These requirements being that
Ms. Rizera was calm and cooperative throughout the assessment. Ms. Rizera reported her father is currently in jail and has been for a while and one of her sibling sent him a letter. Ms. Rizera reported she became up-set with her step-mother informing her of this because of the attention her sibling was receiving from her father as a response. It appear to trouble her that her father has not been in her life much due to serving several sentences for past charges. Ms. Rizera denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reported one previous hospitalization while in New York for reporting suicidal ideation to her mother. Ms. Rizera reported at the time her father was in jail and she was staying with her mother. She expressed attempting to find way to leave her mother's home due to relational
There are concerns as reflected in the attached clinical assessment that Terrence struggles with immaturity and cognitive distortions to justify his behavior. During my initial interview with Terrence, when asked about his past criminal offences, Terrence deflected blame on to his co-defendants by stating that “the boy lied on him” or “someone said I did it”. Terrence stated that he needs to change his behavior but feels that he only needs to get a job and not detainment in detention. However, Terrence did express that he will do the program as required if he is ordered into the program.
Per the previous therapist, referral form states, "Clt was hospitalized on 3/30/16 for panic attacks and suicidal ideations associated with ongoing bullying." Clt meets medical necessity as evidenced by the following impairments: Clt showed impairment at school as evidenced by making statements daily (i.e. 5x/week) to Mother that no one at school liked her and stating that she did not want to go to school. Clt developed symptoms in response to being bullied at school. Mother reports that Clt seems hesitant to engage with peers at her new school. Mother reports impairment in Clt at home in that Clt frequently seems sad and irritable and cannot get certain thoughts out of her mind (~4x/week) and is hesitant to speak with her about the bullying for fear that Mother will go speak with the school.
Roger is at the Sage County Jail after being arrested the previous night for a minor offense. This has become a problem throughout the past Roger has been several times before. Roger has a past history of involving involuntary commitment on mental health issues. He told the jail staff that he commits crime to get sent to jail for a warm place to sleep, for a meal, and to get his meds. He is homeless and has no medical insurance or regular health care provider. Roger occasionally gets into fights with other jail inmates, has threatened suicide, and yells at the custody staff. Because of the minor nature of the crime, Roger will likely be released in 24 hours. Rogers meds are very expensive for the jail officials it costs the jail $200 per day to house Roger. So
A huge factor in the prevalence of mental health problems in United States prison and jail inmates is believed to be due to the policy of deinstitutionalization. Many of the mentally ill were treated in publicly funded hospitals up until the 1960’s. Due to budget cuts and underfunding of community mental health services we ...
...are Program For Inmates With A Chronic Mental Illness.” Jour of Forensic Psychology Proctice 4.2. (2004): 87-100. Academic Search Complete. Web 5 May 2014
In perspective of the ones with mental illness who are confined to incarceration are as follows:
Dayak, Meena, and Gilbert Gonzales. “Out of jail and into treatment: stakeholders in a Texas county work to improve the lives of offenders with serious mental illness.” Behavioral Healthcare 26.8 (2006): 24+. Gale Power Search. Web. 2 Feb. 2014.
His symptoms was well controlled due to his medication, showing responsiveness to treatment. Records showed that Mr. Y has remained compliant and cooperative with his treatment and medication. Mr. Y seems to adjusted since he was “observed to interact appropriately with staff and inmates at FMC Rochester”, and he maintained a good attitude in regards to his predicament. There are no present signs of active substance abuse, weapon or victim availability, and neighborhood factors. Mr. Y does not display impulsive behavior neither was he exposed to destabilizing situational factors according to the dynamic risk
The first policy that needs to be looked into for revision is with relation to inmates with present or previous mental conditions. Despite the fact that there could be a deemed stigma in isolating such cases, for the sake of their safety as well as the entire facility there is need to institute new policies to keep such people under different conditions with the rest of the inmates. This should however be policed in such a manner as to elucidate any notions of discrimination.
Powell, Thomas A., John C. Holt and Karen M. Fondacaro. 1997. “The Prevalence of Mental Illness among Inmates in a Rural State.” Law and Human Behavior 21(4):427-438.
...person, rather than as attempts by the person to cope with the illness, medication and the effects of his or her environment.(Deegan, 1988, p 34). The solution is treatment models of continuing care may reduce the risk to the public, for the individual offenders and reduce future correctional system involvement for these individuals. In addition, there is need for a diversion program from the traditional justice system (Griffiths, 2004; Hartwell and Orr, 2004). Research has identified continuity of care as an essential component of effective mental health treatment for mentally ill persons who are involved in the criminal justice system. This includes multidisciplinary case management for psychiatric treatment and social services Reasons, Recidivism and Displacement of Deportees from the USA, can be Reduced Through their Successful Reintegration into Local Society.