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NapbCare's proactive intake screening is NCCHCrompl €ant acrd has been written to prioritise care based <br />on need. It assesses the most urgeatissues first and then, Ina systematic way, assesses the Other <br />important areas that will help determine berth the inmate's heed for services and the Urgency of that <br />need. The following list describes each area of <br />assessment: <br />+ Urgent Assessments -- Covers vita I signs„ acute <br />health concerns, physical appearance antl <br />behavior, mental instability, substance <br />Intoxication or withdrawal, and suicidal thoughts <br />+ General Medical Assessments — Reviews signs of <br />illness or Infection; current, past, and chronic <br />health conditions; review of current medical <br />treatments, and impairments in mobility <br />Mental Health Assessments- Reviews current or <br />past mental health treatment including <br />medicatlons and diagnosis; past psychiatro <br />hospitalizations and suicide attempts; PREA <br />assessment <br />With our E MR system, we will <br />electronicalty flagon inmate's <br />record at intake to identify their <br />status with a different <br />contracting agency, such as US <br />Marshal or ICE. These flags <br />identify where an inmate came <br />from In .order to expedite further <br />medical information In a timely <br />manner and track designations <br />separately for ease of bit ling. <br />Female Assessments —Covers pregnancy issues, any scent deliveries, abortions, miscarriages <br />Substance Use Assessments Reviews use of illegal drugs, abuse of prescription meds, and <br />alcohol use, If indicated by responses, an assessment tool to determine the need for detox is <br />triggered. <br />Other Assessments Reviews dental issues, Insurance coverage, special medical requirements <br />(adaptive devices, diet) <br />Disposition/Treatment Plan — Allows the interviewer to refer to any Indicated services based on <br />the above inforntationin either urgent or routine time frame. Releases are obtained to access <br />outside retards; the medication verification process begins; the inmate is educated on how to <br />access medical and mental health care if needed in the future; and housing recommendations <br />are made. <br />NaphCare's Intake Screen within TechCoreT" assists our quallfied,evaluators to providing the appropriate <br />level of care indicated by thelnmate's responses each and every time. We have built -in guides and <br />alerts that help direct the evaluator through the assessment and lead the evaluator to specific <br />interventions when indicated by the inmate's responses. This ensures proper delivery of the correct <br />care needed for each inmate and reduces human error risks. Below, we have provided several examples <br />of this process: <br />If an SAtinmate responds that they are Having or have recently had suickial thoughts, then the <br />screen alerts the evaluator to immediately take action to ensureinrnate safety, notify security, <br />and alert the mental health supervisor for further intervention. <br />Inmate Medical Services <br />City of Sa m i Are <br />25H -25 <br />REP No. 14:434 <br />22 <br />