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a h JO your independent heolthcom choice. • Current Mental Health Symptoms — Reviews depressed mood, anxiety, psychosis, and mania. In addition, inquiries are made regarding current mental health treatment in the community, any suicidal thoughts, any recent losses, feelings about current situation, if they feel they have anything positive in their future, and allows the interviewer to comment on their feeling of suicide risk based on responses and appearance. • Past Mental Health History— Reviews past treatment for mental health issues including medications and hospitalizations; reviews history of self -injury behaviors and suicide attempts. • Substance Abuse — Inquires about alcohol, benzodiazepine, opiate, and other substance use issues, as well as history of substance use related treatment. • PREA/General Assessment — Reviews any history of abuse of any kind, in any setting; any convictions for sex or violent crimes; any history of special education or developmental disabilities; history of head injury or seizures. • Disposition/Treatment Plan —Allows the interviewer to refer to indicated mental health services, refer for detox services if indicated, and/or begin discharge planning with regard to need for mental health follow up. Any inmate who is determined to need additional mental health services is scheduled for further evaluation by higher level mental health professionals (up to and including psychiatric evaluation) in the clinically indicated time frame. The Mental Health Screening also contains prompts to assist the interviewer in taking any indicated actions such as suicide watch, or urgent mental health referral based on the inmate's responses. This screen is also included as part of the inmate's record. Tuberculosis Testing It is our policy to administer the tuberculin skin test during the Intake Screening and to schedule a follow-up appointment. Our TB screening follows guidelines issued by the American Thoracic Society and the Centers for Disease Control (CDC) for the management and treatment of Tuberculosis. The TB test is logged in the medical record and automatically flagged for follow-up. A list of inmates requiring a TB read is generated and results of the test can be read and recorded—this ensures that all inmates receive a TB read in a timely manner. Our healthcare personnel ensure that inmates are either medically cleared before they are sent to general population or referred to the appropriate healthcare service. Nursing staff can access TB reads and results electronically, which offers significant advantages such as: 1. Drastically reduces workload; no paper charts need to be pulled. 2. Generates list of inmates grouped by TB status (positive/negative, administered, read, results, follow-up). 3. Eliminates unnecessary duplication of healthcare services for re -admitted inmates. 4. Accesses the date the last TB test was administered, history of services available. 5. Reduces costs for staff time and test supplies. Inmate Medical Services City of Santa Ana 25F-26 RFP No. 17-051 27