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a h are your independent heolthcom choice. • 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 interviewerto 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. NaphCare is committed to identifying and meeting the acute and chronic mental health needs of patients admitted to the SAJ. Each patient who is identified by the screens as needing mental healthcare treatment will have action taken to ensure this care is provided. Any inmate who is determined to need additional mental health services will be scheduled for further evaluation by higher level mental health professionals (up to and including psychiatric evaluation) in the clinically indicated time frame. In TechCare® we electronically flag an inmate's health record if his/her responses during intake indicate the need for additional mental healthcare. All screenings and evaluations will identify inmates with suicidal and homicidal tendencies, as well as acute and chronic behavioral health issues. Alerts in the system prompt the clinical staff to take action, such as placing an inmate on suicide precautions, contacting custody about an issue, or assigning special housing. The Mental Health Screen 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. All mental health encounters are documented electronically in the inmate's health record in TechCare®. The mental health provider can access the inmate's entire electronic health record when conducting an evaluation, or at any time the inmate is referred to the mental health program during his/her incarceration. Additionally, if or when an inmate is transferred to another facility, his or her health record, containing mental health information, will be instantly available in TechCare®. This ensures continuity of care for inmates with a mental illness. Proactive Quality Assurance Checks ✓ Using TechCare® we audit the initial mental health screenings. TechCare® searches the database of all active inmates with a bed assignment for completed mental health screenings. Corporate staff then reviews the screening report Monday through Friday, and any missed screenings are reported to the site Health Services Administrator (HSA). The HSA follows up on all identified inmates, and these inmates receive a mental health screening within 48 hours of site notification. ✓ Per NCCHC standards, any inmate with a positive mental health screening requires a mental health evaluation. Weekly, we run a TechCare® report showing all active inmates who had a positive mental health screening, and have not had a mental health evaluation yet. This quality assurance activity assists the mental health staff in tracking Inmate Medical Services City of Santa Ana 25F-49 RFP No. 17-051 50