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National Average 50 per 100,000 inmates Clark County Detention Center Average, prior to NaphCare 3-5 annually NaphCare Average 32 per 100,000 inmates CCDC Average with NaphCare .5 per year a h are Y -u Wcpe dem h.hhmm ch.;.. NaphCare's Suicide Prevention Plan is consistent with NCCHC and ACA standards. We work closely with corrections staff to maintain clear and consistent communication in dealing with suicidal inmates. We have specific policies and procedures in place with the goal being to reduce the potential for suicide, minimize harm when attempts occur, and to minimize the number of suicide completions. The key components of the plan are as follows: Staff Training— intensive training of all medical, mental health, and correctional staff on: o Signs and symptoms to recognize o Risk Factors o Management of suicidal inmates o Review of policies and procedures in dealing with suicidal inmates o Ongoing training and annual review of training to keep up to date Screening and Identification of High Risk Inmates o Most suicide attempts occur soon after incarceration, so proactive and thorough assessment through the Receiving and Mental Health Screens is vital and is also the cornerstone of NaphCare's proactive approach. o Alerts in TechCore® assist the evaluator in decision making and notifying corrections and mental health personnel of an inmate in need of urgent services. Referral, Evaluation, Housing o Inmates at risk of suicide are quickly referred to appropriate housing and mental health services. o They will be placed on Suicide Watch in appropriate housing located within the facility and will be monitored as clinically indicated based on their level of acuity. o Once discharged from watch they remain in the mental health caseload and have regular follow up until released from custody. • Review of Policies and Procedures o At the onset of the contract we will review current policies and procedures, work with correctional staff and tailor a program that fits the needs of the facility. o All policies and procedures will be reviewed regularly to keep them up to date. o Staff will be trained for any changes that occur. • Effective Communication Inmate Medical Services City of Santa Ana o Clear and consistent communication among all parties — corrections, medical, mental health, and inmates - is vital to the success of the prevention plan. o Our CA program monitors and provides feedback to ensure success of the plan. 25F-52 RFP No. 17-051 53