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Defusing a Dangerous Duo Summer 2008 | Volume 22 | Issue 3 rrectCare™ C The magazine of the National Commission on Correctional Health Care Defusing a Dangerous Duo Nurse Consultants Help Integrate Care How Food Budget Cuts Can Improve Diets National Commission on Correctional Health Care 1145 W. Diversey Parkway, Chicago, IL 60614 Presented by the National Commission on Correctional Health Care and the Academy of Correctional Health Professionals National Conference on Correctional Health Care October 18–22, 2008 | Chicago, Illinois Full page Ad 8” x 10 1/2” Page 2 Set to take place in Chicago’s bustling and beautiful downtown, the 2008 National Conference will inspire attendees to ele- vate their standards of professionalism and health care delivery. Join 2,000 colleagues at this multifaceted forum that offers over 100 concurrent sessions plus many other opportunities to extend your knowledge and your professional network. For more information email [email protected], call 773-880-1460, or visit www.ncchc.org. Nat Conf CC FP Ad 08.indd 1 4/30/08 4:42:59 PM Summer 2008 | Volume 22 | Issue 3 CorrectCare™ is published quarterly by the National Commission on Correctional Health Care, a not-for-profi t organization whose mission is to improve the quality of health care in our nation’s jails, prisons and juvenile confi nement facilities. ™ NCCHC is supported by 38 leading national organizations representing the fi elds of health, law and corrections. C rrectCare BOARDBOARD OF DIRECTORS RobertRobert E. Morris, MD ((Chair)Chai Society for Adolescent MedicineMedicin Joseph V. Penn, MD, CCHP (Chair-Elect)(Chai American Academy of Child & AdolescentAdolesce Adolescenn Psychiatry George J. Pramstaller, DO, CCHP (Immediate(Immed Past Chair) American OsteopathicOsteopathic AssociationAssociat Thomas J. Fagan,Fagan, PhD (Secretary)(Secre AmericanAmerican PsychologicalPsychological AssociationAssocia Nancy B. White, LPC (Treasurer)(Treasu American CounselingCounseling AssociationAssociat Edward A. Harrison, CCHP (President)(Pres National CommissionCommission on CorrectionalCorrectional HealthH Care Carl C. Bell,Bell, MD,MD, CCHPCCHP NationalNational Medical AssociationAssociatio Patricia Blair, JDJD American Bar Association KleantheKleanthe Caruso, MSN, CCHPCCH AmericanAmerican NursesNurses AssociationAssociation Robert Cohen,Cohen, MDMD AmericanAmerican Public HealthHealth AssociationAssocia Eileen Couture,Couture, DODO American College of Emergency PhysiciansPhy Hon. Richard A. Devine, JD National District Attorneys Association Nina Dozoretz, RHIA, CCHP American Health Information Management Association Charles A. Fasano John Howard Association Kevin Fiscella, MD American Society of Addiction Medicine Robert J. Gogats, MA National Association of County & City Health Offi cials Robert L. Hilton, RPh, CCHP American Pharmacists Association Renee Kanan, MD AmericanA College of Physicians Donald Kern, MD, CCHP AmericanAmeri College of Preventive Medicine JoRene Kerns, BSN, CCHP American CorrectionalC Health Services Association Daniel Lorber, MD AmericanA Diabetes Association DouglasD A. Mack, MD, CCHP AAmericanmerican Association of Public Health Physicians NicholasN S. Makrides, DMD 12 American Dental Association EdEdwin I. Megargee, PhD, CCHP AAmericanmerican AssocAssociationi for Correctional and Forensic Psychology CharlesCha A. Meyer, Jr., MD, CCHP-A Features Departments AmeriAmericanc Academy of Psychiatry & the Law EugeneE A. Migliaccio, DrPH 7 Spotlight on the Standards: 2 NCCHC News: Education on AmericanAmeric College of Healthcare Executives Ronald C. Moomaw, DO Patient Safety Opioid Treatment in Jails AmericanAmer College of Neuropsychiatrists Peter C. Ober, PA-C 8 Legal Affairs: Jail Escapes 3 Guest Editorial: Warren American Academy of Physician Assistants Peter E. Perroncello, MS Consequences From Tragic Ferguson Calls for Academic- American Jail Association Patricia N. Reams, MD, CCHP Death Corrections Collaboration American Academy of Pediatrics Judith Robbins, LCSW, CCHP 10 National Conference on 4 News Watch National Association of Social Workers Sheriff B.J. Roberts Correctional Health Care National Sheriffs’ Association 6 Journal Preview: Academic David W. Roush, PhD National Juvenile Detention Association 12 Periodontitis and Diabetes: Medicine and Correctional Health Jayne Russell, MEd, CCHP-A Defusing a Dangerous Duo Academy of Correctional Health Professionals Ronald M. Shansky, MD 28 Juvenile Voice: A Bridge to the Society of Correctional Physicians 16 Nurse Consultants Integrate Community for Psychiatric Alvin J. Thompson, MD American Medical Association Medical and Mental Health Care Patients Barbara A. Wakeen, RD in California Prisons American Dietetic Association Henry C. Weinstein, MD 30 CCHP Page: A Day in the Life of a American Psychiatric Association 18 How Food Budget Cuts Can Jail Clinical Social Worker Ronald Wiborg, MBA Improve Diets National Association of Counties 32 Field Notes Copyright 2008 National Commission on Correctional Health Care. Statements of fact and opinion are the responsibility of the authors alone and do not necessarily refl ect the opinions of this publication, NCCHC or its supporting organizations. 34 Classified Ads and Ad Index NCCHC assumes no responsibility for products or services advertised. We invite letters of support or criticism or correction of facts, which will be printed as space allows. Articles without designated authorship may be reprinted in whole or in 36 Standards Q&A part provided attribution is given to NCCHC. Send correspondence to editor Jaime Shimkus NCCHC, 1145 W. Diversey Parkway, Chicago, IL 60614 Phone: 773-880-1460; Fax: 773-880-2424 E-mail: [email protected]; Web: www.ncchc.org Nat Conf CC FP Ad 08.indd 1 4/30/08 4:42:59 PM news New CD Helps Jails Treat Opioid Abusers Nearly every jail in the United States houses individuals Sheriffs’ Association on the NCCHC board. In addition, with substance abuse problems. For many of them, contact NCCHC vice president R. Scott Chavez, PhD, MPA, CCHP-A, with the criminal justice system is the first opportunity for discusses two SAMHSA treatment improvement protocols a substance abuse disorder to be recognized and diagnosed (TIPs) on substance abuse treatment topics. by a medical professional. This presents a unique opportu- We are proud to present this program as one of the nity to begin clinical management and the road to recovery. many means by which NCCHC assists the correctional To help jails identify and provide appropriate health care field. Other assistance we offer includes health MANAGING ADDICTED INMATES: treatment for the substance abusers in their charge, care standards and accreditation, technical assistance, qual- MEDICATION ASSISTED NCCHC has developed an educational CD-ROM and ity reviews, clinical guidelines, professional certification, edu- THERAPY in CORRECTIONS is sending it at no charge to jail administrators nation- cational conferences, publications and more. FEATURE PRESENTATION Managing Addicted Inmates: A multimedia CD-ROM wide. Others may request a complimentary copy via Medication Assisted featuring Virtual Presentations Therapy in Corrections Kevin Fiscella, MD, MPH from national corrections and clinical experts. our Web site, www.ncchc.org. The Importance of Participation, A Sheriff’s Perspective Continuing Education Sherrif B.J. Roberts Produced with support from the Substance Abuse Introduction to TIP 44 and TIP 43 and Mental Health Services Administration, the CD R. Scott Chavez, PhD, CCHP-A Managing Addicted Inmates: contains information that is vital to understanding the Medication Assisted Therapy in Corrections problem and implementing an appropriate response. by Kevin Fiscella, MD, MPH Expertise at Your Fingertips Physicians, nurses, psychologists and CCHPs may earn 1 This invaluable resource features commentary from leading hour of continuing education credit upon viewing this correctional and medical experts, who discuss the devas- program and completing the self-study exam. tating problem of substance abuse and what jails and the medical community are doing to make our communities Learning Objectives safer. The CD also contains downloadable resources. • Define opioid addiction and its signs and symptoms Kevin Fiscella, MD, MPH, explains the importance of • Employ medication assisted therapy to manage medication assisted therapy in outpatient clinics and the addicted inmates steps needed to treat opioid addiction. He provides guid- • Apply principles described in SAMHSA’s TIP 44 for ance on how to comply with federal standards and pro- substance abuse treatment of adults in corrections vide quality care to those addicted to opioids and other substances. Fiscella represents the American Society of Addiction Medicine on NCCHC’s board of directors and is New SAMHSA Grant Supports NCCHC’s an associate professor at the University of Rochester (NY) OTP Accreditation Program School of Medicine. The Substance Abuse and Mental Health Services Admini- Viewers also will meet Sheriff B. J. Roberts, Hampton stration has awarded NCCHC funding related to its accredi- County, VA, who has a deep interest in eradicating drug tation program for opioid treatment programs. The grant is abuse in our nation. Roberts represents the National part of SAMHSA’s effort to reduce the costs of basic accred- itation education and accreditation surveys for OTPs. Caaalendarof eventsevents In this context, accreditation is the peer-review process by which SAMHSA-approved accrediting bodies such as NCCHC make site visits and review
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