Go to the Agenda Overview.
|Monday, November 1, 2021, 10:45 AM - 11:45 AM|
|401 Impact of Correctional Health on Population Health*|
After a brief history of corrections is presented, the current state of correctional system in the US and its impact on the overall health of our communities is discussed in general and with respect to the ongoing social and health inequalities among the racial minorities.
Review the history of corrections
Describe the impact of corrections on marginalized communities
Explore the impact of corrections on the social determinants of health
|Esmaeil Porsa MD, MBA, MPH, CCHP-P, CCHP-A, Harris Health System||Medical|
|402 "What Was I Doing?": Nursing Care for Dementia and Alzheimer's Patients*|
Of the 1.5 million adults residing in state and federal prisons, the 55-plus demographic accounts for about 12% - a 300% spike in the elderly population since 1999. As this population ages, nurses may be the first to recognize signs of a patient's decline. Care for these patients can be frustrating and difficult. This session will describe recognition, nursing care challenges, and advocacy issues related to dementia and Alzheimer's patients.
Define diseases characterized by a decline in a person's ability to perform activities of daily living
Review symptoms of diseases that affect a person's ability to perform activities of daily living
Describe nursing care for this population of patients
|Susan Laffan RN, CCHP-RN, CCHP-A, Specialized Medical Consultants||Nursing|
|403 Implementing a Trauma Recovery Program for Incarcerated Women: Ingredients and Insights*|
While trauma programs have much to offer the incarcerated, the prison setting itself is inherently triggering and retraumatizing. For the past decade, the Northeast Reintegration Center has overcome many of these issues with the Mosaic program, a comprehensive trauma treatment intervention. Presenters will identify critical issues for designing, planning, executing, and sustaining this program as well as strategies to build and maintain support for trauma treatment among prison staff and leadership.
Identify the key elements of effective trauma recovery programs for incarcerated women
Describe the therapeutic framework for selecting interventions and implementing treatment
Define strategies to build support among prison staff and leadership to ensure success
|Lisa Drogosz PhD, Ohio Reformatory for Women|
Rex Bacon , Northeast Reintegration Center
|404 What Does Deliberate Indifference Look Like and How Can We Avoid It?*|
Deliberate Indifference is the standard by which correctional healthcare providers are judged in section 1983 medical claims. This presentation will discuss what the courts have said it is, is not and how providers can change practices to avoid a determination of deliberate indifference.
Define the criteria for a finding against a correctional care health provider in a section 1983 claim
Summarize federal court rulings on acceptable evidence of deliberate indifference in correctional health care
Recognize what providers can change in training and charting to avoid a finding of deliberate indifference
|David Ferrainolo Esq, Hall Prangle + Schoonveld||Legal|
|405 Reentry for Young Adults: Attitudes and Beliefs That Affect Success*|
This project recruited justice involved individuals aged 18-26 for community re-entry. They were assessed to identify their unmet needs. They received two evidenced based programs. They were assessed and linked to community agencies for identified needs. Developmental and cultural factors were barriers to community linkages. These include cultural norms and developmental factors which affected their participation. This presentation will explore the constellation of individual and group attitudes and beliefs that were barriers to reentry.
Identify challenges to successful community reentry for justice-involved young adults
Discuss attitudes and beliefs that may influence young adults from completing reentry tasks
Review strategies to address factors associated with age that may reduce these barriers
|Samantha Wrona MA, Northwestern University|
Linda Lesondak PhD, Salina & Associates, Inc.
Doreen Salina PhD, Northwestern University, Feinberg School of Medicine
|406 Linking Medication-Assisted Treatment in a County Jail With a Hospital-Based Opioid Safety Program*|
The MetroHealth correctional health MAT program pairs counseling and behavioral therapy with access to all three FDA-approved addiction medications for treating substance use disorder. In Cuyahoga County Corrections Center, we identify patients with opioid use disorder, safely manage acute withdrawal, manage diversion, and initiate counseling and link patients to appropriate treatment programs at release. We will discuss how the program has reduced recidivism and motivated patients to stay in outpatient treatment.
Identify individuals with opioid use disorder during initial health care assessment using specific screening tools
Explain how to decide which patients need immediate treatment and which should be seen by addiction medicine providers
Discuss how patients with opioid use disorder are tracked to ensure the appropriate warm handoff upon release
|Thomas Tallman DO, CCHP-P, MetroHealth||Substance Use|
|407 Correctional Dentistry: Looking Back and Moving Ahead|
This presentation will review trends in oral health and systemic health in the correctional population over time. Dental treatment of medically compromised patients, especially those in the geriatric population, can be a daunting challenge. Attendees will learn how systemic illnesses and the medications used in their treatment impact oral health and influence the course of dental treatment.
Discuss trends in oral health and systemic health in the correctional population
List the most common systemic illnesses and their impact on oral health and dental treatment
Review best practices in treating the geriatric correctional patient
|Mark Szarejko DDS CCHP, NaphCare, Inc.||Dental|
|408 Accreditation: The #1 Strategy to Protect Your Patients and Facility*|
Administrators face limited resources, grievances, and ongoing litigation concerns when trying to provide good health care for their patient population. A well-managed, organized health care system empowers administrators and staff with the knowledge to respond to and minimize these challenges. NCCHC’s Standards for Health Services are recognized by the medical profession and courts as the benchmark for establishing and measuring a correctional health services system. This session will share tips for using the Standards to strengthen the delivery system, ensure quality of care, and achieve accreditation.
|Amy Panagopoulos MBA, BSN, RN, National Commission on Correctional Health Care|
|Monday, November 1, 2021, 1:00 PM - 2:30 PM|
|409 Medication-Assisted Treatment and Wrap Around Reentry: A System and Culture Change Journey to Save Lives*|
The Fairfax County Adult Detention Center will share details on its implementation of medication-assisted treatment. Key components include leadership commitment, workforce development, changes to policies and protocols, pharmacy operations, medication administration, screening at booking, continuous quality improvement, data, and evaluation, peer support, and vital reentry supports. Learn how the Center experienced an organizational culture change that has created better outcomes for people who are at risk for recidivism and overdose.
Review how evidence-based practices have been vital to the change process
Analyze key initiatives that may be replicable in each attendee's own service system
Discuss attitudes and beliefs about substance use disorders and how they impact treatment strategies
|Laura Yager MEd, LPC, Fairfax County Sheriff's Office|
Benigno "Bingo" Cunanan BSN, RN, Fairfax County Sheriff's Office
Cindy Xin Wang MSN, ARNP, CCHP, Fairfax County Sheriff's Department
Tomas Navarro RN, Fairfax County Adult Detention Center
|410 The Importance of Nursing Leadership on Organizational Change: Future Forward and Transformational|
Corrections can learn from other health systems the value of effective nursing leadership in driving health care culture, operational effectiveness, improved patient outcomes, and professional practice. How can strong nursing leadership affect correctional health? What does transformational leadership look like in the justice environment and how can it move correctional health forward? Participants will contribute to the development of a blueprint for transforming the future of correctional nursing.
Identify two benefits of investing in a transformational nurse leader
Distinguish four ways effective nurse leaders contribute to better patient outcomes
Construct two action initiatives toward development of a blueprint for transforming the future of correctional nursing
|Mary Muse MSN, RN, CCHP-RN, CCHP-A, Wisconsin Department of Corrections|
Patricia Blair PhD, JD, CCHP-RN, CCHP-A, University of Texas Medical Branch
Steve Linn RN, MSN, CCHP, Wisconsin Department of Corrections
|411 Antisocial Personality Disorder: Its Diagnosis, Genesis, Treatment, and Management*|
Patients diagnosed with antisocial personality disorder inflict more harm upon society than those suffering from any other mental disorder. The session offers a detailed examination of the current and proposed diagnostic criteria for the disorder and belief systems and thinking styles associated with ASPD. Attendees will learn about five evidence-based treatments and, using case studies and role replays, practice strategies for managing patients resistance to treatment.
Restate the eight primary criminal thinking patterns described by Walters
Describe the central concepts and key interventions associated with evidence-based treatments for ASPD
Identify four strategies for managing patient resistance to treatment
|William Elliott PhD, ||Mental Health|
|412 Healthcare Proxies and Guardians: Understanding the Difference and Impact on Your Provider/Patient Relationship*|
When a health care surrogate is selected by the patient or appointed by a court, they have legal rights and obligations that impact your practice. Using real world examples, we will explore how interaction with a health care substitute can benefit the provider and result in the best patient outcomes and, conversely, how to handle a proxy who does not act in the best interests of the incarcerated individual. Learn how to recognize when your patient needs a surrogate and how to obtain one.
Outline the legal principals underlying the right to make our own medical decisions
Explain the differences between health care surrogates who are selected by the patient versus appointed by a court
Discuss how to recognize when a patient needs a health care surrogate and how to obtain one
|Deana Johnson JD, Centurion, LLC||Legal|
|413 Prison Terminal: The Last Days of Private Jack Hall (Movie)*|
Prison Terminal: The Last Days of Private Jack Hall is an Oscar-nominated documentary that breaks through the walls of one of America's oldest maximum security prisons to tell the story of the final months in the life of a terminally ill prisoner and the hospice volunteers, themselves prisoners, who care for him. The documentary provides a fascinating and poignant account of how the hospice experience profoundly touches even the forsaken lives of the incarcerated.
Describe the potential benefits of hospice for the terminally ill prisoner, the prisoner hospice volunteer and the family of the terminally ill prisoner
Review the technical, logistical and sociopolitical difficulties in setting up a prison-based, prisoner-run hospice program in a maximum security prison
Differentiate between the care provided by trained prisoner hospice volunteers and the nonhospice, noncorrectional alternative
|Edgar Barens MFA, Humane Prison Hospice Project|
Ladybird Morgan RN, MSW, Humane Prison Hospice Project
Marvin Mutch 0, Humane Prison Hospice Project
|416 Addressing Racial Trauma: Effective Strategies to Cope With the Impact of Racism*|
This roundtable will define racial trauma and identify culturally specific ways in which it presents itself among African Americans. We will highlight Critical Race Theory (CRT) which addresses evidence-based practices for treating racial trauma among incarcerated individuals through storytelling and challenging dominate trauma narratives. Participants can expect an interactive experience coupled with an authentic, safe place to discuss racial trauma.
Define racial trauma and identify specific communities that have been impacted by racial trauma.
Describe three ways in which racial trauma presents itself in the African American community
Identify two effective strategies for addressing racial trauma in a correctional setting
|Brittany Works LMSW, Matters of Our Mind, LLC||Mental Health|
|Monday, November 1, 2021, 2:45 PM - 3:45 PM|
|417 Nonopioid Treatment of Opioid Withdrawal*|
Patient well-being and medical ethics require safe, effective opioid withdrawal therapy for newly incarcerated people dependent on opioids before admission. Many correctional facilities may be hesitant to use opiates such as methadone or buprenorphine. Research shows that off-label gabapentin and clonidine can be used to effectively control acute opioid withdrawal. This presentation describes the successful treatment regimen and diversion concerns.
Describe a novel nonopioid treatment for opiate withdrawal in a correctional facility
Compare a nonopioid protocol vs. opioid withdrawal treatment
Review how to transition people who have been withdrawn from opioids from corrections safely back to the community
|418 Receiving Screening Process: More Than Just Asking Questions*|
People entering correctional facilities present actual and potential medical, dental, and psychological issues that may affect their well-being while in custody. This talk will discuss the importance of accurate and comprehensive receiving screening in providing quality care and reducing bad patient outcomes, transmission of infectious diseases, and liability. It will address referrals to providers, documentation and observations noted, and appropriate housing of inmates.
State the importance of obtaining accurate and comprehensive health information at admission
Describe the proper documentation of all information gathered and all observations
Discuss proper provider referrals and housing decisions based on findings from the receiving screening
|Susan Laffan RN, CCHP-RN, CCHP-A, Specialized Medical Consultants||Nursing|
|419 Is It Behavioral or Mental Health: Understanding Mental Health Interventions*|
Correctional mental health clinicians are routinely faced with highly complex clinical presentations and behavioral disorders that challenge traditional evidence-based psychotherapy approaches. Recent scholarship has produced curricula aimed at the especially complex correctional clinical patient population. This presentation will discuss the theoretical construct of "criminalness" as a therapeutic target and review new curricula that support effective treatment programs. Combining theory and real-life experiences, the presenters will report on "lessons learned" from implementation of these curricula.
Summarize the "Changing Lives, Changing Outcomes" and "Stepping Up, Stepping Out" curricula
Discuss lessons learned in implementation
|Walter Campbell PhD, CCHP-MH, Idaho Department of Corrections|
Ashley Jorgensen LCSW, Idaho Department of Corrections
|420 Secondary Trauma in Corrections: Interventions and Insights*|
This session will explore secondary trauma as it affects correctional health care staff and supervisors. Learn the signs and symptoms of internal and external stressors, anxiety, secondary (vicarious) trauma, and compassion fatigue. The experience of secondary trauma and limited emotional and professional space to process these experiences can significantly affect team effectiveness and patient care. Attendees will discover interventions for individuals and teams for developing stress management coping skills.
Differentiate the signs and symptoms of compassion fatigue, secondary/vicarious trauma, and burnout
Examine how personality and interpersonal relationships can reduce or reinforce stress
List healthy ways to manage and/or adapt to stress
|Aashia Bade PsyD, Wexford Health Sources, Inc.||Mental Health|
|421 Executive Leadership: Creating a Vision for Constitutional Health Care*|
Health care executives—including those with responsibilities in the correctional environment—perform critical functions in the textbook areas of finance, human resources, customer service, etc. But today’s successful executive must be agile, creative, empathetic, and culturally aware. With the shocks of a pandemic, national awareness of racial injustice, and increased emphasis on health care quality for the incarcerated, health systems leaders’ competency is being tested. This panel will discuss ways to meet challenges in health care quality, value-based care, standards of care, and the relationship among public health, health care quality, and social justice.
Describe how to use common measures of health care quality and value-based care in a correctional environment
Explain how traditional areas of health care quality can synergize with social justice and reimagining corrections and incarceration
Discuss how the courts shape the standards of care in a correctional environment in comparison to those in the community
|Brent Gibson MD, MPH, CCHP-P, National Commission on Correctional Health Care|
Esmaeil Porsa MD, MBA, MPH, CCHP-P, CCHP-A, Harris Health System
Deana Johnson JD, Centurion, LLC
Ron Charpentier MBA, CoreCivic
|422 Restorative Justice as a Behavior Management Strategy With Juveniles*|
Studies have shown that at least 20% of youth entering the justice system have a mental health problem, with a majority also experiencing a co-occurring substance use disorder. These youth pose particular behavior management challenges and frequently have conduct problems like verbal threats, self-harm, noncompliance, and property destruction. This session will share restorative justice approaches that are effective alternatives to punitive discipline and behavior management strategies focused on building relationships and reconciliation.
Recognize the importance of effective behavior management strategies in juvenile correctional facilities
Describe the main components of restorative justice
Examine the benefits of using restorative justice as a behavior management strategy
|Nicketa Coombs MA, MEd, Lincoln Hills School for Boys||Juvenile|
|423 The Connection Between Human Trafficking and Corrections: Effective Interventions*|
Human trafficking is a growing reality in many communities and, unfortunately, correctional institutions are a primary recruitment venue. Many victims suffer from serious mental and medical health conditions, lack trusting relationships, and are reluctant to self-identify as a victim. They cycle in and out of correctional systems on prostitution and drug-related charges. This session will help staff address this issue by instituting policies, training, and other interventions that help break the cycle of victimization.
Review ways to identify suspected human trafficking victims
Describe the health effects of human trafficking
List interventions to effectively address human trafficking
|Thomas Serridge MSW, LSW, CCHP-MH, Centurion, LLC||Special Populations|
|424 Prenatal Care for Incarcerated Women: Need for Standardized Templates|
This session will describe how pregnant incarcerated women should be considered as high risk obstetrical individuals regarding their prenatal care. This view should be universal regardless of the woman’s age and overall medical health and wellness. The unique hurdles of being incarcerated including isolation from family and friends, inability for full mobility, stigma of being in prison, lack of privacy, and sociopsychological concerns add risk to the mother and her fetus. The NJ Commission for Women’s Reentry Health Committee is creating templates to uniformly address these prenatal needs.
Review the unique needs of pregnant incarcerated women
Describe the reasons that pregnancy while in prison should be considered high risk
Explore steps to take to enhance prenatal care
|Frank Chervenak MD, Hofstra University|
Juana Hutchinson-Colas 0, Rutgers University
Adi Katz MD, Lenox Hill Hospital
|Monday, November 1, 2021, 4:00 PM - 5:00 PM|
|425 Developing Standards for Chronic Care Visits: A Simplified, Effective Approach|
Frequently, chronic care visits, especially in a jail setting, do not meet the monitoring goals intended. There are multiple reasons for this, including provider inertia and lack of direction on national guidelines. This presentation will support primary care providers in simplifying the process of developing standards for chronic care visits at your institution.
Restate why standards for chronic care visits are important
List the steps for developing standards for chronic care visits
Explain strategies for implementation for the developed standards
|Michael Puerini MD, CCHP-A, Western Correctional Consultants, LLC||Medical|
|427 Mental Health Training for Correctional Officers: The CIT Model*|
Correctional officers are often ill-prepared for the challenges posed by the soaring number of mentally ill individuals in their institutions, so training is essential. The presenter will discuss a crisis intervention training curriculum developed for the National Institute of Corrections that resulted in reductions in the use of force by up to 70%, dramatic decreases in assaults on staff, and significant decreases in the use of restraints and seclusion.
Explain the crisis intervention training approach to mental health and suicide awareness training for correctional officers
Review strategies for securing participants' active engagement in learning
Restate favorable outcomes of CIT training with correctional officers
|William Elliott PhD, ||Mental Health|
|428 Deposition Preparation for the Clinical Practioner*|
Health care professionals often provide sworn testimony in civil and criminal matters. Learn how your testimony could be used and how poor testimony can lead to litigation problems. The presentation will help prepare clinicians for providing testimony and how to avoid pitfalls. Common denominators in accurate sworn testimony involve confidence, respect, and preparation.
State different ways that sworn testimony can be used
Discuss how to properly prepare to provide sworn testimony
List common problems that lead to poor litigation outcomes
|Beth Boone JD, MBA, Hall Booth Smith, P.C.||Legal|
|429 Mitigation of a Novel COVID-19 Strain Arising in the Prison Population*|
The state public health department and Kansas Department of Corrections identified and contained a rapidly spreading variant strain of COVID. Testing identified only one case of the novel strain in surrounding communities. While the identification of a novel strain is significant, the success of mitigation efforts is more important. Learn how staff successfully contained the outbreak and which infection control methods were most effective in protecting patients, staff, and the community.
Evaluate various testing strategies for outbreak conditions, endemic illnesses, and pandemic conditions
Illustrate outbreak investigation principles central to any public health response
Compare the effectiveness of various infection control strategies to respond to an outbreak
|Paige Dodson MD, MPH, Centurion, LLC|
Gerald Jorgenson MBA BSN, Kansas University Medical Center
|430 Heads & Tails of Correctional Health Care: ATI and Reentry*|
Alternatives to incarceration and reentry planning have a significant impact on correctional health operations. Evidence-informed collaborative approaches help facilitate substance use treatment, mental health, and nursing home placements after or in lieu of incarceration. This presentation will discuss collaborative approaches to identify high-risk patients with complex care needs and address health and social service needs to support improved health outcomes
Review key information and screenings to inform best practices
Describe various workflows and the benefits of a correctional health liaison to court advocates
Discuss outcomes and benefits, particularly related to public health
|Alison O Jordan MSW, LCSW, ACOJA Consulting LLC|
Donald Kern MD MPH CCHP, Quality Correctional Health Care (QCHC)
|431 MAT for Beginners: Treatment Options and Processes for Opioid Users*|
The presentation will review the basics of MAT selection, diagnostic criteria, treatment initiation, management, and discontinuation. The presenter will also discuss urine drug screen interpretation, support services to enhance success, and federal OTP regulations. Get invaluable information from this comprehensive overview of MAT therapy and support services from the beginner's perspective.
Summarize the basics of three medications used for MAT, including prescribing and licensing requirements
Explain how to interpret drug testing results
Analyze common issues that can adversely impact successful treatment
|Lawrence Mendel DO, CCHP, Maryhaven||Substance Use|
|432 The Strategic Bedside Manner: How to Tactically Speak With Inmates*|
Health staff often encounter incarcerated people under stressful conditions when the patient is upset, frightened or hostile. During this session, you will be provided an opportunity to look at patient conflicts creatively, remain under emotional control during disagreements, find solutions to potentially difficult situations, and maintain professionalism in any patient encounter. This overview will give you an option on how to tactically communicate with the incarcerated to achieve voluntary compliance while maintaining professionalism, self-control and personal safely.
Learn how to prevent patient confrontations from becoming unsafe or dangerous
|James Martin MPSA, CCHP, National Commission on Correctional Health Care (NCCHC)|
|Tuesday, November 2, 2021, 8:15 AM - 9:15 AM|
|433 COPD or Not COPD: Overcoming "Diagnosis Intertia"|
This presentation will bring attention to "diagnosis inertia" related to COPD and other significant diagnoses during the intake process to promote critical thinking by clinicians when seeing patients for the first time and developing a treatment plan. Get insights into the importance of information from outside medical records and patients' self-reported histories before you establish a definitive plan of care.
Express the need to confirm diagnosis prior to initiating long-term treatment plans
Explain the need to critically evaluate medications related to the presenting diagnosis
Review the need for follow-up related to the presenting diagnosis
|Donald Rhodes MD, Wellpath||Medical|
|434 Correctional Nurse Practice Update: Protecting Your Practice|
Using data on the most common reasons for nursing board disciplinary action and the top nursing liability claims, this talk will enable correctional nurses to examine their own nursing practice and identify areas of concern. Key to this is determining one's scope of practice and how the nursing process is integral to practicing within that scope. Topics include policies and procedures, national standards, documentation, continuing education, and conflicts between scope of practice and actual clinical practice.
Outline nursing scope of practice for LPNs, RNs, and APRNs
State three reasons why adherence to the nursing process protects nursing practice
Identify two ways that training and continuing education protects correctional nursing practice
|Lori Roscoe DNP, APRN, CCHP-RN, Correctional HealthCare Consultants|
Renee Dahring MSN, NP, CCHP, Centurion, LLC
|435 Clozapine for Treatment-Resistant Psychosis and Self-Injurious Behavior: Why and How to Expand Use in Your State*|
Clozapine is the only medication approved for treatment-resistant schizophrenia and suicide prevention yet is markedly underused in prison systems. There is also an emerging evidence base from prisons showing that clozapine reduces self-injurious behavior, aggression, infractions, and time assigned to disciplinary segregation. This presentation will review clozapine's benefits, discuss barriers to use in corrections, and present practical solutions on how to expand use in a prison system.
List three potential benefits of clozapine use in correctional settings
Identify three barriers to clozapine use in correctional systems
Describe the mechanics of a clozapine consultative system and how this may help expand prescribing
|Theodore Zarzar MD, University of North Carolina at Chapel Hill|
Brian Sheitman MD, North Carolina Department of Public Safety-Prisons
|437 Standardizing Your Medical Diet Program: Benefits, Rationale and Compliance*|
A standardized medical diet program helps maintain optimal health status of incarcerated people, ensures compliance, and eliminates diet issues that can increase costs. Communication between medical and the food service department is the key to the success of a standardized medical diet program. This presentation will identify the key points in a medical diet program, explaining the process from the diet order to the meal served and incorporating compliance guidelines.
Review why standardization improves compliance and controls cost
Summarize the medical diet process from prescription to consumption
Describe valid diets and their rationale associated with disease states
|Barbara Wakeen MA, RDN, LD, CCHP, Correctional Nutrition Consultants, Ltd||Other|
|440 Assessing Social Determinants of Health in Seriously Ill People to Create Viable Discharge Plans*|
The World Health Organization defines social determinants of health as “conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.” Attendees will learn about SDOH and how to assess for them in the incarcerated population. This information can support successful reentry by identifying services individuals might need to mitigate the impact of SDOH after discharge.
Define social determinants of health
Identify trends in assessment of SDOH in various health care settings
Demonstrate three ways that SDOH data can be used to create value-based health care outcomes
|Nina Chychula PhD, CRNP, CCHP-MH, George W. Hill Correctional Facility|
Kristen Grady RN, CCHP, George W. Hill Correctional Facility
|Tuesday, November 2, 2021, 10:00 AM - 11:00 AM|
|441 Chronic Care Makeover: From Dull, Stodgy Grind to Proactive, Efficient Contemporary Care*|
Chronic care is essential in a correctional facility but can be one of the biggest challenges, with a never-ending workload, tracking challenges, and ineffective reactive care. Integrating a clinical pharmacist into the chronic care team can streamline the process, improve patient outcomes, and lead to a proactive model of care. This session will review such a program and highlight the benefits of comprehensive medication management with a technology approach.
Identify the inefficiencies associated with a traditional chronic care model in correctional health care
Discuss the use of technological surveillance to improve clinical outcomes and institutional safety for patients
Assess the impact of clinical pharmacist integration into the chronic care team in terms of provider productivity, patient outcomes, adherence to clinical guidelines, and data tracking
|Todd Wilcox MD, MBA, CCHP-P, CCHP-A, Salt Lake County Metro Jail|
Bradli Jo Asplund MSN, APRN, FNP-C, Wellcon, Inc.
Zane Gray PharmD, Diamond Pharmacy Services & Medical Supply
|443 Helping Individuals Cope With Trauma Through Yoga and Mindfulness*|
Individuals with trauma histories have difficulty self-regulating. Self-soothing deficits can result in significant distress and reliance on unhealthy coping skills to manage trauma symptoms, including engaging in self-injurious behavior. Research has shown that yoga and mindfulness practices are effective strategies to help manage trauma symptoms and support self-regulation. The session reviews relevant research and offers practical suggestions on how to include yoga and mindfulness in clinical practice in correctional environments.
Examine the research supporting the clinical application of yoga and mindfulness
List the benefits of yoga and mindfulness in the treatment of incarcerated individuals with trauma histories
Identify ways to integrate yoga and mindfulness in treatment planning and clinical practice
|Maria Masotta PsyD, |
Sharen Barboza PhD, CCHP-MH, Barboza Consulting, LLC
|444 Case Study: Human Error and System Failures That Led to an Adverse Outcome and Liability*|
Using a case study, this session will help you explore the risks in your practice setting and how to mitigate them. After introduction of the case facts, we will discuss the legal claims, alleged medical errors, and system failures. Come prepared to debate which elements of the case created the most risk and which could have been avoided with better checks and balances. We conclude with a discussion of best practices based on participant experiences.
State the elements and varying burdens of proof for deliberate indifference and medical negligence suits
Discuss the legal risks inherent in each human and systematic failure that led to the adverse patient outcome
Review how other systems have tackled similar challenges
|Deana Johnson JD, Centurion, LLC||Legal|
|445 Social Determinants of Health and Juvenile Justice From a Health Care Perspective*|
Youth in juvenile justice systems often mirror the health disparities and social determinants of health found in the community. There are opportunities to reduce or eliminate health disparities while in the correctional system while appreciating how the social determinants of health impact maturation. Health professionals can be key to engaging social justice as part of a plan of care.
Describe the health inequities, health disparities, and social determinants of health that impact youth in the justice system
Identify opportunities for health staff to positively address health disparities
Demonstrate how to implement a health care program with a social justice focus
|Mary Muse MSN, RN, CCHP-RN, CCHP-A, Wisconsin Department of Corrections|
Steve Linn RN, MSN, CCHP, Wisconsin Department of Corrections
Julie Beeney RN, MBA, MSN, Wisconsin Department of Corrections
|446 Journal of Correctional Health Care: What's New and How You Can Contribute*|
With a new publisher in 2021, NCCHC’s peer-reviewed professional journal is growing, improving, and reaching out to the correctional health care field to better serve its needs. Attend this session to learn what’s new and how you can get involved. In this talk, JCHC’s editor will review its historical context; describe the periodical’s mission, target audience, and content areas; outline the key steps in developing and writing a manuscript; and explain the peer review, acceptance, and publication processes.
Describe the Journal, including its mission, audience, and content
Identify key steps in developing and publishing a manuscript
Explain the importance and process of peer review
|448 When Our Worlds Collide: Resolving Conflict between the Nurse and the Mental Health Worker*|
Nurses and Mental Health Workers have the exact same same goal for our patients - quality care. Why then, do we sometimes seem to be at odds with each other? Using an interactive model, this session delves into case scenarios, perceived responsibilities and the minds of both disciplines. Shedding light on how and why individual disciplines approach the same issues differently, new and modified approaches between these two very critical patient care disciplines will evolve. The anticipated outcome the ability to achieve shared goals in the delivery of quality patient care in a cohesive, harmonious, team-oriented environment.
Verbalize common issues that create disharmony between nurses and mental health workers.
|Deborah Ash RN, MBA, MSN, CCHP, Correctional Medical-Legal Consulting (CMLC)|
Nury Marcelo MSN, RN, CCHP-RN, DuPage County Jail
|Tuesday, November 2, 2021, 1:30 PM - 3:00 PM|
|449 The Use of Monoclonal Antibody for the Treatment of COVID-19*|
During the COVID-19 outbreak, California Correctional Healthcare Service and California Hospital Association collaborated to redirect doses of monoclonal antibody to correctional facilities to treat high-risk patients who had contracted COVID-19. Providers found a decrease in severity of disease, hospitalization, and death. Learn when treatment with monoclonal antibody is indicated for COVID-19, and how to identify appropriate patients, obtain informed consent, safely infuse, and monitor this high-risk population.
Identify eligible high-risk patients with COVID-19 who would benefit from IV monoclonal antibodies
Demonstrate understanding of the consent, treatment, and monitoring requirements for the use of monoclonal antibodies
Analyze the essential interdisciplinary processes needed to support the use of IV monoclonal antibody treatment in corrections
|Sharon LeasureBrown MSN, California Correctional Health Care Services|
Michele DiTomas MD, CCHP, California Department of Corrections and Rehabilitation
Eve Hood-Medland 0, California Correctional Healthcare Facility
|450 Achieving Meaningful Work for Correctional Nurses|
An environment that supports professional practice is arguably the most important factor to achieve better staffing, better patient outcomes, and higher staff and patient satisfaction. Many nurse managers implement components to improve practice yet struggle to obtain the outcomes they seek for creating a culture of clinical excellence. Research examines drivers of clinical excellence and translates the significance of professional practice models to correctional nursing. Learn how to lead to improve staff retention and patient care.
Identify your professional practice framework to analyze a challenge to a high-performance nursing workforce
Link the six common components of a PPM to the formulated framework
Discuss potential strategies to shape meaningful work for nurses in corrections
|Deborah Shelton PhD, RN-C, CCHP, ||Nursing|
|451 Trauma-Informed Treatment in Secure Settings*|
Presenters will describe and define how they implemented Trauma-Informed care, the challenges they overcame to have Montana's best outcome for success in regards to recidivism rates. Presenters will define how they implemented SAMHSA guidelines in the environment of incarceration. Presenters will show the pitfalls to avoid.
Identify physiological signs of trauma
Differentiate between behaviors related to trauma and behaviors related to criminal thinking
Analyze how to integrate current policies with a trauma-informed approach
|Rhonda Champagne LICSW, Correcting Treatment in Corrections|
Michael Johnson , NONE/UNKNOWN
|452 Domestic Minor Sex Trafficking: Partnerships, Patient Care, Prevention, and Advocacy*|
This presentation will identify behavioral health, medical, and law enforcement issues regarding domestic minor sex trafficking with a focus on risk factors, identification, treatment, prevention, and advocacy. Case studies will address the psychological impact, individual and group treatment for patients experiencing symptoms associated with their DMST involvement, the crucial practice-based skill of identifying and recognizing DMST involvement, the larger legal and policy/advocacy-based context of DMST, and the role of behavioral health professionals.
Recognize the presentation, medical, and psychological effects of domestic minor sex trafficking
Discuss ways to identify and respond to adolescent patients involved in DMST, including treatment that is developmentally appropriate and trauma-responsive
Describe the role of behavioral health professionals in facilitating the interdisciplinary approach and advocacy needed to optimize prevention, treatment, and recovery
|Timothy Owens MA, LMHC, Rhode Island Hospital|
Elizabeth Lowenhaupt MD, CCHP, Brown University Warren Alpert School of Medicine
Meagan Fitzgerald MS, Hasbro Children's Hospital
|454 Mock Trial: From Deposition to Trial, How Bad Testimony Can Haunt Your Defense*|
Some lectures address tips for testifying at deposition and others about how trials proceed; this mock trial explores both and demonstrates how the two are interrelated. Real-life health care defense attorneys play the roles of the lawyers and health care providers serve as the witnesses to provide a interactive experience of deposition and trial testimony.
Describe the purpose and key characteristics of a deposition of a defendant
Examine problematic testimony and its effects on the trial
Discuss the role of the jury in deciding both liability and damages
|Aynsley Harrow Mull JD, Centurion, LLC|
David Johnson JD, Bendin Sumrall & Ladner, LLC
Deana Johnson JD, Centurion, LLC
|455 Your Ethical Duty to Self-Care: The Invisible Effects of Working in Corrections*|
Engaging with individuals who act violently or have experienced trauma can cause secondary and vicarious trauma. Such trauma can be insidious, affecting us psychologically and physically, and may result from a one-time encounter or from cumulative exposure to incarcerated individuals' traumas. Clinicians have an ethical responsibility to recognize the signs of trauma in themselves and their colleagues. This session will describe secondary and vicarious trauma, how to recognize their effects, and how to reduce their impact on ourselves and our patients.
Identify secondary and vicarious trauma
Describe the effects of secondary and vicarious trauma
State how to cope with their impact on correctional health care work
|Sharen Barboza PhD, CCHP-MH, Barboza Consulting, LLC||Ethics|
|456 Improving Patient Safety in Correctional Health Care*|
Many people groan at the thought of studying patient safety. It’s full of technical jargon and cloudy concepts that feel removed from the reality of what we face every day as health care leaders, and we want to say, “Let the CQI committee worry about that stuff.” The presenter hopes to take the “boring” out of this topic (that’s right: “misses-in-waiting” have nothing to do with debutante balls) and make it simple and accessible, and give you valuable practical tools that you’ll be itching to take home to implement. Most importantly, the aim is to convince you that patient safety isn’t part of your job as a health care leader… it is your job.
|Marc Stern MD MPH, University of Washington Medical School||Other|
|Tuesday, November 2, 2021, 3:15 PM - 4:15 PM|
|457 Updates in Heart Failure: Beating the Symptoms*|
Cardiovascular disease is the leading cause of death for incarcerated individuals. Unfortunately, heart failure is a challenge for clinicians to accurately manage, even as more research and drug therapy becomes available. We will review the recently updated 2021 ACC/AHA clinical practice guidelines, review landmark clinical trials, and highlight new and emerging therapies in heart failure. Learn how to integrate a new evidence-based standard of care and best practices into your treatment of heart failure.
Distinguish between established heart failure therapies for reduced (HFrEF) and preserved (HFpEF) ejection fraction
Recognize the expanded role for ARNIs in HFrEF and HFpEF, as well as the beneficial effects of sodium-glucose cotransporter-2 (SGLT2) inhibitors in the treatment of HFrEF
Review new and emerging evidence-based therapies in conjunction with recently updated ACC/AHA guidelines
|Stephen Ford Pharm D, BCGP, Diamond Pharmacy Services & Medical Supply|
Henry So PharmD, BS, Diamond Pharmacy Services & Medical Supply
|458 Tips and Tricks to Recruiting and Retaining Correctional Nurses|
Correctional medicine is rarely taught in nursing schools and is relatively unknown as a career path, making it very difficult to recruit and retain nurses. How can a medical unit in corrections overcome these obstacles? Learn the tips and tricks that can help staff your nursing department. More importantly, learn what can be done to retain nurses long term.
Review of the issues of recruiting in correctional settings
Name the tools needed for an employer to successfully recruit nurses
Compare ways to retain correctional nurses
|Nury Marcelo MSN, RN, CCHP-RN, DuPage County Jail|
Deborah Ash RN, MBA, MSN, CCHP, Correctional Medical-Legal Consulting (CMLC)
|459 Management of Sleep Disorders*|
Insomnia is a common complaint in corrections and a core symptom of many psychiatric disorders. It puts patients at increased risk for developing anxiety, depression, psychosis, violence, and even suicide. This session will describe the classic sleep model, the most common sleep disorders, the unique challenges in treating insomnia in corrections, and the risks of not treating acute and chronic insomnia. Attendees will gain a tool box of treatment options for our unique environment.
Identify two reasons why it is important to treat sleep disturbances
Name five unique challenges with treating sleep disturbances in the correctional setting
Discuss three behavioral and two pharmacologic options for treating insomnia in a jail or prison
|Susan Richardson PMHNP, CCHP, MCI - Framingham||Mental Health|
|460 It's Not a Cocktail Party: Why Depositions Can Turn a Good Case Bad (Quickly)*|
No matter how appropriate the care of an offender might be, or how defensible the claim is, the deposition of site nurses, doctors and correctional officers can turn the tide on a defensible case. Invariably, persons being deposed are not familiar with the process, and naturally nervous tendencies compel them to say things that deeply harm the defense case, often without them even realizing it. Learn how to avoid doing substantial damage when testifying.
Discuss the true use of depositions in correctional medicine litigation
Recognize the tricks and traps employed by opposing counsel in depositions
Contrast the value of simple answers against talking too much
|J. Thaddeus Eckenrode JD, Eckenrode-Maupin, Attorneys at Law||Legal|
|461 North Star Vision of Collaboration in Juvenile Justice*|
Engaging at-risk youth in juvenile justice settings can be challenging for even the most seasoned professionals. This session will review a success initiative experienced at one juvenile justice facility supported by the behavioral health, restorative justice, and "credible messenger" teams. The new approach increased youth engagement with cofacilitated group sessions and wellness activities, daily reflection of restorative justice principles, and a revised level system.
Describe the traditional roles and responsibilities of behavioral health, restorative justice, and credible messenger teams
Name the barriers to traditional approaches to engaging youth in cognitive behavior treatment
Discuss the challenges and successes of combining behavioral health with restorative justice and credible justice programs
|Romita Sillitti PsyD, DC Department of Youth Rehabilitation Services|
Mark Harniss PhD, University of Washington
|462 Managing COVID-19 and Lockdown in a Large Correctional Setting*|
Faced with the COVID-19 pandemic, the largest correctional system in the country embarked on a sizeable shift in normal operations to meet dramatic new mandates from the Centers for Disease Control. Leadership dismantled silos and changed the culture to create cross-functional teams. Following six collaborative strategies focused on communications, COVID-19 testing, operations, and management provided a successful framework for optimal patient and staff outcomes throughout the pandemic.
Discuss collaborative communication and cooperative governance with internal and external stakeholders
Differentiate the challenges and opportunities caused by management strategies for COVID-19
Review the success and sustainability resulting in the dismantling of the silo mentality
|Nyreith Adeyemi MBA, RN, California Correctional Health Care Service (CCHCS)|
Deborah Bradford MSN, California Correctional Health Care Services (CCHCS)
|463 Incarcerated Men With Traumatic Brain Injuries: Findings From an Organizational Change Project*|
TBI can affect decision-making and memory, emotion management, sensitivity to sensory stimuli, and challenges in social skills and is related to drug and alcohol use, depression, anxiety, and anger management. Incarcerated people with TBI may engage in behaviors that make life in prison challenging. In this presentation, we describe the results of a five-year organizational change project seeking to improve outcomes through screening, treatment, accommodations, training, and peer mentoring.
Identify mechanisms for supporting organizational change related to TBI
Describe challenges and possible solutions to screening men for TBI upon entry to prison and while incarcerated
Discuss the need for psychoeducational intervention and peer support of men with TBI
|Risa Klemme , Washington State Department of Corrections|
Amber Medina LMHC, Washington State Department of Corrections
|464 Navigating Your Future: CCHP, Advanced and Specialty Certifications*|
The Certified Correctional Health Professional program is the premier national certification dedicated to recognizing the special skills and knowledge necessary to provide care in the complex world of corrections. Today the program certifies over 4,000 nurses, physicians, dentists, mental health professionals, administrators, and others. This talk will present an overview of CCHP certification including eligibility, how to apply, the exam, re-certification, and the benefits becoming a CCHP.
Identify the eligibility criteria and application process for CCHP certifications
Explain how to prepare for CCHP exams
Describe the recertification process and continuing education requirements
|Matissa Sammons MA CCHP, National Commission on Correctional Health Care (NCCHC)||Other|
|Tuesday, November 2, 2021, 4:30 PM - 5:30 PM|
|465 Eye Care Needs of the Geriatric Patient*|
Older individuals often present with eye conditions and pathologies unique to the geriatric population. Their sight may depend on their health care providers recognizing, understanding, and appropriately referring these patients for evaluation of their visual complaints and ocular conditions. This session reviews common conditions and pathologies and explains commonly reported symptoms, clinical signs, referral timetables, and possible treatments for the eye care needs of this growing segment of the correctional population.
Review the symptoms of different eye conditions that commonly affect the geriatric incarcerated population
Describe the clinical signs of commonly seen ocular conditions in this population
Discuss the current treatment modalities of the more commonly seen conditions
|Lorraine Snead OD, OnSite Vision Plans, Inc.|
Edward Berger OD, OnSite Vision Plans, Inc.
|466 Nursing Assessment and Interventions When Caring for the Suicidal Patient|
With suicide being a leading cause of inmate deaths in jails and prisons, it is imperative that nurses have the knowledge and skills required to assess patients and implement appropriate interventions to identify and decrease risks when caring for the suicidal patient.
Discuss statistics related to suicides in jails and prisons
Describe the nurse's role when caring for the patient at risk of self-harm
List nursing interventions for patients in correctional settings who are at risk of self-harm
|Brenda Fields RN, RHIA, PMH-BC, CCHP, Centurion, LLC||Suicide|
|467 Psychopharmacology Update for Correctional Settings*|
Behavioral health and medical clinicians will benefit from this update on current psychiatric medication treatments for the mental health concerns most commonly seen in corrections, including mood, anxiety, psychotic, substance use, and personality disorders. Learn about potential side effects and treatment implications for both chronic and acute mental health concerns. Participants will review when referral for psychiatric care is indicated and how to facilitate collaboration between mental health and psychiatry.
List commonly prescribed psychotropic medications including prescriptive reasoning, intended action, and common side effects
Indicate when psychotropic medications are indicated for common mental health diagnoses
Examine collaboration between medical, behavioral health, and psychiatry
|Justin White DNP, LCSW, PMHNP, CNP, New Mexico State University||Medical|
|468 Two-Drug Regimens: Cost Effectiveness and Roles of HIV-1 Therapy|
Due to availability of more potent antiretrovirals for HIV, there is a renewed interest in drug-sparing strategies, particularly two-drug regimens, to reduce long-term drug-related adverse effects and potentially lower health care costs. This presentation reviews the cost-effectiveness and roles of two-drug regimens as initial and maintenance HIV-1 therapy and provides relevant pharmacologic considerations, including drug-drug interactions and potential challenges.
Review clinical data that support the use of available two-drug antiretroviral regimens as initial and maintenance therapy
Examine the cost-effectiveness of two-drug antiretroviral regimens
Evaluate the roles of two-drug antiretroviral regimens and pharmacological considerations associated with each regimen
|Salin Nhean PharmD, Correct Rx Pharmacy Services, Inc.|
Jean Lee , Correct RX Pharmacy Services, Inc.
|469 Organizational Transparency: Lessons Learned From California's Evolving Experience With Public Reporting*|
In an age of data-driven decision-making and law enforcement accountability, prison system stakeholders -- from families of inmates to the federal court -- increasingly demand access to detailed information about our prison population, operations, and outcomes. This presentation describes California's experience with three recent reporting efforts and offers suggestions about what to do and what not to do when issuing reports to the public.
Name three advantages and three potential pitfalls of public reporting
Describe best practices in public reporting, including documentation standards, accessibility for people with disabilities, and end-user support.
Identify architecture and formats used in public reporting, and how these configurations that might be applied in public reporting.
|John Dunlap MD, CCHP, California Correctional Health Care Services||Technology|
|470 Recognition, Management, and Pitfalls in Substance Intoxication and Withdrawal*|
Overdiagnosis, underdiagnosis, and misdiagnosis of substance abuse overdoses and withdrawals are common hazards in corrections, with deadly outcomes awaiting. Physicians, nurse practitioners, PAs, nurses, and correctional officers all have responsibility and potential liability in this area. This session will cover the diagnosis, monitoring, and treatment of common and uncommon substances in overdose and withdrawal. The session concludes with an interactive discussion of participants' experiences and lessons learned.
Review the presentations and diagnosis of commonly and uncommonly abused substances in overdose and withdrawal syndromes
Describe the monitoring, management, and treatment of these syndromes
State experiences and pitfalls in the management of these syndromes
|Reed Paulson MD, CCHP-P, Oregon Department of Corrections||Medical|
|471 Forgotten Voices: Dementia in Corrections*|
As the prison population ages, prisons are taking on the role of nursing home for long-term care for incarcerated individuals experiencing age-related cognitive decline. This presentation will discuss the creation of a dementia housing unit and training program within a prison setting. Through the use of best practices in dementia screening, environmental interventions, and interdisciplinary coordination, correctional facilities can successfully provide a high standard of care.
Identify common symptoms and behavioral problems found in individuals with dementia
Discuss the use of dementia screening and assessment tools in a prison environment
Describe a training curriculum for inmate aides, security, mental health, and medical staff
|Merideth Smith PhD, CCHP, PSIMED Corrections|
Lauren Latham MA, NCC, LPC, CIT II, PSIMED Corrections
|472 How the New Jersey Commission on Reentry Services for Women Addresses Client Needs: A Case Study|
The health care needs of justice-involved women are extensive. Health care providers can help meet those needs by partnering with advocates to support legislative change. In New Jersey, advocacy resulted in the creation of the New Jersey Commission on Reentry Services for Women. Attendees can learn about ways to partner with advocates to meet the needs of justice-involved women in their own communities and states through this case study.
Identify best practices in how medical providers can partner with advocates and legislators to advance reforms
|Sherri Goldberg MA MPA, New Jersey Commission on Reentry Services||Reentry|
|Wednesday, November 3, 2021, 8:30 AM - 9:45 AM|
|474 Wound Management Essentials for Corrections|
Although acute and chronic wounds are common health problems in prisons and jails, most care providers are not wound specialists. The presenter will give a clear, fast-paced overview of wound assessment, diagnosis, and management that can improve the confidence of correctional nurses and physicians as they deliver and chart wound care. Goals include addressing underlying causes of wounds, preventing and helping resolve infections, decreasing pain, and speeding wound closure.
Describe the four stages of wound healing
Assess wounds well enough to confidently chart the type of wound and stage of healing
Evaluate which features of an ideal wound dressing are most important for a given patient
|Linda Benskin PhD, RN-C, |
Robert Lawrence MD, MEd, Alaska Department of Corrections
|476 Ethical Issues in Correctional Health Care*|
Health care in corrections can be challenging since security concerns often take precedence over health care goals. Concerns can arise over capacity and competency, informed consent and informed refusal, confidentiality and privacy, and dual loyalty. Using case studies, this session will provide guidance in ethical principles and concepts to assist in decision making and ultimately, build confidence in your practice.
Define important bioethical principles and concepts
Identify ethical issues that arise in correctional health care
Apply important bioethical principles and concepts in decision in correctional health care
|Monica Gerrek PhD, MetroHealth System||Ethics|
|477 MAT Problem-Solving in Courts and Corrections: Best Practices, Current Obstacles, Future Pathways*|
Despite much empirical evidence for the success of MAT, there is still disapproval and stigma surrounding it. This presentation involves real results from a partnership between community medical services and Pima County’s criminal justice system. This presentation will explore the history of MAT, recent trends in opioids, best practices, compliance issues, how to implement these practices in criminal justice facilities to keep staff safe, and areas for further collaboration.
Discuss the history of medication-assisted treatment history and FDA-approved medications
Describe how Arizona justice courts, probation, and detention centers are supporting individuals struggling with substance dependence
Evaluate the results of implementing MAT into problem solving courts, probation, and detention/reentry centers
|Patrick Sullivan MPH, Community Medical Services|
Doyle Morrison MA, Community Medical Services
|478 Suicide Watch and Prevention: Balancing Safety and Treatment*|
In many settings, safety concerns for suicide watch often lead to uncomfortable conditions for the person who is on watch. Unwanted outcomes include increased hesitancy to disclose suicide symptoms in order to avoid the restrictions of a suicide safe setting, isolation from others, limited out of cell time, limited possessions in the cell, and limited dietary choices. The presentation reviews the many forms of suicide watch, and describes innovative methods to enhance therapeutic effects without compromising safety.
Differentiate among different levels of suicide watch and associated restrictions using NCCHC standards
Evaluate options available to modify suicide watches
Identify obstacles to effective treatment on suicide watch and strategies to address them
|Dennis Sandrock PhD, CCHP-MH, CFG Health Systems LLC||Suicide|
|Wednesday, November 3, 2021, 10:00 AM - 11:00 AM|
|479 Optimizing Care: Managing the Hepatitis C Patient Registry|
Clinical decision support provides timely health care information to clinicians and patients. Learn how correctional health care programs can use CDS and disease registries to improve communication, safety, prioritization, and longitudinal management of individuals who have hepatitis C. Using CDS and DR provides value by improving safety and efficiency. These tools can not only help identify candidates for treatment, but also uncover patients who may benefit from MAT and community resources after release.
Describe the advantages of using external clinical decision support
List the advantages of creating and/or customizing internal clinical decision support
Review the advantages of creating disease registries
|William Boylan RN-C, FNP, CCHP, Wellpath||Medical|
|480 Nursing Process and Critical Thinking|
As advances in technology continue to influence the medical field, the role the nurse is evolving. One of the nurse's primary responsibilities is to focus on the care and safety of the patient. Theory and practice are the foundations of the nursing process. An integral component of this process is critical thinking. This presentation will look at the importance of the nursing process, evidence-based practices, and the value of critical thinking in promoting patient safety and favorable outcomes.
Describe the nursing process
Define the concepts of critical thinking
Discuss nursing interventions and the goals of patient care
|Sue Medley-Lane RN, CCHP-A, Centurion Health|
Katie Wingate RN, MSN, CCHP, Centurion Health
|481 Engaging Adolescents in the Transformative Power of Music and the Arts*|
The MusicArts Initiative (MAI) is an innovative, evidenced-based intervention that provides culturally and socially appropriate opportunities to stimulate imaginative and creative thinking. It requires learning, teaching, and practicing essential community life skills. The data indicates this intervention serves as a vehicle for positive change for incarcerated adolescents by promoting prosocial behaviors and providing opportunities for essential self-exploration. The presenter will share how the MAI has worked in two juvenile detention facilities to transform lives.
Identify the positive behavioral outcomes of engaging incarcerated adolescents in music and the arts
Discuss required steps for developing a music and arts program
Explain how music and arts provide culture-specific experiences that foster prosocial life skills
|Shauna Ezell PhD, Copper Lake School||Juvenile|
|483 Louisiana State Penitentiary: Textual Analysis of Correctional Staff Views on End-of-Life Care*|
Using Louisiana State Penitentiary as a case study, this session will describe an analysis of correctional staff members views on delivering end-of-life care. This presentation covers the meaningful experiences of staff members participating in a hospice-based peer-inmate program, as well as future research considerations to attain a better understanding of the needs of the dying and their essential providers.
Discuss the experiences of correctional staff who deliver essential care for dying, incarcerated individuals
Examine the role correctional staff members play within correctional hospice-based programs
Summarize the needs of the dying and their providers
|Shivani Kaushik MSW, BSW, Colorado State University||Professional Issues|
|484 National Response Plan for Suicide Prevention in Corrections|
The goal of suicide prevention is to reduce risk before it becomes a crisis and, when necessary, defuse a crisis before it becomes fatal. Understanding of suicide risks and warning signs in incarcerated populations is expanding, and effective prevention strategies and interventions are in use. Through the Suicide Prevention Resource Guide, NCCHC and the American Foundation for Suicide Prevention are working to reduce suicide in jails. This session focuses on three areas: assessment, intervention and treatment, and training.
Describe suicide risks and warning signs specific to incarcerated populations
|James Martin MPSA, CCHP, National Commission on Correctional Health Care (NCCHC)||Suicide|
|Wednesday, November 3, 2021, 11:15 AM - 12:15 PM|
|485 Managing Risk in Correctional Health Care*|
Improve patient and staff safety with effective approaches to the major risk areas for correctional health care: high-risk patients, workflow challenges, and critical thinking skills. Review the roles of diagnostic error, communication, documentation, and clinical inertia in creating and mitigating risk. The presentation is based on the STEEEP (Safe, Timely, Efficient, Equitable, Effective, and Patient Centered) principles promoted by the Institute of Medicine. Learn new tools to improve patient care and staff engagement.
Discuss the effects of diagnostic uncertainty
Identify workflow issues that can be addressed to mitigate risk
Explain the characteristics of high-risk patients
|Carl Keldie MD, CCHP, Wellpath|
Judd Bazzel , Charles B. Webster Detention Center
|486 What's Inside the Box: Requirements for Effective Sick Call System|
An effective sick call system is a key component to a patient's access to care. Depending on the facility type and resources available, responses to patient care requests can be accomplished in various ways. This presentation will provide administrators, nurses, and providers with knowledge of national standards related to responding to nonemergency health care requests from patients, including discussion of common pitfalls with sick call systems.
Review national standards related to nonemergency health care requests and services
Describe various systems for conducting sick call
List common pitfalls with sick call systems
|Tracey Titus RN, CCHP-RN, CCHP-A, Centurion, LLC||Nursing|
|487 Enhancing Mental Health Clinical Supervision in Jails and Prisons: Recent Study Findings and Recommendations*|
This presentation will present findings from a phenomenological, qualitative research study that included in-depth interviews with 22 Master's and Doctoral-level, correctional mental health professionals in Colorado. Particular attention will be paid to the themes related to clinical supervision of correctional mental health professionals. It will explore the roles of clinical supervision versus "management" with a focus on enhancing clinical supervision resources for mental health staff. A model for correctional supervision will be presented and explored.
Identify key theoretical explanations related to the experience of correctional mental health professionals
Explain a proposed model of correctional clinical supervision for mental health professionals
Analyze the study's findings related to clinical supervision for correctional mental health professionals
|Stephanie Gangemi PhD, LCSW, University of Colorado||Mental Health|
|488 Risk Factors for SARS-CoV-2 in a Statewide Correctional System*|
Throughout 2020, jails and prisons were a flashpoint for concerns over COVID-19. This presentation will describe the steps taken to address the COVID-19 pandemic during the first wave in the Connecticut combined jail-prison system. It will also cover the presenter's research findings on facility- and individual-factors leading to poor outcomes, and the challenges and solutions medical leaders faced in policy, implementation, and data analysis.
|Byron Kennedy MD, PhD, MPH, Connecticut Department of Corrections|
Amy Houde LCSW, Connecticut Department of Corrections
|489 Mission Possible: A Healthy High Performance Workforce*|
One of the greatest threats to correctional workforce wellness involves the stress encountered on the job. The effects of stress extend to the correctional agency through reduced work performance, absenteeism, and employee turnover. The session will share evidence-based practices and resources for individuals and organizations to manage these issues. Take this opportunity to try brief stress-modifying behaviors and discuss adaptation to your workplace.
Define personal and organizational wellness
List three wellness behaviors
Describe one personal and one organizational strategy to promote wellness
|Ramesh Upadhyaya MBA, RN-C, CCHP, North Carolina Department of Public Safety|
Deborah Shelton PhD, RN-C, CCHP,
Annette Maruca PhD, CCHP, University of Connecticut
|490 Improving RCAs: Using Technology and Hierarchy of Effective Interventions for More Sustainable Actions*|
In this pilot project, a multidisciplinary team convened to enhance root cause analysis practices to take more effective, systems-based actions to ensure patient safety. By using cognitive aids and building RCA best practices into technological platforms, staff was able to identify and select causal factors beyond human factors with greater than 85% efficiency. Because of the resource challenges in correctional health care, technology systems can be an important element in hardwiring quality improvement.
Identify common root cause types for events in health care
List relevant causal factors for most common root cause types
Differentiate between intermediate and stronger, more sustainable actions
|Mashekia Jones Slack DNP, Wellpath|
Sheri Saluga , Wellpath
|Wednesday, November 3, 2021, 1:45 PM - 3:00 PM|
|491 Handheld Point-of-Care Ultrasound Technology: An Emerging Tool for Clinical Decision Making|
Point-of-care ultrasound is an innovative tool with applications that can quickly provide diagnostic images, resulting in rapid important clinical information and quality medical management. POCUS applications can be used in the work-up of multiple disease conditions including trauma, gastrointestinal emergencies, musculoskeletal complaints, and dermatological conditions. The application in initial gastrointestinal foreign body evaluation, toxicology, or infectious disease could be extremely helpful in corrections. The session includes a live demonstration of common POCUS techniques.
Review common POCUS procedures in the correctional medicine setting
Recognize potential innovations for POCUS procedures in corrections
Explain common high-impact POCUS procedures
|John May MD, CCHP, Centurion, LLC|
Jonathan Meadows DO, MS, MPH, CPH, DTM,
Susan Rashid DO, Nova Southeastern University
Johnny Wu MD, CCHP-P, CCHP-A, Centurion, LLC
|492 Ethical Nursing Practice: Why It Is Important and the Impact on Safe, Quality Care|
Correctional nurses encounter unique ethical challenges. Education and nursing experience may not prepare the nurse to address the ethical tension that arises when professional practice and work culture collide. The choices nurses make can have an impact on their mental health, professional practice, and the delivery of quality patient care. This presentation answers the "why" of nursing ethics and offers empowerment strategies.
Identify three areas of ethical dilemmas unique to nursing and correctional health care
Examine at least two experiences that have created ethical challenges
Create an action strategy address to ethical issues that impact patient outcomes
|Patricia Blair PhD, JD, CCHP-RN, CCHP-A, University of Texas Medical Branch|
Mary Muse MSN, RN, CCHP-RN, CCHP-A, Wisconsin Department of Corrections
|493 Understanding Psychopathy: From Clinical Lore to Recent Evidence-Based Outcomes*|
Psychopathic individuals are overrepresented in corrections at a rate 15 to 25 times higher than the general population and are more likely to engage in disruptive behavior. While clinical lore posits that they are “untreatable,” potentially successful interventions focus on treating interfering characteristics and behavioral manifestations. The session will include the clinical and behavioral traits of psychopathy, recent advances of the biopsychosocial model for understanding psychopathy, treatment issues, and new novel interventions.
Explain the interpersonal and behavioral manifestations of psychopathy
Examine the biopsychosocial model of psychopathy
Apply the general tenets for developing a treatment program for psychopathic patients
|Joel Andrade PhD, LICSW, CCHP-MH, Centurion, LLC||Mental Health|
|495 Strategies to Maintain HIV Viral Suppression After Release to the Community*|
This presentation focuses on a new federally funded demonstration project implemented by the South Carolina Department of Health and Environmental Control, the South Carolina Department of Corrections, and the University of South Carolina School of Medicine. The project’s aim is a sustainable program supporting continuity of HIV medical care for people released from state prisons into the community, emphasizing postrelease care engagement, adherence to treatment, and viral suppression.
Describe the benefits of public health and corrections partnerships to improve outcomes across the HIV care continuum
Analyze South Carolina's approach to engage priority populations, partners, and stakeholders to implement a pre- and postrelease discharge planning program for incarcerated persons with HIV
Identify early lessons learned for successful community reentry for incarcerated persons with HIV to maintain care and treatment outcomes
|Cheryl Brown , Prisma Health Immunology Center|
Melanie Davis MT(ASCP), CCHP, South Carolina Department of Corrections
Monetha Gaskin MPH, South Carolina Department of Health and Environmental Control
Raekiela Taylor , Centers for Disease Control and Prevention
|496 Sex Offense Treatment for Individuals With Neurocognitive and Developmental Disorders: Practical Applications*|
Research indicates treatment adaptations are necessary for clients with neurocognitive and developmental delays to be successful in sex offense treatment. This presentation will outline common challenges that warrant adaptive treatment and common adaptations made for treatment. Practical applications will be discussed through comparing traditional treatment assignments to adapted assignments and providing case examples. Treatment approaches are based on cognitive behavioral therapy, dialectical behavioral therapy, and acceptance and commitment therapy.
Recognize different neurodevelopmental and neurocognitive disorders that require adapted treatment approaches
Differentiate between traditional treatment approaches and adapted treatment approaches
Describe application of adapted treatment approaches
|Nathaniel Burt PhD, Washington Department of Corrections|
Megan Reese PsyD, Washington Department of Corrections
Amanda Fenrich MA, Washington Department of Corrections
|Wednesday, November 3, 2021, 3:15 PM - 4:15 PM|
|497 Improving Your Skills When the Patient Shakes*|
The prevalence of epilepsy in the population is 1%; among these patients, intractable epilepsy is 20% to 40%. In correctional settings, health care professionals see many "seizures." Some are real, some are not. This presentation features videos of people having epileptic seizures, psychogenic seizures, and other types of "shaking episodes" to illustrate the different types of seizures and the clinical differentiation of a seizure versus a psychogenic seizure.
Explain the clinical differences between a partial versus a generalized seizure
Examine the clinical scenario where one would consider a cardiac etiology for a patient's shaking
Identify the common clinical entities for a pseudoseizure
|Thomas Minahan DO, CCHP, Vituity||Medical|
|498 Nutritional Challenges of Incarcerated Women*|
Regulated nutritional standards allow public health and criminal justice professionals to improve predominantly marginalized populations’ health and reduce disease burden and health care costs. Drawing on the New Jersey Commission on Women’s Reentry objectives, this session describes nutrition in prison and challenges to the delivery of a well-balanced diet, including the accessibility of religious and cultural diets, availability of special dietary considerations for pregnant people, lack of nutritional awareness among the incarcerated, and associated costs.
Review current nutritional and health conditions of women in correctional facilities
Analyze existing challenges to adequate nutrition for women in correctional facilities
Discuss the importance of implementing nutrition templates in correctional facilities
|Khadija Alshowaikh MD, Womens Health Institute||Women's health|
|500 Tips to Plan and Deliver Highly Effective Virtual Learning Experiences*|
Prior to COVID, many viewed in-person as the only way to provide effective learning for staff training. In the past year, it became imperative to find alternatives. Facilities have found that not only is virtual learning COVID-safe, but it also supports consistency across the country without the barriers of distance, travel, time zones, expenses, and work schedules. The presenter will share tips for planning and delivering engaging and successful virtual learning experiences for correctional staff.
Discuss the pre-planning phase of preparing a virtual learning course
Identify steps the facilitator and host can take to encourage participation during the delivery of a virtual learning course
Demonstrate how to use participant feedback to enhance future sessions
|Brenda Fields RN, RHIA, PMH-BC, CCHP, Centurion, LLC||Professional Issues|
|501 Connecting With the Community: Data-Sharing Arrangements for Better Handoffs*|
In 2020, the California prison system revolutionized the way it provides substance use treatment. The new approach requires close communication with state parole and county probation partners to help patients safely transition to the community after release, facilitated through a real-time information-sharing portal. This presentation describes the new portal, how data is used, and plans to expand the exchange of data with county and state agencies. Data sharing also may help track patient outcomes in the future.
Describe the technologies used to create the information-sharing portal between the CDCR and California's 58 counties
Identify four types of data shared through the CDCR's prerelease registries
Analyze data-sharing opportunities at the state level that could be used to improve future services
|John Dunlap MD, CCHP, California Correctional Health Care Services||Quality|
|502 The Pandemic's Impact on the Mental Health of Health Care Professionals and Front-Line Staff*|
Research is beginning to reveal the emotional toll on mental health from the pandemic. One of the hardest hit groups are those working in health care. Reports of nurse and physician suicides shine a spotlight on the fear, devastation, and social isolation experienced by so many. This presentation will highlight recent studies regarding the impact on mental health, the increase in suicide and mental suffering, and strategies to provide support for health care staff.
Describe the impacts of the pandemic on the mental health of health care providers and frontline workers
Discuss the risk for suicide for health care professionals and frontline workers
Identify strategies to recognize signs of emotional distress related to the pandemic
|Diane Kearns MEd, LPC, CCHP-MH, Centurion, LLC||Suicide|