Having a basic understanding of EKG interpretation can assist the medical staff in identifying life-threatening conditions and help identify patients who require urgent medical care. This talk will instruct participants in the components of a normal EKG so that abnormalities can be more readily identified.

Learning Objectives

• Review the EKG and how it differs from a rhythm strip
• Explain how to identify an acute myocardial infarction on an EKG
• Describe how to identify arrhythmias on an EKG

Level: Basic

Medication costs represent a large portion of many correctional institutions? budgets. The 340B Drug Pricing Program offers a crucial opportunity to access significant savings and reduce program costs. However, identifying these opportunities and navigating the compliance risks under the 340B program can be difficult. This presentation will discuss the 340B program, describe key program opportunities for correctional health care providers, and carefully review best practices for achieving optimal program compliance.

Learning Objectives

• Summarize the history and purpose of the 340B Drug Pricing Program
• Describe Legalcompliance and best practices in participating in the 340B program
• Discuss ways to maximize savings through the program

Level: Intermediate

Correctional stress happens to us physically and emotionally when work exposes us to distressing situations. Even on a good day, it is a serious hazard for staff working in corrections. The pandemic and other national events have unbalanced our lives. Recognizing how these events impact chronic stress exposure will help staff maintain the high judgment necessary to optimally cope. The speaker will explore these risks and share ways to reduce the impact through life-balancing techniques.

Learning Objectives

• Discuss correctional stress and its impact in today's environment
• Explore correctional stress as an occupational risk
• Discuss choices for stress prevention and intervention

Level: Basic

Anemia is commonly encountered in incarcerated patients and can be the result of either benign or malignant conditions. Identifying the underlying etiology is the first step to correcting the problem. A careful review of the complete blood count can assist the health care provider in identifying the etiology and dictate the actions needed to correct the problem.

Learning Objectives

• Describe how to recognize early signs and symptoms of anemia
• Differentiate anemia according to mean corpuscular volume values
• Discuss the approach to work-up and treatment of iron deficiency anemia

Level: Basic

Nursing assessment protocols are written instructions or guidelines that specify the steps to be taken when evaluating a patient's clinical symptoms. These guidelines are advantageous to both the experienced and the inexperienced nurse professional when used appropriately. Facilitators will discuss how to properly utilize these tools and how to avoid common pitfalls in documentation whether using paper or electronic health records.

Learning Objectives

• Describe how nursing protocols assist in providing evidence-based quality patient care
• Review the anatomy of a nurse protocol
• Outline chart reviews as a solution for quality documentation

Level: Basic

Expanding access to MOUD in carceral settings has become a nationwide initiative. Understanding Center for Substance Abuse Treatment certification of opioid treatment programs and the specific regulations pertaining to such programs can be challenging. During this presentation, SAMHSA will provide an overview of the OTP certification process and the various MOUD models applicable to the carceral setting.

Learning Objectives

• Summarize the regulatory oversight and the OTP certification process
• Identify the MOUD models most applicable to the carceral setting
• List the first steps to becoming provisionally certified

Level: Basic

Whether it's for religious, moral, or health reasons, certain foods are off-limits for some people. Knowing about your patient's dietary restrictions is key to successful medical management. This presentation will review the Top 10 most common dietary restrictions and how to better inform facility nutritional services staff concerning meal preparation, review food allergy clinical guidelines, and demonstrate an electronic management system.

Learning Objectives

• Discuss how to identify and manage therapeutic diets and food allergies in correctional settings
• Describe the value of electronic systems to record data
• Explore methods for properly communicating with security, dietary, and volunteer services staff

Level: Intermediate

Mental health issues are at an all-time high throughout the nation. One person commits suicide every 10 minutes, and one person overdoses every 5 minutes. These issues are even more prevalent in the correctional system. This discussion will examine the trauma tapping program being used in the Chesterfield County Jail. Participants will learn to tap and leave with a foundation for understanding mental health through a different lens.

Learning Objectives

• Describe what tapping is and how it relates to trauma and the nervous system
• Explore the science of tapping and why it is effective
• Discuss the benefits of tapping for incarcerated patients

Level: Basic

Correctional health care is a unique and challenging environment that requires strong leaders. Whether you are in a current leadership position or just beginning a correctional health care career, everyone has the potential to lead in a variety of situations. This presentation, led by speakers with over 40 years of leadership experience, will outline common values and techniques of leadership as well as common pitfalls, applying them to real-life correctional health care challenges.

Learning Objectives

• Review common leadership styles and techniques
• Discuss how common leadership styles and techniques apply to challenges in a correctional health care environment
• Describe common pitfalls in correctional health care leadership experiences

Level: Intermediate

Prostate cancer is the most common malignancy encountered in corrections. While screening guidelines are well standardized, therapy options have become increasingly more complicated. Active surveillance remains a reasonable therapy option while robotic surgery can be considered the default therapy of choice in terms of cost and long-term complications. Advances in radiation therapy have expanded treatment options and can reduce the number of off-site transports. The role of new therapeutics, including hormonal options and novel radiopharmaceuticals, will be discussed, along with their effect on physicians' treatment decisions and patient outcomes.

Learning Objectives

• Identify patients appropriate for PSA screening
• Review treatment options for patients with low, intermediate, and high-risk prostate cancer
• Discuss hypo fractionated radiation therapy

Level: Intermediate

Health care workers in the correctional setting can become desensitized to their patient population and begin to view them merely as ?inmates.? This presentation will review the psychological research on desensitization in the correctional setting, Legaland financial risks associated with desensitized medical personnel, and strategies to reduce desensitization in the workplace. Presenters will use Legalcase

Learning Objectives

• Describe the psychological phenomena of desensitization and compassion fatigue in the correctional setting
• Examine the impact of desensitization and compassion fatigue from a review of Legalcase studies
• Discuss how to identify and prevent desensitization and compassion fatigue in the workplace

Level: Intermediate

Premenstrual dysphoric disorder has been in the diagnostic lexicon since 2013. Since then, we have come to understand the impact of PMDD on women's well-being, treatment options, and the biological origins. Participants will learn about the advances in understanding PMDD, including best practices in assessment and treatment, and how these practices could be adapted to address PMDD within a prison population.

Learning Objectives

• Discuss the diagnostic criteria of premenstrual dysphoric disorder
• Describe best practices in pharmacological and psychotherapeutic treatment of PMDD
• Examine the relationships between PMDD, impulsivity, and suicidal behavior within a prison population

Level: Basic

Untreated diabetes in incarcerated individuals leads to adverse health outcomes and higher rates of recidivism. This presentation focuses on the First Step Act "Managing Your Diabetes" evidence-based recidivism reduction program, which aims to engage patients in their diabetes care, enhance health literacy, and improve diabetes outcomes during their incarceration. The methods can be applied to establish a comprehensive course that equips patients with the skills to effectively manage their diabetes.

Learning Objectives

• Summarize barriers affecting diabetes mellitus outcomes in a correctional setting
• Demonstrate how the Managing Your Diabetes program can increase health literacy and optimize patient engagement in diabetes care
• Examine how the Federal Bureau of Prisons employed the Managing Your Diabetes program to improve diabetes clinical outcomes

Level: Intermediate

This workshop will review the literature on the experiences of transgender and gender diverse individuals' interactions with the criminal justice system and present a facilitated discussion of procedures for the care of TGD individuals. The speaker will discuss changes to the newly released Version 8 WPATH standards of care with emphasis on how these guidelines apply to members of this population who sexually harm other people.

Learning Objectives

• Discuss changes in Version 8 of the WPATH standards of care and their implications for the sexual offending treatment of TGD individuals
• Describe treatment of dynamic risk of sexual harm for individuals experiencing gender dysphoria
• Summarize the institutional transgender experience

Level: Intermediate

Approximately 85% of incarcerated individuals have problematic substance use, and mental illness is twice as common in incarcerated people as the general population. Even if treated during incarceration, there is a tremendous need to support people with substance use and mental health issues after release to reduce recidivism and overdose rates. Successful methods to provide this support can include peer engagement specialists, guidance toward educational and community resources, and family support where appropriate.

Learning Objectives

• Review how untreated substance use and mental health issues contribute to recidivism and reentry challenges
• Summarize evidence-based methodologies that keep people engaged in treatment and recovery
• Describe how including family members in an individual's recovery journey can have a profound impact on their success

Level: Intermediate

Many incarcerated individuals suffer from asthma and/or COPD, and with so many inhaler devices and ingredients, inhaler therapy can be complicated ? but it doesn?t need to be! This talk provides a comprehensive overview of the current inhaler landscape, simplified treatment approaches to asthma and/or COPD, a review of inhaler technique, and a discussion on the use of spacers to improve therapy.

Learning Objectives

• Review the assessment and diagnosis of asthma/COPD and how to properly stage patients
• Discuss the management approach for asthma/COPD including various treatment options and their place in therapy
• Describe different inhaler types, proper inhaler technique, the different types of spacers, and when and how to use

Level: Intermediate

The presentation describes cases involving a competent clinical assessment of suicide risk during which the patient assured the clinician that they were not thinking of harming or killing themselves, yet within seven days committed suicide. These unfortunate outcomes appear to now over-influence suicide prevention policies and the costs of suicide prevention. Despite the expense, both emotionally and economically, information and studies regarding lethal suicide deniers are lacking.

Learning Objectives

• Discuss the reality of false negatives in suicide prediction and prevention
• Explore the limits of behavioral predictions concerning suicidality
• Identify ways to cope with an investigation or lawsuit resulting from a false negative assessment for acute suicide

Level: Intermediate

The level of employee burnout is very high and often overlooked for those who work in the "helping" fields such as social work and emergency response. This talk will present the Cook County Juvenile Detention Center's annual staff training program that covers stress, burnout , relaxation techniques, and every aspect of wellness (physical, emotional, social, intellectual, environmental, spiritual, vocational and financial).

Learning Objectives

• Define terms such as compassion fatigue, burnout, workplace/occupational stressors, and relaxation techniques
• Describe how to set up a health fair for staff members of a juvenile detention center facility
• Analyze survey data on the event's effectiveness and satisfaction

Level: Basic

The presentation will discuss consultation logistics. Medicare has interprofessional consultation codes that providers can use to bill for their time reviewing a clinical question (in an asynchronous manner without seeing the patient in person). Taking advantage of these codes could provide your site provider with a clinical learning opportunity and a faster consult at a lower cost. Examples of ways to streamline your consultation favorites will be reviewed.

Learning Objectives

• Describe the methods that a primary care provider can use to provide broad scope care and reduce the number of off-site requests
• Review how a PCP can find a specialist to work with initially on an asynchronous basis with an option for care progression
• Explore ways to objectively evaluate the quality of the specialty consults you receive at your facility

Level: Intermediate

Validation is one of the best extinguishers we have for conflict and defensiveness, yet many people don't necessarily think of it as a specific strategy. This presentation will highlight the importance of validation within interpersonal interactions and teach the "how to's" of applying it effectively and genuinely. Do's and don'ts of effective validation will be discussed as well as the function and potential benefit of accurate invalidation.

Learning Objectives

• Differentiate the definitions of validation and agreement
• Name at least three different types (levels) of validation
• Determine what to avoid validating

Level: Basic

Medications for opioid use disorder have historically not been provided in correctional facilities despite the need among people who are incarcerated. Inadequate funding is often cited for the lack of prison and jail opioid use disorder treatment programs. Until recently, Medicaid was not a funding source for correctional health programs. This presentation highlights recommendations for OUD standards of care, performance measures, and payment models for Medicaid-covered services.

Learning Objectives

• Restate the correctional standards for OUD care recommended for Medicaid reimbursement
• Name the performance metrics that can inform research and protocols for tracking the quality of services provided to individuals during incarceration and reentry
• Discuss practical challenges that prisons and jails may have in implementing Medicaid reimbursement for opioid use disorder treatment

Level: Intermediate

This talk will provide practical, corrections-orientated information on how to manage patients with prosthetics. Providers will learn how to medically and functionally evaluate amputee patients to determine if and what type of prosthetic is indicated. Important insight into how to manage new amputees will provide an important framework to allow for prosthetic success. Finally, practical guidelines and advice on how to rehabilitate new amputees will be shared.

Learning Objectives

• Develop a basic understanding of prosthetics and potential problems that can occur
• Identify conditions and comorbidities that affect prosthetic patient outcomes
• Discuss strategies to prepare new amputees for future prostheses

Level: Intermediate

Women in corrections remain underrepresented as officers, supervisors, and administrators, while overrepresented in stereotypically female support roles in mental health and nursing. Overt sexism is no longer socially acceptable, yet research indicates women encounter "subtle sexism" in the form of gender microaggressions, especially in male-dominated environments. This presentation will define gender microaggressions experienced by women in corrections, examine its negative impact on the workforce, and provide practical recommendations for inclusivity.

Learning Objectives

• Cite factors within corrections contributing to the occurrence of gender microaggressions and the double bind
• Discuss examples from the corrections research literature of gender microaggressions, the double bind constellation, and their negative impact on women
• Explore practical steps that individuals and organizations can take to decrease subtle sexism to develop a more inclusive and productive workplace

Level: Basic

Presenters will describe how the Corrections Anger Management Program created by correctional staff in the Illinois DOC has reduced disciplinary infractions by 33% and self-reported aggression by 8%. CAMP imbues the CBT approach to behavioral change with difficult and untouched topics such as moral development and forgiveness in correctional settings. Find out if CAMP could work in your facility.

Learning Objectives

• Summarize the success and challenges of creating and implementing the Corrections Anger Management Program in Illinois
• Name the key components of the Corrections Anger Management Program
• Analyze the CAMP data with regard to the program's effectiveness

Level: Intermediate

"Walking a Tightrope: Understanding, Identifying, and Managing Moral Distress in Prison Nurses" is an evidence-based, online educational module that was pilot tested as part of a quality improvement project. Nine RNs working at a medium-security, 1,550 bed prison in the Midwest watched the module and 75% completed both pre-and posttests. Participants provided positive feedback about the knowledge they gained on moral distress in prison health care.

Learning Objectives

• Review concepts of moral distress/moral resilience and the environmental factors that contribute to moral distress
• Describe pilot study findings concerning strategies to manage moral distress
• Explore strategies that promote moral resilience

Level: Intermediate