Current through Register Vol. 63, No. 9, September 1, 2024
(1) Health
Screening at Intake: During the admission process each AIC shall receive a
baseline medical, dental, and mental health evaluation.
(a) The medical evaluation shall consist of a
physical examination and medical history including a review of available
information and verification of any medication, care, or treatment
requirements. The evaluation should include consideration of an AIC's potential
need for eyeglasses, hearing aids, or other devices that may be necessary to
perform activities of daily living or to participate in Department programs,
services, or activities. The evaluation should occur within seven days of
admission.
(b) A dental screening
will be performed by authorized Health Services staff within seven days of
admission that includes visual examination of the teeth and gums with any
obvious abnormalities or AIC complaints noted.
(A) A baseline dental intake examination
shall be completed by a fully licensed dentist within 30 days of admission to
include review of the dental and medical history, charting of the teeth
including identification of decayed, missing, or filled teeth, examination of
the oral cavity, diagnostic X-rays (as indicated), oral hygiene instructions,
access to care instructions, inquiry regarding emergent or urgent dental
problems, and documentation of procedures performed in the dental record by the
dentist. If there is documented evidence of an examination of the AIC's dental
condition within the previous year, a dental exam is not required unless
determined to be clinically necessary by the treating dentist.
(B) Access-to-care instructions are given
such that AICs are aware of how to follow up with dental care at the receiving
institution. Formal treatment plans are not provided as part of the intake
examination. They are performed at the receiving institution per AIC
request.
(c) The mental
health evaluation will include a screening for the presence of mental illness
and suicide history. AICs who have a history of mental illness, or suicide
attempts, or who report current suicidal ideations will be referred for further
evaluation by a mental health treatment provider. AICs with mental illness will
be housed in a facility with services appropriate for their treatment
needs.
(d) A clinical record will
be initiated at the time of initial admission into the Department of
Corrections.
(e) If the AIC has a
documented baseline evaluation from the department within the previous 90 days,
the prior evaluation and health record is reviewed and updated as clinically
necessary.
(f) AICs will be
informed of relevant recommendations based on the baseline health evaluations
and will be provided with self-care instruction.
(2) Health Screening at Transfer: A brief
health screening shall be completed on all AICs received on intra-department
transfers by Health Services staff at the receiving facility. This shall
include review of medical, dental, and mental health records information
transferred with the AIC and verification of any care or treatment requirements
prearranged by the sending facility Medical Services manager. This information
will be used to determine disposition of the AIC.
Statutory/Other Authority: ORS
179.040,
423.020,
423.030 &
423.075
Statutes/Other Implemented: ORS
179.040,
423.020,
423.030 &
423.075
