The mission of this 18-bed unit is to provide inmates with programming, treatment and structure as an alternative to placement in a Disciplinary Confinement Unit or an Administrative Confinement Unit, or when deemed clinically appropriate. In February 2018, a Residential Treatment Unit was established at the High Security Center.
In the past 5 years, RIDOC has seen an increase in the number of severe and persistently mentally ill (SPMI) inmates entering our facilities, with the number in the RIDOC being approximately 15-20% at any given time. For patients who lack the capacity to understand the benefits of treatment or the risks of refusal, psychiatric staff work closely with the Office of Legal Counsel and Supervisory staff to obtain court-mandated treatment services (Petition for Instructions, Specialized Service Transfers to Eleanor Slater Hospital), ensuring that the patients receive the treatment necessary to maintain their safety and the safety of the institution. Psychiatric staff work closely with the clinical and supervisory staff as part of a treatment team for the highest possible level of coordinated mental health care services. On-call coverage is also provided by Rhode Island Hospital during weekend and evening hours. There are a number of psychiatrists under contract with the Department to provide approximately 44 to 48 hours per week of psychiatric care for the sentenced facilities, and 40 hours per week for the Intake Service Center. Approximately 40% of our population is prescribed psychotropic medication. Psychiatric services are provided through contracts with Rhode Island Hospital/Lifespan Department of Psychiatry for both the sentenced and awaiting-trial facilities. A specialized mental health discharge planner is assigned to work with all sentenced inmates who are designated as Community Support Program (CSP) eligible.
Discharge planning services are provided to all inmates receiving mental health and psychiatric treatment to ensure continuity of care. A psychiatric Occupational Therapist provides 28 hours per week of individual and group occupational therapy to inmates at the High Security Center. Mental Health treatment is provided via a variety of methods including individual and group therapy medication-based treatment psychoeducational interventions and evidenced-based behavioral interventions including cognitive-behavioral therapy (CBT) Dialectical Behavioral Therapy (DBT) Motivational Interviewing and Anger Management. All inmates are assessed for suicide risk and need for mental health services upon commitment to the Department, and on an ongoing basis throughout their time served. RIDOC utilizes a three-tier system of observational statuses for inmates who present with a potential risk to harm themselves or others. Staff provide services on-grounds between the hours of 8:30am - 8:30pm, with 24-hour, 7 days per week on-call coverage provided by the Clinical Director and Supervising Clinical Psychologist.īehavioral Health Services is tasked with a variety of duties, including the ongoing evaluation and monitoring of all inmates who present with a level of risk for suicidal behavior. Each facility is assigned a team of clinical staff that is proportionate to the population being served. The Behavioral Health Unit is staffed by sixteen RIDOC employees, including the Clinical Director, the Supervising Clinical Psychologist and fourteen (14) Clinical Social Workers. The primary function of this unit is to provide mental health treatment services to inmates who have been remanded to our custody and care. Victim Information And Notification Everyday (VINE).Transitional Services & Discharge Planning.
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