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I am currently doing some work in the correctional system. EOP stands for enhanced outpatient program which is like a partial hospitalization program, (daily groups, individual therapy weekly, monthly meeting with psychiatry). There is also CCCMS which is Correctional Case Management System, which pretty much is just standard outpatient, (no groups, see psychiatry once every 3 months). There is also a department called Crisis Bed which are like inpatient beds. Lastly there is the General Population.
There usually is no mixing of the general population which includes CCCMS and patients in the EOP program. They have different buildings, different yard times, different lunch times and so on. Many inmates want to be EOP because there are many advantages such as being out of the cell more often, having one on one with therapist some of which are female, correctional officers are "nicer," some fun groups like painting, movies sometimes, stuff like that and lastly there is less of a risk of violence.
So who gets to be a part of EOP? Great question. Patients with significant psychiatric symptoms including mostly mood and psychotic disorders. The thing is, there is so much litigation by inmates that it has lead to over reacting to inmate reports, thus allowing people to get easily get into EOP and say whatever they need to stay in EOP. If someone says they are suicidal, they get taken to the Crisis Bed (inpatient) right away. Some inmates are indeed suffering for MDD and are having worsening SI, but others just want a change of setting or are in trouble with other inmates and need a quick out. There is no system in place to evaluate SI and suicide risk assessments allowing for increased monitoring, suicide precautions, increased visits with psychology and psychiatry, they just get sent to Crisis Bed (inpatient). It also does not help that inmates know to "go suicidal," after 5pm. When I have seen inmates really want to get out to Crisis Bed, but denied, they start superficially cutting arm saying "you see I am suicidal." Psychology evaluate the inmates when they say they are suicidal and most of the time, they send them out to Crisis Bed (inpatient).
In addition many inmates use drugs and become psychotic or manic and get schizophrenia diagnosis and to EOP they are sent. When they try to graduate them out of the program, every 90 days, the inmates "decompensate," reporting increased psychosis, depression or SI. Despite functioning just well in other aspects of their day, like socializing with other inmates, participating effectively in groups, and overall doing well. They end up staying, because EOP is a great place to be an inmate.
My question is if anyone has had this experience in the correctional system? If so, are there any good systems out there that might reduce the way the institution responds to inmate malingering?
There usually is no mixing of the general population which includes CCCMS and patients in the EOP program. They have different buildings, different yard times, different lunch times and so on. Many inmates want to be EOP because there are many advantages such as being out of the cell more often, having one on one with therapist some of which are female, correctional officers are "nicer," some fun groups like painting, movies sometimes, stuff like that and lastly there is less of a risk of violence.
So who gets to be a part of EOP? Great question. Patients with significant psychiatric symptoms including mostly mood and psychotic disorders. The thing is, there is so much litigation by inmates that it has lead to over reacting to inmate reports, thus allowing people to get easily get into EOP and say whatever they need to stay in EOP. If someone says they are suicidal, they get taken to the Crisis Bed (inpatient) right away. Some inmates are indeed suffering for MDD and are having worsening SI, but others just want a change of setting or are in trouble with other inmates and need a quick out. There is no system in place to evaluate SI and suicide risk assessments allowing for increased monitoring, suicide precautions, increased visits with psychology and psychiatry, they just get sent to Crisis Bed (inpatient). It also does not help that inmates know to "go suicidal," after 5pm. When I have seen inmates really want to get out to Crisis Bed, but denied, they start superficially cutting arm saying "you see I am suicidal." Psychology evaluate the inmates when they say they are suicidal and most of the time, they send them out to Crisis Bed (inpatient).
In addition many inmates use drugs and become psychotic or manic and get schizophrenia diagnosis and to EOP they are sent. When they try to graduate them out of the program, every 90 days, the inmates "decompensate," reporting increased psychosis, depression or SI. Despite functioning just well in other aspects of their day, like socializing with other inmates, participating effectively in groups, and overall doing well. They end up staying, because EOP is a great place to be an inmate.
My question is if anyone has had this experience in the correctional system? If so, are there any good systems out there that might reduce the way the institution responds to inmate malingering?