Department Operations Manual

62050.9.1 BPT Placement Requests Processing A BPT recommendation for placement of an inmate in a departmental program for diagnosis or treatment shall be entered on BPT Forms 1010 and 1001. The counselor shall schedule the inmate for post-board classification and discuss the BPT request with the inmate. If the inmate agrees with the request and there is no problem in satisfying the request, the case shall be referred to a CSR. If the inmate refuses to participate, the committee shall note their refusal on the CDC Form 128G and bring the refusal to the BPT ’ s attention at the inmate ’ s next regularly scheduled Board hearing. 62050.10

62050.10.4 Confidential Information Verification/Disclosure An inmate shall not be placed or retained in segregation on the basis of undisclosed information unless staff verifies that to identify the source of information would endanger the safety of the source or institutional security. When confidential information is used to place or retain an inmate in AD-SEG or to support charges on a CDC Form 115, Rules Violation Report; a Confidential Information Disclosure (CDC Form 1030) shall be prepared [refer to DOM 61020]. A copy of the confidential information disclosure form will be given to the inmate at least 24 hours prior to the initial AD-SEG classification review or the disciplinary hearing. The document shall reveal as much information as possible without identifying the source. The document shall evaluate the reliability of the source and a statement of the reasons why the identity of the source is not disclosed.

62050.10.5 AD-SEG Procedure Reason for Placement All determinations affecting an inmate ’ s placement, degree of custody, or program while in AD-SEG shall be through the classification process. Authority to order an inmate ’ s placement shall not be delegated below the level of lieutenant except when lower level staff is the highest-ranking official on duty. Within 48 hours of AD-SEG placement, a staff member not less than a lieutenant or CC-II shall provide the inmate with a CDC Form 114 D, Order and Hearing for Placement in Segregated Housing; or CDC Form 115 which documents a clear and specific reason for their removal from the general population. Within two work days following an inmate ’ s placement in Ad.-Seg, staff designated at not less than the level of captain shall review the order portion of the CDC Form 114-D to make a determination regarding retention in AD- SEG. 62050.10.6

62050.12.2 CSR Approval Revised February 16, 2007 Inmates who require PSU housing and meet the established criteria, shall be referred by a classification committee to a CSR for PSU placement. The referral shall include a CDC Form 128-C, Medical Chrono; indicating the psychiatric disorder diagnosis and recommended placement. Approval by the designated CSR is required for PSU placement. 62050.12.3

62050.13.12 SHU – DRB Actions Differences of opinion not resolved by the Chief Deputy Warden shall be submitted to the Chief, Classification Services, in Departmental Review Board format for resolution. 62050.13.13

62060.4.2 Subsequent BMU Placements Minimum of 180 day BMU placement beginning on the date of reception into the BMU. Inmates who require subsequent placement will be monitored by BMU staff to ensure program compliance. If an inmate refuses to participate as required, the Classification Committee will review for possible program rejection. 62060.5

62060.6 Work Group/ Privilege Group Designations All inmates placed into the BMU will be designated a Work Group (WG), consistent with CCR, Section 3044, and as determined by the Classification Committee effective the date of placement. Regardless of the WG, the designated Privilege Group (PG) for Step 1 and Step 2 shall be C. The designated PG for Step 3 shall be B. All Work/Program assignments for BMU inmates shall be restricted to and located in the BMU. 62060.6.1

62060.9 Canteen BMU inmates will be allowed only one (1) draw per month. Canteen privileges shall be established by the Classification Committee as follows: Step 1 – One-fourth the maximum monthly canteen draw per CCR, Section 3044(f). Step 2 – One-fourth the maximum monthly canteen draw per CCR, Section 3044(f). Step 3 – One-half the maximum monthly canteen draw per CCR, Section 3044(e). 62060.10

62060.15 Mental Health Services BMU inmates will be seen by the Mental Health Department in accordance with normal general population treatment expectations as outlined within the Mental Health Services Delivery System (MHSDS). A Mental Health clinician shall attend the Classification Committee for all initial reviews in order to assess the appropriateness of BMU placement for an inmate included in the MHSDS. Inmate’s currently at the Enhanced Out Patient (EOP) level of care are not eligible for BMU placement. 62060.16

62070.7.2 Review and Processing Responsibilities The initial request by an inmate for a college leave shall be by the institution supervisor of education who shall perform the following functions: Supervisor of Education • Consult with the inmate and develop a program objective and attendance plan. • Contact college staff and mutually review the program objectives, attendance plan, and the inmate's educational qualifications to pursue the program outlined. • Obtain written approval from college officials to accept the inmate for enrollment. Caseworker The caseworker shall thoroughly review the submitted plan and take the following actions: • Review and verify the request for the leave utilizing the basic criteria as outlined in DOM 62070.5.1. • Process the request as outlined in DOM 62070.5. • Prepare a memorandum for the Warden, to the Director, citing the request. This document shall outline the inmate's commitment offense, criminal history, institution adjustment, custody classification, parole/discharge date, and educational achievements. The memorandum shall also include the personal 62070.8

62080.7.2 Institution Referrals Institution requests for psychiatric evaluation shall be documented on a CDC Form 128-C and referred to a CSR for endorsement to CMF, CMC-E or CIW as “psychiatric evaluation and return” cases. Inmates determined not to be in need of psychiatric intervention shall be returned by the C&PR to the sending institution, providing the CDC Form 128-C documenting the psychiatric evaluation is available and dated within 90 days of C&PR review. Inmates endorsed for specific psychiatric treatment categories shall receive at least annually, a psychiatric evaluation to determine if continued psychiatric treatment is necessary. This annual evaluation shall result in a classification review and referral to a CSR for confirmation of the inmate's category designation.

62080.7.3 C&PR Designation C&PRs at CMF, CMC-E and CIW may re-designate between Category "I" and "J" inmates based on current program status by using a CDCR Form 840, CDCR Reclassification Score Sheet. 62080.8

62080.9.3 Category "J" SHU Placement Revised February 16, 2007 When a Category "J" or "K" inmate is found guilty of a rule infraction requiring a SHU term be established, the Institution Classification Committee shall determine whether the act was likely a result of a developmental disability or a mental condition or if continued supportive milieu housing is necessary. If it is determined that the inmate's disability or mental condition makes SHU programming impractical, the term shall be suspended or commuted and the inmate retained or transferred to the appropriate institution. If it is determined that a male inmate continues to need supportive care, an evaluation for the Psychiatric Services Unit housing shall be recommended and/or completed by CMF staff. (Refer to DOM 62050.1.2.) If it is determined that supportive housing is no longer required, the inmate shall be recommended for Category "U", the SHU term assessed, and an appropriate SHU program recommended or the term suspended or commuted and an institution and alternate recommended to the CSR. 62080.10

62080.12 Psychiatric Milieu Outpatient Category "T" Male inmates with identified psychiatric problems requiring outpatient group therapy or individual psychotherapy in a structured environment shall be designated Category "T." Normal participation in this program shall not exceed 12 months, and upon completion of the program, inmates are expected to return to the sending institution or transfer to another institution, if the sending institution is no longer appropriate. Category "T" is provided only at CMC and is normally limited to those cases recommended by the BPH. FAX approval by Classification Services is required prior to transfer. In addition, Category "T" cases shall be presented to a CSR with a placement recommendation at the completion of or after 12 months in the program, whichever comes first. 62080.13

62080.13 Psychiatric Recovered Category "U" Inmates who have recovered from a major illness requiring inpatient or outpatient psychiatric services shall be designated Category "U". A significant period (normally 180 days) of no serious psychiatric symptoms shall be considered evidence of recovery. Category "U" shall include inmates no longer in need of psychotropic medication and those who are asymptomatic as a result of compliance with psychotropic medication. These inmates may be expected to function within a general population setting. All inmates classified as Category "U" for a period of two years shall be reviewed for possible reclassification and deletion of the category designation. 62080.13.1

62080.15 Medical and Psychiatric Transfers/ Non-Emergency Routine medical/psychiatric transfer requests shall be referred to a CSR with a recommendation from an appropriate classification committee. Routine transfers for medical/psychiatric reasons generally are to resolve a specific short-term medical problem, psychiatric problem, or evaluation as a "medical/psychiatric return" placement or for special prolonged placement needs. 62080.15.1

62080.15.1 Medical/ Psychiatric and Return No medical transfer for evaluation and/or short-term treatment shall be approved until a statement of acceptance has been obtained from the receiving institution's Chief Medical Executive (CME) or Chief Psychiatrist as appropriate. If the transfer request is within CDCR policy, the CSR shall indicate endorsement in the usual manner. If the inmate is to be returned to the sending institution upon completion of evaluation or treatment, it shall be indicated on the CDC Form 128-G, Classification Chrono, by "Medical (Psychiatric) and Return." Male inmates serving life without possibility of parole in need of emergency medical/psychiatric care shall be exempted from Departmental Review Board review requirements and shall be presented to a CSR for transfer approval. 62080.15.2

62080.15.4 C&PR Review When the medical procedures are completed for “medical and return” cases, the C&PR shall be notified. The C&PR shall review the case to ascertain if any medical, custodial or program considerations contraindicate the inmate's return to the sending institution. If there are contraindications, or an alternate program/institution is deemed preferable, the C&PR shall refer the case to a classification committee. If no contraindications exist, the C&PR shall refer the case to the institution's CCRM for return to the sending institution. 62080.16

62080.16.1 Criteria There are no referrals or waiting lists for transfers to the Inpatient Psychiatric Observation, Unclassified, Category "I," as transfers are to be accomplished within 72 hours. The medical/psychiatric category designation shall be assigned at the time the inmate is approved for the program. Clinical progress reports on a CDC Form 128-C shall be made quarterly, but may be completed more frequently if conditions warrant. A summary CDC Form 128-C report, a classification action, and CSR endorsement are required whenever an inmate is changed from a program category. The C&PR is delegated the authority to act as a CSR for program changes between Categories "I" and "J", "J" and "H", and "N" and "O". 62080.16.2

62080.17.2 Ambulance Use The land or air ambulance shall be used only for cases in which the CME/Psychiatrist of the sending institution has determined that such transportation is required. An MTA from CMF or the sending institution shall arrange to accompany the land or air ambulance. Requests for land or air ambulance use shall include information regarding custodial classification, degree of violence and any other useful information. 62080.17.3