Comprehensive health services

G E O R G I A D E PA RT M E N T O F C O R R E C T I O N S | COMPREHENSIVE HEALTH SERVICES

General Practice
Physicians provide healthcare services 24/7 to offenders and incarcerated probationers at all state facilities. They include only those services that are medically necessary, according to DOC guidelines and:
Require immediate/urgent care Cannot be reasonably delayed without the risk of further
complication, serious deterioration, significant pain or discomfort To treat a chronic or non-life threatening condition Improve functioning to a level that facilities performance of daily living activities within the correctional environment Utilization Management coordinates medical services 24/7 Provide medical reprieve submissions to the Board of Pardons & Paroles Develop/maintain clinical policies and procedures
ANNUAL PREVENTIVE CARE Administration of flu shots, tuberculosis skin tests, and other immunizations Physicals are conducted
Women's Health Services
Address needs of female offenders with regard to health maintenance, pregnancy, prenatal care and contraceptive needs prior to release.
Services are available to all State Prisons, Probation Detention and Transitional Centers housing female offenders/probationers.
DIAGNOSTIC, HEALTH MAINTENANCE & CHRONIC CARE
Routine and diagnostic testing Health history screening regarding menstrual cycle, preg-
nancies and gynecological conditions Pelvic exam, pap smear, breast exam, serum pregnancy test
and STD testing for Gonorrhea and Chlamydia Routine medical tests and monitoring for females with
chronic illnesses
PRENATAL CARE Tests and evaluations by physicians, physician assistants or nurses Counseling by licensed health care personnel

Routine prenatal care, including medical examinations, advice on appropriate levels of activity and safety precautions, nutritional guidance and counseling.
Offenders have weekly visits with on-site obstetricians, or more frequently, if deemed necessary.
Determination of placement of infant after delivery High-risk pregnancies monitored at the Helms Facility or
Augusta State Medical Prison (ASMP) in accordance with accepted community practices. For deliveries, offenders are transported to an area hospital via Emergency Medical Services and a Correctional Officer.
Long-term Care
DOC provides palliative care to terminally ill offenders/probationers through a structured, patient-centered program to address their physical, psychological, social and spiritual needs. Medical reprieves will be considered for all offenders/probationers with terminal illnesses.
PALLIATIVE CARE PROGRAM Augusta State Medical Prison (ASMP)
Structured inpatient and outpatient program Team consists of a physician, nurse coordinator, social
worker, mental health counselor, member of the Clergy, pharmacist, activity therapist, dietician, inmate volunteers and Deputy Warden of Care & Treatment
Dental Health
Each offender is offered oral care by a licensed dentist and hygienist. Offenders have access to the full range of dental services offered at the resident facility or referral for oral surgery specialty services when indicated.
CLASSIFICATION LEVELS Level I: Diversion and Transitional Centers.
Facilities without in-house dental care Provide access to routine dental service on a fee-for-service
basis through a private dental practice.

Level II: Probation Detention Centers, Probation Boot Camps and Inmate Boot Camps.
Facilities without in-house dental care Provide dental screening by trained health care staff and
access to emergency dental care by a dentist at either a neighboring GDC facility or a local community dentist under a mutually agreed contract with the GDC. Level III: All State and Private prisons other than ones listed under Levels IV and V. Provide routine dental care, in addition to screening and emergency care. Level IV: Intake facilities. Provide routine dental care as well as diagnostic and emergency services to incoming offenders. Level V: ASMP is the only Level V facility. Provide specialized dental/oral maxillofacial surgery services and to provide routine care to resident population.
DENTAL SERVICES Comprehensive Diagnostic Services Treatment Plan Operative Procedures: Fillings. Procedures requiring castings or involving laboratory fees are not available. Periodontal Services: routine prophylaxis, scaling and root planning, closed flap curettage. Extractions Removable Prosthodontics: complete dentures and acrylic partial dentures. Referral to Level V facility for specialized Oral Maxillofacial Surgery services as deemed necessary.
Telemedicine
Utilized as a tool for delivery of specialty consultation services to offenders/probationers. DOC uses the Georgia Statewide Academic and Medical System network.

Provided at multiple remote sites including ASMP, Georgia Diagnostic & Classification Prison, Georgia, Dooly, Calhoun, Hancock, Macon, Phillips, Ware and Wilcox State Prisons.
ASMP is the HUB site where the primary or consultant medical providers via electronic equipment will interact with medical staff and the offender/probationer at the remote Telemedicine site.
Mental Health
The delivery system is part of a holistic approach to the assessment, treatment and management of mental illness and behavioral problems.
Professional staff evaluate, treat and stabilize mentally ill offenders 24/7
Conduct mental health screens, comprehensive evaluations and psychological testing
Medical-Legal interventions (Involuntary hospitalization, restraints, involuntary medication)
Crisis stabilization 24/7 Integration of mental health and substance abuse treatment
LOCATIONS State Prisons, Probation Detention Centers, Community Impact Programs, Probation Offices, Transitional Aftercare Programs, Day Reporting Centers and Behavioral Stabilization Facilities.
SERVICES Mental health administrators, support staff, psychiatrists, psychologists, counselors, nurses and activity therapists provide the following services: psychopharmacological treatments, individual and group therapy, supportive counseling, psychoeducational services and milieu therapy.

11/2012