SOP 209.01-att-9: MH/MR Evaluation for Disciplinary Action

Division:
Facilities
Effective Date:
November 6, 2017
Reference Code:
IIB02-0001
Topic Area:
Facilities Control/Discipline/Segregation
PowerDMS:
View on PowerDMS
Length:
261 words

Summary

This form is used by mental health/mental retardation (MH/MR) evaluators to assess whether an offender with mental health or intellectual disabilities is competent to proceed with disciplinary investigations and hearings, and to identify any mitigating mental health circumstances related to the alleged rule violation. The evaluation helps disciplinary hearing officers consider mental health factors when determining appropriate sanctions.

Key Topics

  • MH/MR evaluation
  • mental health assessment
  • disciplinary competency
  • mental illness
  • intellectual disability
  • mitigating circumstances
  • disciplinary hearing
  • institutional discipline
  • mental health services
  • competency evaluation

Full Text

SOP 209.01
Attachment 9

11/6/17

GEORGIA DEPARTMENT OF CORRECTIONS FACILITY: _________________________

MH/MR SERVICES NAME: _____________________________

MH/MR EVALUATION FOR DISCIPLINARY ACTION ID#: _______________________________

DOB: ______________________________

RACE: ___________ SEX: ____________

MH/MR OFFENDER’S DISCIPLINARY REPORT DATED: ____________________________________
DISCIPLINARY REPORT NUMBER: _______________

I. A review of the Disciplinary Report and the offender’s mental health status indicates the
following:

_____ The Offender is competent to proceed with the disciplinary investigation and hearing.

_____ The Offender is not competent to proceed with the disciplinary investigation and hearing.

II. A review of the circumstances surrounding the infraction and the offender’s mental status
indicated the following:

_____ There are no mitigating MH/MR circumstances surrounding the offender’s violation of
institutional/department rules.

_____ There are mitigating MH/MR circumstances surrounding the offender’s violation of
institutional/department rules.

Mitigating MH/MR circumstances or sanctions to be considered by the Disciplinary Hearing Officer are
Listed below:
______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

________________________________________________________ _____________________
MH/MR Evaluator Title Date

________________________________________________________ _____________________
MH/MR Clinical Consultant Date

________________________________________________________ _____________________
Hearing Officer Signature Date

Form M34-01-01

Retention Schedule: Upon, completion, the original shall go to the Disciplinary Hearing Officer and a copy
shall be placed in the Mental Health Record and in the offender’s institutional file, except for those
overturned or dismissed, and shall be maintained according to the official records retention schedule for
institutional files.

SOP 209.01
Attachment 9

11/6/17

Retention Schedule: Upon, completion, the original shall go to the Disciplinary Hearing Officer and a copy
shall be placed in the Mental Health Record and in the offender’s institutional file, except for those
overturned or dismissed, and shall be maintained according to the official records retention schedule for
institutional files.

Attachments (13)

  1. Offender Rights Statement (323 words)
  2. Disciplinary Investigation Summary (113 words)
  3. Offender Appearance Waiver (170 words)
  4. Prohibited Acts Offender Disciplinary Charge Codes (4,823 words)
  5. Authorized Disciplinary Sanctions List (1,358 words)
  6. Staff Advocate Form (465 words)
  7. Disciplinary Appeal Form (117 words)
  8. Use of Witness(s) Hearing Documentation Form (115 words)
  9. MH/MR Evaluation for Disciplinary Action (261 words)
  10. Negotiated Plea Form (125 words)
  11. Disciplinary Report Form (171 words)
  12. Disciplinary Warning Report (78 words)
  13. Guidelines for Issuing Disciplinary Reports (By Offense) (285 words)
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