SOP_NUMBER: 209.01-att-9
TITLE: MH/MR Evaluation for Disciplinary Action
REFERENCE_CODE: IIB02-0001
DIVISION: Facilities
TOPIC_AREA: Facilities Control/Discipline/Segregation
EFFECTIVE_DATE: 2017-11-06
WORD_COUNT: 261
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105925
URL: https://gps.press/sop-data/209.01-att-9/

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

ATTACHMENTS:
  1. Offender Rights Statement
     URL: https://gps.press/sop-data/209.01-att-1/
  2. Disciplinary Investigation Summary
     URL: https://gps.press/sop-data/209.01-att-2/
  3. Offender Appearance Waiver
     URL: https://gps.press/sop-data/209.01-att-3/
  4. Prohibited Acts Offender Disciplinary Charge Codes
     URL: https://gps.press/sop-data/209.01-att-4/
  5. Authorized Disciplinary Sanctions List
     URL: https://gps.press/sop-data/209.01-att-5/
  6. Staff Advocate Form
     URL: https://gps.press/sop-data/209.01-att-6/
  7. Disciplinary Appeal Form
     URL: https://gps.press/sop-data/209.01-att-7/
  8. Use of Witness(s) Hearing Documentation Form
     URL: https://gps.press/sop-data/209.01-att-8/
  9. MH/MR Evaluation for Disciplinary Action
     URL: https://gps.press/sop-data/209.01-att-9/
  10. Negotiated Plea Form
     URL: https://gps.press/sop-data/209.01-att-10/
  11. Disciplinary Report Form
     URL: https://gps.press/sop-data/209.01-att-11/
  12. Disciplinary Warning Report
     URL: https://gps.press/sop-data/209.01-att-12/
  13. Guidelines for Issuing Disciplinary Reports (By Offense)
     URL: https://gps.press/sop-data/209.01-att-13/

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FULL TEXT:
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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.