SOP_NUMBER: 508.18-att-1
TITLE: Mental Health Evaluation for Disciplinary Action
REFERENCE_CODE: VG34-0001
DIVISION: Mental Health Services
TOPIC_AREA: 508 Policy - MH Administration/Staff/Certification
EFFECTIVE_DATE: 2023-08-31
WORD_COUNT: 209
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/843277
URL: https://gps.press/sop-data/508.18-att-1/

SUMMARY:
This form is used by mental health evaluators to assess whether an offender is competent to participate in disciplinary investigations and hearings, and to identify any mitigating mental health circumstances related to the alleged rule violation. The evaluation is completed by mental health staff and provided to the Disciplinary Hearing Officer to inform disciplinary decisions. The form documents the evaluator's clinical findings and recommendations regarding the offender's mental health status as it relates to their disciplinary case.

KEY_TOPICS: mental health evaluation, disciplinary action, competency to proceed, mitigating circumstances, mental health status, disciplinary hearing, mental health assessment, offender mental health, disciplinary investigation, clinical evaluation

ATTACHMENTS:
  1. Mental Health Evaluation for Disciplinary Action
     URL: https://gps.press/sop-data/508.18-att-1/
  2. Mental Health Evaluation Following Disciplinary Action
     URL: https://gps.press/sop-data/508.18-att-2/

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FULL TEXT:
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SOP 508.18
Attachment 1

8/31/23


**GEORGIA DEPARTMENT OF CORRECTIONS** Institution: ___________________________________


**MENTAL HEALTH SERVICES** Name: ______________________________________


**"Mental Health Evaluation for Disciplinary Action"** ID#: ________________________________________


DOB: _______________________________________


Race: __________________ Sex: _________________


Mental Health 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 mental status indicate the
following.


______ There are no mitigating Mental Health circumstances surrounding the offender's violation
of institution/department rules.

______ There are mitigating Mental Health circumstances surrounding the offender's violation of
institution/department rules.

Mitigating Mental Health circumstances or sanctions to be considered by the Disciplinary Hearing Officer are listed
below:
______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

____________________________________________________          __________________________
Mental Health Evaluator/Title Date

________________________________________________________            _____________________________
Mental Health Clinical Supervisor/Title Date

_________________________________________________________           ____________________________
Hearing Officer Signature Date


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Retention Schedule: Original completed form shall be given to the Disciplinary Hearing Officer. A copy shall be placed in the offender’s mental health file (section 4).
At the end of the offender’s need for mental health services and/or sentence, the mental health file shall be placed within the offender’s health record and retained for 10
years.