SOP 508.18-att-2: Mental Health Evaluation Following Disciplinary Action

Division:
Mental Health Services
Effective Date:
August 31, 2023
Reference Code:
VG34-0001
Topic Area:
508 Policy-MH Administration/Staff/Certification
PowerDMS:
View on PowerDMS
Length:
179 words

Summary

This form is used by mental health staff to evaluate an offender's mental health status following disciplinary action. The evaluation assesses whether mental health circumstances mitigate the behavior that violated rules, whether the offender understands the charges and disciplinary procedure, and whether the offender can participate in their own defense. Mental health clinicians review relevant records, conduct an interview and mental status examination, then document their clinical impression and recommendations.

Key Topics

  • mental health evaluation
  • disciplinary action
  • mental status examination
  • fitness to participate in hearing
  • mental health mitigation
  • behavioral violation
  • offender mental health
  • disciplinary hearing
  • mental health assessment
  • clinical evaluation

Full Text

SOP 508.18
Attachment 2

8/31/23

GEORGIA DEPARTMENT OF CORRECTIONS Institution: ________________________________________

MENTAL HEALTH SERVICES Name: ___________________________________________

"Mental Health Evaluation Following Disciplinary ID#: _____________________________________________

Action" DOB: ____________________________________________

Disciplinary Report #:_______________________ Race:________________________ Sex:________________

I. Review the documents and records (consider DR history and institutional, medical and mental health records.):

II. Offender Interview:

III. Mental Status Examination:

IV. Impression:
A. Are there circumstances relevant to the offender's mental status that mitigate the behavior which violated
institutional/department rules, if yes, explain below. [ ] Yes [ ] No
Comments:

B. Does the offender understand the charges filed against him/her and the procedure (both the investigation and
the hearing)? If no, explain below. [ ] Yes [ ] No
Comments:

C. Is the offender able to cooperate and assist others in his/her own defense? If no, explain below.

[ ] Yes [ ] No
Comments:

V. Conclusion and Recommendations:

__________________________________________________________________________________________________
Signature/Title Date

Page 1 of 1

Retention Schedule: Completed forms 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.

Attachments (2)

  1. Mental Health Evaluation for Disciplinary Action (209 words)
  2. Mental Health Evaluation Following Disciplinary Action (179 words)
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