SOP_NUMBER: 508.18-att-2
TITLE: Mental Health Evaluation Following 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: 179
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/843280
URL: https://gps.press/sop-data/508.18-att-2/

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

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 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.