SOP_NUMBER: 508.44
TITLE: Integrated Treatment Facilities (ITFs)
DIVISION: Health Services Division (Mental Health)
TOPIC_AREA: Mental Health Evaluations/Screenings/Treatment
EFFECTIVE_DATE: 2023-10-19
WORD_COUNT: 4083
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/738969
URL: https://gps.press/sop-data/508.44/
SUMMARY:
This policy establishes procedures for operating Integrated Treatment Facilities (ITFs), which are nine-month residential probation detention programs that provide specialized treatment for offenders with co-occurring mental health and substance use disorders. The policy applies to offenders referred through the Department of Community Supervision, direct court sentences, revocations, or internal facility referrals. ITFs provide evidence-based, integrated interventions addressing both mental illness and substance use disorders through a therapeutic community model with four treatment phases.
KEY_TOPICS: Integrated Treatment Facilities, co-occurring disorders, dual diagnosis, substance use disorder, mental health treatment, probation detention, therapeutic community, residential treatment, mental health and addiction services, offender programming, treatment planning, evidence-based intervention, rehabilitation, Next Generation Assessment, Day Reporting Centers, Drug Courts
ATTACHMENTS:
1. Addiction Severity Index Summary Assessment
URL: https://gps.press/sop-data/508.44-att-1/
2. Integrated Treatment Programs 4 Quadrant Assignment (Attachment 2)
URL: https://gps.press/sop-data/508.44-att-2/
3. Summary of Monthly Progress in the ITF (Attachment 3)
URL: https://gps.press/sop-data/508.44-att-3/
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|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 1 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
**I. Introduction and Summary:**
Offenders identified as having a co-occurring disorder will receive specialized
interventions that facilitate the integration of mental health and substance use
recovery. Offenders receiving residential integrated services may be probation
detainees. This policy is applicable to the residential integrated treatment facilities
within the Georgia Department of Corrections (GDC).
**II.** **Authority:**
A. GDC Standard Operating Procedures (SOPs): 107.01 Purpose and Objectives –
Access to Counseling Services and Programs, 107.04 Risk and Needs Assessment,
107.05 (VB01-0008) Program Management and Cognitive Behavioral Programs,
203.06 Electronic Data Processing – Inmate/Offender Tracking Information
System (SCRIBE/OTIS), 209.10 Inmate/Probationer Drug Testing, 219.01 Case
Management - Records Maintenance, 503.02 Re-Entry Pre- and Post-Release
Planning, 508.01 Mental Health Organization and Administration, 508.04
Credentialing Verification and Privileging, 508.05 On-Call Personnel, 508.06
Therapeutic Recreation Services, 508.07 Clinical Supervision, 508.09 Mental
Health Records, 508.10 Confidentiality of Mental Health Records, 508.11 Mental
Health Continuous Quality Improvement, 508.12 Audits and Evaluations of
Mental Health Services, 508.14 Mental Health Reception Screening, 508.15
Mental Health Evaluations, 508.20 Mental Health Rounds in Restrictive Housing
Units, 508.21 Treatment Plans, 508.22 Mental Health Management of Suspected
Sexual Abuse or Sexual Harassment, 508.24 Psychotropic Medicine Use
Management, 508.33 Transfer of Offenders with Serious Mental Illness, 508.35
Discharge Planning for Mental Health Offenders, and 508.43 Tele-Mental Health
Services.
**III. Definitions:**
A. **Co-occurring Disorders** (Dual Diagnoses) - means the presence of concurrent
mental illness(es) and substance use disorder(s).
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 2 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
B. **Next Generation Assessment (NGA)** - The NGA identifies an offender’s risks
and needs and is an automated assessment instrument based on data currently
found in Scribe. This assessment is used to identify level of severity of several
factors related to incarceration that may be of significant concern and is utilized to
determine the offender’s programming plan.
C. **Integrated Treatment Facilities (ITF)** - Probation detention centers operated by
the GDC which are nine-month programs that actively combines interventions
intended to address substance use and mental illness, related problems, and are
holistic in treatment. The ITF offender has failed to comply with requirements
expected in Day Reporting Centers (DRCs), Drug Courts, Mental Health Courts,
or other specialty courts and standard supervision. All offenders, at a minimum,
must have an assessment of a documented serious substance use disorder (9 or
above on the NGA) and a mental illness.
D. **Therapeutic Community (TC)** - A residential milieu involving participants in a
clinical program structure that facilitates personal responsibility and ownership of
the offender’s behavior and actions. It involves a structured community setting that
encourages and reinforces positive change, allows for a safe means of addressing
issues within the community setting, provides opportunities to experience healthy
confrontation, clear rules, roles, rewards and sanctions.
E. **Qualified** **Mental** **Health** **Professional** **(QMHP)** - Clinical
Director/Psychologists, Mental Health Unit Managers, Psychiatrists, Advanced
Practice Registered Nurses (APRNs), Licensed Nurses, Social Workers, Marriage
and Family Therapists, Mental Health Counselors/Licensed Professional
Counselors, Mental Health Technicians certified in substance use disorders, (e.g.,
Certified Addiction Counselors, Masters Addiction Counselors, etc.), Intake
Counselors, Activity Therapists, Mental Health Behavior Specialists,
Multifunctional Correctional Officers (MFCOs) and others who, by virtue of their
education, credentials and experience are permitted by law to evaluate and care for
the mental health needs of offenders. These mental health professionals comprise
the mental health treatment team.
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 3 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
F. **Primary ITF Counselor** - The Primary ITF Counselor is the offender’s primary
counselor who provides individual counseling sessions and will facilitate groups.
They are mental health counselors or mental health technicians.
G. **Specially Trained Clinician** - Any Master’s Level Counselor/Technician who has
successfully completed the GDC’s Sexual Assault Evaluation and Treatment
Training, or who has a comparable combination of training and experience
approved by the clinical director or the GDC vendor’s senior clinical director.
H. **Upper-Level Provider (ULP) –** A psychologist, psychiatrist, or APRN.
**IV. Statement of Policy and Applicable Procedures:**
An offender who has been screened and referred by the Department of Community
Supervision (DCS) through a direct court sentence, revocation or Probation Options
Management (POM) hearing, will be sentenced to the ITF. Once at the ITF, the
offender will receive further evaluation and treatment. In addition, mental health staff
at state prisons may also assign or refer an offender to integrated treatment
programming within a facility with mental health treatment, if the programming is
appropriate and available.
The ITF clinical programming will be conducted by GDC’s contracted vendor. The
Statewide Mental Health Director/designee will exercise final authority over the
clinical content and program implementation.
The ITF case management responsibilities will be conducted by the general population
counselor and the multifunctional correctional officer.
A. **Integrated Treatment Facility Programming.** The ITF is a nine-month, four
phase program, utilizing evidence-based co-occurring programming. The ITF
programming will be provided by the GDC vendor upon approval by the statewide
mental health director. Programming for the ITFs are individualized and will
ensure that the mental health and substance use disorders are both treated as the
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 4 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
principal diagnoses. Programming for Co-occurring Disorders may be as follows,
but not limited to:
1. Each ITF program will meet the Substance Abuse and Mental Health Services
Administration (SAMHSA) Toolkit criteria/definition for Dual Diagnosed
Enhanced Treatment (DDET), and National Institute of Corrections
(NIC)/Justice Center/Bureau of Justice Co-occurring Disorders by Severity
Index.
2. The ITF will utilize a TC approach where participants are provided more
flexibility, less confrontation, more affirmations for achievement, less intense
methodology, shorter duration of groups (no longer than 60 minutes), more
individualized treatment, fewer sanctions, as well as utilizing alternative
sanctions. This TC will operate Monday – Friday, five (5) days a week.
3. A TC participant handbook will be updated on an ongoing basis and distributed
to each offender that addresses an orientation to the program, nature of the
disease and other program essentials.
4. Individual and group participation will occur at a minimum, twenty hours each
week. Programming for Co-occurring Disorders will be as follows, but not
limited to:
a. On-going monitoring and management of mental health symptoms and
criminogenic risk factors based on the NGA and other psychosocial
assessments and behaviors;
b. Psycho-educational and therapy groups [at a minimum, cognitive
behavioral therapy (CBT), cognitive restructuring, co-occurring diagnoses
education, relapse prevention, skills building, etc.];
c. Motivational enhancement therapy;
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 5 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
d. Co-occurring recovery (Double Trouble)/mutual self-help recovery,
substance use support groups;
e. Trauma recovery;
f. Treatment for anxiety and/or mood disorders;
g. Sleep hygiene;
h. Peer support and community-based groups;
i. Activity therapy, and
j. Mandatory re-entry planning, which may include a wellness recovery
action plan (WRAP) or similar standardized publication.
B. **Screening and Referrals for ITF** :
1. Upon arrival, a QMHP will conduct a Mental Health Reception Screening
(SOP 508.14 Attachment 1, form M30-01-01) on the offender.
2. It is the responsibility of the QMHP to get appropriate “Consent to Mental
Health Evaluation of Treatment” (SOP 508.10 Attachment 1, form M20-0201) signed at the time of the evaluation. The original form will be filed in
section five (5) of the mental health record and a copy given to the offender.
3. The QMHP will have the offender sign all required Release of Information
(ROI) forms (SOP 508.15 Attachment 3, form M31-01-03) for previous
records and documents.
4. A QMHP will complete a Mental Health Evaluation for Services (SOP 508.15,
Attachment 1, form M31-0001 and Attachment 2, form M31-01-02) on the
offender within 72 hours or no later than 5 business days following arrival.
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 6 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
After the forms are completed, the offender will be scheduled to see the ULP
within fourteen (14) days.
5. The Addiction Severity Index Summary Assessment form (Attachment 1),
and/or other appropriate measures identified by the vendor, will be completed
by the QMHP during the initial mental health evaluation, to determine severity
of substance use.
6. An ULP will review and sign all mental health evaluations conducted by any
unlicensed Qualified Mental Health Professional (QMHP).
7. The ULP will complete the Initial Psychiatric/Psychological Evaluation (SOP
508.24, Attachment 6, form M60-01-06) and the Diagnosis List (SOP 508.09,
Attachment 5, form M20-01-06). The diagnoses will be documented in the
mental health section of Scribe.
8. During intake, the Four Quadrants of Care (Attachment 2) will be completed,
after the Initial Psychiatric/Psychological Evaluation is completed, to develop
and tailor individualized treatment interventions based on the offender’s
diagnoses, severity of substance use, criminogenic needs, and any other
diagnostic information obtained from the offender.
9. A Summary Report of Monthly Progress in the ITF (Attachment 3) will be sent
to the chief probation officer by the multifunctional correctional officer to
ensure ongoing communication with the sentencing judge.
C. **Clinical Oversight of the ITF program by the GDC Vendor** :
1. The senior clinical director, the ITF supervisor and on-site clinical director will
provide clinical oversight of the program. Clinical oversight is achieved by
reviewing the appropriateness of daily program delivery and requirements in
addition to the following:
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 7 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
a. Identifying and facilitating resolution of conflicts between the facility, ITF
mission and the offender’s clinical needs;
b. Identifying staff training needs and arranging appropriate training; and
c. Reviewing resource utilization given the ITF mission and the offenders’
clinical needs.
2. The on-site clinical psychologist will also perform the following duties:
a. Performing diagnostic and other clinical evaluations;
b. Performing psychological testing and interpretation;
c. Providing individual therapy;
d. Developing and implementing groups and involvement in program
development;
e. Co-facilitating therapeutic groups;
f. Providing clinical consultation and supervision;
g. Leading and participating in multidisciplinary team and treatment team
meetings;
h. Providing crisis intervention;
i. Responding to psychological referrals;
j. Participating in clinical staffing and staff in-service training/case
conferences;
k. Participating in continuous quality improvement (CQI);
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 8 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
l. Ensuring offenders are receiving appropriate and timely clinical services;
m. Maintaining all required documentation; and
n. Attending all GDC and vendor required meetings and trainings.
D. **Responsibilities of the ITF Unit Manager.** In addition to the responsibilities of
SOP 508.01, the ITF Unit Manager will provide administrative oversight to the
ITF program and ensure that ITF employees are aware of and understand
performance standards associated with job responsibilities. The ITF Unit Manager
will properly complete and process performance reports for assigned staff. In
addition, will appropriately ensure staff receive necessary training and maintain
appropriate certifications, licensure, etc. in accordance with established
requirements and guidelines in the state’s rules, regulations and laws as well as
GDC’s SOPs. The ITF Unit Manager will appropriately assign caseloads and
groups to the ITF mental health staff. They will maintain appropriate logs and files
as well as recommend and/or initiate disciplinary/adverse actions according to
applicable policies and procedures. The ITF Unit Manager will ensure a minimum
of twenty (20) hours weekly of integrated programming. Additional ITF Unit
Manager’s duties include, but are not limited to:
1. Ensuring adequate staff coverage for groups, crisis, etc.;
2. Ensuring ITF counselor caseloads are evenly distributed;
3. Ensuring intakes are completed within five (5) business days;
4. Conducting an orientation overview with all new arrivals within 2 business
days;
5. Ensuring offender schedules are completed to include appropriate placement,
attendance, and facilitation of groups by staff;
6. Ensuring progressive discipline procedures for offenders are followed;
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 9 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
7. Ensuring offenders are brought to multidisciplinary team meetings for all
sanctions and corrective actions;
8. Ensuring ITF treatment teams are conducted each week and are clinical in
nature;
9. Completing and submitting the monthly utilization review for central office
and the vendor’s regional office by the 5 [th] of each month;
10. Submitting to central office and ITF supervisor weekly census and city/county
report by close of business every Wednesday;
11. Ensuring proper delivery of programs and services to the offenders, in
accordance with the GDC's policies and procedures;
12. Overseeing the quality improvement program, participating in self-audits, and
comprehensive state audits, ensuring that deficiencies and problems found are
properly reported and documented; implementing appropriate corrective action
to address deficiencies, as per GDC policy and procedures; and
13. Attending all GDC and vendor required meetings and trainings.
E. **Responsibilities of the Psychiatry Services.** In addition to the responsibilities in
SOPs 508.01 and 508.24, the psychiatrist/APRN’s (under the administrative
direction of the ITF Mental Health Unit Manager and clinical direction of the
Vendor’s Chief Psychiatrist) duties consist of, but are not limited to:
1. Providing medication management;
2. Conducting mental health emergency evaluations;
3. Conducting routine psychiatric evaluations in response to
referral/consultation requests;
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 10 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
4. Making referrals to Level V Acute Care Unit/Crisis Stabilization Unit;
5. Participating in appropriate committee/administrative meetings;
6. Attending mental health staff meetings, in-services and case conferences;
7. Participating in individual treatment team meeting/staffing;
8. Maintaining all required documentation; and
9. Attending all GDC and vendor required meetings and trainings.
F. **Credentialing, Privileging and Responsibilities of the ITF Counselor.** The
Primary ITF Counselor will request clinical privileging from the clinical
director/designee before performing assigned duties and, on an annual basis, will
update the privileging request. The ITF counselor caseload ratio to offender is
1:25.
The Primary ITF Counselor will perform the following duties, including, but not
limited to:
1. Conducting mental health assessments to identify the integrated treatment
needs;
2. Completing a Comprehensive Treatment Plan (CTP) within thirty (30) days of
arrival. The CTP will be reviewed and updated every four months, or when
changes in treatment are warranted;
3. Conducting a minimum of two (2) individual sessions with their assigned
caseload per month;
4. Documenting a minimum of two (2) individual progress notes each month, and
one summary report of overall monthly progress;
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 11 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
5. Conducting community meetings, mental health therapy and/or psycho
educational groups and a weekly twelve-step group;
6. Documenting the mental health therapy and psycho-educational groups and the
individual participation in those groups;
7. Documenting community meetings and twelve-step group participation in the
appropriate logbooks;
8. Providing appropriate interventions in crisis situations;
9. Conducting alleged sexual abuse evaluations on identified offenders, if trained
as a Specially Trained Clinician;
10. Conducting isolation/segregation rounds;
11. Serving as a duty officer, if privileged;
12. Participating in the multidisciplinary team and treatment team meetings;
13. Participating in a monthly multidisciplinary suicide prevention meeting;
14. Attending all GDC and vendor required meetings and trainings; and
15. Ensuring continuity of care, in conjunction with the DBHDD and DCS staff,
for offenders discharging from the facility.
G. **Activity Therapists.** Under the administrative direction and supervision of the
vendor’s activity therapy director and clinical oversight of the clinical director, the
Activity Therapist will provide, but not be limited to, the following duties:
1. Conducting activity therapy assessments;
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 12 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
2. Attending mental health staff meetings, monthly case conference monthly in
service trainings;
3. Participating in multidisciplinary team and treatment team meetings;
4. Planning and organizing group and individual activities;
5. Establishing goals and objectives for each activity to meet offender needs;
6. Conducting group and individual programs;
7. Participating in the ITF Family Day;
8. Completing and maintaining required documentation;
9. Conducting program evaluation;
10. Maintaining and ordering supplies;
11. Providing leisure counseling/education;
12. Attending all GDC and vendor required meetings and trainings; and
13. Supervising volunteers/student interns.
H. Possible activity therapy programming at the ITF may include, but not be limited
to:
1. Activities of daily living;
2. Arts and crafts;
3. Current events;
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 13 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
4. Drama/creative arts;
5. Games and intramural sports;
6. Horticulture;
7. Music Therapy;
8. Pet Therapy;
9. Wellness activities;
10. Socialization; and
11. Incentive programs.
I. **Mental** **Health** **Multifunctional** **Correctional** **Officers** **(MFCO).**
Multifunctional Correctional Officers (MFCOs) at the ITF will conduct, but not be
limited to, the following duties:
1. Making a weekly Scribe note in the data-assessment-plan (DAP) format every
week on all offender (this note may include any notable behaviors, drug screen
results, progressive discipline actions, etc.);
2. Ensuring the weekly note gives a summary of the offenders’ behavior, attitude,
and progress or limitations in the program;
3. Communicating any ITF offender’s disciplinary sanctions with the sentencing
probation office;
4. After hours, may assist the on-call counselor in facilitating transfer of offenders
going to the acute care unit/crisis stabilization unit (ACU/CSU) and
documenting the incident in Scribe;
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 14 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
5. Attending multidisciplinary team and treatment team meetings each week and
any other meetings regarding the offenders;
6. Assisting with the recreational/activity therapy groups for the offenders;
7. Attending monthly in-service training and case conferences;
8. Attending basic mental health training;
9. Attending basic counselor orientation training;
10. Attending relevant case management, mental health and substance use
training;
11. Attending crisis intervention training (CIT);
12. Attending semi-annual MFCO training and all other GDC and vendor-required
meetings and trainings;
13. Electronically transmitting, on a monthly basis, the summary report of monthly
progress to the chief probation officer;
14. Electronically transmitting the comprehensive treatment plans, reentry forms,
and any other documents that need to be sent to appropriate agencies/persons;
and
15. Assisting with obtaining information for the reentry checklist in Scribe.
J. **Training for ITF Staff.** All ITF staff will be crossed-trained in Co-occurring
Disorders. All staff will also be trained in Motivational Interviewing, Crisis
Intervention Training and Basic Mental Health Training, preferably within 90days of placement at the ITF. They will attend monthly in-service training, case
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 15 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
conferences, and semiannual mental health counselor trainings such as ethics and
suicide prevention.
All ITF counselors and activity therapists will have a clinical consultant or
supervisor. The purpose of clinical consultation and supervision is to provide a
mechanism for monitoring the quality of service provision and to assist ITF staff
in professional growth and development.
All unlicensed ITF counselors and mental health technicians will receive a
minimum of one hour of clinical supervision a week from a clinical psychologist.
The goal of supervision is to ensure that the counselor is providing appropriate
mental health services and to increase the counselors’ clinical skills. One week of
the month, the supervision will occur as a case conference, in a group format and
will be documented on SOP 508.07, Attachment 4, form M15-01-04.
All consultation/supervision will be documented on SOP 508.07, Attachment 1,
forms M15-01-01 or M15-01-03. The form will also be used to document if and
why the consultation/supervision did not take place. Semi-annually, the clinical
supervisor will complete the 508.07, Attachment 2, form M15-01-02.
K. **Continuous Quality Improvement (CQI).** Each ITF will develop a CQI program
in accordance with SOP 508.11.
The Office of Health Services - mental health staff will conduct ongoing quality
assurance, to include an annual, comprehensive mental health audit, in accordance
with SOP 508.12.
L. **Transfer of an ITF Offender.** If an offender in an ITF needs crisis placement,
supportive living unit housing or administrative segregation, the offender must be
housed at a state prison with a mental health unit and will be held on sleeper status
as long as they remain at the state prison. If necessary, the mental health unit
manager will advise Offender Administration that they are housing an ITF
offender. The designated staff at the ITF will remain responsible for coordinating
|GEORGIA DEPARTMENT OF CORRECTIONS (GDC)
Standard Operating Procedures|Col2|Col3|
|---|---|---|
|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|**Policy Name:**Integrated Treatment Facilities (ITFs)|
|**Policy Number:** 508.44|**Effective Date:** 10/19/2023|**Page Number:** 16 of 16|
|**Authority:**
Commissioner
|**Originating Division:**
Health Services Division
(Mental Health)|**Access Listing:**
Level I: All Access
|
transportation when the ITF offender on sleeper status is ready for return from the
state prison.
M **. Discharge of an offender from the ITF.** Progressive sanctions will occur for most
undesirable behaviors, unless an offender’s behavior includes one of the following,
which may result in termination from the program: fighting, weapon possession,
gang activity, alcohol or other drug usage or sexual misconduct. Documentation
of the reasons for termination will be placed in Scribe. In addition, contact will be
made with GDC and DCS personnel responsible for revocation and transfer of the
offender back to the originating circuit court. The decision to terminate the ITF
offender will be made in either a multidisciplinary team or treatment team meeting.
**V. Attachments:**
Attachment 1: Addiction Severity Index Summary Assessment
Attachment 2: Four (4) Quadrants of Care
Attachment 3: Summary Report of Monthly Progress in the ITF
**VI. Record Retention of Forms Relevant to this Policy:**
Upon completion, Attachment 1 will be placed in the offender’s mental health record,
section four (4). Attachments 2 and 3 will be placed in the offender’s mental health
record, section one (1). At the end of the offender’s need for mental health services
and/or sentence, the mental health record will be placed within the offender’s health
record and retained for 10 years.