CORRECTIONAL MEDICAL AUTHORITY

CORRECTIONAL MEDICAL AUTHORITY

PHYSICAL & MENTAL HEALTH SURVEY

of

Gulf Correctional Facility

in

Wewahitchka, Florida

on January 12-14, 2016

CMA Staff Members: Kathy McLaughlin, BS Jane Holmes-Cain, LCSW Lynne Babchuck, LCSW

Clinical Surveyors: James Langston, MD Edward Zapert, DMD Mary Jane Valbracht, ARNP Susan Porterfield, ARNP Deanna Epley, ARNP Judy Reinman, RN Patricia Meeker, RN Sue Sims, RN

Distributed on February 11, 2016 CAP Due Date March 10, 2016

Gulf Correctional Institution Page 1

DEMOGRAPHICS

The institution provided the following information in the Pre-survey Questionnaire.

Population 2873

INSTITUTIONAL INFORMATION

Type

Custody Level

Male

Close

Medical Level 5

Institutional Potential/Actual Workload

Main Unit Capacity Annex Capacity Satellite Unit(s) Capacity Total Capacity

1407 1227 293 2927

Current Main Unit Census Current Annex Census Current Satellite(s) Census Total Current Census

1501 1372 273 3146

Inmates Assigned to Medical/Mental Health Grades

Medical Grade

1

2

3

1948

765

185

Mental Health Grade

(S-Grade)

Mental Health Outpatient

1

2

3

2861

43

N/A

4

5

1

6

MH Inpatient

4

5

N/A

N/A

Impaired 63

Impaired N/A

Inmates Assigned to Special Housing Status

Confinement/

Close

DC

AC

PM

Management

154

144

13

CM3 N/A

CM2 N/A

CM1 N/A

Gulf Correctional Institution Page 2

DEMOGRAPHICS

Medical Staffing: Main Unit

Physician ARNP RN LPN CMT-C

Staff Dentists Dental Hygienists Dental Assistants

Number of Positions 0 1 2 4.8 1 1 1 1

Number of Vacancies 0 0 0 0 1 0 0 0

Mental Health Staffing: Main Unit

Senior Mental Health Clinician Behavioral Health Specialist

Number of Positions .2 1

Number of Vacancies 0 0

Gulf Correctional Institution Page 3

Medical Staffing: Annex

Physician Clinical Associate

RN LPN CMT-C Staff Dentist Dental Hygienists Dental Assistants

DEMOGRAPHICS

Number of Positions 1 1 6 7.2 2 2 1 3

Number of Vacancies 0

0 2 0 0 0 0 0

Mental Health Staffing: Annex

Senior Mental Health Clinician

Behavioral Health Specialist

Number of Positions .2

1

Number of Vacancies 0

0

Gulf Correctional Institution Page 4

OVERVIEW

Gulf Correctional Institution (GULCI) houses male inmates of minimum, medium and close custody levels. The facility grades are medical (M) grades 1, 2, 3, 4, and 5 and psychology (S) grades 1, and 2. GULCI consists of the Main Unit, Work Camp, and the Annex.

The overall scope of services provided at GULCI includes comprehensive medical, dental, mental health and pharmaceutical services. Specific services include: health education, preventive care, chronic illness clinics, emergency care, outpatient mental health, and observation/infirmary care as required.

The Correctional Medical Authority (CMA) conducted a thorough review of the medical, mental health and dental systems at GULCI on January 12-14, 2016. Record reviews evaluating the provision and documentation of care were also conducted. Additionally, a review of administrative processes and a tour of the physical plant were conducted.

Exit Conference and Final Report The survey team conducted an exit conference via telephone with institutional personnel to discuss preliminary survey results. The findings and final conclusions presented in this report are a result of further analysis of the information collected during the survey. The suggested corrective actions included in this report should not be construed as the only action required to demonstrate correction, but should be viewed as a guide for developing a corrective action plan. Where recommended corrective actions suggest in-service training, a copy of the curriculum and attendance roster should be included in the corrective action plan files. Additionally, evidence of appropriate monthly monitoring should be included in the files for each finding. Unless otherwise specified, this monitoring should be conducted by an institutional clinician/peer and documented by a monthly compilation of the following:

1) The inmate names and DC numbers corresponding to the charts (medical records) reviewed;

2) The criteria/finding being reviewed;

3) An indication of whether the criteria/finding was met for each chart reviewed;

4) The percentage of charts reviewed each month complying with the criteria;

5) Back-up documentation consisting of copies of the relevant sections reviewed from the sampled charts.

Gulf Correctional Institution Page 5

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