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DISABLED G-150 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: DEVELOPMENTALLY DISABLED INMATES NO: G-150 FILE: DISABLED EFFECTIVE DATE: 12-25-94 REVISED: 07-01-99 AUTHORITY: Sheriff J. Zanoni APPROVED BY: Captain R. Wiley REFERENCE: Title 15, Section 1057 and Department of Health Policies and Procedures No. CAR 24.06. PURPOSE: The purpose of this policy is to establish procedures and guidelines for the segregation, diagnosis and/or treatment of developmentally disabled inmates housed in the Fresno County Detention Facilities. POLICY: It is the policy of the Fresno County Sheriffs Department Detention Custody Bureau that all inmates will be screened by medical personnel for the possibility of physical, mental,or developmental handicap prior to their acceptance for booking. All such inmates will be assessed by the appropriate clinician who will devise an individualized treatment and follow-up plan. It is the policy of the Fresno County Sheriffs Department Detention Custody Bureau that all developmentally disabled inmates shall be segregated upon determination that it is necessary for the safety of the inmate. It is the policy of the Fresno County Sheriffs Department Detention Custody Bureau that the Health Center Manager of Jail Medical Services or their designee shall contact the regional center on any inmate suspected or confirmed to be developmentally disabled for the purposes of diagnosis and/or treatment within 24 hours of such determination, excluding holidays and weekends. Page 1 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: DEVELOPMENTALLY DISABLED INMATES NO: G-150 FILE: DISABLED PROCEDURES: I. MEDICAL SCREENING FOR NEW ARRESTEES A. All arrestees shall be screened by Medical staff prior to their acceptance for booking. B. Screening shall include but not be limited to medical and mental health problems, developmental disabilities (epilepsy, mental retardation, autism and cerebral palsy), and communicable diseases. C. Any inmate with a suspected developmental disability (with the exception of epileptics)shall be housed in the infirmary until evaluated by the appropriate clinician or mental health staff. D. Upon evaluation, the Medical staff may consult with Population Management/Classification staff to recommend housing for the inmate. II. DEVELOPMENTAL DISABILITIES A. Autism - absorption in self-centered subjective mental activity (as daydreams, fantasies, delusions, and hallucinations)especially when accompanied by marked withdrawal from reality. B. Cerebral Palsy-a disability resulting from damage to the brain before or during birth and outwardly manifested by muscular incoordination and speech disturbances. C. Epilepsy - any of various disorders marked by disturbed electrical rhythms of the central nervous system and typically manifested by convulsive attacks usually with clouding of consciousness. D. Mental Retardation - less than normal intellectual competence usually characterized by an IQ of less than 70. Page 2 of 3 FRESNO COUNTY SHERIFF'S OFFICE JAIL DIVISION POLICIES AND PROCEDURES TITLE: DEVELOPMENTALLY DISABLED INMATES NO: G-150 FILE: DISABLED III. STAFF RESPONSIBILITY If an officer suspects that an inmate housed in a general population housing unit is developmentally disabled, they shall notify Medical staff. IV. MEDICAL STAFF RESPONSIBILITY A. If Medical staff determines that further diagnosis and/or treatment is necessary, the Health Center Manager of Jail Medical Services or their designee shall contact the Central Valley Regional Center for Developmentally Disabled. B. If the developmentally disabled inmate was housed in a general population housing unit and Medical staff determines that segregation is necessary for the safety of the inmate, Medical staff shall notify Population Management/Classification with their recommendation. Page 3 of 3