In Effect: 20xx-xx-xx Last Review: 2015-10-13 Due for Review: 2017-10-01 COMMISSIONER’S DIRECTIVE 709 Administrative Segregation PROGRAM Custody ALIGNMENT OFFICE(S) OF Correctional Operations and Programs Sector PRIMARY INTEREST ONLINE @     http://infonet/cds/cds/709-cd-eng.pdf http://infonet/cds/cds/709-cd-fra.pdf http://www.csc-scc.gc.ca/policy-and-legislation/709-cd-eng.shtml http://www.csc-scc.gc.ca/politiques-et-lois/709-cd-fra.shtml AUTHORITIES  Corrections and Conditional Release Act (CCRA), sections 3, 3.1, 4, 15.1, 27(3), 31-37, 81, 87 and 90  Corrections and Conditional Release Regulations (CCRR), sections 6(c) and (e), 19-23, 74-82 and 97(2) PURPOSE  To ensure administrative segregation is only used for the shortest period of time necessary, when there are no reasonable and safe alternatives  To ensure that the administrative segregation of an inmate occurs only when specific legal requirements are met and that restrictions are based on the least restrictive requirements to meet the objectives of the Corrections and Conditional Release Act  To ensure a fair, reasonable and transparent decision-making process based on a review of all relevant information  To contribute to the safety of staff and inmates and to the security of the institution by providing a safe and humane administrative segregation process  To ensure that vulnerable offenders are not placed in administrative segregation, except in exceptional circumstances APPLICATION Applies to all staff and contractors involved in the segregation process CONTENTS SECTIONS 1-10 11-16 Responsibilities Inmates Not Admissible to Administrative Segregation Page 1 of 17 CD 709 Administrative Segregation 17-28 Admission 29 Conditions of Confinement 30 First Working Day Review 31-32 Reintegration Action Plan 33-55 Institutional Segregation Review Board 56-58 Regional Segregation Review Board 59-61 National Long Term Segregation Review Committee 62 Health Assessments and Services 63 Administrative Segregation Records 64-66 67 Annex A Citizen Advisory Committees Enquiries Cross-References and Definitions RESPONSIBILITIES 1. The Senior Deputy Commissioner will: a. chair the National Long-Term Segregation Review Committee (NLTSRC) b. determine whether the administrative segregation continues to be justified for every inmate who reaches 60 days or who has reached four placements in a calendar year, or 90 cumulative days in a calendar year. 2. In the absence of the Senior Deputy Commissioner, the Assistant Commissioner, Correctional Operations and Programs, will perform the duties of the Senior Deputy Commissioner under this policy. 3. The Assistant Commissioner, Correctional Operations and Programs will: a. authorize the development of Administrative Segregation Guidelines (GL 709-1) that shall be followed with respect to administrative segregation procedures b. immediately report all incidents of non-compliance to the Commissioner of Corrections. 4. The Regional Deputy Commissioner (RDC) will: Page 2 of 17 CD 709 Administrative Segregation a. review the recommendation of the Regional Segregation Review Board (RSRB) no later than the 40th day, and make a determination whether the placement in administrative segregation continues to be justified b. immediately report all incidents of non-compliance and actions taken to the Commissioner of Corrections c. identify a minimum of two institutions for the annual regional administrative segregation compliance reviews and provide copies of these compliance reviews and their regional action plans to the Assistant Commissioner Correctional Operations and Programs. 5. The Assistant Deputy Commissioner (Assistant Deputy Commissioner, Correctional Operations, or Assistant Deputy Commissioner, Integrated Services) will: a. chair the RSRB for every inmate who reaches 38 days in administrative segregation b. ensure the completion of annual regional administrative segregation compliance reviews in institutions designated by the Regional Deputy Commissioner (RDC) to determine areas of non-compliance and compile regional action plans to address any non-compliance for the RDC’s review c. 6. immediately report all incidents of non-compliance including those reported in the annual visits to the RDC. The Regional Project Officer responsible for administrative segregation will: a. conduct regional administrative segregation compliance reviews annually in institutions designated by the RDC. b. visit each administrative segregation unit in the region at least once annually, and immediately report all incidents of non-compliance to the Institutional Head and the Assistant Deputy Commissioner, Correctional Operations, or Assistant Deputy Commissioner, Integrated Services. 7. The Institutional Head will: a. be the decision maker for the admission to, maintenance in, and release from administrative segregation in accordance with sections 31-37 of the CCRA b. chair the 30 day ISRB and any subsequent institutional reviews c. when absent, designate, through a Standing Order, a staff member not below the level of Correctional Manager who will have the authority to admit an inmate to administrative segregation pursuant to 31(3) of the CCRA d. ensure that the least restrictive measures are applied to any circumstance of an inmate placed in segregation Page 3 of 17 CD 709 Administrative Segregation e. ensure that inmates are released from segregation at the earliest appropriate time f. ensure a process is in place for the identification of inmates who are prohibited from admission to administrative segregation g. visit the segregation unit on a daily basis. Outside regular business hours, if the Institutional Head is not present in the institution, this responsibility must be performed by a staff member who is designated by the Institutional Head, through a Standing Order, as being in charge of the penitentiary. This visit consists of viewing all areas of the segregation unit, including program and/or recreation areas, and inspecting the conditions of confinement for each inmate. The visit and any notable observations and actions taken will be logged in the Segregation Log (CSC/SCC 0218) h. when not present in the institution during business hours, ensure the highest authority on that day completes the segregation unit visit and documents any complaints or noncompliance in writing to the Institutional Head and documents the visit and any notable observations and actions taken in the Segregation Log (CSC/SCC 0218) i. ensure that all decisions regarding administrative segregation are documented and: I. clearly detail the information being relied upon and include an explanation of why that information is credible and persuasive II. clearly detail why an admission or a continued placement in administrative segregation is necessary and the least restrictive measure III. fully consider and address the inmate’s verbal or written submissions IV. consider the inmate’s mental health status, gender, ethnic, cultural and linguistic differences and be responsive to the special needs of women, aboriginal peoples, and other groups j. ensure the establishment of an Institutional Segregation Review Board (ISRB), and k. meet with any inmate in administrative segregation at the inmate’s request and document the meeting in the Segregation Log (CSC/SCC 0218). 8. The Deputy Warden will: a. chair the fifth working day ISRB. 9. The Assistant Warden Operations will: a. ensure the oversight of the daily operations of the segregation unit b. ensure that the conditions of confinement in accordance with paragraph 29 are met Page 4 of 17 CD 709 Administrative Segregation c. ensure that all Administrative Segregation Logs are available and maintained in the segregation unit. 10. The Assistant Warden Interventions will: a. ensure the oversight of case management practices in segregation and ensure quality control of case management reports b. ensure access to programs and services are available to inmates in administrative segregation, unless such access would jeopardize the safety and security of inmates, staff, visitors or the institution c. ensure that the ISRB and RSRB are provided with the case files for review. INMATES NOT ADMISSIBLE TO ADMINISTRATIVE SEGREGATION 11. The following inmates will not be admitted to administrative segregation: a) inmates who are certified in accordance with the relevant provincial/territorial mental health act; b) inmates with serious mental disorder with significant impairments; and c) inmates actively engaging in self-injury or at elevated or imminent risk for suicide. 12. Inmates who have been admitted to administrative segregation who are subsequently identified as falling within paragraph 11 (b) and/or (c) will be released from administrative segregation and managed in accordance with CD 843. 13. An inmate may be admitted to administrative segregation pursuant to section 31 of the CCRA only after discontinuation of the observation level in accordance with CD 843. All health considerations will be documented in the segregation admission screen in OMS. 14. Unless exceptional circumstances exist, the following inmates will not be admitted to administrative segregation: a) pregnant inmates; b) inmates with significant mobility impairments; and c) inmates in palliative care. 15. The institutional head must clearly identify and document the exceptional circumstances in their decision to admit the inmate to administrative segregation. 16. Exceptional circumstances may not be relied upon beyond the first working day review. ADMISSION Page 5 of 17 CD 709 Administrative Segregation 17. Pursuant to GL 709-1 – Administrative Segregation Guidelines, Annex B, the Administrative Segregation Assessment Framework, including the completed Segregation Admission Tool (SAT) must be completed prior to an admission to administrative segregation. 18. Before an inmate is admitted to administrative segregation, a consultation will normally occur with the members of the Case Management Team to ensure that the admission is justified and that all alternative options have been considered. Consultation will minimally include the Parole Officer and health care professionals and may also include the Elder, Chaplain, or other relevant staff as necessary. 19. Prior to the admission into administrative segregation, the case will be reviewed by a health professional to provide an opinion as to whether there are mental health issues that could preclude the inmate’s placement in segregation or if a referral to mental health services is appropriate. This review will be conducted pursuant to the Health Consultation and Assessment for Administrative Segregation Guidelines. 20. When an inmate is admitted to administrative segregation outside regular Health Service hours the case will be reviewed by a health professional as soon as reasonably possible and within 24 hours. 21. Pursuant to CD 843 – Management of Inmate Self-Injurious and Suicidal Behaviour, the Immediate Needs Checklist – Suicide Risk (CSC/SCC 1433) will be completed in the Offender Management System (OMS) upon admission to administrative segregation or when the reasons for admission in administrative segregation are changed. 22. When an inmate has been released from administrative segregation for reasons such as temporary absence, transfer or management under Commissioners Directive 843 (Management of Self-Injurious and Suicidal Behaviour), for a period not exceeding 7 calendar days, and is returned to administrative segregation for the same reason/incident, this will be considered as a continuation of segregation admission in OMS (as outlined in GL 709-1 Administrative Guidelines, Annex D). 23. Without delay, upon admission to administrative segregation, an inmate will be: a. informed of their right to legal counsel pursuant to subsection 97(2) of the Corrections and Conditional Release Regulations (CCRR) and given an opportunity to contact counsel b. informed that they may submit complaints and grievances about administrative segregation, conditions of confinement and treatment pursuant to section 90 of the Corrections and Conditional Release Act (CCRA) and sections 74-82 of the CCRR c. provided with a copy of the Administrative Segregation Handbook for Inmates d. informed that arrangements for an interpreter will be made if they do not speak or understand either official language or have a disability that requires the use of an interpreter Page 6 of 17 CD 709 Administrative Segregation e. informed of the right to have access to a Chaplain/Elder/Spiritual Advisor while in segregation, as well as to spiritual practices f. informed of the right to engage an advocate to assist with the institutional segregation review process in the case of inmates who have been identified as having functional challenges related to mental health g. informed of the right to have access to organizations, including but not limited to the: Office of the Correctional Investigator of Canada, Citizen Advisory Committee, Canadian Association of Elizabeth Fry Societies and John Howard Society h. informed of their right to access programs, services and visits, unless restrictions are required, while in administrative segregation. 24. The Administrative Segregation Admission screen will be completed in OMS at the time of an inmate’s admission to administrative segregation. The inmate will be notified in writing of the reasons for the admission to administrative segregation within one working day of admission pursuant to section 19 of the CCRR, as outlined in GL 709-1 – Administrative Segregation Guidelines, Annex B. 25. The Institutional Head will ensure that the written rationale to admit an inmate to segregation: a. clearly details the information being relied upon and includes an explanation of why that information is credible and persuasive b. fully considers and addresses the inmate’s responding submissions c. is written in a manner that focuses on relevant factors and clearly states the reasons that justify the admission. 26. Pursuant to section 35 of the CCRA, where an inmate requests to be admitted or to remain in administrative segregation and the Institutional Head does not intend to grant the request, the Institutional Head, or a staff member designated through a Standing Order, will meet with the inmate as soon as practicable to: a. explain why the Institutional Head does not intend to grant the request b. provide the inmate with an opportunity to make verbal or written representations. 27. If there are reasonable grounds to believe that disclosure of information in relation to reasons for admission to administrative segregation would jeopardize the safety of any person, the security of a penitentiary, and/or the conduct of any lawful investigation, the Institutional Head has the authority to withhold from the inmate only as much information as is necessary to protect the interest identified. In these circumstances, the inmate should be provided with a gist, pursuant to Annex C of CD 701 – Information Sharing. Page 7 of 17 CD 709 28. Administrative Segregation Following an inmate’s admission to administrative segregation, a Parole Officer will meet with the inmate within two working days to discuss reintegration options. CONDITIONS OF CONFINEMENT 29. In addition to subsection 83 (2) of the CCRR, all inmates admitted to and maintained in administrative segregation will be provided with: a. immediately upon admission, their inmate personal property items related to hygiene, religion and spirituality, medical care and non-electronic person items (e.g. photographs, phone cards, phone book), subject to safety and security concerns in accordance with section 37 of the CCRA b. their remaining personal property items within 24 hours of admission to administrative segregation, subject to safety and security concerns in accordance with section 37 of the CCRA c. the opportunity to shower each day, including weekends and holidays d. the opportunity to be out of their cell for a minimum of two hours daily including the opportunity to exercise for at least one hour every day outdoors, weather permitting, or indoors where the weather does not permit exercising outdoors (this includes weekends and holidays). FIRST WORKING DAY REVIEW 30. When an inmate is admitted to administrative segregation outside regular business hours: a. the Institutional Head will review the admission decisions made by a delegate within one working day to either confirm the admission or order the release from administrative segregation. Consideration of the inmate’s Aboriginal social history, mental health and health care needs, including specific consideration of available mental health treatment options, must be addressed in the decision to either maintain or release. The inmate will be provided with a copy of the Institutional Head’s decision within two working days b. consultation with the Case Management Team, including the Elder, Chaplain or other relevant staff where feasible, will occur prior to finalizing the first-working-day review. REINTEGRATION ACTION PLAN (RAP) 31. 32. Following an inmate’s admission to administrative segregation, the Parole Officer will develop a Reintegration Action Plan (RAP) that outlines actions to be taken to safely release the inmate from administrative segregation at the earliest appropriate time, and to monitor and support the inmate following their release from administrative segregation. The RAP will consider the inmate’s individual static and dynamic factors, including mental health, Aboriginal social history, and physical well-being. Page 8 of 17 CD 709 Administrative Segregation INSTITUTIONAL SEGREGATION REVIEW BOARD (ISRB) 33. In accordance with section 21.2.a of the CCRR, the ISRB will conduct a hearing within five working days after the inmate’s admission or following any readmission to administrative segregation. 34. If the inmate remains in administrative segregation after the fifth-working-day review, the Parole Officer, in consultation with other Case Management Team members, will develop a RAP that will be consistent with the inmate's Correctional Plan (as outlined in GL 709-1 – Administrative Segregation Guidelines, Annex B). 35. In accordance with section 21.2.b of the CCRR, the ISRB will conduct a hearing within 30 calendar days of the inmate’s admission. Subsequent hearings will be held at least once every 30 calendar days from the date of the last 30-day review. 36. Prior to all ISRBs, the Parole Officer will consult with health care professionals to obtain information on any health issues that may impact the inmate’s segregation status and how their health needs can be accommodated. The outcome of the consultation will be considered and documented in the Institutional Segregation Review Board recommendation. 37. A mental health professional must be present as a permanent member of the ISRBs to provide advice and expertise regarding mental health interventions as required. The mental health professional will only provide their opinion as to the impact on the inmate of the placement or continued placement in administrative segregation. 38. The Institutional Segregation Review Board will be chaired by: a. the Deputy Warden, for the fifth-working-day review b. the Warden, for the 30 day review and all subsequent institutional reviews. The 30-day review can be delegated to the Deputy Warden with the approval of the RDC. This delegation will be provided in writing to the Institutional Head. 39. The ISRB hearing (ISRB) will be conducted and documented pursuant to GL 709-1 – Administrative Segregation Guidelines, Annex C. 40. The inmate will be present unless: a. the inmate is voluntarily absent b. the Chairperson of the hearing believes on reasonable grounds that the inmate’s presence would jeopardize the safety of any person present at the hearing, or c. the inmate seriously disrupts the hearing. Page 9 of 17 CD 709 41. Administrative Segregation The inmate will receive notification in writing at least three working days – or any shorter period to which the inmate has consented – prior to the date and time of each Institutional Segregation Review Board hearing that will include: a. a copy of any information to be addressed in the review, including that which has not previously been shared b. a gist of any information that is withheld pursuant to subsection 27(3) of the CCRA and CD 701 – Information Sharing, and has not been previously shared c. Commissioner’s Directives and Institutional Standing Orders that are related to the hearing, at the inmate’s request d. Notification of the opportunity to make verbal or written representation to the ISRB. 42. At the time when the aforementioned information is shared with the inmate, the inmate’s intention to attend or not attend the ISRB hearing will be documented in writing. 43. The inmate and their advocate, where applicable, will be provided with a reasonable opportunity to present their case to the ISRB. The Chairperson will also solicit the opinion of all ISRB members in attendance. 44. If the inmate is absent from the hearing for a reason referred to in subsection 33(2) of the CCRA, they will be given the opportunity to submit written representations, or written representations prepared on their behalf, which shall be considered by the ISRB. 45. Once the hearing has concluded, if required, the ISRB members will be afforded the opportunity to further discuss the case to facilitate their recommendation. The role of the Chairperson will be to facilitate the recommendation and ensure that procedural safeguards, policy and the law are respected.Unless the ISRB is satisfied that the inmate must be maintained in segregation pursuant to section 31 of the CCRA, the Board’s recommendation must be to release the inmate from administrative segregation. 46. The ISRB will make a recommendation to the Institutional Head in writing addressing the inmate’s maintained segregation or release from segregation. 47. During the 30 day and all subsequent reviews, the Institutional Head is the Chairperson and decision maker and does not participate in the recommendation of the ISRB. In these cases, once the ISRB is prepared to proceed, the designated person will present the Board’s recommendation to the Institutional Head, including any dissenting views. 48. The inmate will then be presented with the recommendation of the ISRB by the Institutional Head and informed that a final decision regarding their segregation status will be provided, in writing, within two business days. Nothing precludes the Institutional Head as the final decision maker from sharing, with the inmate and other members of the ISRB, their final decision at the time the inmate is presented with the ISRB recommendation. Page 10 of 17 CD 709 Administrative Segregation 49. If the Institutional Head does not intend to accept the ISRB recommendation to release the inmate or when the inmate has requested that the administrative segregation placement be continued and the Institutional Head does not intend to grant the request, the Institutional Head must personally meet with the inmate as soon as practicable to explain the reasons for the decision. The inmate will be given an opportunity to respond in person or in writing. 50. The Institutional Head must consider the inmate’s state of mental and physical health and health care needs when making segregation decisions. These considerations are to be documented in all decisions and a plan must be developed to address health care needs. 51. In the case of inmates who have been identified as having functional challenges related to mental health and where the ISRB has been unable to identify alternatives to Administrative Segregation, the case will be referred to the Regional Complex Mental Health Committee for support until the inmate is released from segregation. The Regional Complex Mental Health Committee may recommend an external review of the case to assist in determining intervention strategies. 52. The inmate will receive a copy of the ISRB recommendation and the Institutional Head’s decision, within two working days following the hearing. Where a hearing has not been held, the inmate will be immediately informed of the decision to release them from segregation and will receive the written decision within two working days. 53. Cases will be reviewed at any time when the ISRB receives new reliable information that challenges the reasons for the inmate’s placement in segregation. 54. If the decision is to release an inmate from segregation outside of the regular prescribed reviews as per subsection 21(2) of the CCRR, and the inmate is in agreement with the decision, an ISRB hearing is not necessary. In these cases, the recommendations to the Institutional Head will be made in writing, pursuant to GL 709-1 – Administrative Segregation Guidelines, Annex B, by a staff member at a level no lower than an Assistant Warden. REGIONAL SEGREGATION REVIEW BOARD (RSRB) 55. All regional reviews will be based on the total accumulated days in segregation – continuous status (as outlined in GL 709-1 – Administrative Segregation Guidelines, Annex D). 56. The RSRB will: a. review the case of every inmate who reaches 38 days in administrative segregation, and will review such cases at least once every 30 days thereafter (The RSRB will also review any case specifically referred to them) to determine whether the administrative segregation of the inmate continues to be justified b. consider the inmate’s Aboriginal social history, state of mental and physical health and health care needs, including available mental health treatment options Page 11 of 17 CD 709 Administrative Segregation c. the RSRB will provide its recommendation on the justification of the continued placement of the inmate in administrative segregation to the RDC. 57. The RDC will: a. review the case of every inmate who has been reviewed by the RSRB to determine whether the administrative segregation of the inmate continues to be justified b. consider the inmate’s Aboriginal social history, gender considerations, state of mental and physical health and health care needs, including available mental health treatment options c. provide the inmate with a written copy of the Board’s review, including information about the grievance process, within five working days of the review and may direct the Institutional Head to take action in order to resolve the inmate’s segregation status, including reviewing the inmate’s case for transfer, if necessary. NATIONAL LONG TERM SEGREGATION REVIEW COMMITTEE (NLTSRC) 58. The Senior Deputy Commissioner will chair the NLTSRC which will be comprised of the following members: a. Director General, Security Branch, or delegate b. Director General, Mental Health, or delegate c. Director General, Women Offender Sector, or delegate d. Director General, Aboriginal Initiatives Directorate, or delegate e. Assistant Deputy Commissioner, Correctional Operations and/or Assistant Deputy Commissioner, Integrated Services of all regions f. Other ADHOC members (as required) 59. RDCs will be required to submit a list of cases for review prior to the NLTSRC meeting including but not limited to: a. history of administrative segregation b. current accumulated days in administrative segregation c. actions taken to date, including mental health considerations d. alternatives explored e. transfer options. Page 12 of 17 CD 709 60. Administrative Segregation The NLTSRC will: a. review the case of every inmate who reaches 60 days in administrative segregation, and will review such cases at least once every 30 days thereafter b. review the case of every inmate who has reached 4 placements in a calendar year, or 90 cumulative days in a calendar year, and will review such cases at least once every 30 days thereafter c. consider the inmate’s Aboriginal social history, gender considerations, state of mental and physical health and health care needs, including available mental health treatment options. d. provide the inmate with a written copy of the Committee’s review, including information about the grievance process, within five working days of the review and may direct the Institutional Head to take action in order to resolve the inmate’s segregation status, including reviewing the inmate’s case for transfer, if necessary. HEALTH ASSESSMENTS AND SERVICES 61. The provision of regular health assessments, including mental health assessments, for inmates confined in administrative segregation includes the following obligations: a. a health care professional must visit an inmate at the time of admission or without delay to establish if there are any health concerns b. pursuant to CD 800 – Health Services a mental health professional, or other mental health staff under the supervision of a mental health professional, must provide a written opinion on the inmate’s current mental health status, any noted deterioration of mental health and the appropriateness of a referral to mental health services (if applicable) within the first 25 days of admission to administrative segregation and an assessment of current mental health status once every subsequent 60 days (This assessment is completed pursuant to the Health Consultation and Assessment for Administrative Segregation Guidelines.) c. a health care professional must visit each inmate in administrative segregation daily, including on weekends and holidays d. a health care professional will provide comments to the ISRB in regards to physical/mental health for every inmate being presented to the Segregation Review Board. ADMINISTRATIVE SEGREGATION RECORDS 62. The Segregation Log (CSC/SCC 0218) will be maintained in the administrative segregation area and all relevant sections of the form will be completed by all staff and visitors. CITIZEN ADVISORY COMMITTEES Page 13 of 17 CD 709 Administrative Segregation 63. Citizen Advisory Committees (CAC) will be provided access to administrative segregation units at any time for the purpose of viewing the condition of confinement or to interview inmates at the inmate’s request. 64. CAC members are encouraged to provide independent observations to the Institutional Head on concerns related to conditions of confinement or any other concerns they have noted in the segregation unit. 65. CAC members are encouraged to participate at the Institutional and Regional Segregation Review Board meetings. ENQUIRIES 66. Strategic Policy Division National Headquarters Email: Gen-NHQPolicy-Politi@csc-scc.gc.ca Commissioner, Original signed by: Don Head Page 14 of 17 CD 709 Administrative Segregation ANNEX A CROSS-REFERENCES AND DEFINITIONS CROSS-REFERENCES CD 081 – Offender Complaints and Grievances CD 084 – Inmates’ Access to Legal Assistance and the Police CD 259 – Exposure to Second Hand Smoke CD 559 – Visits CD 566-1 – Control of Entry to and Exit from Institutions CD 566-8 – Searching of Staff and Visitors CD 580 – Discipline of Inmates CD 700 – Correctional Interventions CD 701 – Information Sharing CD 702 – Aboriginal Offenders CD 705-3 – Immediate Needs Identification and Admission Interviews CD 710-2 – Transfer of Inmates CD 710-6 – Review of Inmate Security Classification CD 720 – Education Programs and Services for Offenders CD 726 – Correctional Programs CD 730 – Offender Program Assignments and Inmate Payments CD 800 – Health Services CD 843 – Management of Inmate Self-Injurious and Suicidal Behaviour Administrative Segregation Handbook for Staff Health Assessments for Administrative Segregation Guidelines Integrated Mental Health Guidelines DEFINITIONS Administrative Segregation: the separation of an inmate to prevent association with other inmates, when specific legal requirements are met, other than pursuant to a disciplinary decision. Advocate: inmates who have been identified as having functional challenges related to mental health, will be permitted the opportunity to engage an advocate to assist them with the SRB process. For the purposes of this policy, an advocate is a person who, in the opinion of the Institutional Head, is acting or will act in the best interest of the inmate. Elder/Spiritual Advisor: any person recognized by an Aboriginal community as having knowledge and understanding of the traditional culture of the community, including the physical manifestations of the culture of the people and their spiritual and social traditions and ceremonies. Knowledge and wisdom, coupled with the recognition and respect of the people of the community, are the essential defining characteristics of an Elder/Spiritual Advisor. Elders/Spiritual Advisors are known by many other titles depending on the region or local practices. An example is Angakuks who is an Inuit shaman or medicine man. Exceptional Circumstance: An immediate situation which endangers the life, safety, or health of inmates, staff, visitors or the institution. Page 15 of 17 CD 709 Administrative Segregation Health Care Professional: an individual registered or licensed for autonomous practice in the province of practice. Individuals must operate within their scope of practice and competence. Examples include Psychologists, Psychiatrists, Physicians, Nurses, and Clinical Social Workers. Inmates with Functional Challenges Related to Mental Health: cognitive impairment or severe personality disorder with disturbance in emotional regulation, interpersonal relationships and behavioural controls, resulting in difficulties in functioning within the structure of a mainstream institution. Inmates with Significant Mobility Impairments: severe mobility disability: Person confirmed to be severely mobility disabled based on documentation in the healthcare record. Inmates with Serious Mental Disorder with Significant Impairments: Persons presenting with symptoms associated with psychotic, major depressive and bipolar disorders resulting in significant impairment in functioning. Assessment of mental disorder and level of impairment is a clinical judgement and determined by a registered health care professional. Significant impairment may be characterized by severe impairment in mood, reality testing, communication or judgement, behavior that is influenced by delusions or hallucinations, inability to maintain personal hygiene and serious impairment in social and interpersonal interactions. Intermediate Mental Health Care: mental health care provided to inmates who do not need to be in a hospital, or do not consent to hospital admission, but still need more mental health care than is available at the primary care level. Mental Health Professional: CSC staff and contractors who offer services for the purposes of improving an offender’s mental health and are registered or licensed in Canada, preferably in the province/territory of practice. Individuals will operate within their scope of practice and competence. Examples include Psychologists, Psychiatrists, Physicians, Mental Health Nurses, and Clinical Social Workers. Mental Health Services: includes intake mental health screening, comprehensive mental health assessments, primary care (i.e. treatment and other mental health interventions), intermediate mental health care, as well as psychiatric hospital care. Palliative: an individual in an advanced stage of a chronic life-ending illness where medical interventions are primarily focused on providing comfort, relieving pain, improving quality of life, and addressing associated psychosocial, psychological and spiritual end of life issues. Pregnant Inmates: an individual confirmed to be pregnant based on documentation in the healthcare record. Primary Care: mental health care provided to offenders whose mental health needs can be accommodated by mental health services offered in mainstream institutions. Psychiatric Hospital Care: mental health care provided to offenders with acute mental health concerns requiring a clinical environment providing 24-hour patient care coverage. Severe Mobility Disability: an individual who is unable to perform the activities associated with walking or any complex physical movement, even with assistive devices/adaptive equipment due to limitations of a body system(s), such as musculoskeletal, cardiovascular or neurological. Page 16 of 17 CD 709 Administrative Segregation Without Delay: immediately unless there are compelling circumstances preventing immediate action and in those circumstances, the delay cannot be more than 24 hours. Page 17 of 17