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ARTICLE/SECTION YES NO N/A COMMENTS <br /> 1057 Developmentally Disabled Inmates <br /> X <br /> There are procedures for the identification and <br /> evaluation of all developmentally disabled <br /> inmates. (Note: Appropriate housing is based <br /> on T-15§ 1050, Classification.) <br /> A contact to the regional center occurs within 24 <br /> hours when an inmate is suspected or X <br /> confirmed to be developmentally disabled. <br /> (Applicable only in facilities holding inmates in <br /> excess of 24 hours.) <br /> 1058 Use of Restraint Devices <br /> X <br /> (Note: The regulation distinguishes "use of <br /> force" from use of restraints. Health inspectors <br /> should familiarize themselves with this <br /> discussion in the Medical-Mental Health <br /> Guidelines and contact their BOC Field <br /> Representative if there are questions regarding <br /> applicability to a particular facility.) <br /> Restraints are used only to hold inmates who <br /> display behavior that results in the destruction of <br /> property or reveals an intent to cause physical <br /> harm to self or others. <br /> Restraints are not used as discipline or as a X <br /> substitute for treatment. <br /> There are polices and procedures for the use of <br /> restraint devices including acceptable restraint X <br /> devices; signs or symptoms which should result <br /> in immediate medical/mental health referral; <br /> availability of CPR equipment; protective <br /> housing of restrained persons; provisions for <br /> hydration and sanitation needs; and exercising <br /> of extremities. <br /> Inmates are placed in restraints only with <br /> approval of the facility manager, watch X <br /> commander, or if delegated, a physician. <br /> All inmates in restraints are housed alone or in a X <br /> specified area for restrained inmates. <br /> Direct visual observation is conducted and X <br /> logged at least twice every 30 minutes. <br /> Continued retention in such restraints is X <br /> reviewed eve two hours. <br /> A medical opinion on placement and retention is <br /> secured as soon as possible but no later than X <br /> four hours from the time of placement. <br /> Medical review for continued retention in <br /> restraint devices occurs at a minimum of every X <br /> six hours. <br /> A mental health consultation is secured as soon <br /> as possible, but no later than eight hours from X <br /> the time of placement. <br /> Summary of Medical/Mental Health evaluation: <br /> ADULT CH-TH; 10-08 PAGE 9 Court and Temp Holding BOC FORM 357(Rev. 10-08) <br />