•  Summary 
  •  
  •  Actions 
  •  
  •  Floor Votes 
  •  
  •  Memo 
  •  
  •  Text 

A09342 Summary:

BILL NOA09342
 
SAME ASSAME AS S06422
 
SPONSORAubry
 
COSPNSRGordon D, Lupardo
 
MLTSPNSRMcEneny
 
Amd SS2, 137 & 401, add S401-a, Cor L; amd S45.07, Ment Hyg L
 
Relates to the confinement conditions and treatment of convicted persons with serious mental illness.
Go to top

A09342 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          9342
 
                               2007-2008 Regular Sessions
 
                   IN ASSEMBLY
 
                                      July 17, 2007
                                       ___________
 
        Introduced  by M. of A. AUBRY -- read once and referred to the Committee
          on Correction
 
        AN ACT to amend the correction  law  and  the  mental  hygiene  law,  in
          relation  to confinement conditions and treatment of convicted persons
          with serious mental illness
 
          The People of the State of New York, represented in Senate and  Assem-

        bly, do enact as follows:
 
     1    Section  1.  Legislative  findings.  1. The legislature finds that the
     2  needs of inmates  with  serious  mental  illness  should  be  served  by
     3  improved  access  to  mental  health  treatment during incarceration. In
     4  particular, inmates with serious mental illness should be offered thera-
     5  peutic care and treatment in residential  mental  health  settings  when
     6  doing  so  will not compromise the safety of inmates or other persons or
     7  the security of the facility. While in exceptional circumstances  segre-
     8  gated confinement may sometimes be necessary to maintain such safety and
     9  security, even for inmates with serious mental illness, the state should
    10  strive  to  maintain  such  inmates  with serious mental illness in less
    11  restrictive settings whenever it can safely do so.
    12    2. When inmates with serious mental illness are placed  in  segregated

    13  confinement,  they  should receive a heightened level of care, including
    14  out-of-cell therapeutic programming and/or mental health treatment, when
    15  consistent with the safety of the inmate and other persons or the  secu-
    16  rity  of  the  facility. Such inmates with serious mental illness should
    17  also undergo periodic reassessments of their mental condition to  deter-
    18  mine whether diversion from segregated confinement to a less restrictive
    19  setting is appropriate.
    20    3.  This  act  creates  a  balanced  approach to care and treatment of
    21  inmates with serious mental illness and the state's  ability  to  ensure
    22  the  safety  of  all  inmates  and  employees and the security of prison
    23  facilities.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.

                                                                   LBD12050-03-7

        A. 9342                             2
 
     1    § 2. Section 2 of the correction law is  amended  by  adding  ten  new
     2  subdivisions  21,  22,  23,  24,  25,  26,  27, 28, 29 and 30 to read as
     3  follows:
     4    21.  "Residential  mental  health  treatment  unit"  means housing for
     5  inmates with serious mental illness that  is  operated  jointly  by  the
     6  department and the office of mental health and is therapeutic in nature.
     7  Such  units  shall  not  be  operated as disciplinary housing units, and
     8  decisions about treatment and conditions of confinement  shall  be  made
     9  based  upon a clinical assessment of the therapeutic needs of the inmate

    10  and maintenance of adequate safety and security on the unit. Such  units
    11  shall include, but not be limited to, the residential mental health unit
    12  model,  the  behavioral health unit model, the intermediate care program
    13  and the intensive intermediate care program. The models shall be defined
    14  in regulations promulgated by the department in  consultation  with  the
    15  commissioner  of  mental  health  consistent  with  this subdivision and
    16  section four hundred one of this chapter. Inmates placed in  a  residen-
    17  tial mental health treatment unit shall be offered at least four hours a
    18  day  of  structured  out-of-cell  therapeutic  programming and/or mental
    19  health treatment, except on weekends or holidays, in addition  to  exer-

    20  cise,  and may be provided with additional out-of-cell activities as are
    21  consistent with their mental health needs; provided, however,  that  the
    22  department may maintain no more than thirty-eight behavioral health unit
    23  beds  in which the number of hours of out-of-cell structured therapeutic
    24  programming and/or mental health treatment offered to inmates on a daily
    25  basis, except on weekends or holidays, may be limited to only two hours.
    26  Out-of-cell therapeutic programming and/or mental health treatment  need
    27  not  be  provided  to an inmate for a brief orientation period following
    28  his or her arrival at a residential mental health  treatment  unit.  The
    29  length of such orientation period shall be determined by a mental health

    30  clinician but in no event shall be longer than five business days.
    31    22.  "Mental  health  clinician"  means  a psychiatrist, psychologist,
    32  social worker or nurse practitioner who is licensed by the department of
    33  education and employed by the office of mental health.
    34    23. "Segregated confinement" means the disciplinary confinement of  an
    35  inmate in a special housing unit or in a separate keeplock housing unit.
    36  Special housing units and separate keeplock units are housing units that
    37  consist  of  cells  grouped so as to provide separation from the general
    38  population, and may be used to house inmates confined  pursuant  to  the
    39  disciplinary procedures described in regulations.
    40    24.  "Joint  case  management committee" means a committee composed of

    41  staff from the department and  the  office  of  mental  health.  Such  a
    42  committee shall be established at each level one and level two facility.
    43  Each  committee  shall  consist  of  at  least two clinical staff of the
    44  office of mental health and two officials of the department. The purpose
    45  of such committee shall be to review, monitor and coordinate the  behav-
    46  ior  and  treatment  plan  of  any  inmate  who  is placed in segregated
    47  confinement or a residential mental health treatment  unit  and  who  is
    48  receiving services from the office of mental health.
    49    25.   "Joint  central  office  review  committee"  means  a  committee
    50  comprised of central office personnel from the department and the office

    51  of mental health as designated by the respective commissioners.
    52    26. "Treatment team" means a team consisting of  an  equal  number  of
    53  individuals  from the department and the office of mental health who are
    54  assigned to a residential mental health  treatment  unit  and  who  will
    55  review  and determine each inmate's appropriateness for movement through
    56  the various program phases, when applicable. The  treatment  team  shall

        A. 9342                             3
 
     1  also  review,  monitor and coordinate the treatment plans for all inmate
     2  participants.
     3    27.  "Level one facility" means a correctional facility at which staff
     4  from the office of mental health are assigned on a full-time  basis  and

     5  able  to  provide treatment to inmates with a major mental disorder. The
     6  array of available specialized services  include:    residential  crisis
     7  treatment, residential day treatment, medication monitoring by psychiat-
     8  ric  nursing  staff,  and  potential  commitment to the central New York
     9  Psychiatric Center.
    10    28. "Level two facility" means a correctional facility at which  staff
    11  from  the  office of mental health are assigned on a full-time basis and
    12  able to provide treatment to inmates with a major mental  disorder,  but
    13  such  disorder  is not as acute as that of inmates who require placement
    14  at a level one facility.
    15    29. "Level three facility" means  a  correctional  facility  at  which

    16  staff from the office of mental health are assigned on a part-time basis
    17  and  able to provide treatment and medication to inmates who either have
    18  a moderate mental disorder, or who are in remission from a disorder, and
    19  who are determined by staff of the office of mental health to be able to
    20  function adequately in the facility with such level of staffing.
    21    30. "Level four facility" means a correctional facility at which staff
    22  from the office of mental health are assigned on a part-time  basis  and
    23  able  to  provide  treatment  to  inmates who may require limited inter-
    24  vention, excluding psychiatric medications.
    25    § 3. The opening paragraph of subdivision 6  of  section  137  of  the
    26  correction  law,  as  amended  by  chapter  490  of the laws of 1974, is

    27  amended to read as follows:
    28    [The] Except as provided in paragraphs (d) and (e)  of  this  subdivi-
    29  sion,  the superintendent of a correctional facility may keep any inmate
    30  confined in a cell or room, apart from the accommodations  provided  for
    31  inmates  who  are  participating  in  programs of the facility, for such
    32  period as may be necessary for maintenance of order or  discipline,  but
    33  in any such case the following conditions shall be observed:
    34    §  4.  Paragraph (d) of subdivision 6 of section 137 of the correction
    35  law, as amended by chapter 490 of the laws of 1974, is relettered  para-
    36  graph  (f)  and  amended and two new paragraphs (d) and (e) are added to
    37  read as follows:
    38    (d) (i) Except as set forth in clause (E) of subparagraph (ii) of this

    39  paragraph, the department, in consultation  with  mental  health  clini-
    40  cians,  shall  divert  or remove inmates with serious mental illness, as
    41  defined in paragraph (e) of this subdivision, from  segregated  confine-
    42  ment, where such confinement could potentially be for a period in excess
    43  of  thirty days, to a residential mental health treatment unit.  Nothing
    44  in this paragraph shall be deemed to prevent  the  disciplinary  process
    45  from  proceeding in accordance with department rules and regulations for
    46  disciplinary hearings.
    47    (ii) (A) Upon placement of an inmate into segregated confinement at  a
    48  level  one or level two facility, a suicide prevention screening instru-
    49  ment shall be administered by staff from the department or the office of

    50  mental health who has been trained for that purpose. If such a screening
    51  instrument reveals that the inmate is  at  risk  of  suicide,  a  mental
    52  health  clinician  shall be consulted and appropriate safety precautions
    53  shall be taken.  Additionally, within one business day of the  placement
    54  of  such  an  inmate into segregated confinement at a level one or level
    55  two facility, the inmate shall be assessed by a mental health clinician.

        A. 9342                             4
 
     1    (B) Upon placement of an inmate into segregated confinement at a level
     2  three or level four facility, a suicide prevention screening  instrument
     3  shall  be  administered  by  staff  from the department or the office of

     4  mental health who has been trained for that purpose. If such a screening
     5  instrument  reveals  that  the  inmate  is  at risk of suicide, a mental
     6  health clinician shall be consulted and appropriate  safety  precautions
     7  shall  be taken. All inmates placed in segregated confinement at a level
     8  three or level four facility shall be assessed by a mental health clini-
     9  cian, within fourteen days of such placement  into  segregated  confine-
    10  ment.
    11    (C)  At  the  initial assessment, if the mental health clinician finds
    12  that an inmate suffers from a serious mental illness,  a  recommendation
    13  shall  be made whether exceptional circumstances, as described in clause
    14  (E) of this subparagraph, exist. In a facility with a joint case manage-

    15  ment committee, such recommendation shall be made by such committee.  In
    16  a facility without a joint case management committee, the recommendation
    17  shall  be made jointly by a committee consisting of the facility's high-
    18  est ranking mental health clinician, the deputy superintendent for secu-
    19  rity, and the deputy  superintendent  for  program  services,  or  their
    20  equivalents.  Any  such  recommendation  shall  be reviewed by the joint
    21  central office review committee. The administrative process described in
    22  this clause shall be completed  within  fourteen  days  of  the  initial
    23  assessment,  and if the result of such process is that the inmate should
    24  be removed from segregated confinement, such removal shall occur as soon

    25  as practicable, but in no event more than  seventy-two  hours  from  the
    26  completion of the administrative process.
    27    (D)  If  an  inmate  with  a serious mental illness is not diverted or
    28  removed to a residential mental health treatment unit, such inmate shall
    29  be reassessed by a mental health clinician within fourteen days  of  the
    30  initial  assessment  and  at  least once every fourteen days thereafter.
    31  After each such additional assessment, a recommendation  as  to  whether
    32  such  inmate should be removed from segregated confinement shall be made
    33  and reviewed according to the process set forth in clause  (C)  of  this
    34  subparagraph.
    35    (E) A recommendation or determination whether to remove an inmate from

    36  segregated  confinement  shall  take  into  account the assessing mental
    37  health clinicians' opinions as to  the  inmate's  mental  condition  and
    38  treatment needs, and shall also take into account any safety and securi-
    39  ty  concerns  that would be posed by the inmate's removal, even if addi-
    40  tional restrictions were placed on the  inmate's  access  to  treatment,
    41  property,  services  or privileges in a residential mental health treat-
    42  ment unit.  A recommendation or determination shall direct the  inmate's
    43  removal  from segregated confinement except in the following exceptional
    44  circumstances: (1) when the reviewer finds that  removal  would  pose  a
    45  substantial  risk  to  the  safety  of the inmate or other persons, or a

    46  substantial threat to the security of the facility, even  if  additional
    47  restrictions  were placed on the inmate's access to treatment, property,
    48  services or privileges in a residential mental health treatment unit; or
    49  (2) when the assessing mental  health  clinician  determines  that  such
    50  placement  is  in the inmate's best interests based on his or her mental
    51  condition and that removing such inmate to a residential  mental  health
    52  treatment  unit would be detrimental to his or her mental condition. Any
    53  determination not to remove an inmate with serious mental  illness  from
    54  segregated  confinement  shall  be documented in writing and include the
    55  reasons for the determination.

        A. 9342                             5
 

     1    (iii) Inmates with serious mental illness  who  are  not  diverted  or
     2  removed  from segregated confinement shall be offered a heightened level
     3  of care, involving a minimum of two hours each day, five days a week, of
     4  out-of-cell therapeutic treatment and programming. This heightened level
     5  of care shall not be offered only in the following circumstances:
     6    (A)  The  heightened level of care shall not apply when an inmate with
     7  serious mental illness does not, in the reasonable judgment of a  mental
     8  health  clinician,  require  the heightened level of care. Such determi-
     9  nation shall be documented with a written statement of the basis of such
    10  determination and shall be reviewed by the Central New York  Psychiatric

    11  Center clinical director or his or her designee. Such a determination is
    12  subject  to  change  should  the  inmate's  clinical status change. Such
    13  determination shall be reviewed and documented by a mental health clini-
    14  cian every thirty days, and in consultation with the  Central  New  York
    15  Psychiatric  Center  clinical  director  or his or her designee not less
    16  than every ninety days.
    17    (B) The heightened level  of  care  shall  not  apply  in  exceptional
    18  circumstances when providing such care would create an unacceptable risk
    19  to the safety and security of inmates or staff. Such determination shall
    20  be  documented  by  security  personnel  together with the basis of such
    21  determination and shall be reviewed by the facility  superintendent,  in

    22  consultation  with  a mental health clinician, not less than every seven
    23  days for as long as the inmate remains in  segregated  confinement.  The
    24  facility shall attempt to resolve such exceptional circumstances so that
    25  the  heightened  level  of  care  may  be  provided. If such exceptional
    26  circumstances remain unresolved for thirty days,  the  matter  shall  be
    27  referred to the joint central office review committee for review.
    28    (iv)  Inmates  with  serious  mental  illness  who are not diverted or
    29  removed from segregated confinement shall not be placed on a  restricted
    30  diet,  unless there has been a written determination that the restricted
    31  diet is necessary for reasons of safety and security.   If a  restricted

    32  diet is imposed, it shall be limited to seven days, except in the excep-
    33  tional  circumstances  where  the joint case management committee deter-
    34  mines that limiting the restricted diet to  seven  days  would  pose  an
    35  unacceptable  risk  to  the  safety and security of inmates or staff. In
    36  such case, the need for a restricted diet shall  be  reassessed  by  the
    37  joint case management committee every seven days.
    38    (v)  All inmates in segregated confinement in a level one or level two
    39  facility who are not assessed with  a  serious  mental  illness  at  the
    40  initial assessment shall be offered at least one interview with a mental
    41  health  clinician  within  fourteen  days of their initial mental health

    42  assessment, and additional interviews at least every thirty days  there-
    43  after,  unless  the mental health clinician at the most recent interview
    44  recommends an earlier interview or assessment.   All inmates  in  segre-
    45  gated  confinement  in  a level three or level four facility who are not
    46  assessed with a serious mental illness at the initial  assessment  shall
    47  be  offered at least one interview with a mental health clinician within
    48  thirty days of their initial mental health  assessment,  and  additional
    49  interviews  at  least  every  ninety  days thereafter, unless the mental
    50  health clinician at the most  recent  interview  recommends  an  earlier
    51  interview or assessment.
    52    (e)  An  inmate  has  a serious mental illness when he or she has been

    53  determined by a mental health clinician to meet  at  least  one  of  the
    54  following criteria:
    55    (i)  he  or  she  has  a  current diagnosis of, or is diagnosed at the
    56  initial or any  subsequent  assessment  conducted  during  the  inmate's

        A. 9342                             6
 
     1  segregated  confinement with, one or more of the following types of Axis
     2  I diagnoses, as described in the most recent edition of  the  Diagnostic
     3  and  Statistical Manual of Mental Disorders, and such diagnoses shall be
     4  made based upon all relevant clinical factors, including but not limited
     5  to symptoms related to such diagnoses:
     6    (A) schizophrenia (all sub-types),
     7    (B) delusional disorder,

     8    (C) schizophreniform disorder,
     9    (D) schizoaffective disorder,
    10    (E) brief psychotic disorder,
    11    (F)  substance-induced  psychotic disorder (excluding intoxication and
    12  withdrawal),
    13    (G) psychotic disorder not otherwise specified,
    14    (H) major depressive disorders, or
    15    (I) bipolar disorder I and II;
    16    (ii) he or she is actively suicidal or has engaged in a recent,  seri-
    17  ous suicide attempt;
    18    (iii)  he  or  she  has been diagnosed with a mental condition that is
    19  frequently characterized by breaks with reality, or perceptions of real-
    20  ity, that lead  the  individual  to  experience  significant  functional
    21  impairment  involving  acts  of  self-harm or other behavior that have a

    22  seriously adverse effect on life or on mental or physical health;
    23    (iv) he or she has been diagnosed with an organic brain syndrome  that
    24  results  in  a significant functional impairment involving acts of self-
    25  harm or other behavior that have a seriously adverse effect on  life  or
    26  on mental or physical health;
    27    (v)  he  or  she has been diagnosed with a severe personality disorder
    28  that is manifested by frequent episodes of psychosis or depression,  and
    29  results  in  a significant functional impairment involving acts of self-
    30  harm or other behavior that have a seriously adverse effect on  life  or
    31  on mental or physical health; or
    32    (vi)  he  or  she  has been determined by a mental health clinician to

    33  have otherwise substantially deteriorated mentally or emotionally  while
    34  confined in segregated confinement and is experiencing significant func-
    35  tional  impairment  indicating a diagnosis of serious mental illness and
    36  involving acts of self-harm  or  other  behavior  that  have  a  serious
    37  adverse effect on life or on mental or physical health.
    38    (f) The superintendent shall make a full report to the commissioner at
    39  least  once  a  week  concerning  the condition of such inmate and shall
    40  forthwith report to the  commissioner  any  recommendation  relative  to
    41  health  maintenance  or health care delivery made by the facility health
    42  services director and  any  recommendation  relative  to  mental  health
    43  treatment or confinement of an inmate with a serious mental illness made

    44  by  the  mental  health  clinician pursuant to paragraphs (d) and (e) of
    45  this subdivision that is not endorsed or carried out, as  the  case  may
    46  be, by the superintendent.
    47    § 5. Section 401 of the correction law, as added by chapter 766 of the
    48  laws of 1976, is amended to read as follows:
    49    §  401.  Establishment of programs inside correctional facilities.  1.
    50  The  commissioner,  in  cooperation  with  the  commissioner  of  mental
    51  [hygiene] health, shall establish programs, including but not limited to
    52  residential  mental health treatment units, in such correctional facili-
    53  ties as he or she may deem appropriate for the treatment of mentally ill
    54  inmates confined in state correctional facilities who  are  in  need  of

    55  psychiatric  services  but  who  do  not require hospitalization for the
    56  treatment of mental illness. Inmates with serious mental  illness  shall

        A. 9342                             7
 
     1  receive  therapy  and  programming  in  settings that are appropriate to
     2  their clinical needs while maintaining the safety and  security  of  the
     3  facility.  The  administration  and  operation  of  programs established
     4  pursuant  to  this  section  shall  be  the  joint responsibility of the
     5  commissioner of mental [hygiene]  health  and  the  commissioner.    The
     6  professional  mental health care personnel, and their administrative and
     7  support staff, for such programs shall be employees of  the  [department

     8  of mental hygiene] office of mental health. All other personnel shall be
     9  employees of the department.
    10    2. (a) (i) In exceptional circumstances, a mental health clinician, or
    11  the  highest ranking facility security supervisor in consultation with a
    12  mental health clinician who has interviewed the  inmate,  may  determine
    13  that  an  inmate's  access to out-of-cell therapeutic programming and/or
    14  mental health treatment in a residential mental  health  treatment  unit
    15  presents  an  unacceptable  risk to the safety of inmates or staff. Such
    16  determination shall be documented  in  writing  and  alternative  mental
    17  health  treatment and/or other therapeutic programming, as determined by
    18  a mental health clinician, shall be provided.

    19    (ii) Any determination to restrict out-of-cell therapeutic programming
    20  and/or mental health treatment shall be reviewed at least every fourteen
    21  days by the joint case management committee or, if no such committee  is
    22  available,  by  the  treatment team assigned to the inmate's residential
    23  mental health treatment unit.
    24    (iii) The determination whether to  restrict  out-of-cell  therapeutic
    25  programming  and/or  mental health treatment shall take into account the
    26  inmate's mental condition and any  safety  and  security  concerns  that
    27  would  be  posed  by the inmate's access to such out-of-cell therapeutic
    28  programming. The joint case management committee or treatment team shall

    29  recommend that the inmate shall have access to  out-of-cell  therapeutic
    30  programming and/or mental health treatment unless in exceptional circum-
    31  stances such access would pose an unacceptable risk to the safety of the
    32  inmate  or  other  persons. Such recommendation shall be reviewed by the
    33  facility superintendent, and if the superintendent makes a determination
    34  not to accept such recommendation, the matter shall be referred  to  the
    35  joint  central  office review committee for resolution.  Such resolution
    36  shall be made no later than twenty-one days after the imposition of  the
    37  restriction.
    38    (b)  Inmates  in  a  residential  mental  health  treatment unit shall
    39  receive property, services and privileges similar to inmates confined in

    40  the general prison population,  provided  however,  the  department  may
    41  impose  general  limitations  on  the  quantity and type of property all
    42  inmates on the unit are permitted to have  in  their  cells  and  inmate
    43  access to programs that are more restrictive than for general population
    44  inmates in order to maintain security and order on the unit. Further, in
    45  consultation  with a mental health clinician, the department may make an
    46  individual determination to impose restrictions on property, services or
    47  privileges for an inmate on the unit  for  therapeutic  and/or  security
    48  reasons  which  are  not  inconsistent  with  the inmate's mental health
    49  needs. If any such restrictions on property, services or privileges  are

    50  imposed  on a particular inmate, they shall be documented in writing and
    51  shall be reviewed by the joint case management committee not  less  than
    52  every  thirty days. A disciplinary sanction of restricted diet shall not
    53  be imposed on any inmate who is housed in a  residential  mental  health
    54  treatment unit.
    55    3.  Misbehavior  reports  will  not  be issued to inmates with serious
    56  mental illness for refusing treatment or medication, however, an  inmate

        A. 9342                             8
 
     1  may  be  subject  to  the disciplinary process for refusing to go to the
     2  location where treatment is provided  or  medication  is  dispensed.  In
     3  addition,  there will be a presumption against imposition and pursuit of

     4  disciplinary charges for self-harming behavior and threats of self-harm-
     5  ing  behavior, including related charges for the same behaviors, such as
     6  destruction of state property, except in exceptional circumstances.
     7    4. A disciplinary sanction imposed on an inmate requiring  confinement
     8  to  a  cell  or room shall continue to run while the inmate is placed in
     9  residential mental health treatment in a residential mental health  unit
    10  model  or  a  behavioral  health  unit model. Such disciplinary sanction
    11  shall be reviewed by the joint case management committee or, if no  such
    12  committee  is  available, by the treatment team assigned to the inmate's
    13  residential mental health treatment  unit  at  least  once  every  three

    14  months to determine whether based upon the inmate's mental health status
    15  and  safety  and  security  concerns, the inmate's disciplinary sanction
    16  should be reduced and/or the inmate should  be  transferred  to  a  less
    17  restrictive  setting.    Nothing  in this subdivision shall be deemed to
    18  preclude the department from granting reductions of  disciplinary  sanc-
    19  tions  to  inmates  in  other  residential  mental health treatment unit
    20  models.
    21    5. (a) An inmate in a residential mental health treatment  unit  shall
    22  not  be  sanctioned  with  segregated  confinement for misconduct on the
    23  unit, or removed from the unit and  placed  in  segregated  confinement,
    24  except  in exceptional circumstances where such inmate's conduct poses a

    25  significant and unreasonable risk to the safety of inmates or staff,  or
    26  to  the  security  of  the facility.   Further, in the event that such a
    27  sanction is imposed, an inmate shall not be required  to  begin  serving
    28  such sanction until the reviews required by paragraph (b) of this subdi-
    29  vision  have  been  completed;  provided,  however that in extraordinary
    30  circumstances where an inmate's conduct poses an immediate  unacceptable
    31  threat  to  the  safety  of  inmates or staff, or to the security of the
    32  facility an inmate may be immediately moved to  segregated  confinement.
    33  The  determination  that an immediate transfer to segregated confinement
    34  is necessary shall be made by  the  highest  ranking  facility  security

    35  supervisor in consultation with a mental health clinician.
    36    (b)  The joint case management committee shall review any disciplinary
    37  disposition imposing a sanction of segregated confinement  at  its  next
    38  scheduled  meeting.  Such  review  shall  take into account the inmate's
    39  mental condition and  safety  and  security  concerns.  The  joint  case
    40  management  committee  may  only thereafter recommend the removal of the
    41  inmate in exceptional circumstances where the inmate poses a significant
    42  and unreasonable risk to the safety of inmates or staff or to the  secu-
    43  rity of the facility. In the event that the inmate was immediately moved
    44  to  segregated  confinement,  the  joint  case  management committee may

    45  recommend that the inmate continue to serve such sanction only in excep-
    46  tional circumstances where the inmate poses a significant and  unreason-
    47  able  risk  to  the safety of inmates or staff or to the security of the
    48  facility. If a determination is  made  that  the  inmate  shall  not  be
    49  required  to  serve  all or any part of the segregated confinement sanc-
    50  tion, the joint case management committee may instead recommend  that  a
    51  less  restrictive  sanction should be imposed.  The recommendations made
    52  by the joint case management committee under  this  paragraph  shall  be
    53  documented  in writing and referred to the superintendent for review and
    54  if the superintendent disagrees, the matter shall  be  referred  to  the

    55  joint  central  office  review committee for a final determination.  The
    56  administrative process described in this paragraph  shall  be  completed

        A. 9342                             9
 
     1  within  fourteen  days.  If the result of such process is that an inmate
     2  who was immediately transferred  to  segregated  confinement  should  be
     3  removed from segregated confinement, such removal shall occur as soon as
     4  practicable,  and  in  no  event  longer than seventy-two hours from the
     5  completion of the administrative process.
     6    6. The department shall ensure that the curriculum for new  correction
     7  officers,  and  other  new  department  staff who will regularly work in

     8  programs providing mental health treatment for inmates, shall include at
     9  least eight hours of training about the types  and  symptoms  of  mental
    10  illnesses,  the  goals  of  mental  health  treatment, the prevention of
    11  suicide and training in how to effectively  and  safely  manage  inmates
    12  with  mental  illness.  Such  training  may be provided by the office of
    13  mental health or the New York state commission on quality  of  care  and
    14  advocacy  for  persons  with  disabilities. All department staff who are
    15  transferring into a  residential  mental  health  treatment  unit  shall
    16  receive  a minimum of eight additional hours of such training, and eight
    17  hours of annual training as long as  they  work  in  such  a  unit.  The

    18  department shall provide additional training on these topics on an ongo-
    19  ing basis as it deems appropriate.
    20    §  6.  The  correction law is amended by adding a new section 401-a to
    21  read as follows:
    22    § 401-a. Oversight responsibilities of the New York  state  commission
    23  on  quality  of  care and advocacy for persons with disabilities. 1. The
    24  New York state commission on quality of care and  advocacy  for  persons
    25  with disabilities ("commission") shall be responsible for monitoring the
    26  quality  of  mental  health care provided to inmates pursuant to article
    27  forty-five of the mental hygiene law. The commission shall  have  direct
    28  and  immediate access to all areas where state prisoners are housed, and

    29  to clinical and department records relating to inmates' clinical  condi-
    30  tions.   The  commission  shall  maintain  the  confidentiality  of  all
    31  patient-specific information.
    32    2. The commission shall monitor the quality  of  care  in  residential
    33  mental  health treatment programs and shall ensure compliance with para-
    34  graphs (d) and (e) of subdivision six of section one hundred thirty-sev-
    35  en of this chapter and section four hundred one  of  this  article.  The
    36  commission  may  recommend  to  the  department and the office of mental
    37  health that inmates in segregated confinement  pursuant  to  subdivision
    38  six of section one hundred thirty-seven of this chapter be evaluated for

    39  placement  in  a  residential  mental health treatment unit. It may also
    40  recommend ways to further the goal of  diverting  and  removing  inmates
    41  with  serious  mental illness from segregated confinement to residential
    42  mental health treatment units. The commission shall include in its annu-
    43  al report to the governor and the legislature  pursuant  to  subdivision
    44  (g)  of  section  45.07  of the mental hygiene law, a description of the
    45  state's progress in complying with this article, which shall be publicly
    46  available.
    47    3. The commission shall appoint an advisory committee  on  psychiatric
    48  correctional  care ("committee"), which shall be composed of independent
    49  mental health experts and mental health advocates, and may include fami-

    50  ly members of former inmates with serious mental illness. Such committee
    51  shall advise the commission on its oversight  responsibilities  pursuant
    52  to  this  section  and article forty-five of the mental hygiene law. The
    53  committee may also make  recommendations  to  the  commission  regarding
    54  improvements  to prison-based mental health care. Nothing in this subdi-
    55  vision shall be deemed to authorize members of  the  committee  to  have
    56  access  to a correctional or mental hygiene facility or any part of such

        A. 9342                            10
 
     1  a facility. Provided, however, newly appointed members of  the  advisory
     2  committee shall be provided with a tour of a segregated confinement unit

     3  and  a  residential  mental  health  treatment  unit, as selected by the
     4  commissioner.  Any  such  tour shall be arranged on a date and at a time
     5  selected by the commissioner and upon such terms and conditions  as  are
     6  within the sole discretion of the commissioner.
     7    §  7.  Section  45.07 of the mental hygiene law is amended by adding a
     8  new subdivision (z) to read as follows:
     9    (z) Monitor and make recommendations regarding  the  quality  of  care
    10  provided to inmates with serious mental illness, including those who are
    11  in  a residential mental health treatment unit or segregated confinement
    12  in facilities operated by the department of correctional  services,  and
    13  oversee  compliance  with  paragraphs  (d) and (e) of subdivision six of

    14  section one hundred thirty-seven, and section four hundred one,  of  the
    15  correction law. Such responsibilities shall be carried out in accordance
    16  with section four hundred one-a of the correction law.
    17    § 8. This act shall take effect immediately; provided however, that:
    18    (a)  sections  one, two, three, four and five of this act and subdivi-
    19  sions 2 and 3 of section 401-a of the correction law as added by section
    20  six of this act shall take effect two years  after  the  date  that  the
    21  commissioner  of correctional services certifies to the legislative bill
    22  drafting commission  that  the  first  residential  mental  health  unit
    23  constructed  by the department of correctional services is completed and
    24  ready to receive inmates, provided, however  that  such  sections  shall
    25  take effect no later than July 1, 2011;

    26    (b) sections six and seven of this act shall take effect July 1, 2008;
    27  and
    28    (c)  the commissioner of mental health and the commissioner of correc-
    29  tional services are immediately authorized to promulgate rules and regu-
    30  lations necessary to implement the  provisions  of  this  act  on  their
    31  respective effective dates.
Go to top