Chapter 1: Jail Mental Health Services -- An Overview
Scope of the Problem
The Goals for Provision of Jail Mental Health Care Services

Chapter 2: Legal Issues in the Provision of Jail Mental Health Services
The Right to Treatment
Detainees and the Fourteenth Amendment
What Does "Deliberate Indiffernce to Serious Medical Needs" Mean?
How Much Care Is Sufficient?
Critical Importance of Records
Consent, the Right to Refuse Treatment, and Involuntary Treatment
Doctor-Inmate Confidentiality
Jail Liability for Suicides
Use of Restraints
Discipline and the Mentally Disordered Inmate
Housing the Mentlly Ill Inmate

Chapter 3: Elements in an Overall Jail Program for Identification and Management of Inmates With Mental Disorders
Basic Principles for the Implementation of Metnal Health Services Programs in Jails
Elements of Jail Mental Health Programs
Screening and Identification of Inmates with Possible Mental Disorders
Evaluation of Imates with Possible Mental Disorders
Classifictaion of Inmates for Housing and Program Services
Diversion of Inmates to More Appropriate Placment
Crisis Prevention and Intervention
Provision of Emergency Mental health Services
Referral of Inmates to Appropriate Care Providers Both Within and Outside the Jail
Supervision and Management of Inmates Within the Facility
Provision of Short-Term Treatment
Suicide Prevention
Discharge Planing for Effective Aftercare Services
Staff Resources for Provision of Mental Health Care
Poilicies and Procedures/Training/Supervision


Chapter 4: Supervision and Management of Inmates With Serious Mental Disorders in the Jail Setting
Mental Disorders: Definition and Classification
Mental Disorders Commonly Seen in Jail Settings
Depression
Bipolar Disorder
Schizophrenia/Thought Disorders
Use of Restraints

Chapter 5: Supervision and Management of Inmates With Personality Disorders
Key Issues for Jails
Antisocial Personality Disorder
Borderline Personality Disorder
Paranoid Personality Disorder
Care and Supervision of Inmates With Personality Disorders Within the Spectrum of Jail Mental Health Services

Chapter 6: Psychiatric Medications--An Overview
Antidepressant Medications
Antipsychotic Medications
Mood Stabilizers
Use of Psychiatric Medications in Jails

Chapter 7: Jail Suicide Prevention
Legal Issues/Liability in Regard to Jail Suicides
Physical Facility Issues in Jail Suicide Prevention
Screening and Identification of Inmates for Possible Suicide Risk
Assessment of Degree of Risk
Classification of Inmates for Housing and Other Purposes
Referral of Inmates to Medical/Mental Health Professionals
Communication Regarding Inmates
Security Procedures
Monitoring/Supervision of Inmates Who Are Suicide Risks
Removal of Inmates From Suicide Watch
Post-Event Reporting and Notification Debriefing/Review of All Incidents Involving Suicides or Attempts
Handling Suicide Attempts Thought to be Manipulations
Policies and Procedures/Training/Supervision

Chapter 8: The Team Approach in Provision of Jail Mental Health Services
The Team Approach Within the Jail Setting
Using Formal Agreements for Provision of Services
The Team Approach in Diversion and Aftercare Progmmang
Sources of Assistance
The Role of Advocates/Family Members of Inmates with Disorders

Chapter 9: Policies and Procedures, Training, and Supervision
Use and Presentation of Policies and Procedures
Issues to be Addressed in Jail Policies on Mental Health Services
Importance of Standards in Policy Development
Collaboration in Policy Development
Review and Revision of Policies
Training Supervision

Appendixes:
Sample Screening Forms
Sample Referral Forms
Sample Behavior Management Plan
Suggested Issues for a Memorandum of Understanding or Contract
Checklists of Policy Issues for a Comprehensive Jail Mental Health Services Program Sample Policies and Procedures Table of Resources