| CHAPTER: 800
INMATE MANAGEMENT |
OPR:
I&I OPS |
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DEPARTMENT ORDER MANUAL |
DEPARTMENT ORDER: 804 INMATE BEHAVIOR CONTROL |
SUPERSEDES:
SEE ATTACHMENT C |
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| EFFECTIVE DATE:
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TABLE OF CONTENTS
| PURPOSE | |
| APPLICABILITY | |
| PROCEDURES | |
| 804.01 | INMATE DETENTION |
| 804.02 | PROGRESSIVE BEHAVIOR CONTROL |
| 804.03 | MAXIMUM BEHAVIOR CONTROL |
| 804.04 | DEVIATIONS FROM INSTRUCTIONS |
| IMPLEMENTATION | |
| DEFINITIONS | |
| AUTHORITY | |
| ATTACHMENTS | |
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RESTRICTED |
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| 804.05 | USE OF FORCE |
| 804.06 | CONTROLLED USE OF FORCE |
| 804.07 | FIREARMS AND WEAPONS |
| 804.08 | USE OF FIREARMS - REVIEW AND INVESTIGATION |
| DEFINITIONS - RESTRICTED |
This Department Order is applicable to institutional staff and Special Services staff who are authorized to carry weapons in the performance of their duties, and who may become involved in situations in which arrest and/or the use of force is required. Community Corrections staff shall arrest, restrain and transport inmates in accordance with Department Order #1003, Community Supervision.
Private Prisons shall develop an Institution Order to comply with this Department Order. The Department Contract Monitor shall be notified of all incidents requiring the use of force, maximum behavior control and/or progressive behavior control. In these situations, the inmate shall be transported to ASPC-Phoenix-Alhambra or the nearest Department facility.
804.01 INMATE DETENTION
1.1 Placement of Inmates in Detention
1.1.1 Wardens and Deputy Wardens may place inmates in detention status as necessary:
1.1.1.1 To ensure the safe, secure and orderly operation of a prison or facility.
1.1.1.2 To ensure the integrity, and pending completion, of an ongoing investigation.
1.1.1.3 While determining eligibility for protective segregation.
1.1.1.4 To identify, minimize and intervene in the possibility of self- destructive behaviors.
1.1.1.5 Pending institutional review and classification placement, such as pending transfer to a higher custody level.
1.1.1.6 Pending revocation of parole, work furlough, home arrest, or temporary, mandatory or provisional release.
1.1.1.7 To fulfill disciplinary sanctions.
1.1.2 In the absence of the Warden or Deputy Warden, security shift commanders shall make detention placements in accordance with the specific guidelines established in this Order when an emergency situation warrants such placement. The security shift commander shall notify the Warden/Deputy Warden by the next work day.
1.1.3 The Disciplinary Hearing Officer shall make detention placements in accordance with the Department Inmate Discipline System.
1.2 Required Services - Wardens and Deputy Wardens shall ensure that inmates placed in detention are provided:
1.2.1 Verbal notification advising of the circumstances for placement into detention, such as suicide watch, mental health watch, health and welfare, etc.
1.2.2 Written notification advising of the circumstances for the detention placement, such as disciplinary, pending classification changes or investigation. Inmates shall have the opportunity to respond to these reason(s) for placement by using the established inmate discipline or classification system guidelines as outlined in Director's Instructions #232, Inmate Classification, and the Department Inmate Discipline System.
1.2.3 Meals at the standard meal hours and in the same quality and quantity as that served to the general population, including special medical or religious diets.
1.2.3.1 Food shall not be withheld or varied as a disciplinary sanction.
1.2.3.2 When security precautions dictate, sack meals may be served.
1.2.4 Visits by health care staff three times a week as outlined in Department Order #1101, Inmate Access to Health Care.
1.2.5 Access to courts, legal materials and legal reference material in accordance with Department Order #902, Inmate Legal Access to the Courts.
1.2.6 A healthful environment, unless the inmate's behavior, such as destruction of state property or assaultive behavior, hinders providing the inmate:
1.2.6.1 The opportunity to shower and shave a minimum of three different days, each week.
1.2.6.2 Hygiene and toiletry items authorized by the Warden/Deputy Warden.
1.2.6.3 Laundry service comparable to the service provided for general population inmates.
1.2.6.4 The same issue and exchange of clothing, bedding and linen as the general population.
1.2.6.4.1 Inmates shall not be without clothing and/or bedding except as prescribed by mental/health care staff, in accordance with Department Order #1103, Inmate Mental Health Care, Treatment and Programs, or as deemed necessary by the security shift commander, subject to immediate review by the Warden/Deputy Warden.
1.2.6.5 Personal property commensurate with each inmate's detention status, such as disciplinary isolation, protective segregation, or pending investigation.
1.2.6.6 The opportunity to exercise outside the cell for a minimum of one hour on three different days of each week.
1.2.6.7 The opportunity to clean their cell and discard trash as specified in applicable Institution Orders and Post Orders.
1.2.7 Mail service of the same quality and frequency as that of the general population.
1.2.8 Visits by counseling/mental health staff upon request or as needed.
1.2.9 Chaplain and religious visits when requested if a provider is available.
1.2.10 Commissary purchases commensurate with the inmate's status, except when precluded by disciplinary sanctions.
1.2.11 Barber and hair care services to maintain compliance with the Department grooming standards established in Department Order #704, Inmate Grooming and Identification.
1.2.12 Contact or non-contact visitation privileges, as directed by the Warden/Deputy Warden, except when precluded by disciplinary sanctions.
1.2.13 Telephone privileges, except when precluded by disciplinary sanctions.
1.2.14 Reading materials from the inmate library.
1.2.15 All medical and dental property issued by Health Services, unless such items are removed by order of Health Services staff.
1.2.15.1 Medical and dental property (such as orthopedic devices, dentures, additional mattresses, bed wedges, crutches etc.,) shall be transferred to the detention unit with the inmate as outlined in Department Order #705, Inmate Transportation.
1.2.15.2 If staff identify what is believed to be a reason(s) for a medical or dental item to be removed, or have justifiable reasons that the item poses a threat to security based on the inmate=s assignment to detention, the shift commander shall contact the Facility Health Administrator with the concerns.
1.2.15.2.1 The Facility Health Administrator, in consultation with the appropriate medical authority, shall make a determination as to the disposition of the item and notify the shift commander.
1.3 Restrictions
1.3.1 The Warden/Deputy Warden, in conjunction with an investigation, may restrict or curtail any or all items listed in section 804.01, 1.2, Required Services, and all other inmate contact when objective evidence demonstrates such items or contact would:
1.3.1.1 Impede or nullify an investigation.
1.3.1.2 Cause the destruction of evidence.
1.3.1.3 Lead to the commission of a crime or a violation of Department and/or institution written instructions.
1.3.2 Correctional staff shall document emergencies that require the restriction or curtailment of items listed in section 804.01, 1.2 through 1.2.15.2.1, whether due to compelling reasons or investigative needs.
1.4 Detention Unit Logs - Detention logs shall be maintained to document inmate behavior, activities and staff communications. Detention logs shall include, but shall not be limited to:
1.4.1 Inmate intake information using the Detention Assignment Checklist, Form 804-1P. The receiving unit staff shall:
- Notify Health Services staff within one hour of the inmate being placed in detention.
- Document that Health Services staff was notified on the Detention Assignment Checklist in the section labeled "Special Conditions". Documentation shall include the name of the nurse and the date and time the notification took place.
1.4.2 Daily entries using the Individual Inmate Detention Record, Form 804-3PF.
1.4.3 Detention log entries shall be written legibly, initialed and dated by the staff member making the entry, to include badge number when applicable.
1.5 Investigations
1.5.1 When an inmate is placed into detention pending the investigation of an alleged rule violation, the Warden/Deputy Warden shall be notified of the results of the investigation and action to be taken within 30 days, or the inmate shall be released from detention on the 30th day.
1.5.1.1 Release from detention shall not preclude disciplinary action.
1.5.1.2 Disciplinary time frames stated in the Department Inmate Discipline System shall be enforced.
1.5.2 When an investigation of rule violations may result in criminal charges being processed by the Department through a court of competent jurisdiction:
1.5.2.1 Staff shall complete and serve an Assignment to Investigative Detention Form 2A, Form 803-7P, on the inmate at the time of placement.
1.5.2.2 When a case is submitted to prosecuting authorities by the 30th day from placement, the inmate may be detained in detention for an additional 30 days.
1.5.2.3 Staff shall refer to the Department Inmate Discipline System when concurrent Departmental disciplinary action is proceeding.
1.5.3 When an inmate is a threat to the safe, secure or orderly operation of the prison and is placed into detention, staff shall prepare the appropriate documentation within the time frames specified in the Department Inmate Discipline System, or the inmate shall be released from detention on the fifth work day.
1.5.4 When an inmate is placed into detention for protective segregation, either voluntary or involuntary, staff shall follow the time frames and guidelines outlined in Department Protective Segregation written instructions.
1.5.5 After the 26th day of investigative detention, the Warden or Deputy Warden shall ensure:
1.5.5.1 The inmate receives a classification form C-2. For reclassification hearings, staff shall follow time frames and guidelines as outlined in the Inmate Classification Technical Manual.
1.5.5.2 The Institutional Classification Committee advises the inmate of due process issues, the investigation and/or criminal charges process, and ensures that the inmate is provided the opportunity to respond to the charges or make a statement.
1.5.6 The assigned Correctional Officer III in the detention unit shall closely monitor all time frames, which shall apply regardless of the unit initiating the detention.
1.6 Access to Detention Units - Entrance to a detention unit shall be restricted to:
1.6.1 On-duty Correctional Officers and staff in the performance of their assigned duties.
1.6.2 Authorized non-security persons who shall be escorted by security staff when entering an inmate's living area.
1.6.3 Essential inmate workers such as porters, legal assistants and maintenance workers. Authorization shall be received by the unit supervisor or shift commander prior to their entry into the detention unit.
1.7 Opening Cell or Run Doors - The shift commander shall ensure that cell and run doors are opened in accordance with applicable Institution and Post Orders.
1.8 Security and Safety Inspections
1.8.1 Correctional Officers shall inspect all security and safety devices at the beginning of each shift. Inspections shall be documented in the detention log and shall include any deficiencies and corrective action(s) taken.
1.8.2 The Chief of Security shall conduct a weekly inspection of all security and safety devices, and shall submit a monthly report to the Warden/Deputy Warden detailing any deficiencies and corrective action(s) taken.
1.9 Sanitation Inspections - Correctional Officers shall conduct a general sanitation inspection of all areas in the unit during each shift.
1.9.1 Inspections shall be documented in the detention log and shall include any deficiencies observed and corrective action(s) taken.
1.9.2 Sanitation deficiencies shall be corrected as quickly as possible.
1.10 Inmate Welfare Checks - Correctional Officers shall:
1.10.1 Conduct random, periodic inmate welfare checks, in addition to checks at specifically timed intervals.
1.10.2 Document and report conditions or unusual behavior adversely affecting an inmate's welfare to the appropriate staff member(s) as soon as possible.
1.11 Access to Key Personnel
1.11.1 The detention unit program supervisor and senior security officer shall conduct a daily walk-through inspection of the unit to ensure inmate access to supervisory personnel.
1.11.2 Inmates may contact the Warden/Deputy Warden and other personnel by using the Inmate Letter.
1.12 Inmate Observation Record - When an inmate is placed on a watch, the staff member conducting the timed watch shall initiate an Observation Record, Form 1101-16P. Any staff member may recommend starting, continuing or canceling a watch. The recommendation shall be submitted through the chain-of-command.
1.12.1 Types of watches include:
1.12.1.1 Medical Watch - Health care staff may order this watch when clinically indicated for physical health reasons.
1.12.1.2 Progressive Behavior Control.
1.12.1.3 Maximum Behavior Control.
1.12.1.4 Security Watch - The shift commander may order this watch when less restrictive measures prove ineffective, restraints may be applied until mental health/health care staff can evaluate the inmate and begin a treatment plan.
1.12.1.5 Suicide Watch - The shift commander or health care staff may order this watch when an inmate is considered a possible risk to engage in self-destructive or suicidal behavior. May be cancelled only by health care, mental health staff.
1.12.1.6 Mental Health Watch - Mental health staff may order this watch when an inmate is demonstrating acute signs or symptoms of significant mental disorder but is not acting in a manner indicating significant suicide risk.
1.12.2 While an inmate remains on a watch, a staff member on each shift shall be assigned the responsibility of conducting the timed watch.
1.12.3 The assigned staff member shall initiate an Observation Record at the beginning of the shift and shall keep the record current throughout the shift.
1.12.4 The assigned staff member shall complete the Observation Record in the following manner:
1.12.4.1 Inmate Name: the inmate's last name, first name and middle initial (e.g., Rivers, John J.).
1.12.4.2 Department Number: the inmate's Department number and alphabetical designation (e.g., 10023B).
1.12.4.3 Facility/Unit: the inmate's housing unit (e.g., ASPC-PX-PV).
1.12.4.4 Authorized by: the name and title of the staff member authorizing the watch (e.g., John Brown, Capt.; Karen Black, CPS; or Mary Jones, R.N.).
1.12.4.5 Date: the date the watch was authorized (e.g., 02/03/01).
1.12.4.6 Time: the time the watch was authorized (e.g., 1615).
1.12.4.7 Type of Observation: the specific type of watch ordered (e.g., suicide watch).
1.12.4.8 Restraint Method: when applicable, the specific method of restraint applied to the inmate during the watch (e.g., upper restraint).
1.12.4.9 Time Checks: the maximum number of minutes allowed between each observation check (e.g., every 15 minutes).
1.12.4.9.1 The staff member authorizing the watch shall specify the maximum time interval between observation checks.
1.12.4.9.2 Mental health and health care staff may change the time interval based on notification of a change in circumstances.
1.12.4.10 Date: the date of each observation check (e.g., 11/02/01).
1.12.4.11 Time: the time of the observation check (e.g., 1730).
1.12.4.12 Code: the alphabetical code letter(s) for each inmate action observed and/or staff action taken during each observation check, e.g., as identified on the Observation Record form:
| C/O |
or | R/S |
|
|
L/M |
1.12.4.13 Signature: the signature and title or badge number of the security, program, health care, mental health or administrative staff conducting the observation check.
1.12.4.14 Shift Commander: the shift commander shall sign the Observation Record and list title or badge number at the end of the shift (e.g., John Brown, Capt.; Karen Black, CPS; or Mary Jones, R.N.).
1.12.4.15 Canceled By: the name and title of the staff member canceling the watch (e.g., Jason Jones, M.D.).
1.12.4.16 Date: the date the watch was canceled (e.g., 11/01/01).
1.12.4.17 Time: the time the watch was canceled (e.g., 0730).
1.12.4.18 Suicide and Mental Health Watches - Shall be conducted in accordance with Department Order #1103, Inmate Mental Health Care, Treatment and Programs.
804.02 PROGRESSIVE BEHAVIOR CONTROL - Physical force shall be used only when persuasion, direct orders, counseling and warnings are found to be insufficient to obtain cooperation from the inmate.
1.1 Only the amount of force necessary to gain control of the inmate and minimize injury to staff and the inmate shall be used.
1.1.1 Once an inmate becomes cooperative, the physical force control techniques shall be consistent with the inmate's amended behavior. However, staff safety shall continue to be the governing consideration.
1.1.2 No unorthodox, radical or extreme control techniques that might cause positional asphyxia or bodily injury to staff or inmates is to be used.
1.2 Seclusion - When an inmate continues unacceptable behavior, correctional staff shall isolate the inmate:
1.2.1 As outlined in section 804.01, when an inmate's behavior jeopardizes the safe, secure and/or orderly operation of the prison.
1.2.2 As outlined in Department Order #1103, Inmate Mental Health Care, Treatment and Programs, if the inmate's behavior is related to mental illness, or may be self abusive or self destructive.
1.3 Interview and Counseling - Staff shall intervene by using progressive behavior controls when it is necessary to correct an inmate's unacceptable behavior.
1.3.1 When initially dealing with an inmate's unacceptable behavior, prison staff shall:
1.3.1.1 Remove the inmate from the general population to an area out of the sight of other inmates, such as a private office or day room, in order to conduct an interview and/or counseling session in private without interruptions or entry by other inmates and uninvited staff.
1.3.1.2 Direct all other uninvolved inmates to leave the area.
1.3.2 During the interview, correctional staff shall attempt to determine if there is a specific cause for the inmate's behavior and attempt to prevent a recurrence or escalation of the inmate's behavior by identifying and, when possible, removing or reducing the cause.
1.3.3 When appropriate, correctional staff shall refer the inmate to another service that may be able to help remove the cause that prompted the unacceptable behavior. Referrals shall include, but shall not be limited to:
1.3.3.1 Mental health services for emotional problems.
1.3.3.2 Health care services for medical problems.
1.3.3.3 The chaplain for religious/spiritual or family concerns.
1.3.3.4 The inmate's assigned Correctional Officer III for program or work concerns.
1.3.3.5 The shift commander for security issues.
1.3.3.6 The mail room officer for correspondence issues.
1.3.4 Correctional staff shall advise the inmate that unacceptable behavior will not be tolerated and that the inmate may expect corrective action if the unacceptable behavior continues or is repeated.
1.3.5 Should the inmate's unacceptable behavior be repetitive or of a nature severe enough to warrant more formal action, the disciplinary procedures for inmates shall be followed as outlined in the Department Inmate Discipline System.
1.4 Identifying the Need for Seclusion with Restraints
1.4.1 When an inmate continues to demonstrate any aggressive or violent behavior, signs of imminent self harm or other irrational behavior after being placed in seclusion staff shall:
1.4.1.1 Request a video recorder.
1.4.1.2 Initiate the Incident Management System outlined in Department Order #706, Incident Management, and the use of force as outlined in section 804.05, if necessary.
1.4.1.3 Take precautions to prevent injury to themselves and to the inmate when taking physical control. These precautions may include waiting for additional staff to arrive, if no imminent danger exists.
1.4.1.4 Document the observed inmate behavior on the Incident Management/Use of Force Report, Form 804-2P.
1.4.2 The shift commander, in consultation with Mental Health staff (if necessary), shall:
1.4.2.1 Immediately notify health care staff and require a review of the inmate's health records for determination of any medical/mental condition that would impact the use of progressive behavior control or use of maximum control restraints.
1.4.2.2 Evaluate the inmate's behavior and determine the potential for the inmate to continue to demonstrate violent, assaultive or self-destructive behavior.
1.4.2.3 Determine the degree of restraint required to control the inmate's behavior.
1.4.2.4 Ensure restraints are applied only by staff trained in the use and application of such restraints.
1.4.2.5 Document all seclusion and restraint orders in the unit log, on the Observation Record and the Incident Management/Use of Force Report, as required.
1.5 Seclusion with Restraints
1.5.1 Restraints shall only be applied when an inmate continues to demonstrate behaviors or signs of behaviors that are:
1.5.1.1 Violent and self-destructive, to include those behaviors which indicate that suicide or self-infliction of wounds may be imminent.
1.5.1.2 Violent and assaultive toward another person(s).
1.5.1.3 Violent and destructive, with the potential to cause significant damage to State property.
1.5.2 The application of restraints shall be a graduated process from the least restrictive to the most restrictive.
1.5.3 To prevent violent behavior, restraints may be applied as outlined and may include handcuffs, upper restraints, or leg irons used either separately or together, such as:
1.5.3.1 Upper restraints.
1.5.3.2 Full restraints.
1.5.3.3 Helmet and spit mask, with upper restraints.
1.5.3.4 Leg irons and a lead chain.
1.6 Authorization for Seclusion with Restraints
1.6.1 The shift commander shall:
1.6.1.1 Issue a temporary written order to place the inmate in seclusion with restraints.
1.6.1.1.1 A written or telephone order shall be obtained from the Warden, Deputy Warden or Duty Officer within one hour after the restraints are first applied.
1.6.1.1.2 The order shall be documented on an Incident Management/Use of Force Report form.
1.6.1.2 Ensure the restraints are removed one hour after they are first applied if no authorization has been obtained, or sooner if so ordered by the Warden, Deputy Warden or Duty Officer.
1.6.1.3 Obtain a written order within 12 hours, when the initial authorization from the Warden, Deputy Warden or Duty Officer was communicated by telephone.
1.6.2 The Warden, Deputy Warden or Duty Officer are authorized to renew the order for restraints 12 hours and 24 hours after initial application, provided that they personally evaluate the inmate and determine that the restraints are still necessary.
1.6.3 Staff shall consider a continuous use of any combination of restraints as one incident when determining an action by hours restrained.
1.7 Humane Treatment of Restrained Inmates
1.7.1 The shift commander shall ensure that inmates subdued with the use of restraints are:
1.7.1.1 Searched and stripped of all objects that may be used as a weapon or for self-harm.
1.7.1.2 Clothed to the fullest extent possible, but at a minimum with undergarments for males and females. When it is not practical to clothe the inmate, restraints shall be applied and the inmate covered with a sheet or blanket.
1.7.1.3 Secured in an appropriate seclusion cell/room to ensure protection from potential harm by other inmates.
1.7.1.4 Checked for welfare every ten minutes, or more often if indicated on the order.
1.7.1.5 Provided a mattress.
1.7.1.6 Provided clean bedding, as appropriate.
1.7.1.7 Provided a blanket or sheet, as appropriate.
1.7.1.8 Examined and/or treated by health care staff within 30 minutes after the application of restraints and when the shift commander determines there is a need.
1.7.1.9 Checked once each hour for swelling or other indications that the restraints may be too tight. Observing staff shall loosen the restraints as necessary.
1.7.1.10 Provided the following health care necessities:
1.7.1.10.1 Toilet use upon request.
1.7.1.10.2 Fluid intake, once each hour while awake.
1.7.1.11 Provided meals at the standard meal hours and in the same quality and quantity as that served to the general population, including special medical or religious diets. When security precautions dictate, only one hand shall be released for feeding and sack meals may be served.
1.7.2 When an inmate is restrained for more than 24 hours, the health services staff shall evaluate the inmate to determine whether there are any medical or mental health problems which require further attention.
1.7.3 Staff shall consult with the Deputy Director for Health Services for direction on how to comply with section 804.02, 1.6 of this Department Order in those institutions without an assigned health services staff.
1.8 Authorization for Removing Restraints
1.8.1 Based on observation and evaluation of the inmate's behavior, either the Warden, Deputy Warden, or Duty Officer shall issue written authorization to remove the restraints at any time when they are no longer warranted in accordance with section 804.03, 1.11.
1.8.1.1 Only Health Services staff can authorize the removal of restraints when a Health Services staff member was involved in ordering their application. The authorization shall be in writing.
1.8.2 Restraints shall be used only long enough to bring the inmate's violent, assaultive or self-destructive behavior under control. Once the inmate responds to verbal control, restraints shall be removed at the earliest possible opportunity.
1.8.3 The shift commander shall personally observe and document the inmate's behavior every two hours. The shift commander shall notify the Warden, Deputy Warden or Duty Officer when the inmate responds to verbal control.
1.8.4 The release from restraints may be a graduated process from the most restrictive to the least restrictive until the restraints are completely removed.
1.9 Documentation - The shift commander shall ensure that:
1.9.1 An Observation Record is initiated when the inmate is placed in seclusion.
1.9.2 Each staff member who checks on the inmate while in seclusion shall record the date, time and observations on the Observation Record form and sign each entry.
1.9.3 Completed Observation Records are received at the end of each shift for signature.
1.9.4 An Incident Management/Use of Force Report form and a Significant Incident Report (SIR), Form 105-3PF, are completed and appropriately distributed.
804.03 MAXIMUM BEHAVIOR CONTROL - Wardens or Deputy Wardens shall ensure that maximum control restraints training is mandated at least annually for all employees and staff having inmate contact who are assigned to Alhambra Behavioral Health Treatment Facility, ASPC-Eyman-Special Management Units, ASPC-Perryville-Lumley, ASPC-Tucson-Rincon Unit, ASPC-Lewis, ASPC-Florence-CB 6, as well as any Central Detention Unit equipped with maximum behavior control beds/cells, or other facilities or locations authorized by the Director to utilize maximum behavioral control.
1.1 Maximum behavior control and maximum-control restraints:
1.1.1 Shall be the last recourse for controlling an inmate's self-destructive behavior.
1.1.2 Are authorized for use only as outlined in this Order.
1.1.3 May be authorized only:
1.1.3.1 When an inmate causes self-inflicted wounds.
1.1.3.2 When an inmate continues to demonstrate violent self-destructive behavior.
1.1.3.3 After all other less restrictive measures have failed.
1.1.4 Shall never be used as a form of punishment.
1.2 The maximum-control seclusion cell/room may be used to house inmates who do not need maximum behavior control only when no other placement is possible, and as determined by the Warden, Deputy Warden or designee. Such placement shall be:
1.2.1 Documented on an Information Report form.
1.2.2 Temporary in nature.
1.2.3 Used only until appropriate housing is available.
1.3 Wardens shall designate a specific cell/room for securing maximum-controlled inmates. There shall be no improvising of maximum restraint beds or chairs in units not designated by the Warden.
1.4 Inmate Transfers - Maximum behavior control methods shall be conducted at the unit in which the inmate is housed when possible. Inmates needing maximum control restraints shall be transferred, as necessary, to institutions equipped with maximum behavior control restraints. Supplemental security supervision required to monitor the inmate shall be provided by the sending unit.
1.5 Removing the Inmate from the Area - When initially dealing with an inmate's irrational behavior, staff shall remove the inmate from the general population as outlined in section 804.02, 1.3 through 1.3.2.
1.6 Identifying the Need for Restraints - When an inmate continues to demonstrate serious or significant self-destructive behavior such as cutting themselves, pulling out surgical stitches, banging their head into a wall, trying to hang themselves, refusing to follow orders or by displaying other irrational behavior, staff shall follow the guidelines as outlined in section 804.02, 1.4.1 through 1.4.2.5.
1.7 Authorization for Application of Maximum-Control Restraints
1.7.1 The shift commander shall issue a temporary written order using an Incident Management/Use of Force Report form to place the inmate in maximum-control restraints when:
1.7.1.1 The inmate's behavior is self-destructive.
1.7.1.2 The inmate is likely to do self-harm.
1.7.1.3 Less restrictive measures have not been effective.
1.7.2 The shift commander shall:
1.7.2.1 Ensure the use of force is recorded on video as outlined in section 804.05 of this Order.
1.7.2.2 Obtain a written or verbal telephone order from the Mental Health Program Manager or designee within one hour after the restraints are first applied. The order shall be documented on an Incident Management/Use of Force Report form. (In licensed mental health facilities, Alhambra Psychiatric Hospital and Alhambra Behavioral Health Treatment Facility, the order shall be obtained from a psychiatrist or other licensed physician, in consultation with the Mental Health Program Manager or designee.) The Mental Health Program Manager or designee shall notify the Facility Health Administrator and/or other Health Services staff, as appropriate.
1.7.2.2.1 The shift commander shall advise the Mental Health Program Manager or designee of all less restrictive intervention techniques that have been used.
1.7.2.2.2 The order shall be valid for a period not to exceed 12 hours from the time the restraints are first applied.
1.7.2.2.3 Without an authorizing order, the restraints shall be removed one hour after they are first applied or sooner if so ordered by the Mental Health Program Manager or designee.
1.7.2.3 Communicate with the Duty Officer, Deputy Warden or Warden, to confirm the action taken and the authorizing order from the mental health staff.
1.7.2.4 If Maximum Behavior Control is discontinued prior to the end of the initial 12 hours, obtain a written order the next work day.
1.7.2.4.1 After consulting with the Mental Health Program Manager or designee, and after a face-to-face evaluation with a psychologist or psychiatrist, the order for Maximum Behavior Control may be renewed every 12 hours up to 36 hours.
1.7.2.4.2 Written orders shall be completed as part of the evaluation documentation, only a psychiatrist or psychologist are authorized to issue a second 12-hour order.
1.7.3 Following a 36-hour period in restraints, the inmate shall be evaluated at the Department's psychiatric hospital.
1.7.4 Emergency admissions to the Department's psychiatric hospital, ASPC-Phoenix-Alhambra Unit, shall be approved by the Clinical Director or designee on a case-by-case basis.
1.7.5 Staff shall consider a continuous use of any combination of restraints as one incident when determining an action by hours restrained.
1.8 Methods of Applying Maximum-Control Restraints
1.8.1 The shift commander shall ensure that restraints are applied and removed only by staff trained in the use and application of such restraints. The shift commander and at least one officer shall be present when maximum-control restraints are applied and/or removed.
1.8.2 Restraints shall be applied using the least amount of physical force necessary to accomplish the task.
1.8.3 Maximum Control Bed - The inmate shall be placed onto the maximum-control bed lying down flat on his/her back, face up. When the need is indicated, health care staff may order the inmate to be placed lying down flat on his/her front, face to the side.
1.8.3.1 Preferably, the arms shall be placed along the inmate's sides with leather restraints applied to each wrist and secured to the sides of the maximum-control bed. The feet shall be placed together with leather restraints attached to each ankle and secured to the foot of the bed.
1.8.3.2 Alternatively, leather restraints shall be applied to each of the inmate's wrists and ankles then secured individually to the corresponding corners of the bed.
1.8.3.3 A strap may be placed securely across the chest/back at shoulder level to control back arching.
1.8.3.4 A helmet and spit mask shall be applied to the inmate, unless directed not to by Health Services staff.
1.8.3.5 An inmate in maximum-control restraints shall never be placed in a suspended or partially-suspended position.
1.9 Health Care Evaluation of Maximum-Controlled Inmates
1.9.1 The shift commander shall ensure that health care staff examine the inmate for any alleged injuries received prior to in the course of the restraint application.
1.9.2 When health care staff are not on duty, the shift commander shall contact the designated health care staff member to evaluate the inmate.
1.9.3 The health care staff member shall document in the unit log book, the inmate's health records and on the Incident Management/Use of Force Report form:
1.9.3.1 The inmate's physical health and condition.
1.9.3.2 Whether applying the restraints caused any physical harm to the inmate.
1.10 Humane Treatment of Maximum-Controlled Inmates - The shift commander shall ensure that inmates subdued with the use of maximum-control restraints are:
1.10.1 Provided care and treatment as outlined in section 804.02, 1.7.1.1 through 1.7.1.9 of this Order.
1.10.2 Released from maximum-control restraints after each two-hour interval, for a 30-minute period to exercise, attend to personal hygiene and maintain sanitary conditions.
1.10.2.1 When the inmate is asleep, staff shall not awaken the inmate for the 30-minute release period. However, upon awakening, a 30-minute release period shall be provided.
1.10.2.2 The inmate may be restrained in full restraints or upper restraints during the 30-minute release period.
1.10.2.3 At some point during the 30-minute release period, health care staff shall observe and evaluate the inmate's behavior to assess the need to continue maximum control of the inmate.
1.10.2.4 When the inmate's behavior indicates no further need for maximum control, the maximum-control restraints shall be removed in accordance with section 804.03, 1.11.
1.10.3 Provided health care necessities and meals as outlined in section 804.02, 1.7.1.10 and 1.7.1.11.
1.11 Authorization for Removing Maximum-Control Restraints - Based on observation and evaluation of the inmate's behavior, mental health/health care staff, a psychiatrist or psychologist may authorize the restraints to be removed. The shift commander shall notify the Warden, Deputy Warden or Duty Officer who shall issue written authorization on an Incident Management/Use of Force Report form to remove the restraints at any time when they are no longer warranted. At the Alhambra Behavioral Health Treatment Facility, only a psychiatrist can authorize restraints to be removed.
1.11.1 Maximum-control restraints shall be used only long enough to bring the most violent self-destructive behavior under control. Once an inmate responds to verbal control, maximum-control restraints shall be removed at the earliest possible opportunity.
1.11.2 The release from maximum-control restraints may be a graduated process from:
1.11.2.1 Maximum-control restraints to full restraints.
1.11.2.2 Full restraints to upper restraints.
1.11.2.3 Upper restraints to no restraints.
1.12 Videotaping Maximum-Control Incidents - All maximum-control incidents shall be videotaped from the time of application of the restraints through the exit of all staff from the maximum-control cell/room.
1.12.1 The Key Contact Psychologist may review all videotapes within 72 hours of the incident.
1.12.2 The Warden/Deputy Warden shall retain the videotapes for a minimum of 90 days.
1.13 Documentation - The shift commander shall ensure that:
1.13.1 An Observation Record form is initiated when the inmate is placed in maximum-control restraints.
1.13.2 The applicable staff member shall record on the Observation Record each time the inmate is checked as outlined in 1.12 of this section.
1.13.3 Observation Records are completed and received at the end of each shift for signature.
1.13.4 An Incident Management/Use of Force Report form and a Significant Incident Report (SIR) form are completed and appropriately distributed.
1.14 Notifications - The shift commander shall ensure that notifications are made in accordance with the Department guidelines on Significant Incident Reporting: Notification as outlined in Department Order #105, Information Reporting.
1.15.1 The committee shall consist of a Deputy Warden as chairperson, the Chief of Security, a psychiatrist or psychologist, and a security staff member each from a unit outside of the affected unit.
1.15.2 The committee shall:
1.15.2.1 Review the completed Observation Record, the videotape and any other related documentation. Only the mental health member of the committee shall review the inmate's medical record and certify whether the medical requirements were met.
1.15.2.2 Evaluate the appropriateness of the application of maximum-control restraints.
1.15.2.3 Determine if this Order and other applicable written instructions were followed.
1.15.2.4 Submit a written report of its finding and evaluation to the Deputy Director for Prison Operations and the Deputy Director for Health Services.
804.04 DEVIATIONS FROM INSTRUCTIONS
1.2 Deviation From Maximum Behavior Control Procedures - Any deviation from the medical or mental health procedures outlined in this Order shall be approved by the Deputy Director for Health Services or the Mental Health Program Manager or designee.
1.3 Sanctions for Violations of the Guidelines in this Order - Any employee who violates or permits the violation of this Order or who fails to report any violation or suspected violation of this Order shall be subject to disciplinary action as outlined in Department Order #508, Employee Discipline.
804.05 USE OF FORCE - RESTRICTED
804.06 CONTROLLED USE OF FORCE - RESTRICTED
804.07 FIREARMS AND OTHER WEAPONS - RESTRICTED
804.08 USE OF FIREARMS - INVESTIGATIONS - RESTRICTED
Attachment A - First Aid/Aftercare for Chemical Agent Symptoms
Attachment B - First Aid for Chemical Agent Symptoms (CS/OC)
Attachment C - Cell Move Lead-In Statement (R)
Within 60 days of the effective date of this Department Order, Wardens shall update Institution Orders and Post Orders, which shall address: (To ensure staff and inmate safety, structural boundaries such as steps, stair wells, cells or dorms and institution grounds are to be considered when developing Institution Orders.)
- To the Health Unit for examination and/or treatment after a a " use of force" incident.
- From one location or cell to another to avoid the use of force.
The Staff Development and Training Bureau Administrator shall ensure that Maximum Control Restraints training is incorporated into the curriculum for the Correctional Officer Training Academy (COTA) program and that training programs are provided for all staff.
MAXIMUM-CONTROL BED AND MATTRESS - A steel material framed bed that is bolted to the floor of a designated cell or room and is used to physically restrain an inmate to the frame of the bed. Specifications are 78" by 30-1/2" by 17" for a standard unit and 76" by 36" by 18" for a large unit. The mattress shall be waterproof and in good condition made to fit the maximum-control bed.
MAXIMUM-CONTROL RESTRAINTS - Hard leather devices used to restrain inmates. Wristlets and anklets restraints shall be a hard leather on the outside with a smooth soft leather inner lining (no sheepskin lining that goes against the skin). Wristlets are 2-1/2 to 2-3/4 inches wide. Anklets are 2-3/4 to 3 inches wide. Straps, made of leather, are 1-1/4 to 1-1/2 inches wide.
MAXIMUM-CONTROL SECLUSION CELL/ROOM - An area specifically designated by the Warden or Deputy Warden for the temporary care and observation of a maximum-controlled inmate. The one-person cell/room shall:
MEDICAL WATCH - A watch ordered by health care staff when clinically indicated for physical health reasons.
MENTAL HEATH WATCH - A watch that may be ordered by mental health staff when an inmate is demonstrating acute signs or symptoms of significant mental disorder but is not acting in a manner indicating significant suicide risk.
OBSERVATION RECORD - A documented record of all visual health and welfare checks conducted by staff during a watch on a specific inmate.
PROGRESSIVE BEHAVIOR CONTROL - Prison staff intervention, ranging from discussion to the application of maximum-control restraints, to the extent necessary to control an inmate's unacceptable behavior.
SECLUSION CELL - A secure cell designed and organized to provide for the temporary care and observation of an inmate. The cell provides an environment with minimal stimuli, with security protection and with provisions for direct staff observations.
SECURITY WATCH - A watch ordered by the security shift commander. When less restrictive measures prove ineffective, restraints may be applied until mental health/health care staff can evaluate the inmate and begin a treatment plan.
SPIT SHIELD/MASK - A shield or mask that staff place over a restrained inmate=s face to prevent the inmate from biting or spitting on staff.
SUICIDE WATCH - A watch ordered when an inmate is considered a possible risk to engage in self-destructive or suicidal behavior. May be cancelled only by health care, mental health staff and administrative staff.
A.R.S. 13-401et seq, Justification (Use of Force).
A.R.S. 13-414, Justification; Use of Reasonable and Necessary Means.
A.R.S. 13-3101 et seq, Weapons and Explosives.
A.R.S. 31-127, Abuse of Prisoner; Classification.
A.R.S. 31-201-01, Medical Treatment Costs.
A.R.S. 31-223, Use of Force by Correctional Officers.