So. Co. Behavioral Health and Health Services in the county jail [Community Voice]

The Sonoma County Civil Grand jury recently released two reports related to their review of the County’s Behavioral Health Division (BHD) 2018-2019 budget and an inspection of the Jail’s Main Adult Detention Facility (MADF) health care resources and services.
The jury commended the Sheriff’s Office for doing a job “it was not designed to do and doing so competently.” This includes providing inmates with opportunities for adult education and implementing a Jail-Based Competency Restoration program. Health care-related concerns include: a need for improved treatment of certain communicable diseases, increased nursing staffing in the booking area and better discharge coordination with health care providers. They serve an inmate population that is older, sicker and/or more likely to live with a mental illness. This is a partial consequence of California’s 2011 Realignment Bill, which shifted some responsibilities for individuals convicted of low-level felonies from the state to counties. As a result, the needs for medical, dental, mental health and substance use care have dramatically increased within the MADF. The Grand Jury noted that the MADF was scheduled for inspection in May 2019. 



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