Report 2016-131 Recommendation 3 Responses

Report 2016-131: California Department of Corrections and Rehabilitation: It Must Increase Its Efforts to Prevent and Respond to Inmate Suicides (Release Date: August 2017)

Recommendation #3 To: Corrections and Rehabilitation, Department of

To ensure that it identifies inmates who are at risk of attempting suicide and determines the treatments needed to prevent them from doing so, Corrections should immediately reevaluate and revise its goals for the percentage of risk evaluations that mental health staff must complete on time and for the percentage of risk evaluations that must pass its risk evaluation audits. It should set revised goals that better take into consideration the importance of mental health staff completing adequate risk evaluations in a timely matter. Corrections should require prisons that perform below its revised goals to develop improvement plans.

1-Year Agency Response

The Chart Audit Tool (CAT) implementation resumed post-EHRS implementation. The first quarterly review was completed in April 2018 for the first quarter of 2018. SPRFIT reviews the quarterly CAT results and will develop CAPs as needed. This is an ongoing quarterly process.

  • Completion Date: April 2018
  • Response Date: August 2018

California State Auditor's Assessment of 1-Year Status: Fully Implemented


6-Month Agency Response

CDCR believes current benchmarks are sufficient and appropriate. However, the Mental Health Program will work with the regional teams and institutions to establish corrective action plans if benchmarks are not met. Timeliness of SREs is now reviewed in SPRFIT.

The new Chart Audit Tool items have been completed and the electronic tool is in production. Chart Audit Tool implementation has resumed post-EHRS implementation. The first quarterly review will be complete in April 2018 for the first quarter of 2018. SPRFIT will be reviewing the chart audit tool at the time.

  • Estimated Completion Date: April 2018
  • Response Date: February 2018

California State Auditor's Assessment of 6-Month Status: Pending


60-Day Agency Response

The Mental Health Program will work with the regional teams and institutions to establish corrective action plans if benchmarks are not met.

  • Estimated Completion Date: October 2017
  • Response Date: October 2017

California State Auditor's Assessment of 60-Day Status: Pending


All Recommendations in 2016-131

Agency responses received are posted verbatim.