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roe, independent heallhm. c .k, <br />NaphCare's Intake Screening is NCCHC compliant and has been written to be proactive and to prioritize <br />care based on need. Napheare will perform the initial Intake Screening within two hours of an <br />inmate's admittance, using an RN available 24/7 to detect urgent medical needs early. We assess the <br />most urgent issues first and then, in a systematic way, assess the other important areas that will help <br />determine both the inmate's need for services and the urgency of that need. The following list <br />describes each area of assessment: <br />• Urgent Assessments — Covers vital signs, acute health concerns, physical appearance and <br />behavior, mental instability, substance intoxication or withdrawal, and suicidal thoughts. <br />• General Medical Assessments — Reviews signs of illness or infection; current, past, and chronic <br />health conditions; review of current medical treatments, and impairments in mobility. <br />• Mental Health Assessments — Reviews current or past mental health treatment including <br />medications and diagnosis; past psychiatric hospitalizations and suicide attempts; PREA <br />assessment. <br />• Female Assessments — Covers pregnancy issues, any recent deliveries, abortions, miscarriages. <br />• Substance Use Assessments— Reviews use of illegal drugs, abuse of prescription meds, and <br />alcohol use; if indicated by responses, an assessment tool to determine the need for detox is <br />triggered. <br />• Other Assessments— Reviews dental issues, insurance coverage, special medical requirements <br />(adaptive devices, diet). <br />• Disposition/Treatment Plan=Allows the interviewerto refer to any indicated services based on <br />the above information in either urgent or routine time frame. Releases are obtained to access <br />outside records; the inmate is educated on how to access medical and mental health care if <br />needed in the future; and housing recommendations are made. <br />Any inmate whose responses indicate a need for further medical or mental health intervention will have <br />their record flagged electronically to indicate this. There are built-in prompts within TechCore® to assist <br />the interviewer in taking appropriate action based on responses — such as placing an inmate on suicide <br />precautions; urgently contacting medical, mental health, or security personnel; and any special housing <br />recommendations. All Receiving Screens are included in the electronic health record for providers' <br />review. <br />Inmate Medical Services RFP No. 17-051 <br />City of Santa Ana 25 <br />