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Healthcare Professional Interest Section
 

 
 
  Statements from ACA Executive Di
Page Title: Past, Present and Future

ACA Salutes Our Armed Forces

James A. Gondles, Jr.

Executive Director

American Correctional Association
December 2008, Corrections Today

During this time of war, it is necessary that we give thanks and recognize our military personnel for their dedication and bravery. The American Correctional Association has devoted this issue to our nation's armed forces and the many successes and challenges they face while working in corrections at home and abroad. I'm proud that we have been able to focus on military corrections as a theme in Corrections Today for the third time. 

The American armed forces have always been an important part of the ACA family going back as far as 1870, when we were known as the American Prison Association. ACA is proud of its affiliations with U.S. Army, Navy, Air Force, Marine Corps, Coast Guard and National Guard. Our Military Corrections Committee has always been one of our most active committees, and its members attend the conferences in large numbers every year, sharing their vast experiences and providing us with wonderful perspectives. We are fortunate that we have been able to achieve much together and that we have developed so many excellent relationships with our friends and colleagues in the armed forces. The relationships and the mutual respect that exists between those serving in military corrections and those of us in civilian corrections will help guide us into the future. 

There are military corrections facilities across the country and around the world.  Whether you visit the Disciplinary Barracks in Leavenworth, Kan., the Naval Consolidated Brig in Miramar, Calif., or the U.S. Army Confinement Facility in Manheim, Germany, you'll find some of the most professional staff and best run facilities in all of corrections. The commitment to excellence and the desire to perform the duties and responsibilities of the profession at the highest level are obvious. Today, nearly all major military correctional institutions are ACA accredited, and the Army and Navy have achieved 100 percent accreditation. The Charleston Naval Brig has shown such commitment to the standards and accreditation process that it has scored 100 percent on its audit report in six consecutive cycles. The brig has served as a tremendous example for us all, as have the American armed forces in general. 

Those who serve sacrifice a great deal in order to make the world safe for democracy and keep us and our allies free from harm and oppression. The war on terrorism is unlike any other we have faced. It has and will continue to challenge our resolve and test the professionalism and training of our troops at every turn.  I am confident that our military will succeed and continue to make us free, safe and proud. 

The enemy we face today is of a new breed; it has no land, flies no flag and has no embassy. As a consequence, diplomacy will have limited success, and a formal surrender will likely never happen. But we will continue to fight - we have the resolve and commitment necessary to defeat this enemy, and defeat them we will. 

Generation after generation, America's armed forces have shown themselves to be the best trained in the world and have risen to the challenge on every occasion. We have always relied on them to defend our freedoms and our way of life, and for that we are most grateful. Those of us who knew or were part of "the greatest generation" of World War II will forever remember their sacrifices. 

While we in corrections work in a stressful environment and are constantly dealing with dangerous individuals, it often pales in comparison to the work of our military personnel. The men and women of our armed forces are true heroes and they will always have the support, friendship and partnership of ACA.


A Comprehensive Assessment Methodology Ensures Community Safety and Security
By Allan Turner, DPA
Research Professor, Administration of Justice
George Mason University
October 2008, Corrections Today

The message is clear. Correctional administrators who already have their hands full dealing with day-to-day problems within their facilities must be concerned not only with what happens inside the perimeter fence but also with the role their institutions play in the overall security of their communities. Failure to do so can put an entire community at risk if a terrorist attack or natural disaster occurs.

The challenges faced by a correctional administrator striving to maintain safety and security can seem overwhelming. The images of prisoners being guarded on a bridge in New Orleans after hurricane Katrina and news coverage of a CIA report that al-Qaida considers correctional facilities in the U.S. as potential targets reinforces the simple truth that any correctional facility is subject at any time to a terrorist attack or natural disaster. To complicate matters, a terrorist attack or natural disaster that affects a correctional facility will also have a cascading impact on the surrounding community.

Since Sept. 11, Department of Home-land Security officials have stressed the development and application of comprehensive risk assessment methodologies to help protect the nation's communities from all hazards, including terrorism and natural disaster. This approach has been driven by the fact that no community can protect everything. Therefore, Homeland Security officials must use a thorough means to identify communities' critical infrastructures and key resources and decide how best to protect those assets.

Comprehensive assessment methodologies generally consist of the following five steps: The first is a threat assessment, which examines a community; identifies critical facilities, infrastructures and events; and identifies threat groups and the likelihood that a specific target will be subject to terrorist or hostile criminal attack. Second is a risk assessment or prioritization tool, which includes a criticality assessment to determine the overall impact of a terrorist attack on a given target and the community. Additional matrices to further analyze the target from the perspective of the potential threat element are the next step. Fourth is a community priority assessment plan to determine the order of priority for critical facilities, infrastructure and events. And last is a vulnerability assessment, which is a critical on-site physical examination and thorough inspection of a facility. This process is broader in scope than the correctional vulnerability assessment methodology developed by Sandia National Laboratories that is currently used by several correctional agencies. In fact, Sandia's correctional vulnerability assessment process would mostly fall into step five of the Homeland Security methodology.

In communities where a correctional facility is present, that facility will appear near the top of the critical facilities prioritized during the assessment. If a correctional facility must be evacuated, law enforcement resources will have to be deployed to help guard prisoners because they may try to exploit an emergency situation to either escape or commit new crimes. Also, if a jail is lost, there is no adequate place to house new criminals in the community. Gang members or domestic and international terrorists make the facilities where they are housed potential targets for an attack that could facilitate an escape attempt or create a diversion for a more devastating attack.

A 2005 report, Assessing and Managing the Terrorist Threat, prepared for the Bureau of Justice Assistance by the International Association of Chiefs of Police stated that for today's law enforcement executive, the capacity to assess and manage risk is imperative. Unfortunately, as the report points out, the experience and skill to assess and manage risk is limited in most law enforcement agencies - and this includes corrections.
 
There are several effective risk-assessment methodologies currently used by Homeland Security agencies throughout the U.S. Regardless of size, correctional agencies should become familiar with these methods and explore ways to develop the skills to use one or more of them to assess and manage risk. The BJA report cited above is a good place to start.


Don't Be Fooled 
By Charles J. Kehoe, ACSW, CCE
Consultant, Group 4 Securicor
ACA Past President
August 2008, Corrections Today

Difficult economic times during the first half of 2008 may have caused a decline in state and local revenue that resulted in some local, state and private correctional agencies freezing positions and reducing their budgets and work forces. The 2004 ACA work force report A 21st Century Workforce for America's Correctional Profession, by Workforce Associates Inc., showed that the retention of correctional officers and other correctional employees improved when unemployment was on the rise. This makes sense when you consider that when jobs are difficult to find, an employee will stay in his or her current position rather than risk an uncertain future in a new job. While any improvement in the retention of workers is welcomed, the facts continue to show that a decline in the turnover rates of correctional employees in most states is only a temporary reprieve.

In a recent article on MarketWatch. com, 'Job-Market Worries? Not for Very Long,' Marshall Loeb pointed out that the work force will continue to shrink as baby boomers retire in great numbers. Much of Loeb's article also reviews the recently publ-ished book by Deloitte LLP human relations specialist W. Stanton Smith. In Decoding Generational Differences, Smith points out that between 2003 and 2008, an estimated 24 million baby boomers will leave the work force - and most will be from managerial, administrative and executive level positions. Generation Xers, being a smaller pool of available workers, will not completely fill the void in the active work force that has resulted from the retirements of the baby boomers. Loeb states, 'The pool of available workers among those age 25 to 44 will have decreased by 7 percent from the level of 2003, resulting in a significant labor shortage.' It is interesting to note that the decline in this  age group was mentioned in the 2004 ACA report. Smith also confirms the serious shortage, 'In fact, every year for the next 30 years, there will be fewer young people to replace retiring workers. The worker shortages will continue into the future, as average annual growth of the work force is projected to hover at around 1 percent through 2015.' Thus, while some may see a decline in the turnover rates as encouraging news and believe the worst is behind us, Smith and other authors continue to sound the alarm. 

In January 2003, when the Bureau of Justice Assistance (BJA) awarded a grant to ACA to develop a strategic plan for the correctional work force, BJA and ACA anticipated some of the upcoming challenges for correctional agencies. That plan has moved

forward as ACA has launched several initiatives to address the work force challenge. In addition, BJA has funded other work force projects in com-munity corrections and adult local detention. Currently, the Center for Innovative Public Policies is coordinating a BJA-funded project that is examining the challenges of recruiting and retaining qualified jail personnel. The end product of this grant will be a 'toolkit' for sheriffs and administrators of adult local detention facilities that can be used when developing strategies for recruitment, retention, succession planning and leadership development.
 
In the second phase of the ACA work force project, also funded by BJA, ACA targeted positions in correctional health care, mental health and correctional education to understand recruitment and retention challenges. ACA also opened the Center for the Correctional Work Force of the Future to coordinate work force activities. In addition, through ACA's close affiliation with Edward Barlow Jr., president of Creating the Future Inc., four specific strategies have been identified to address recruitment and retention challenges. The first is to extend the orklife of older, soon-to-retire workers or to identify newly retired workers from other occupations and careers. The second is to attract younger workers; the third is to reduce turnover by improving the correctional workplace environment; and the fourth is to 'develop a bench' of future correctional leaders. These strategies can best be accomplished by making corrections an attractive career. The simple truth is that corrections will not help offenders without a highly qualified, well-trained, respected work force that finds the challenges of correc-tional work rewarding.


 

Lannette Linthicum, M.D., CCHP-A, FACP

Director, Health Services Division

Texas Department of Criminal Justice
June 2008, Corrections Today

Congratulations to the 16 corrections professionals honored as this year's 'Best in the Business.' I would like to commend all of them for their unwavering commitment to excellence. There are many unsung heroes and heroines in corrections. Every day they enter the nation's prisons, jails, and juvenile and community corrections facilities to operate, manage and oversee the daily activities of approximately 2 million incarcerated adults and youths. 

Training is an integral component to operating correctional facilities and systems. In addition, corrections professionals must maintain a 'security consciousness' at all times as they carry out their routine duties. This security consciousness is rooted in the primary common mission that all corrections professionals share: to ensure and maintain public safety. A secondary mission is to prepare incarcerated adults and youths for reentry into their communities. The success of these missions is highly dependent upon the professionalism of the correctional staff. Webster's New World College Dictionary defines a professional as 'one with assured competence in a field.' The keys to ensuring staff competence are education, training and experience. Correctional administrators must mandate continuous professional development activities in order to perpetuate the competencies of their staff. Only then can success at the facility or system level be achieved. It requires a multidisciplinary, professional staff working together in an atmosphere of cooperation and mutual respect. The individuals profiled in this edition are exemplary role models of correctional professionalism. 

Along with recognizing these individuals, this issue also addresses the challenges faced by correctional health care professionals. Offenders are disproportionately burdened by disease, especially infectious/communicable diseases such as HIV, AIDS, tuberculosis, hepatitis, syphilis and many sexually transmitted infections. Correctional medicine has established systems to identify, screen, treat and educate offenders on prevention measures. These efforts maintain public safety and health by reducing the disease burden and/or the behaviors resulting in disease transmission upon offenders' reentry into the community. Security operations and health care staff must continue to work cooperatively in caring for the offender population. This is necessary because of the unique challenges in practicing medicine 'behind the walls.'

I would like to briefly highlight two of the most pressing challenges facing correctional medicine today. First, there is a nationwide shortage of nurses, which has significantly impacted correctional medicine. As a result, health-trained security personnel are integral to ensuring continuity of care. In jails, these health-trained security personnel assist with receiving and screening. They are trained in taking a medical history, making observations and determining appropriate disposition of an offender based on responses to questions and observations. They may also assist with medication delivery at times when there are no medical staff on site by providing offenders with access to medication, which the offenders self-administer. Health-trained security staff document this on a log and keep track of the pill count.

The second major challenge in correctional medicine is the escalating cost of health care. For prisons, this is related to the 'graying' of the offender population. Some jurisdictions have seen exponential growth in their geriatric offender populations due to changes in sentencing laws and the baby boomer effect. Many of these offenders age 55 and older have physiologic ages that are at least 10 years older than their chronologic ages, which has placed tremendous pressure on correctional health care budgets. Many elderly offenders require skilled nursing care, sheltered housing, chronic specialty care, and assistive devices such as canes, walkers, hearing aids, prosthetics and dentures. In the foreseeable future, the management of geriatric offenders will result in the greatest operational challenge for all correctional staff. 

Despite the many challenges faced by those working in the corrections field, the professionals honored in this issue have remained focused and committed. Congratulations once again to them and their families. As the corrections profession strives toward continuous quality improvement and best practices, staff must work side by side in a multidisciplinary team approach to ensure that the nation's correctional systems are humane, safe and meet the legal standards set forth by the Constitution.


 

Partnerships Benefit Corrections

By James A. Gondles, Jr., CAE

Executive Director

American Correctional Association

April 2008, Corrections Today

The poet John Donne once wrote, 'No man is an island.' This is true today for individuals as well as for organizations. More can be accomplished by working in partnership than by working alone. In other words, adult and juvenile correctional agencies can achieve more by partnering with other sectors of the criminal justice system, educational institutions, nonprofit organizations and private entities. Partnerships have become an integral part of the daily operations of jails, prisons and community corrections agencies. These partnerships can have financial and public safety benefits and can enhance the types of services provided to offenders.

ACA's Public Correctional Policy on Justice System Partnerships states, 'Correctional practitioners and other service providers should make every effort to collaborate with one another, law enforcement and the courts in ways that will improve the overall criminal and juvenile justice systems. This results in enhanced protection of the public, efficiency in handling offenders and long-range cost-effectiveness.' Entities sharing a common purpose or problem can develop new approaches that benefit all.

One of the authors in this issue, Gary Hinzman, states in his article beginning on page 46, '... shared power is more powerful than working in a vacuum.' Successful partnerships build relationships and draw upon the strengths of everyone involved. Different perspectives, skills and experiences bring various ideas and solutions to the table for the good of all parties.

Nonprofit and other organizations can provide many services inside facilities as well as in the community to aid in the successful reentry of offenders. Faith-based organizations; boys and girls clubs; and drug treatment, mental health, education and job training providers are just a few examples of the partners with which corrections can collaborate.

Partnerships or ventures with the private sector can provide services for offenders, such as health care, and food operations to institutions. This can save money and enable correctional agencies to remain focused on their core mission of rehabilitation and safety. Private-sector partnerships can also provide reentry services and job opportunities to ex-offenders upon their release. 

Partnerships within corrections, such as those between management and employee groups, focus on the safety of staff and the equality of benefits and wages afforded to staff. These coalitions can focus decision-makers' attention on correctional issues, leading to increased funding and greater awareness among politicians. 

Partnering is an ongoing process. Correctional agencies should periodically evaluate their partnerships to determine if they are successful and to identify areas in need of improvement. Many collaborations once considered unconventional have now become common criminal justice practices, including specialty courts, restorative justice and community policing.

AACA is also a partner with corrections. The education and training we offer provide staff with the tools necessary to be successful in their jobs. Our various publications focus on all areas of adult and juvenile corrections, including professional development, research and offender programs. ACA's standards and accreditation program works with correctional agencies to promote and evaluate best practices and measure performance. The Healthcare Professional Interest Section brings together security and treatment professionals to discuss specific workplace challenges, including prevention and treatment strategies, that can foster innovative ideas and solutions to important issues in correctional health and security operations.

Also in this issue is information on ACA's election for officers and other governing bodies. Please take the time to vote in ACA's election and have a say in who will lead your association in the coming years. The full slate of candidates along with their bios and photos begins on page 76. Additionally, a ballot and return envelope are included with the magazine. Please fill it out and mail to us by June 15 to ensure that your vote counts. You can also vote online at https://www.esc-vote.com/aca2008 . I wish the best of luck to all the candidates and extend my heartfelt appreciation to them for their willingness to stand for election.

  


 

It's Time -- Strengthening Partnerships Throughout the Juvenile Justice System

By Dianne L. Gadow

Administrator

Arizona Department of Juvenile Corrections

February 2008, Corrections Today
 
 

It's time for juvenile justice leaders to build smarter and stronger alliances and improve marketing efforts that will enable us to strengthen the integration of our youths into the "real" community.

The U.S. has a fascinating history of juvenile justice evolvement. In the early 1900s, a court system was established specifically for juveniles,

separating them from adult determinations. In the 1970s, there were controversies surrounding the effectiveness of juvenile correctional institutions and questions about whether treatment focused on changing youths' behaviors worked. Today we talk about cognitive-behavioral approaches, social skill development, education and community transition for youths.

In the 1980s, staff in housing units on training school grounds felt like pioneers, developing what they considered to be effective programming. Today, foundation-funded research has enabled us to develop evidence-based programs -- blueprints with identified best practices. Efforts to establish programs developed to serve youths abound within individual states. 

In the early 1990s, the "super predator" movement burst into society, and the response was to get tough on crime with aggressive implementations to deter the rising influence of gang activities. Tougher sentencing laws were initiated and courts began sentencing juveniles as transfers to the adult correctional system. Federal legislation began having greater impact on juvenile institutions and detention processes, particularly in education, medical/mental health services, conditions of confinement and juvenile rights.

The juvenile justice system now faces many of the same issues but, this time, with different sets of expectations. Legislative and community mandates effect tangible levels of accountability for outcomes. Our focus is on developing a sustained, competitive, implicitly competent work force. As we encounter youths with significant mental health and special education issues, there is a thrust to change the culture of juvenile justice organizations to respond to safety and security issues, provide defined programs for youths, and comply with federal and state laws (e.g., the Americans with Disabilities Act, the Individuals with Disabilities Education Act and the Civil Rights of Institution-alized Persons Act).

We know what we need; we just need to do it. As leaders, we must develop partnerships within the juvenile justice system that are fully supported through, and integrated with, community services. These partnerships must embrace presentence programs, probation, detention, institutions, contracted services, parole and aftercare programs, and the courts.

Theodore Roosevelt said, "The most important single ingredient in the formula of success is knowing how to get along with people." There is strength in alliances that positively impact our population. These partnerships identify where we can have a more meaningful effect on our association with state and local government. The future depends upon developing agreements with all systems integral to our offender population throughout every state. This should be the new "norm" in how we do business.

We need to market our vision, projects and partnership building. We should build and improve through marketing -- sharing successful best practices with each other. It will assure local and federal communities that we have reputable accountability and positive outcomes.

John Foster Dulles, secretary of state under Dwight Eisenhower, said, "The measure of success is not whether you have a tough problem to deal with, but whether it is the same problem you had last year." We need not have issues repeated state by state. We need not improve our own juvenile offender culture simply within our own community. We need to be proactive, pre-emptive, ready and responsive -- together, continuing to lead in forging community alliances. It's time.

 






 


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