CORRECTIONAL HEALTH.

LEGAL AUTHORITY

Administrative Order No.99 of July 28, 1995, created the Correctional Health program and abscribed it to the Health Depatament. Subsequently, through the Morales vs. Romero Barcel case, USDC PR Civil No. 79-4, Puerto Rico's Federal District Court instructed the Correctional Administration to provide medical and mental health services to all their inmates. Executive Order 2005-49 of June 30, 2005, transfers the program from the Health Department to the Correctional Administration.

MISSION

Offer prisoners access to health services in an integrated and multidisciplinary manner, which includes offering the appropriate treatment in a caring environment.

VISION

Focus on developing the socio-medical services offered to inmates to promote an integrated holistic system characterized by a complete and continuous bilological, psychosocial and environmental relationship, incompliance to the health standards established by the Morales vs. Romero Barcel case.

ORGANIZATIONAL STRUCTURE

The Correctional Health Program is comprised of the following organizational units:

  • Program Administrator
  • Legal Department
  • Infection Control Director
  • Nursing Director
  • Pharmacy Director
  • Quality Improvement Director
  • Nutrition and Diet Director
  • Odontology Director
  • Psychology Director
  • Medical Records Director
  • Mental Health Director
  • Social Work Director
  • Executive Director
  • Medical Director
  • Materials Manager
  • Accounting and Budget
  • Human Resources
  • General Services

GEOGRAPHIC LOCATION

The Correctional Health Office is located on One Street, Lot 18, Suite 400, Metro Office Park in Guaynabo. In addition it provides services at the following penal institutions: Campamento La Pica en Jayuya, Zarzal Camp in Rio Grande, The Correctional Complex in Bayamon, Correctional Hospital in Ponce 500, Psychiatric Correctional Hospital of the Medical Center in Rio Piedras, Guerrero Correctional Institution in Aguadilla, West Correctional Complex in Mayaguez, Correctional Complex Sabana Hoyos in Arecibo, Industrial School for Women in Vega Alta and Central Level in Guaynabo.


PROGRAMMATIC STRUCTURE



POSITIONS FILLED

Authorized and Proposed Positions 2009 2010 2011 2012
Sept./08 Sept./09 Sept./10 Feb./11 Proj.

 

Total amount of positions 1,353 1,359 861 817 817

Data comes from the Agency's Certified Headcount Reports. Figures for Fiscal Year 2011-2012 were estimated during the budget formulation process.


PROGRAM

Health Services to Inmates

Program Description

Is responsible for implementing the Medical and Mental Health Plan, according to the stipulations of the Federal Court. Develops an integrated health service system, with high levels of quality and accessibility. In addition, it provides health education services to inmates, custody officers, and offers training to health professionals. Also, establishes a system for prevention, diagnosis and treatment of infectious and sexually transmitted diseases.




Statistical Data 2010 2011 2012

 

Admission services 16,302 17,117 17,158
Admissions to outpatient detoxification (Outpatient Detox) 2,510 2,636 2,642
Dental procedures 71,035 74,587 74,764
Drugs dispensed 3,532,161 3,708,769 3,717,599
Extended care patients admitted to infirmary 2,754 2,892 2,899
Laboratory processed 149,751 157,239 157,613
Mental screening tests 14,215 14,926 14,961
Nursing procedures 2,006,760 2,107,098 2,112,115
Outpatient mental services 78,327 82,243 82,439
Participants in educational health activities 100,517 105,543 105,794
Prescriptions issued 195,376 205,145 205,633
Referred to outpatient clinics intra-institutional 143,367 150,535 150,894
Tele-psychiatry services 4,162 4,370 4,381
Treatment referrals 6,883 7,227 7,244
X Rays 37,631 39,513 39,607

Information provided by the Agency during the budget process for fiscal year 2011-2012.

Customers

Inmates cared for at corresponding medical units and at the Correctional Psychiatric Hospital.

Human Resources

Authorized and Proposed Positions 2009 2010 2011 2012

Managerial,Technical, Administrative, and Office Staff 207 251 148 144
Other staff 358 252 186 167
Maintenance and General Services Staff 0 33 13 12
Families and Community Services Staff 94 88 6 6
Health Services 694 735 508 488
Total, Positions 1,353 1,359 861 817



FISCAL YEAR 2011-2012 ADOPTED BUDGET

The adopted consolidated budget for fiscal year 2011-2012 ascends to $73,417,000. All funds come from the Joint Resolution - General Fund.

Operational Expenses reflect a decrease of $2,019,00, in comparison to funds allocated in Fiscal Year 2010-2011. This is due to a reduction in payroll expenses from the employee retirement incentives program and other expense control measures.

These funds will be used to fulfill the agency's commitments and those enacted by the Federal Court. The Correctional Administration signed a contract with Correctional Health Services Corporation (CHSC), where CHSC will manage and supervise the provision of health services to inmates using the personnel from the Correctional Health Program. These resources will allow the Program to continue the offering of medical services associated with the treatment of sexually transmitted diseases with an emphasis on Hepatitis C and VIH/AIDS. The availability of medication and the ability to provide services in timely manner will help control these ailments.

SUMMARY OF AVAILABLE RESOURCES

Consolidated Budget  (thousands $) 2009 2010 2011 2012

 

Program  
Operational Expenses Actual Actual Budget Adopted
Health Services to Inmates 85,448 77,596 75,436 73,417
Subtotal, Operational Expenses 85,448 77,596 75,436 73,417
Total, Program 85,448 77,596 75,436 73,417
 
Funding Sources  
Operational Expenses  
Joint Resolution - General Fund 82,359 49,671 44,199 73,417
Special Appropriations - General Fund 3,089 0 0 0
Local Stabilization Fund 0 27,925 31,237 0
Subtotal, Operational Expenses 85,448 77,596 75,436 73,417
Total, Funding Sources 85,448 77,596 75,436 73,417
 
Expense Category  
Operational Expenses  
Payroll and Related Expenses 36,023 33,284 34,339 32,599
Rent and Utilities 3,991 3,712 3,146 3,473
Purchased Services 5,770 5,332 5,428 20,180
Transportation Expenses 20 19 48 17
Professional Services 21,103 20,226 18,765 3,646
Other Expenses 36 284 35 35
Non Distributed Allocations 0 100 0 0
Previous Years Debt Payments 3,089 414 0 0
Equipment Purchases 0 606 0 0
Office Supplies and other Materials 15,416 13,619 13,675 13,467
Subtotal, Operational Expenses 85,448 77,596 75,436 73,417
Total, Expense Category 85,448 77,596 75,436 73,417