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
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 |
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 | |
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 |
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 |