CHS comments on Intro 902 and concerns about clinical decision-making

Intro 902 would require the establishment of protocols governing the identification, screening, referral, monitoring, and follow-up care of pregnant individuals

and postpartum individuals in DOC custody who have or may have mental health needs.

As written, the bill would require DOC to establish and maintain these protocols.

But CHS is the direct and independent provider of medical and mental health services to people in DOC custody and will serve as the appropriate agency.

The protocols outlined in the legislation largely align with current CHS practices as they relate to referrals to care, mental health screenings, psychiatric evaluations, clinical documentation, and discharge planning.

However, we would want to refine the language to ensure the bill doesn't legislate clinical decision-making and ensures that CHS can continue to provide care in accordance with the most current and appropriate standards of care and clinical practice.

We would like to discuss with Council the provision of the bill that would require CHS to establish procedures

for identifying postpartum status when an individual does not proactively disclose such status.

CHS providers work to establish a relationship of trust with our patients, which can prove more challenging in a carceral setting.

All of the services we provide are voluntary.

And we respect every patient's right to engage in clinical services and to provide personal information as the individual feels comfortable doing so.

We would therefore appreciate the opportunity to better understand the intention of the Council relative to this specific provision and to explore ways to address any concerns without

jeopardizing the sanctity of the provider-patient relationship and while protecting the privacy and rights of the patient.

Thank you and we look forward to answering your questions.

You will now hear a testimony from our colleagues at the O.C.