Partner Services

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Partner Services

• Custody

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Ready For Work at the Jails
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Partner Services
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Twin Towers
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Twin Towers
Twin Towers Correctional Facility
The Twin Towers Correctional Facility, also refe
rred to in the media as Twin Towers Jail, is a c
omplex erected in Los Angeles, California to hou
se inmates of the Los Angeles County Courts.
It is the worlds largest jail
The facility is located at 450 Bauchet Street,
in Los Angeles, and is operated by the Los Angel
es County Sheriff's Department.
The facility consists of two towers, a medical s
ervices building, and the Los Angeles County Med
ical Center Jail Ward The 1.5 million square f
oot (140,000 m²) complex was opened in 1997
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The Inmate Reception Center is the primary intake
and release facility of male inmates for the Los
Angeles County Sheriff's Department Jail System
which currently houses approximately 18,000
inmates. IRC is responsible for the maintenanc
e and storage of all male inmate records
, clothing, property, and funds.
IRC is the transfer and pickup point for inter f
acility transfers and for custody transfers
and custody releases to the state prison
system, INS, and other governmental agencies.
IRC conducts initial medical and mental
screening of inmates. IRC is also responsible fo
r the classification of all male inmates
and population management of the jail system.
We are currently the largest facility in the
Sheriff's Department with approximately 800
employees, of which about 450 are professional s
taff. IRC IS A TEMPORARY HOLDING LOCATION ONLY
!VISITING IS NOT ALLOWED!
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Mens Central Jail
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Century Regional Detention Facility
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In March 2006, CRDF officially re-opened to be
utilized as an all female jail facility. The
two rehabilitation programs that were being held
at CRDF have been relocated to North Pitches Dete
ntion Center. CRDF will continue to provide a b
ooking center for Century Station, Compton Sheri
ff's Station and for all female prisoners
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The Custody staff

• Vince Lewis
• Margarita Melgoza
• Sandra Chacon
• Sarah Verdugo
• Natalie Kelley
• Maria Arevalo
• Special thanks to Anissa Brown, Jolene Yoneoka,
  and Gabriel Montano

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Drop a Little Jail and Prison Knowledge
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Los Angeles County Jail Demographics

• 88 Males
• 12 Females
• 44 Hispanic
• 35 Black
• 16 White
• 03 Other

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Jails

• Jails are locally-operated correctional
  facilities that confine persons before or after
  adjudication. Inmates sentenced to jail usually
  have a sentence of a year or less, but jails also
  incarcerate persons in a wide variety of other
  categories.

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Why Would We test For STDs in Jails and Prisons?
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Sexual Violence in Youths

• Approximately 1 in 5 of reported allegations of
  juvenile sexual violence were substantiated.
  
• Youth-on-youth incidents were more likely to
  occur in the victims room (37) or in a common
  area (32), compared to staff-on-youth incidents
  (7 and 13, respectively).
• Victims received physical injuries in 12 of
  substantiated incidents of youth-on-youth sexual
  violence about half received some form of
  medical follow-up.

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Sexual Violence in adults

• Correctional authorities substantiated 885
  incidents of sexual violence in 2005, 15 of
  completed investigations.
  
• 38 of allegations involved staff sexual
  misconduct
  
• 35 inmate-on-inmate nonconsensual sexual acts
• 17, staff sexual harassment and 10
  inmate-on-inmate abusive sexual contact.
  
• Half of inmate-on-inmate sexual violence involved
  physical force or threat of force.
  

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Most Inmates Have No Clue of Their Status
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Nearly a quarter of both State prisoners and jai
l inmates who had a mental health problem, C
ompared to a fifth of those without, had served
3 or more prior incarcerations.
Female inmates had higher rates of mental heal
th problems than male inmates
(State prisons 73 of females and 55 of males
Federal prisons 61 of females and 44 of male
s local jails 75 of females and 63 of males)
. Only 1 in 3 State prisoners, 1 in 4 Federal
prisoners, and 1 in 6 Jail inmates who had a men
tal health problem had received treatment since
admission.
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Inmates Classified By Colors
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Breakdown of Institutions
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Public Health Opportunities

• Prevention of Transmission
• Reach a massive group of people who need various
  types of health care
  
• Opportunity to identify health problems and
  disease
  
• Opportunity to Directly administer and observe
  treatments
  
• Time for teaching and understanding

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Why Care? They are Just inmates, prisoners,
scum, mental, degenerates, bums, etc

• 25 of HIV- Infected Americans
• 33 of Americans infected with Hep C
• 40 of Americans with Active TB
• 50 may have some type of mental disorder
• 75 may have alcohol or substance abuse issues

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Neighbors, Friends, Family
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Collaboration and Negotiation
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K6G (K-11 Unit)
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What is K6G-Formally K11

• Angels for gay inmates thanks to two straight
  deputies,gay inmates in the L.A. County jail have
  a chance to get
  
• an education and learn how to stay out of
  prison.
  
• A gay man who was arrested and taken to the Los
  AngelesCounty jail in decades past would have
  probably been thrown
  
• in with other gay prisoners in what was known as
  the "queens' tank."
  
• There were widespread reports in the 1970s of gay
  men being beaten, raped, and locked away in dingy
  isolation in "thehole" as well as countless
  complaints of prison guards soliciting sex
• Some guards routinely threatened the safety of
  prisoners.
  
• For gay felons the jail became a notorious
  cycle--after release most of them would return
  within a few months to
  
• suffer the same trauma again.
• Inmates in Los Angeles County's K-11 ward can
  enroll in the Social Mentoring Academic and
  Rehabilitative Training program,
  
• an educational service to gay, lesbian, bisexual,
  and transgendered prisoners. And they can get
  support from straight sheriff's deputies Randy
  Bell and Bart Lanni, who envisioned SMART when
  they realized that gay inmates were returning to
  prison at a higher-than-average rate. In the five
  years since SMART's inception the recidivism rate
  among participants has plummeted from 94 to 30,
  while the rate for straight prisoners remains
  approximately 65.
• SMART offers gay prisoners classes ranging from
  anger management to preparatory instruction for
  the General Educational
  
• Development tests, a series of exams adults may
  take to earn high school--equivalency diplomas.
  The program also includes drug rehabilitation
  services and testing for sexually transmitted
  diseases

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Testing of Men and Woman

• HIV
• Syphilis
• Gonorrhea
• Chlamydia
• GC
• Throat
• Rectal
• Urine
• CT
• Rectal
• Urine

• Rapid HIV
• Syphilis
• GC
• CT (urine only)

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How Are Positive Results Reported
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Who Gets Partner Services
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So Where do the PHIs come in?

• Custody PHIs cover Approximately 5 or more
  facilities
  
• The bulk of their interviews are done at the
  Mens Central Jail (MCJ)
  
• The vast majority of the positive Syphilis and
  HIV Are from the K6G unit
  
• PHIs are responsible for the Interviewing and
  Treatment and Diagnosis of each positive patient
  assigned to them.
  
• If a patient submits sexual partners or clusters
  the PHI is responsible for initiating each
  respective paper and generating it to the field
  or ICCR

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Average time in Jail

• Average Length of stay is 44.2 Days
• Average Weekly Releases overall 3,262, State
  Prison 678, INS115 Releases per Day
  
• Let's not forget about overcrowding. Inmates on
  lesser charges get out in 14 days or less. In
  most cases those 14 Days are cut down to 4 days.

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Is it Really A Captive Audience?

• Constant movement
• Lockdown
• Food time
• Out on work assignment
• Visitation
• In the hole
• Class time
• Down at medical
• Released
• Out to court
• INS hold
• Simply does not want to cooperate

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What Keeps Public Health Moving in Times of
Frustration

• Total team participation and buy in
• Everyone working for the good of the common goal
• The offering of ones time and talents as a
  service to others
  
• The attitude that we will make ourselves better
  when we work together to make things better for
  others

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