Partner Services

1. Partner Services Custody

2. Ready For Work at the Jails

3. Partner Services

4. Twin Towers

5. Twin Towers Twin Towers Correctional Facility The Twin Towers Correctional Facility, also referred to in the media as Twin Towers Jail, is a complex erected in Los Angeles, California to house inmates of the Los Angeles County Courts. It is the world’s largest jail The facility is located at 450 Bauchet Street, in Los Angeles, and is operated by the Los Angeles County Sheriff's Department. The facility consists of two towers, a medical services building, and the Los Angeles County Medical Center Jail Ward The 1.5 million square foot (140,000 m²) complex was opened in 1997

6. 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 maintenance and storage of all male inmate records , clothing, property, and funds. IRC is the transfer and pickup point for inter facility 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 for 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 staff. IRC IS A TEMPORARY HOLDING LOCATION ONLY!VISITING IS NOT ALLOWED!

7. Men’s Central Jail

8. Century Regional Detention Facility

9. 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 Detention Center. CRDF will continue to provide a booking center for Century Station, Compton Sheriff's Station and for all female prisoners

10. 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

11. Drop a Little Jail and Prison Knowledge

12. Los Angeles County Jail Demographics • 88% Males • 12% Females • 44% Hispanic • 35% Black • 16% White • 03% Other

13. 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.

14. Why Would We test For STD’s in Jails and Prisons?

15. 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 victim’s 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.

16. 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.

17. Most Inmates Have No Clue of Their Status

18. Nearly a quarter of both State prisoners and jail inmates who had a mental health problem, Compared to a fifth of those without, had served 3 or more prior incarcerations. Female inmates had higher rates of mental health problems than male inmates (State prisons: 73% of females and 55% of males; Federal prisons: 61% of females and 44% of males; local jails: 75% of females and 63% of males). Only1 in 3 State prisoners, 1 in 4 Federal prisoners, and 1 in 6 Jail inmates who had a mental health problem had received treatment since admission.

19. Inmates Classified By Colors

20. Breakdown of Institutions

21. 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

22. 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

23. Neighbors, Friends, Family

26. Collaboration and Negotiation

27. K6G (K-11 Unit)

28. 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

30. HIV Syphilis Gonorrhea Chlamydia GC Throat Rectal Urine CT Rectal Urine Rapid HIV Syphilis GC CT (urine only) Testing of Men and Woman

31. How Are Positive Results Reported

32. Who Gets Partner Services

33. So Where do the PHI’s come in? • Custody PHI’s cover Approximately 5 or more facilities • The bulk of their interviews are done at the Men’s Central Jail (MCJ) • The vast majority of the positive Syphilis and HIV Are from the K6G unit • PHI’s 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

34. Average time in Jail • Average Length of stay is 44.2 Days • Average Weekly Releases overall = 3,262, State Prison = 678, INS=115 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.

35. 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

36. Total team participation and buy in Everyone working for the good of the common goal The offering of one’s 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 What Keeps Public Health Moving in Times of Frustration