JUSTICE HEALTH
POLICIES & PROCEDURES

01

1.037 Long Bay Hospital Admission Policy

Outlines the clinical and security requirements for admitting patients to the Long Bay Hospital facility.

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1.260 Long Bay Hospital General Procedures

Standard operating procedures governing daily operations at Long Bay Hospital.

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03

1.300 Physical & Sexual Assault

Protocol for assessing and responding to allegations of physical or sexual assault in custody.

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1.350 General Health Assessment

Standard nursing and medical assessments for newly received or transferring patients.

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05

1.380 Controlled Drugs Management

Regulatory framework and documentation for ordering, storing, and administering controlled drugs.

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1.390 Medication Administration

Comprehensive guidelines on safe medication practices including dosing, documentation, and errors.

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1.440 Infectious Diseases

Public health and clinical procedures for preventing, identifying, and treating communicable diseases.

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2.065 Outpatient Appointments

Coordination of external specialist consults, transport, and escort for custodial patients.

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3.040 Suicide & Self-Harm Prevention

Clinical response and monitoring requirements for all patients at risk of suicide or self-injury.

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3.050 Risk Intervention Team (RIT)

Multidisciplinary team activation and structure for managing complex high-risk patients.

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3.100 Long Bay Reception Screening

Initial health screening and risk triage for newly received inmates at Long Bay facility.

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5.010 Informed Consent

Legal and ethical requirements for valid patient consent in healthcare decision-making.

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13

5.020 Privacy & Confidentiality

Procedures for protecting health information and maintaining patient confidentiality in custodial contexts.

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5.060 Critical Incident Management

Managing patient deaths, serious injuries, adverse events, and post-incident analysis (RCA).

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5.070 Patient Complaints

Pathways for addressing grievances and formal complaints regarding healthcare delivery.

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5.080 Health Records Management

Standards for documentation, storage, retrieval, and transfer of clinical records.

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5.300 Managing Deteriorating Patients

Recognition and emergency response to clinical deterioration (ISBAR, MET calls).

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6.050 Forensic Hospital Admission

Admission criteria and clinical pathways for secure psychiatric inpatient care.

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6.052 Mental Health Initial Assessment

Standardized assessment protocols for evaluating mental health needs upon entry.

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20

6.053 Comprehensive Health Assessment

Complete intake evaluation of physical and psychological health for forensic patients.

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6.055 Forensic Hospital Discharge Planning

Clinical, legal, and reintegration procedures for discharge or transfer from secure care.

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6.060 Mental Health Court Liaison

Coordination and clinical support services for defendants requiring mental health expertise.

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6.063 Transitional Care Team

Community reintegration planning, outreach, and continuity of care post-release.

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6.064 Community Integration Team

Supporting safe transition and social inclusion for patients returning to the community.

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6.065 Adolescent Dual Diagnosis

Clinical care for adolescents with concurrent mental health and substance issues.

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6.066 Adolescent Court & Community Team

Programs and procedures for adolescent diversion and community support (Got It!).

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6.068 Mechanical Restraints

Policy on the use and documentation of mechanical devices for physical restraint.

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28

6.078 Austinmer Adolescent Unit

Specialized operating procedures for the Austinmer adolescent unit.

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29

6.079 Austinmer Womens Unit

Clinical and operational standards for the female-specific Austinmer unit.

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30

6.080 Bronte Unit Guidelines

Ward-specific operational and therapeutic guidelines for the Bronte unit.

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31

6.081 Clovelly Unit Guidelines

Specific treatment and security protocols for the Clovelly mental health unit.

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32

6.082 Dee Why Unit Guidelines

Operational manual for the Dee Why unit focusing on patient transition.

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33

6.083 Elouera Unit Guidelines

Daily operational standards and patient care models for the Elouera unit.

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6.088 Seclusion and Restraint

Guidelines for the use of seclusion as a final intervention in psychiatric crises.

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35

6.095 Sensory Rooms & Equipment

Procedures for utilizing sensory-based therapies for patient de-escalation.

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36

6.097 MHRT Reports and Hearings

Guidance on preparing clinical reports for statutory Tribunal hearings.

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6.100 Clinical Risk Assessment (CRAM)

Documentation standards for identifying and managing clinical risks (CRAM).

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6.101 Intramuscular (IM) Clozapine

Clinical procedure for the IM administration of Clozapine in emergent settings.

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6.129 Electroconvulsive Therapy

Procedural manual for the provision of ECT within the forensic hospital.

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40

6.139 Custodial Patient Flow

Managing the referral and placement of patients across mental health beds.

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6.140 Mental Health NDIS Procedure

Facilitating patient NDIS registration and support within custodial care.

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42

6.142 Transfer of Forensic Patients

Steps for transferring forensic patients from correctional centres to hospital.

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6.151 Custodial Diversion Procedure

Guidelines for diverting eligible mentally ill individuals into healthcare pathways.

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6.153 Enforced Medication - Long Bay

Protocols for administering medication against consent in high-risk psychiatric cases.

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6.157 Acute Sedation - Long Bay

Clinical management of acute behavioral disturbance requiring chemical sedation.

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46

6.177 Primary Care Mental Health

Standardized care for patients receiving mental health support in a primary care setting.

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6.212 Transfers under MHCIFPA

Legal transfers under the Mental Health and Cognitive Impairment Forensic Provisions Act.

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48

9.020 Code Black Management

Procedures for psychiatric emergencies, armed hold-ups, or hostage situations.

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49

9.040 Long Bay Mental Health Procedures

Full manual for Assessment, Interventions, and Reintegration at the Long Bay Mental Health Unit.

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