Wasted Honor -

Carl R. ToersBijns is the author of the Wasted Honor Trilogy [Wasted Honor I,II and Gorilla Justice] and his newest book From the Womb to the Tomb, the Tony Lester Story, which is a reflection of his life and his experiences as a correctional officer and a correctional administrator retiring with the rank of deputy warden in the New Mexico and Arizona correctional systems.

Carl also wrote a book on his combat experience in the Kindle book titled - Combat Medic - Men with destiny - A red cross of Valor -

Carl is considered by many a rogue expert in the field of prison security systems since leaving the profession. Carl has been involved in the design of many pilot programs related to mental health treatment, security threat groups, suicide prevention, and maximum custody operational plans including double bunking max inmates and enhancing security for staff. He invites you to read his books so you can understand and grasp the cultural and political implications and influences of these prisons. He deals with the emotions, the stress and anxiety as well as the realities faced working inside a prison. He deals with the occupational risks while elaborating on the psychological impact of both prison worker and prisoner.

His most recent book, Gorilla Justice, is an un-edited raw fictional version of realistic prison experiences and events through the eyes of an anecdotal translation of the inmate’s plight and suffering while enduring the harsh and toxic prison environment including solitary confinement.

Carl has been interviewed by numerous news stations and newspapers in Phoenix regarding the escape from the Kingman prison and other high profile media cases related to wrongful deaths and suicides inside prisons. His insights have been solicited by the ACLU, Amnesty International, and various other legal firms representing solitary confinement cases in California and Arizona. He is currently working on the STG Step Down program at Pelican Bay and has offered his own experience insights with the Center of Constitutional Rights lawyers and interns to establish a core program at the SHU units. He has personally corresponded and written with SHU prisoners to assess the living conditions and how it impacts their long term placement inside these type of units that are similar to those in Arizona Florence Eyman special management unit where Carl was a unit deputy warden for almost two years before his promotion to Deputy Warden of Operations in Safford and Eyman.

He is a strong advocate for the mentally ill and is a board member of David's Hope Inc. a non-profit advocacy group in Phoenix and also serves as a senior advisor for Law Enforcement Officers Advocates Council in Chino, California As a subject matter expert and corrections consultant, Carl has provided interviews and spoken on national and international radio talk shows e.g. BBC CBC Lou Show & TV shows as well as the Associated Press.

I use sarcasm, satire, parodies and other means to make you think!!!!!!!!!!!!!!!
































































































































Saturday, June 9, 2012

Letter sent to the United States Senate Hearing Committee on Solitary Confinement

June 8, 2012

Honorable Senators of the United States of America:

Part I - Solitary Confinement – Mission Creep –
SHU / SMU concepts are victims of mission creep. The original design has been corrupted by punitive sanctions not originally designed as part of the behavioral modification plan in many prisons. This mission creep has strayed away from the short- term intensively operated concept of remaking a person's actions, train of thought, consequences, incentives and in some cases, reprieve for their negative willful actions that violated institutional rules and regulations.
Arizona and California prison officials would be wise to review, revise and amend SHU policies to allow the basic human rights to be restored lost in mission creep. Officials need to re-instate a legitimate appeal or due process, legitimate gang validation methods void of personal or confidential information that is used to politicize the inmate's status and justify unwarranted long-term placement without recourse.

This is wrong. There should be other options on the table besides debriefing as such a feat in itself is a death sentence or long term protective segregation for the individual. Sound practices can make the SHU useful but the way it is done today, it is wrong and overly punitive in nature to consider humane or even sound correctional practices.
One more comment - keep the mentally ill out of the SHU and give them treatment - Also - remember the longer an individual is locked up and isolated the more severe the impact of such conditions can create and turn a sane person into an insane person without proper custodial practices e.g. medical, mental health, food, visitation, property and evidence based programs.

According to a speech made by Professor Craig Haney at the California Assembly Public Safety Committee hearings on August 23, 2011, the California Department of Corrections is out of control in their management of special housing units inside their prison system. Taking notice of what the renowned professor has outlined for all public officials to see and understand are the severe mental limitations that have been imposed on those incarcerated and housed inside such units.
In short, Professor Haney states that "prisoners in these units complain of chronic and overwhelming feelings of sadness, hopelessness, and depression. Rates of suicide in the California lockup units are by far the highest in any prison housing units anywhere in the country. Many SHU inmates become deeply and unshakably paranoid, and are profoundly anxious around and afraid of people (on those rare occasions when they are allowed contact with them).

Some begin to lose their grasp on their sanity and badly decompensate. Others are certain that they will never be able to live normally among people again and are consumed by this fear. Many deteriorate mentally and emotionally, and their capacity to function as remotely effective, feeling, social beings atrophies."

Beginning my career as a correctional officer back in the mid 80's in a place called Santa Fe, New Mexico, I was primarily assigned to a new SuperMax unit in called the North Facility that was designed to hold nothing but death row prisoners, disciplinary and protective segregation prisoners and high escape risks. My mentors, training officers and co-workers worked hard to change my mentality when working with these offenders as it was the end of the road for many with nothing else to lose. Most assigned there were serving either death sentences, life without parole sentences or long terms that would ensure they would die inside prison walls at the end.

Rising through the ranks and attaining the position of deputy warden and assigned to these special units, I encountered numerous cultural setbacks that gleaned to me the obvious cultural barriers that exist within these facilities. The problems are endless and personnel conduct is a constant challenge to maintain a peaceful balance in the place. An attitude of "us versus them" dominated the place and was hard to control. I am sure this led to "deliberate indifference" in many cases and "unintentional punishments" for many who were either mentally ill or unable to cope any more under such strict living conditions.

Management's philosophy which was piece meal at best and were based on behavioral modification models or methods not clearly outlined in any formal training or orientation blocks. They changed daily to meet the need accordingly by different individuals or administrators. These tools were provided recklessly and indiscriminately without references of impact or consequences. There were no boundaries to establish precautions, prevention or assessment tools in this solitary confinement concept.

The first major mistake was to house the mentally ill mixed in with lifers, gangsters and death row prisoners. The second mistake made resulted in a conceptual void of professional mental health services provided for prisoners who were suffering from borderline mental issues to cope with this solitary non contact prison world creating a more doomed or hopelessness within the setting. This included treatment and medication needs.

This condition of confinement was based on a day to day routine that had no structural foundation in either written procedures or deliberately ignoring those written procedures. The facts were quickly determined to be an ad hoc operation that required changes and adjustments daily in order to meet the needs to maintain a safe and orderly environment.
Experimental to every extent as New Mexico had never operated a SuperMax before, they copied templates from other states including California. The trend was easy to follow for staff but difficult for the prisoners to anticipate their expectations within such a structural design to create solitary isolation and deprivation conditions to control their conduct.
From day one they were treated as prawns that had no rights, no feedback on living conditions and no exposure to the outside in order to maintain a tight control over this experiment that was ongoing and flawed with structural guidance or direction.

Today these prisoners [special needs, death row and gangsters] are caught in a web of deception, mismanagement and disorder because of the failed foundation that never created a sound baseline for prison management or prisoner expectations.

The fact is, these prisoners are pawns in this process that is rightfully identified as being a failed experiment of society's efforts to reform the incorrigible and labeled "worst of the worst" in public press releases. Thus, having shared approximately 7 of my 25 years of life inside prisons and these special housing units, I can conclude that Professor Haney's evaluation that California's prisons, just as others I worked in Arizona and New Mexico were flawed from the beginning and that " there is now clear and convincing evidence that this misguided attempt at managing California prison gangs simply does not work."

Part II - My Anecdotal Viewpoint on Solitary Confinement –

While employed by the Arizona Department of Corrections for approximately 50 months I had the opportunity to ask numerous questions from those who were hired to perform essential duties within a prison setting.
This included nurses, psychologists, administrative staff and correctional officers. Given these conditions, I gleaned facts through reviewing incident reports, statistical data, observation, interrogation and interactions with these professionals that allowed me to create an accurate inference of the milieu or workplace, culture and practices.
Although I must admit that this inference was not scientific or clinically attained, it does not preclude any or all my understanding or experience while engaged in the role of being the administrator in charge of many of these functions. I feel however that those who do engage in scientific or clinical practices feel compelled to reject or repeal my own inferences as experienced during the time I spent behind the prison walls.

Taking into consideration decades of training and practicing report writing for public service agencies, it has become a matter of record in the profession of law enforcement, that anecdotal writings serves the purpose of bringing people to trial or disciplinary action based on the writings of those reports and actions documented.
Therefore, it serves a useful purpose but can be discarded at the whims of the executive or others. Today with the addition of forensic evidence gathering this task has allowed us to use these anecdotal writings as the very same guidelines or compass directions to allow forensic to continue their own tasks of validating the information or adding more detail to the evidence already available.

This is the correct spirit to conduct whenever anecdotal writings are presented.

Sometimes however, some health providers or executives have gone as far as discredit my writings about the lack of mental health treatment in solitary confinement and reports regarding certain prison conditions as being anecdotal in nature and not scientific. This is true in many cases but the reports or writings are filled with facts that were substantiated or confirmed either on the spot or reported by several witnesses much like those testifying inside a courtroom with no motive to tell anything that is either false or fabricated.

The truth can and is often revealed by person's own observations and can dispute clinical or scientific data resulting in it being credible data and subject to consideration when written in good faith.

Realizing an anecdote is a story written or spoken, in the context of credibility it often relates to an individual's experience with their surroundings or job in this case. It can often illustrate the person's efforts to treat it, manage it or even change it as we find it generally acceptable to do what is best and according to laws, practices and training.
To say that either anecdotal or scientific results are 100 % accurate would be false. So why do certain officials take an anecdotal report less compelling than those scientifically created? What draws their suspicion that the one report [anecdotal] is not accurate and the other report [scientific] must be because it was done scientifically?
The answer is in the reader' ability to sort out the facts through confirmation of the sources and data presented in the report. Now one must ask, why write a report if the confirmation process will repeat the report all over again?
The answer is simple, the confirmation process will not be initiated if the reader likes the content of the report and goes with the content as it is written. However, if the reader disputes the report, another report will be written to counter the original report to please the reader with its outcome.

People are human and humans tell stories. We learn from others and we learn from being exposed to the environment how to make most accurate judgments about the environment as well as how to tell a lie. A lie however, for this purpose does not serve any cause thus we will eliminate fallacy in this matter for the time being. Thus anecdotal writings are not scientific methods but close enough to report a legitimate point of view or concern. As this practice and experience is repeated, the report becomes more credible and the writer's opinion becomes less subjective and more acceptable to the truth.

When a report is written with the reader's belief that it is accurate, it is difficult to nearly impossible that the matter exists otherwise but one must always reserve the fact that it can be changed with further proof or evidence to support the change of view or fact. It is the way people are structured and wired to comprehend ideologies developed through experience or instinct.

Understanding the prison world through a factual or fictional account of an event or series of events is a good strategy to enlighten others of the environment and create teaching tools along the way to understand the culture and practices in more detail.

Although the discipline of science could be used in such writings, these facts are often gleaned in sterile conditions and untrustworthy of repeating in a report as it may be compromised by the environmental change that took place when the events occurred. Thus approach of such matters determines response to the elements presented either way.
To understand this better, let me illustrate one example. When we write about prisons and solitary confinement, the best subject matter expert is the person experiencing the stress and the pressure of such conditions. Such a person could in fact detail the feelings, the pressures and the impact if asked by someone how they feel and what they think this type of confinement has done to their mind, their body and their spirit. The answer would be pure non scientific but none the less, real to that person.

Now, injecting a mental disability or psychosis to the event, the answer could in fact be challenged scientifically because of the altered state of mind and be rejected as a false inference or statement. This is the problem that exists with our mentally ill persons in prison. They are not believed by the establishment because they are in a neurosis state of mind aka mentally challenged or mentally impaired thus subject to losing all credibility of their problems and issues. Hence the source loses credibility and we are back to square one relying on scientific evidence or data to determine the truth as it is revealed.

After spending 25 years in a prison as an officer, a supervisor, a programs director and a warden, I have acquired information in the area of knowledge and skills related to prison life and their impact on others incarcerated. Never claiming to be an expert, I write about the things I have seen, heard, smelled, touched and felt while being there inside a cultural trap where no normal person wants to live or work unless dedicated enough to endure the trek between sanity and insanity; for prisons are places of insanity and incomprehensible feats or occurrences. It is true my writing may be flawed by personal biases or opinions about the ethics or condemnation of such a place.

However, they are no less false and no less written out of context as the facts remains that most of what I have experienced was real and not virtual in any sense. There is no make-believe in my writings; it doesn't serve any purpose to do so. Thus classified as anecdotal writings the reader must accept that there is truth contained within the contents.
Scientific flaws contribute to unreliable and controversial reports about solitary confinement and its impact on the human mind and psyche. Taking a battery of tests for evaluating their mental status can only reliable if the same person is tested before entry into the abyss of solitary confinement and after spending a minimum of 2 years inside the walls of these units for I have seen a significant change in the human mind and behavior after 2 years in solitary confinement. Science does not take into account the human element of this placement as it is solely punitive in nature and should never be done for long term purposes.

The fact remains that no man was meant to be excommunicated from other humans in the manner prescribed by prison isolationists. It their mission is to treat and rehabilitate for an eventual release back into society, these methods do more harm than any good for the only good is to break the person down and make them beg to be humanized again. This strategy is flawed and must be compromised to allow more human interaction to preserve what is rightfully ours from birth, our dignity and self respect to co exist with others even if the rules are so strict that you can't touch one another but you can see, hear, smell and feel their presence near you to make you feel you are not alone wherever you may be situated.

Anecdotal writing of prison life and its effects are tools of awareness that other can read and heed advice from or take action whichever is most applicable or appropriate. Suggestions to change the way we do things are based on life experiences and consequences of those experiences. Good decisions versus bad decisions, good judgment versus bad judgment all impact the outcome of your life's destiny and purpose.

To finalize my subjective writings to some level of truth or accuracy, we can say that science has a most opportune advantage over anecdotal writers for the data presented can not be challenged by those for two reasons I can think of.
The first part is in the subject of mentally ill persons locked away into solitary confinement, they [the mentally ill prisoner] can't accurately tell you how they feel because of their altered state of mind thus unreliable in content or explanations leaving the impressions documented as fact. It is likely they are placed there for disciplinary reasons they also don’t understand and will continue to misunderstand while in solitary confinement as we assume they are aware and capable of following directions given there by staff with a high tolerance to violence but a low tolerance for patience with these mentally ill.

The second part  is that dead men tell no tales and can't challenge the content of the reports as being inaccurate or accurate. This part, "dead men tell no tales" is the whole purpose of this writing. Today, too many people are dying in prison and nobody, not even the coroner or the medical examiner can accurately tell you what really occurred at the time of their death AND those conditions that existed before their death that is not consumed, applied or found on their dead body for forensic evidence.

Administrators wipe their hands clean when the coroner writes "natural death" on the death certificate as they are handicapped to learn or expose what could have been done to prevent or preempted the death going back in time to watch the development occur or form.

To make it clear, it's not the death we are writing about, but rather the conditions that existed before the death occurred. Whether it was poor medical treatment, poor mental health care or inappropriate security management that led to the death will never be revealed as the coroner or examiner had closed the books on any investigation by attaching a label to the body and calling it a "natural death" leaving no legal obligation to proceed any further with this matter.
Poor medical care or poor mental health care for prisoner exists and is not being addressed as urgently as it should be today. Their reports of care should be challenged by those in positions of authority and reveal whether or not their performance inside these prisons are satisfactory or unsatisfactory to the mandated standards of care as there appears to be no benefit of their presence in many cases where death could have been prevented with proper care whether emergency care or standard on going care.

There is a lack of motivation by those professionals who took an oath to preserve life and although I will be challenged by the naysayers and skeptics of these people, the evidence is mounting that too many people are dying by natural deaths and suicides inside our prisons.

Unlike those on the outside, those who receive unfair or inadequate treatment by these professionals do not have a choice in going to another provider to get a second opinion on their treatment.

The third part is the confirmation part where the conclusions are read. This is a twofold situation as two conditions may exist. The first is an attempt to find another side of the facts already presented e.g. a death has occurred. The person reviewing the incident seeks to find the truth of the events told and requests an investigation. The investigation can be performed in two methods. The first is independently without political interference and the second is to write the outcome to suit the needs of the writer or the reader through micromanagement of the matter.

Science uses good clinical trials and measures to derive an outcome or desired product. However, even scientist can manufacture a desired outcome. Based on specific scientific physical evidence or in some cases, psychological evaluations performed by good people [so it is expected] who care about their results in a most good faith and conscious manner. In an anecdotal writing or report the conclusion is also prepared to suit the needs of the writer or the reader with a moral obligation to reveal the results as being truthful and accurate to the extend it is allowed through a non-scientific manner.

Neither reports are unacceptable and in most cases both are allowed for testimony as scientists compete with "experts" on their details and knowledge of the subject matter. Again, since "dead men don't tell tales" they won't be able to testify their own experiences, it is likely that it becomes the responsibility of the reader and the listener to determine what it truth and what is false. Judgments are made and those judgments are made by mankind that serves the purpose of relaying the results of the truth as it was presented or explained by those involved.

What is most interesting is the fact that the scientific community or professionals made up its mind a long time ago to dispute the weaknesses the anecdotal writings contained and the role they play.

Logic and learned lessons of the past are clearly factors of this discussion and should be considered when deciding whether or not one method is better than the other or whether the two can work together and provide the reader with a more complete vision or picture of the subject matter at hand.

I suspect the latter would be most beneficial to anyone in charge of a prison system or any other system that is under scrutiny for various issues at hand. It is the opinion of others and this writer that anecdotes serve a reliable purpose and source. Elimination of personal biases, frustrations, or even anger can clean up a most purposeful mission statement to follow and adhere to.

Both methods can be validated if the reader chooses to do so but in either case, the results can be altered by changing the environment of the subject matter at hand.

Anecdotal writings are not designed to lower the bar on credibility or reliability of treatments or conditions written about. It is merely another tool that can deliver a calculated attempt to broach another view or opinion into the matter of discussion showing other possibilities and experiences that may or may not contribute to the overall evidence of the case. Together with scientific tools, the reader has a better explanation, view or opinion of the matter that is placed before them creating an improved state of affairs for a better decision to be made.

 

Friday, June 8, 2012

MY past - in pictures...




Correctional Officers with Attitudes, not a bad thing....

Wednesday, June 6, 2012

Lessons Learned vs. Knowledge Management inside Prisons


Lessons Learned vs. Knowledge Management

 Today, many prison management principles are based on “lessons learned” concepts that seem to be relied on too much on experiences of failures or successes from the past inside Arizona prisons. Rather than seeking a balance and engage in the reverse method of active recruitment of knowledgeable and educated individuals, who studied the criminal justice system, the current prison administration has adopted a policy of re-hiring old cronies that lack the skills and demeanor to run prisons effectively.

Some of these personally recruited and selected individuals have no formal education or training in the knowledge, skills and abilities of operating prisons effectively but are politically and socially acceptable to be considered with approval by the current executive managers in charge.

 These individuals are also known to rely mainly on exploring their knowledge of incidents of the past and how they were handled as part of the after-action plan that contained many flaws and incomplete information. Hence, there is no pro-active attitude or attempt to interdict and prevent a crisis but rather just to deal with it when it arrives. Thus there is no visionary or creativity involved in their thought patterns and refers back to historical data to make decisions.

First of all, let us define Lessons Learned – knowledge gained through experience, which if shared could benefit the work of others. This concept sounds or appears to be effective but lacks the most important ingredient of problem solving management. It lacks the “why” in the equation for resolution. Realistically this is not the best approach to make when encountered with challenges and operational decision making in such a volatile environment such as correctional facilities.

Lessons learned is not a strategic approach and is not appropriate to seek for the “big picture” thus giving the organization a short term solution but inappropriate for any long term planning.  Knowing that prisons are expensive to operate, this seems to be a waste of money as those in charge are not foreseeing the future needs of the agency and spinning their wheels on handling current problems.

Therefore, the biggest difference between knowledge management and lessons learned techniques it the inherent factor that the future is not focused into the solution and falls short for the organization’s goals as planned by mission statements and strategic plans. Lessons learned does not fill the operational gaps that are often present in these challenges. In order to be effective, there must be the skill of recognizing these gaps in order to effectively resolve the matter both short term and long term. This appears to be the biggest controversy in these two methods of management.

 Making accurate reflections of lessons learned you will find a repeated mistake that entails perhaps different factors but the same outcome. This is where closing the gaps become critical with knowledge of the “why” and other ingredients or factors in order to stabilize, resolve and support the theme or challenge with some kind of closure or success.

 One must admit that strategic thinking is needed to exploit or explore the many challenges inside prison. These problems may not always be predictable but with using insight- foresight in the equation, chances are the preparation to plan is more thorough than relying on a single dimension of the lessons learned concept. Therefore, the organization may have to pay employees more than once to solve the same problems over and over until they change their strategy and look at the necessary steps to take that is an element of strategic thinking and knowledge management tools. Making the same mistakes is unacceptable management and can result in disasters or worse, death inside a prison setting.





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Director Ryan's traditional deflections, distractions and denying cultural indifference to prison violence


Bob Ortega’s prison stories has set off a tsunami of events that will require the Director of Arizona prison to explain why the agency is in such a turmoil and bad shape or maybe not if the Governor doesn’t care about how she spends her prison money and constituent’s family members dying at a record rate.

Mr. Ryan, in his traditional mannerism continues to blame the former director for all the “problems with violence” inside his prison system on the former director, Dora Schriro who has been gone now since Gov. Brewer took over as interim governor and appointed Charles L. Ryan as the prison director.

Bob’s reports are an accurate reflection of the truth as it is. He has examined the system’s root problems more so that the director himself who is still in denial there are problems. Mr. Ortega writes “Department of Corrections Director Charles Ryan denies the rising murder and assault rates indicate there's a problem with violence in the prison system. He attributes the increase in assaults, in part, to staffing cuts before he became director in 2009 and to a change in how the department defines them. Ryan says his predecessor recorded assaults only that resulted in injury. The department now records a range of incidents as assaults, from inmates flinging urine or feces at officers through their cell's food slots, to attacks with crude weapons in which inmates or officers are badly injured.”“

Ryan predicted assault rates will remain the same or decline slightly for the current fiscal year, which ends June 30. Having more corrections officers will improve safety for inmates and officers, he said.”Most likely, Ryan offers no explanation or a plan to counter these deaths, assaults and violence related issues any time soon. His response to expensive lawsuits continues his denial of fault and those staff guilty of deliberate indifference. His answer is a partial truth of the past as I was part of the administrative plan to re-allocate correctional staff in a hasty and ill-prepared plan that took officers away from “essential posts” and spread them out too thin around those facilities that had already established a record for the propensity of violence such as Yuma, Tucson, Lewis, Winslow Florence and Eyman. Using this new terminology of "pull posts" and "shutdown" post, he created a method called "shadow posting" where an officer is assigned to the post on paper but is actually doing something else, as a result of the extreme staff shortages on these shifts.

It often left the yard officer by themselves with few as back up and did not provide any support for emergency transports during the shifts or suicide watches at another location leaving the shifts with barebones for an emergency response or at the very least delaying emergency responses by those officers left behind to fend for themselves and no additional resources.

If Mr. Ortega were to pull all staff disciplinary records for the time period of October 2009 through the present he will see how many staff members have been disciplined for failure to perform because of limitations imposed by the central office administration and not the local wardens or unit managers. Mr. Ryan expects staff to be in two places at once and that's how he operates.

Secondly, he robbed Eyman and Florence as well as Lewis of key supervisory staff positions that were vacant and moved those positions to lower custody level units throughout the state leaving these higher custody units without proper shift coverage, guidance and decision-making personnel creating a void in leadership and good prison management.

Although wardens expressed deep concerns with this plan, the choices and decisions were left up to people in central office that had no knowledge of each complex's dynamics and therefore created deep interruptions in the daily operation abilities everywhere.In the meantime, more people will die, hospitalized, assaulted [this includes staff as well] and nothing will be done until Mr. Ryan gets “more boots on the ground” that he says he desperately needs to combat this problem is currently doing nothing about except to blame the former director for skewing her report mechanism to indicate a higher number when in fact, these incidents are real and are happening at a dreadful pace that makes Arizona prison unsafe for employees to work in and threatens public safety in the long run.

I will be the first to admit you can fabricate reports to suit the outcome but in this case, these events already existed and whether or not they were reported accurately has nothing to do with prevention; intervention and reducing them to make prisons safer for all that work there and keep a secure and orderly environment for the prisoners.

Today, Arizona prisons are more deadlier than other prisons because of an era under the current administration and as Mr. Ryan as director that has included poor policy making, poor staffing patterns, poor drug interdiction programs, unaddressed issues on violence and arbitrary enforcement of institutional rules and regulations on the mentally ill that has filled our maximum security units to capacity and showing signs of punitive segregation methods that created deaths and suicides under his term while embracing a culture of brutality, indifference and high tolerance to loss of life inside our prisons.

Surely this is a most difficult working condition to put our correctional officers and employees under and expect successful results. The prison system is in need of new ideas and return back to basic that include sound acceptable evidence based practices instead of these ad hoc procedures implemented under the current regime that has resulted in failure after failure with severe consequences to staff and prisoners.

My recommendation is three-fold - review this administration's performance record and determine successful goals and failures of goals of their strategic plans and address failures (this includes support programming as well as medical and mental health services) - implement an external investigative unit e.g. State Police or DPS as investigative agents to review deaths and assaults - create an oversight committee for policy reviews and consider accreditation by American Corrections Association standard to eliminate the piece meal method used today to promugate poor policies and adhere or follow sound correctional practices already recognized by the ACA and National Institute of Corrections.