To the contrary of popular belief, the number one root
problem or reason for poor mental health and medical care inside a prison is not
lack of qualified healthcare providers or individuals. It is not the care planning
or the continuum of care that is in place. It is also not the leadership of the
health care providers although we are now treading into serious areas of
concerns as we approach the other critical elements of good or sound medical
care inside a prison. The second and third most common root cause for poor
medical treatment inside a prison is employee orientation training and patient
assessment procedures. These two are the second and third most common root
causes of medical events records for the sake of evaluating better medical care
inside large jails or prison.
The number one reason, approximately 60 %, for
creating poor medical practices inside a jail or prison is communication. Having
witness this breakdown of communication first hand, it must be addressed
immediately to reverse the horrific trend of mistreatment and abusive neglect
of medical and mental health problems within the Arizona Department of
Corrections. The failure to follow up on medical treatment disclosed and
recommended is critical is good care. This creates unnecessary treatment
delays and can further cause or inflict further injury or damage to the
original assessment made upon the initial exam or recommendation.
It must be noted that organizational culture is rated the
lowest reason for poor medical treatment as that was an assessment that was
taken within the medical organization and not their customers or their clients.
There will be deep variances of influence depending on the management styles of
those clients representing their own views into the decision making or medical
treatment applicability process.
If you want to accurately determine how organizational
culture impact the level of treatment you must first determine how much control
the client has over services rendered and adjust that portion of decision
making power and combine it with the organizational culture influences. The
more influence the client has, the less the organizational culture maintains
control over their own sphere of responsibility and influence.
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