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!!!!!!!!!!!!!!!
































































































































Tuesday, March 12, 2013

Mental and Medical Healthcare inside Prisons

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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