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Auditors find gaps in suicide-prevention checks and clinical oversight in Utah prisons; agencies accept recommendations
Summary
A legislative audit of state prisons found inconsistent 15-minute checks, missed medication doses and limited clinical oversight at the Salt Lake psychiatric infirmary. DHHS and the Department of Corrections say they accept the recommendations and describe steps already taken, including a full-time forensic psychiatrist and policy changes.
A legislative audit released to the Criminal Justice Appropriations Subcommittee identified multiple problems that the auditors say are undermining safety and behavioral-health care for inmates at the Utah State Correctional Facility.
The audit, presented by Brian Dean, Legislative Deputy Auditor General, said auditors observed custody staff completing required 15-minute observation logs without consistently verifying an inmate's condition. "We observed instances where officers were just walking by and signing the logs without even looking in," Dean told the committee. The auditors said one inmate who later died by suicide was not found or identified for over an hour despite multiple recorded checks.
Why it matters: The psychiatric infirmary is intended to provide a low-ligature environment and frequent observation for inmates with acute psychiatric symptoms. Auditors told legislators the lapses raise immediate safety concerns and recommended coordinated policy changes and monitoring between the Utah Department of Corrections (UDC) and the Department of Health and Human Services' Correctional Health Services (CHS).
Key findings and data
- Observational checks: An analysis of one month of scanner/logger…
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