Army Action Plan: Standard Operating Procedures for Mental Health Services to Detainees

DETAINEE HOSPITAL GUANTANAMO BAY, CUBA SOP NO: •15
Title: MENTAL HEALTH SERVICES TO DETAINEES Page 1 of 7 Effective Date:
SCOPE: Delta Block Revised it Feb 2004 •

Ret Psychiatric Services in Jails and Prism. rd et, American Psychiatric Amociaion, 200t
Camp Delta Standard ofProcedura, February 2004.
End: BHS Organizational dart

1. PURPOSE:
To specify the minimum requiremena for the psychiatric evaluation and treatment of mantslly

detainees on Delta Block. ill
IL BACKGROUND:
/Delta Behavioral Healdaare Biwa

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Cup Delta SOP • 1 Sarum 2SIN UNCLASSIFIED/EVA OFFICIAL USE ONLY
0051b31'
NOV00319
Y?)

Staffing
BeWaal.Healthcare Service liseppx,

cogivoctlea with dm Della lock NCOIC, .B liwe ovmall

resperibility kr the daily °parade's orDelia Block. Acermambility wM be ft RDOG and to die CbieC
Headroom
Service.. The Bebsviaral Ilealibure Service Chief is a =dead:led provider who is rerpormibk kr amid besithcsre,

operations and memo
No)

NY')

L
will idarrifyteaddeles kr parmeseat NCO be maff arripeno bDA'
viewed.

laterMOO S3 mid reccemmeation .camliclatas will be
fbr aseimaseet Bede lop Belsevimal lbekheare Safi% tbe MOO &I

Camp Deka SOP • l Vibram 2.114 UNCLASSIMCD//FOR OFFICIAL USE ONLY
ma
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SOP • I February 204UNCLASSIFIZDNFOIL OFFICIAL USIC ONLY
mu

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PURPOSZ
To pie& policy sed Odense, tbr nee ohnodical remain mod noise= as a a .

Tof aidssis a
hiCOMM del be .is promo sel4otber denholoo, pens sad ones slat ting Maims in
a BACKGROUND

a. It is
whopully olDsiendon Hospital, IT? OT140 to deliver prow ad tease parrot oars to all detainees

observing beide boom rishis. Use airmen* mepoisrily .saw
wbo a. rooks them rights. Rsnisint is need only tbr designs
m at boosinent risk albumins disarelves or oda% issindet Is to be mid tidy Wier other km restrioths
ininvnaions have woven minicoempai is sans so canon behavior.
b.
Remains cumot be ordered PRN (as seeded).

c.
Moo beekboue sniff nom stet *ay cask* M be improper meat? restrareas,

they communio their comas, as .
ns.moo po jeopardizing tbe health de daisies.,
()wisdom Caner. es mble Ilse Demition Hospital Mier in Chirp and the Deeenifon
d.
The Okla Behavioral Health Ssrvices is m be NOTIFIED/PAGED IMMEDIATELY ANY TIME A DETAINER
IS REsTAADIED, in order to obtain a formal order tbr restraints.
DEFINMONS

a. Restraint: any method of physically restriedas a poison's movemest, physics! activity, or mond access his
body. /bemire is wandered favoluasi ry sad is ussd or lar
ordain as pert dm approved prawn, or es indimmd by as individsa•e
Camp Delis SOP • 1 Febreary2004
UNCLASSIFIED/AMR OFFICIAL USE ONLY

30.1
NOV00324

a Limed Indmendsms Prosidome (Lin For the puma delis
by dm bospimi to. direetiva s Miniche the is perminsd by low sed
provide denim Gem males whims direction of impsrvisiet, within tbo scope &the imelividool's
limn sod consistent with.paced dinthol privllegm.

V. PRACTICZ
AUTHORITY A licensed *dement practitioner orders the me of=dial restraints cc nebulae. When the LIP is oatimmediately ennoble, psychiatric num a readawes or s psychiatricam:Macias may kids* the me dreaming
or mesas. beibre an seder is °bleated km the LIP. As sone as pomade, but no longer duo coo boss saw the
bikini= of restraint or eschniom. a qualified regiesseed :nese notifies mod obtains an order (vestal LIP sod consuls with the LIP about the patient's physical sod psychological cooditioo. ar written) from lbs
Camp DMts SOP • I F•bnotry 2114
UNCLASSIFIED/APOR OFFICIAL USE ONLY

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2 L A1111113611Phylieinlitychoiogiet.

The L who is *am* ale for Ihe rudents awing eark a moth;

ID stun the primacy L1P is sot subble, conducts as balm= evaluation of the pains width
inidados of restraint et seclusion Ibr pinions mu 16 sad olds: anti within 2 hours of initial= 4 hoesofas
and sada: bat adoll110111111 sgss 15
At de s Mos olds. bled= evaluation, the LIP:
(1)Works with the lariat sad mato MAW, mays am kip tits paha sepia coonol;
(2)Mks soy necessay revisions to be plisses UMW past sad
(3)1f aseessasy, provides a new trims ache

a.The Lai ocachias so inionson evalutica oldie paint within 24 hours dee imitation of restraint or sooloskts,
the paint is so loom in nursing or sechnica winsms Mead vabel order aspires
V

b.ltagistasd Nam Rapossibie kr copies obearunion of a wase and . ( :
ar ssolaisd deaden, easement oldie __

physical sad eastiond Ads oldie dodese. rsimahmdea of mud tor coadaNdea of
documentstion, and supervision •fhospitel carp as& ramatdat amdadoa.
b..
ppliemdaa afremadat is dams hu bums mum dm MA de Undue as asci dialysed ask" as

Gori sedfappbias
the rondo willbelueowlstubbt bc use ofthis.blallar with theand aims
,)(
Deka SOP • I Peinary 2000 CLASSISTIMPOR OPP/CIAL USE ONLY
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o. Method% sod Padoot Cffe. .
(1) llo roadrodas Form addminophysiod sal easodooal molt
olas.srvodok p% noidos.
si.
ei olds, &Wan, Us orailocioir %dodo. simple
fume. oluvutioa oldie orsomidis. rasp amoeba
ID rum* lbod, bydiod000md.. modoul and *Med
Mede.
a Odor maim* yid lop dam soodod bud as

Cup Wm SOP • 1 Aebniaty 211114UNCLASSIFIED/ROR OFFICIAL USE ONLY . •
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tDcc
(I)
The documemadoe rogisinencre far a Main regains reemeint mum incorpones the aftkal skate% ofmseanamt, applicesioe and 111011ibleing. and regem mom for the domineer Mimes needs mid prommetion of dipsity.

(2)
Each time a catmint is applied oroecied

on Wised die folkming will be docememed by as RN re Carpelma

(a) Time and dam restraint k applied.
The dominoes bekvior, verbelizadon ar actions tint lend to dm as he sionmel

VII. DOCTOR!! ORDER
8. THE USE OF PRN ORDERS WHETHER INDIVIDUAL OR AS PART OF A PROTOCOL FOR DETAINEES WITH PRIMARY BEHAVIORAL HEALTH NEEDS IS PROHIBITED.
b. A doctor's order !hr maiming or seclusion me be velem or .
cm bow of

and if.mot be.midge
via TRAINING
a. Initial and onpgag making on mods lad sockmion kr block pummel will be meditated as needed by dm
Bobeviond Ilsoldmere Service and Block NCOIC.
IX PERFORMANCE IMPROVEMENT.
Swink= and Ra irsint is s &Meath, bighwrialc patient can toservensioa. Review of polieks and poacher.. Monk!
occur no las this =may. After cub incident an Ai* Action Review will mks place. This is elm ideal ken to

address issues and molly abonefonsinp.

Camp Dais SOP • I Febrnsry 2804
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Minima Behavioral hiangeonot Matrix
Dwaine. with sowed Wawa oho prom with behavior. shit aro very

incubi
cued, inactive Copia. drab and my be at at difilealt to aumege. Thop ohs hero poor
Behaviotal He B
althcare lock Beherior limpatoot Maria 4nit far aelf-Woricew bsbovion. The Dohs talus die iota comitiontics. The mirk is bonded to
H.
owlet do dodoes ia tealsolaing approptioie behavior and bo MINN eao sioloaey between do h0"s and Beherierel
ealthcare arrive sal
Delta iB
liebevier Afsaaprat Mork
Camp Ddte SOP • 1 lrebneary 2084

UNCLASSIFIELWYOR OFFICIAL
o ONLY
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Camp Della SOT • I February 2004 UNCLASSIFIED/MIR OFFICIAL. USE ONLY
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amp Dd SOT • I Faring 11114 UNCIASSIFIEWFOR OFFICIAL USS ONLY
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Camp Deka 30! • I February 21104UNCLASSIFIXDOPOR OMCIAL USX ONLY 0051'.'3 XS
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DODDON-000734

Nyman. of Preseribed Ma Seeds. sad Medial Sick eel Precedurse
a. Modem on Delta Bleak lobo have prawribed seedimicon aril hove those medication dimmed to them by
Hawked Healthcare Swipe gaff cardlled L andleadon admidsogion. .
mi sill aware aggeopeire actionfes doss 1. wont cheekier of thedkaioar. All Irdiesdos rethink will be dociowied and ire* to the intheion
of Unit Nara& In the awe eliwyabosopie indication the psyebiairiet will be camaceed void& two days albsinitial rand; Ibr nanlayddorie inedleadono the mit new win corset the onelical Male mer or pipit:lea In
Anther raid w&

b. The Mock NCO sum ass the all deadness with .complaiets are Owed a the WIWI Ski coll
Lid in MIS *0600aneb monies. Deeeinst maybe orshowdAreeied either In their
or imported to the Delta

Medical Clhde et the dialed= of Medial NEE
c.
Per nalkel bans ohannennise tone the Unit Nom my canted the psyclakist.

d.
For medical keen da scab or paisley swim non the Unit Nose will words* weadir to the medical

erode where adequeop --madras they car be pwthased.
e.Under se circumstences "oil OF ponionnel dipole any brie of nodicasion.

Modica Reese* & hisdiael Records ibr Maims hewed on Deice Beinviinal Healthy= Block will be kept in the Nma's Medea.
(I) Ha pnainder detainee requires soldical care at Dedra Mailed CMG or Deineion Hoepied, the Medical beard
will be deliverwl to dircli¦ic by BtiS araC
(2) The Medical Record will be Mused to Delia Block by MS or Medical Oa Tho Behavioral Elenkbeere RN
onnaibe any necessery docor's *Wm
b. hiediad &conk Sr deethnes m Babeviocal Healy= Service, bot cot bawd on Delp Mock, will um& at the
Dabs Medical Oh&
(I) All BehevIcal Heakinese doeusunktion will be bye in a nananiencia mood at Della Block.
(2)The Medical Recant will be asnoiated, an the Seramery elan ilxze. to image that a perticahr detainee is as
Behavioral Healthcare Service and the a convenience siord Was on Delta Bieck.

(3)Behavioral Headers Service net will abasia the Medical Read hos slow Dake Medical Clinic Vended ke.
Paychoiagical evileatiorn or Air Tresoneat Twat resetinp.
Cadet Strew Reaction Girard or behavioral haddenre seafferlibitiag aloe or Imam of combo mete motion will be reared to theCombat Shoo Control am. DH behnviond beldam staff will provide OD ananwit boyar! mama wit Indus*.After a Salon Incident, leadereldp a the block *add ovalness the cireaninancee sonowaillas the shostionamnia@ (Mambo Strom &odd be aotillod thr soldier camel%
Interpreters
Every effort will be goads to coneofidaar yaks by inteeprewor though combed= bows= word ad bsisovialui

hadthaire suft
STANDARD OPERATING PROCEDURES
Detection Hospital
Gomanamo Bay, Calla

REVIEWED AND APPROVED BY:
Camp Deka SOF • I February 2004
UNCLASSIFIRIWFOR OPFICIAL USE ONLY

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Camp Dia SOP • 1 Fabroary NON UNCLASSUrIEDUP'OR OFFICIAL USE ONLY
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