The mission of the Clinical Services Bureau is to provide constitutionally mandated offender healthcare in a competent, caring and cost effective fashion within the overall mission of the Utah Department of Corrections.
Every inmate receives a medical screening upon arrival in the Receiving and Orientation unit. Newly arrived inmates are offered a complete physical exam by a Clinical Services Bureau staff member.
The Department’s Clinical Services Bureau operates infirmaries at both the Utah State Prison and the Central Utah Correctional Facility. The infirmaries are certified by the National Commission on Correctional Health Care and offer comprehensive, on-site medical care where medical staff can treat or stabilize inmates needing health care. Inmates at both prisons may submit an Inmate Care Request slip to make an appointment with a health care professional. The requests are picked up daily and evaluated by medical staff to determine what level of care is appropriate. Clinics are daily with medication passes twice daily. Medical emergencies are handled immediately.
Clinical Services Bureau
P.O. Box 165300
Salt Lake City, UT 84116
Under State law, inmates are assessed a $5 co-pay for primary medical and dental care and are charged a $2 co-pay for prescription medication. When an inmate receives care in the community, he or she is responsible for 10 percent of the costs, with a cap of $2,000 per fiscal year. An inmate who has assets exceeding $200,000 upon arrival at the prison is expected to pay costs of all medical and dental care up to 20 percent of his or her total asset value. Offenders pay 50 percent of the cost for braces, eyeglasses, prosthetics and medical supplies. Offenders are responsible for 100 percent of the cost for dentures.
That said, health care is considered a basic need and is provided to every inmate regardless of ability to pay.
A. Shortly after arrival and while in Receiving and Orientation, an inmate will see health care staff and be offered the following:
— a nursing intake assessment to determine immediate health care needs;
— a physical exam by a physician assistant or nurse practitioner;
— a mental health evaluation;
— a dental screening.
A. An inmate completes an Inmate Care Request (ICR) form, available at each housing unit, to request health care. The inmate puts the completed ICR form in a sick-call box, which is checked daily by Clinical staff.
A. Generally, pill lines are available multiple times per day to inmates. Refills of long-term prescriptions are available once certain criteria are met.
A. Yes, a catalog of over-the-counter medications and supplies is available through the Commissary.
A. Yes, but an inmate must authorize and initiate that process through a GRAMA records request. The inmate requests a GRAMA form from his or her caseworker, fills it out as specifically as possible and returns it to the caseworker to be notarized. Unless indigent, an inmate must provide a blank money transfer form to cover the cost (25-cents per page) of duplicating the records. The complete form is then sent to the records specialist for review and response.
A. Yes. Inmates are offered a "Medical Information Release" form during intake to enable this sharing of information with a specific listed individual of their choice. If they want to initiate this authorization later in their incarceration (e.g. they choose not to authorize it during intake but later wish to grant the approval) then they should request the above-mentioned form from a caseworker. The inmate must fill out the form, have his or her caseworker notarize it and then ensure it is submitted to the Clinical Services Bureau. A designated staff member at the Bureau will make contact with the inmate's designated person to verify information and set up a passcode to be used when contacting the Bureau. Each release form will remain in effect permanently, but the inmate may revoke that authorization at any time they wish.
A. When an incarcerated individual is taken off prison property and enters the care of a treatment facility, the Department takes significant precautions to protect the individual’s safety along with our staff and medical providers.
If an incarcerated individual is hospitalized, it is the decision of the medical professionals to decide when communication should be initiated with the family of the individual. UDC has representatives on our team who facilitate those communications. Each incident is reviewed on a case-by-case basis. Examples of when families may be notified include if the individual is near death or a decision needs to be made regarding an emergent procedure. Other scenarios may be considered upon the request of the hospital, but all decisions are vetted on an individualized case-by-case basis.
A. Inmates are encouraged to tell any staff member or submit an ICR form if they are struggling with thoughts of self harm. A crisis visit with a mental health professional will be arranged as soon as possible. Inmates who suspect another offender is considering suicide are encouraged to report that to staff immediately.
A. Yes, those arrangements can be made through an inmate's caseworker or housing unit officer.
A. Yes. Co-payment requirements changed in 2009. Inmates are assessed a $5 co-pay for primary medical care, $5 for dental care and $2 for prescription medication. For services provided outside of prison while still in the Department of Corrections' custody, the inmate is responsible for 10 percent of hospital care costs.
There is a cap on the inmate's share of expenses of $2,000 per fiscal year. An inmate with assets exceeding $200,000 upon entry into the Department's custody is responsible to pay costs of all medical and dental care up to 20 percent of the inmate's total asset value. After receiving medical and dental care equal to 20 percent of the inmate's total asset value, the inmate will be subject to the normal co-payments.
Inmates pay 50 percent of the cost for braces, eyeglasses, prosthetics and medical supplies. Inmates are responsible for 100 percent of the cost for dentures. However, no medical or mental health visit, procedure or supplies will be denied due to lack of funds.
A. Outside care is any health care provided by someone other than Department staff. This includes all appointments, surgeries, tests, X-rays, etc. conducted at outside health clinics and hospitals.
A. Telemedicine is available in the Wasatch Infirmary and uses a camera and a telephone connection to provide live-video conferences with specialists, who are able to see and converse with inmates.
In his 23 years with the Utah Department of Corrections, Steve Turley has worked in nearly every area of prison operations, including internal and external security.
Steve worked his way up the ranks as sergeant, lieutenant, captain, deputy warden, and was appointed warden of the Utah State Prison in April 2007. He served as director of Institutional Operations from 2010 to 2013 before being appointed to oversee special projects. He also is the Department’s liaison for the Focus, a discussion group that brings together staff and members of the community. He now serves as the Department’s director of the Clinical Services Bureau.
Steve also has served as past President of the Utah State Prison Employees Association, as well as president of the Law Enforcement District for Utah Public Employees Association.