Mental Health Records and Documentation. The FDC utilizes a detailed record-keeping system to document delivery of services to inmates. Accurate and complete documentation shall be expected of all mental health staff. This includes appropriate filing of all inmate records. Mental health records consist of the mental health section of the health record (green cover), the psychological record jacket (Form DC-761), and a computerized system which tracks inmate specific information including mental health services for all inmates statewide, the OBIS. All mental health personnel shall have training on the utilization of OBIS and FDC Office of Health Services applications. Failure to maintain OBIS accurately and promptly by not making all required entries shall be considered non-compliance with contract terms and conditions for which breach may be declared.
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