Evaluation

If applicable, the Gender Liaison will work with the facility Treatment Coordinator to assign appropriate staff to develop an individualized treatment plan to address the adult in custody’s specific medical, behavioral health, and adjust needs and review and the facility. Treatment Coordinator will approve the plan prior to its implementation. The individual treatment plan created by the treating clinician with approval from the facility Treatment Coordinator, will consider the adult in custody’s psychological history, current level of functioning, and therapeutic goals. The clinician will engage the necessary staff and departments to implement this plan for treatment. The clinician will consider the client’s behavioral history, past use of treatment services, non-gender related diagnoses, and other specific responsivity issues in the creation of this plan.

Diagnosis

The Department shall provide access to evaluation, housing placement, and access to services for adults in custody who claim to be undergoing or claim to have undergone treatment for Gender Dysphoria; adults in custody who appear to be, or claim to be, gender-non-conforming; and adults in custody having other clinical conditions in which the biological sex or gender assignment is unclear. The Department shall offer appropriate gender-related behavioral health services and other medically care throughout the adult in custody’s incarceration. The diagnosis of Gender Dysphoria must be based on the current Diagnostic and Statistical Manual of Mental Disorders criteria and must be recommended by a licensed psychiatrist or psychologist.

Medicalization

A Gender Identity Committee-approved Gender Dysphoria diagnosis must be in place for consideration of specific medical services associated with treating Gender Dysphoria; however, access to routine and emergency medical and mental health services will not be withheld in the absence of an approved diagnosis. An adult in custody who is receiving hormonal medications as a part of an established gender confirmation treatment regimen, under the supervision of a medical doctor at the time of incarceration, may be continued on hormonal medications. This means that adults in custody who have already begun gender confirmation treatment may be maintained in such treatment, but the gender confirmation process will not be furthered during their incarceration without specific approval of the Gender Identity Committee.

Requirements for Transfer to Women’s Facility

In general, adults in custody are placed in facilities, in accordance with their sex assigned at birth, as determined by the gender indicated on their most recent form of government-issued identification. Exceptions may be made to routine housing practices for adults in custody who identify as gender non-conforming or transgender based on individual needs and the safety concerns of others.

Limits based on type of crime committed?

Re-Evaluation required?

Pronoun requirements?

An adult in custody who identifies as transgender and wishes to pursue a name change using the process outlined in Prison guidelines may be allowed to do so with approval of the Gender Identity Committee and the Director of the Department of Corrections and the Director of the Department of Corrections and Rehabilitation.

Merging of “transgender” and intersex categories?