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Procedure Properties

Title: Specialised Medical Treatments
Category: Support Services
Version: 03
Implement Date: 28 August 2006
Application: Custodial / Community Operations
Availability: Public

Authority

Appendices and Forms

Procedures

Procedure - Specialised Medical Treatments


Purpose
1.Process
2.Tattoo removal
3.Hormone treatment
4.Impotency treatment
5.Androcur treatment
6.Other treatments

Purpose

To provide criteria for managing requests by offenders for specialised medical treatments.

1. Process

Specialised medical treatments are interventions of a cosmetic or special nature that are not essential to meet the health needs of an individual.

An offender's request for specialised medical treatment must be assessed on a case by case basis by Corrective Services Health Professionals. The Director, Health and Medical must approve any request ensuring that any provision of medical services is comparable with community standards.

2. Tattoo removal

Tattoo removal is not supported by the Department when the basis for the request is purely cosmetic. The Department may consider approval for tattoo removal, if (for example) there is evidence of recurrent infections or psychological reasons.

3. Hormone treatment

Offender requests for hormone treatment must be referred to the Director, Health and Medical for consideration and approval. Generally, hormone treatment will be provided to transgender offenders who have been receiving such treatment prior to being imprisoned. In other circumstances, an offender may be referred for specialist review to a specialist service, for example -

Transgender Clinic
Sexual Health Services
484 Adelaide Street
Brisbane
Phone: (07) 3227 8679

4. Impotency treatment

Some forms of treatment for impotency are not provided within corrective services facilities because of their security implications. These include the use of -

  1. suction cap devices
  2. penile injections;
  3. the prescribing of Viagra; and
  4. penile prosthetic surgery.

The following treatment options are available for an offender complaining of impotency -

  1. counselling;
  2. review of medications that can cause impotence (eg. anti-hypertensive, psychotropic medications and cimetidine);
  3. exclusion of vascular causes (eg. reduction of smoking, treating hypertension and hypercholesterolemia); and
  4. tests if considered relevant by health services (eg. Blood Sugar Level, Thyroid Function Tests, Serum Testosterone, Lutinising Hormone, Prostate Specific Antigen, Liver Function Tests).

5. Androcur treatment

Androcur treatment to address offending behaviour may be facilitated through the following methods -

  1. court order;
  2. recommendation by court or probation and parole board; or
  3. offender request.

Only a court has the power to order that an offender undergo treatment. If a court order is made the offender must give consent to the treatment at the time. Refusal by the offender to comply with the order will be dealt with by the court.

Offenders being considered for Androcur treatment must be assessed by a specialist with experience in Androcur treatment. If the treatment is being requested by an offender this may require the offender obtain the services of a specialist under section 22 of the Corrective Services Act 2006. In such cases the treating specialist must complete the consent form for Androcur treatment. Refer administrative form - Androcur treatment - Consent/Information. It is desirable that the offender is accompanied at the consultation by an independent support person. If the consultation is taking place within a corrective services facility, an Official Visitor would be suitable to accompany the offender. Any independent or support person attending a consultation would do so in accordance with privacy and confidentiality obligations (refer procedure - Disclosure of Confidential Information).

In addition to the consultation, the offender must be given a copy of the information sheet entitled “Information Sheet - Androcur” which is attached to the administrative form - Androcur Treatment - Consent/Information. The offender must take the information sheet with them. The consent form should not be signed for a period of at least two days to enable adequate time for the offender to consider the issues involved with treatment. Additional information such as copies of relevant sections of MIMS should be provided if requested.

An offender undergoing Androcur treatment within a corrective services facility must consent to treatment by completing administrative form - Androcur Treatment - Consent/Information.

If an offender has commenced Androcur treatment in the community prior to his imprisonment, the consent form must be completed in the same way as for an offender commencing treatment.

The commencement date of Androcur treatment should take account of the risk of side effects and the risk posed by the individual to staff and offenders. In many cases, treatment can be appropriately commenced as a pre-release treatment.

Refusal of Androcur treatment by an offender cannot be dealt with as a breach of discipline.

6. Other treatments

If any doubt or concern exists in relation to the eligibility of certain forms of treatment for offenders, the matter must be referred to the Director, Health and Medical.





F P Rockett
Director-General