Administrative form - Intensive Management Plan - Version 03

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					                      QUEENSLAND CORRECTIVE SERVICES
             ADMINISTRATIVE FORM – INTENSIVE MANAGEMENT PLAN
              Availability: Public Implement Date: 07 August 2012

Refer standard operating procedure - ~Intensive Management Plans


Prisoner’s Surname:                      IOMS ID:                     Date of Birth:

Prisoner’s Given Name/s:                 Accommodation Unit:

Facility:                                Indigenous:                  YES/NO (circle)



1.     Purpose of the Intensive Management Plan (IMP)

2.     Identified target behaviours for intensive management

3.     Behavioural objectives

4.     Prisoner goals

5.     Risk mitigation strategies

       5.1    Supervision and case management strategies

              a)     Interactions with staff

              b)     Interactions with prisoners

              c)     Accommodation (including out of cell access time)

              d)     External and internal movement

              e)     Visits and telephone calls

              f)     Property

              g)     Personal searches

              h)     Employment and activities

              i)     Incidents/breaches of discipline and behavioural sanctions

              j)     Other


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       5.2      Intervention strategies

                a)   Offender programs

                b)    Specialised interventions

                c)   External agency services

                d)    Other

6.     Summary of the prisoner’s progress on IMP (if applicable)—

7.     IMP review date

       ……/……/……

8.     IMP Panel Member’s

       Recommendation/s:

       Correctional Manager
       Name:                       Signature:                           Date: ……/……/……

       Correctional Supervisor
       Name:                       Signature:                           Date: ……/……/……

       Psychologist
       Name:                       Signature:                           Date: ……/……/……

       Cultural Liaison Officer (if applicable)
       Name:                         Signature:                         Date: ……/……/……

       Nurse Unit Manager (if applicable)
       Name:                     Signature:                             Date: ……/……/……

       Other:
       Name:                       Signature:                           Date: ……/……/……


9.     General Manager or nominee’s Approval—

       Approved                                          Not Approved

       Comments:

       Name:                       Signature:            Date: ……/……/……

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9(a). Commissioner / Deputy Commissioner, Statewide Operations / Executive
      Director, Offender Interventions Services Approval—
      [Required for a prisoner re-integrating from a MSU – delete if not applicable]

       Approved                                        Not Approved

       Comments:

       Name:                      Signature:                          Date: ……/……/……

10.   Prisoner’s Acknowledgement—

       I, __________________________________, acknowledge that I understand the
       purpose and content of the Intensive Management Plan including the identified
       target behaviour, behavioural objectives and offender goals; and I agree to actively
       participate in the identified supervision, case management and supervision
       strategies.

       Prisoner Name:                    Signature:                   Date: ……/……/……

       Witness Name:                     Signature:                   Date: ……/……/……

       Comments:

11.    IMP copies to be distributed to—

       Commissioner / Deputy Commissioner, Statewide Operations / Executive Director,
       Offender Interventions Services [delete if not applicable]

       Correctional Manager              
       Correctional Supervisor
       Psychologist
       Nurse Unit Manager [delete if not applicable]
       Offender File
       Other:




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