Well, we actually are in the process of moving delinquent...

[Baton]

Well, we actually are in the process of moving delinquent youth in our custody out of large-group residential facilities and into community-based care with housing in small group settings. Consequently, we have fewer youth residing at large group facilities.   As a result, at some future point, we might be “over equipped” or have excess medical capacity  at specific facilities.  

We have begun to contemplate public access to the well-equipped mental health/medical facilities which sit on the grounds of our juvenile campuses.  In one situation, the campus is no longer “secure” in terms of fences and so forth, but it still houses delinquent youth committed to State custody.

I’m looking for some similar situation where mental/medical clinics located in limited access environments are shared.  The “something similar” could be public use of a clinic located in a corrections facility or perhaps a clinic situated in a Native American reservation. 

Have you heard of any limited access facility which shares their medical clinic with members of the general public?  Would you know an appropriate place to inquire about this type mixed-use arrangement?

Our medical staff are employed by the State hospital system on contract to the custodial agency.  At one point we served several hundred adjudicated adolescent males who resided at a particular facility, over 30% of whom were judged to be seriously mentally ill.  We have full service mental and medical clinic staffing during office hours.  In addition, we have 24-hour nursing service and emergency mental health services.  We bring serious injuries/illnesses to the local hospital.