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What does Madrid prohibit in relation to CCCMS I/M's?

  1. Integration of housing placement

  2. The use of mental health crisis beds

  3. Placement of CCCMS I/M's in SHU's

  4. Enhanced outpatient programs

The correct answer is: Placement of CCCMS I/M's in SHU's

The correct answer highlights that Madrid prohibits the placement of CCCMS inmates in Security Housing Units (SHUs). This prohibition stems from the understanding that inmates receiving California Correctional Mental Health Services (CCCMS) require appropriate mental health care and consistent access to treatment, which can be severely compromised in a restrictive housing environment like a SHU. The rationale behind this prohibition is tied to the intent of the Madrid case, which was focused on ensuring that inmates, especially those with mental health issues, are not subjected to conditions that exacerbate their mental health problems or limit their access to necessary care. The restrictive nature of SHUs can lead to increased isolation, adversely affecting an inmate's mental health and hindering their treatment progress. In contrast, the other options reflect practices or placements that do not directly relate to the specific prohibitions established by the Madrid ruling. For example, while integration of housing placements, use of mental health crisis beds, and enhanced outpatient programs may have their own guidelines and regulations, they do not carry the same clear prohibition regarding inmate placement as the SHU issue does in the context of ensuring adequate mental health support for inmates classified under CCCMS.