Custody Reassessment Scale Form
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1CUSTODY REASSESSMENT SCALE
Inmate Name:____________________________________________________
Inmate I.D. #___________
Date of Birth:________
Assessment Date: _________________________________________________
___________________________________ County Jail
Routine
Disciplinary
Other __________________________
Reason for Reassessment:
Severity of Current Offense/ Conviction:
A.
Low
0
High
4
(Use Severity of Offense Scale and Rate Most Serious
Moderate
1
Highest
6
Offense/Conviction, including any detainers/warrants)
B. Serious Offense History:
None or Low
0
High
3
Moderate
1
Highest
6
(Use Severity Scale and Rate Most Serious Prior Convictn)
C. Escape History:
No Offense for Escape, Escape Attempts, or Unauthorized Absences
0
(Excluding Current Offense if scored in Item A)
Unauthorized Absence From Community Corrections Facility or Assigned
2
Program
Offense for Escape From (secured) Custody, From Felony Arrest or Jail, or
6
Attempt of Same
a.
A total score of 7 or Higher in items A, B, and C automatically
Subtotal 1
(Add A, B, and C scores)
assign to maximum custody.
None
0
Two
4
D. Number of Disciplinary Convictions:
One
2
Three or More
6
E. Most Serious Disciplinary Conviction:
None
0
High
5
Low
1
Highest
7
Moderate
2
None
0
F. Prior Felony Convictions:
This should include the last 5 years of ‘street time.’
One
1
Two or More
2
No Social, Economic, Legal Problems due to abuse
0
G. Alcohol and/or Drug Abuse:
Abuse resulting in Social, Economic, Legal Problems
1
Abuse resulting in assaultive behavior
2
Add scores D,E, F, and G.
Subtotal 2
(Add D, E, F, and G scores)
Add subtotal 1 and subtotal 2.
Total Comprehensive Custody
Scale and Summary Recommendations:
7 or more points on Items A, B, and C
6 to 10 points on Items A through G
5 or fewer points on Item A through G
11 or more points on Items A through G
5 or fewer points on Items A through G
w/ Detainer or Warrant(Out-of-County or
from another agency)
Maximum Custody
Medium Custody
Minimum Custody
Special Managed Concerns which apply:
Protective Custody
Psychological Impairment
Escape Threat
Serious Violence Threat
Substance Abuse
Suspected Drug Trafficker
Mental Deficiency
Known Gang Affiliation
Medical
Suicide Risk
Known Management Problem
Physical Impairment
Juvenile
Other
Is an override of Custody Level Recommended?
Yes
No
Explanation of Override:
Recommended Custody Level:
Maximum Custody
Medium Custody
Minimum Custody
Signature of Officer conducting assessment:_____________________________________
Date of assessment: ___________________
Supervisory Review of Override:
Approved
Disapproved
(if disapproved, provide a written explanation)
Written Explanation of Disapproval:
Final Custody Level:
Maximum Custody
Medium Custody
Minimum Custody
Signature of Supervisor conducting review: _____________________________________
Date of assessment: ___________________
Rev 5/16/2016 SH
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