I also work in a psych prison. We're located in Texas. It has a 550 bed psych facility, plus a 50 + 30 medical facility and a 450 (app.) bed trusty camp. It is a very interesting place to work, and needless to say, every psych situation you can imagine has happened here. Right now I'm the QI coordinator, which is concerned mainly about Access To Care. I'd love to talk with others about their similar experiences