JDI Resource Guide Form

Survivor Resource Guide

If you would like to be added to Just Detention International's state resource guide, please fill out and submit this form exactly as you would like it to appear in the guide.

If you wish to make changes to an existing listing, please email your changes directly to cvien@justdetention.org.

Please expect a four week response time to update the online and hard copy guides. Thank you for supporting survivors behind bars!

Question Title

* Name of Organization

Question Title

* Address

Address *

Address Line 2

City *

State / Province / Region *

ZIP / Postal Code *

Country

Question Title

* Office Hours

Question Title

* Office Number

Question Title

* Hotline Number

Question Title

* Is your hotline 24 hours?

Question Title

* Do you accept collect calls?

Question Title

* Website

Question Title

* Email

Question Title

* Mission / Description

Question Title

* Service Area (include counties and name specific facilities if known)

Question Title

* Work with (i.e. survivors of sexual abuse and their loved ones)

Question Title

* Services for survivors during incarceration include:

mail correspondence

accompaniment to courts and during law enforcement interviews

hospital accompaniment during forensic exams

legal and medical advocacy

in-person counseling

group counseling / support groups

crisis intervention and counseling via hotline

information, referrals, and references

Question Title

* Services for survivors after release include:

mail correspondence

accompaniment to courts and during law enforcement interviews

hospital accompaniment during forensic exams

legal and medical advocacy

in-person counseling

group counseling / support groups

crisis intervention and counseling via hotline

information, referrals, and references

Question Title

* Services for loved ones include:

mail correspondence

accompaniment to courts and during law enforcement interviews

hospital accompaniment during forensic exams

legal and medical advocacy

in-person counseling

group counseling / support groups

crisis intervention and counseling via hotline

information, referrals, and references

Question Title

* Fees

Question Title

* Languages

English

Spanish

Chinese (Mandarin)

Chinese (Cantonese)

Vietnamese

Creole

French

Portuguese

Arabic

Tagalog

Khmer

Punjabi

Russian

Other (please specify)

Question Title

* Have you been contacted by a Prison Rape Elimination Act (PREA) auditor?

Yes

Question Title

* For which detention facility?

Question Title

* Do you have a memorandum of understanding (MOU) with the detention facility where you provide services?

Yes

In the space below, please include any other relevant information such as if your group is unable to work with sex offenders or other populations of prisoners for any reason. If you would like to include a narrative of your services, please indicate so and include the narrative here.

Question Title

* Additional Information

If you have any questions or concerns, please contact: cvien@justdetention.org or (213) 384-1400 x111.

Our resource guide is available online at: http://www.justdetention.org/service/.