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    <classification authority="sudocs">GA 1.5/2:GAO-08-869 T</classification>
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         <subject>Accountability</subject>
         <subject>Aliens</subject>
         <subject>Correctional facilities</subject>
         <subject>Detention facilities</subject>
         <subject>Facility management</subject>
         <subject>Health care facilities</subject>
         <subject>Health care personnel</subject>
         <subject>Health care policies</subject>
         <subject>Health care programs</subject>
         <subject>Health care reform</subject>
         <subject>Health care services</subject>
         <subject>Health policy</subject>
         <subject>Inspection</subject>
         <subject>Internal controls</subject>
         <subject>Mental health</subject>
         <subject>Mental health care services</subject>
         <subject>Noncompliance</subject>
         <subject>Standards</subject>
         <subject>Standards evaluation</subject>
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    <titleInfo>
         <title>Alien Detention Standards: Observations on the Adherence to ICE&apos;s Medical Standards in Detention Facilities</title>
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    <abstract>In fiscal year 2007, Department of Homeland Security&apos;s (DHS) U.S.
Immigration and Customs Enforcement (ICE) detained over 311,000  
aliens, with an average daily population of over 30,000 and an	 
average length of stay of about 37 days in one of approximately  
300 facilities. The care and treatment of aliens while in	 
detention is a significant challenge to ICE, as concerns continue
to be raised by members of Congress and advocacy groups about the
treatment of the growing number of aliens while in ICE&apos;s custody.
This testimony focuses on (1) the extent to which 23 facilities  
complied with medical care standards, (2) deficiencies found	 
during ICE&apos;s annual compliance inspection reviews, and (3) the	 
types of complaints filed by alien detainees about detention	 
conditions. This testimony is based on GAO&apos;s July 2007 report	 
evaluating, among other things, the extent to which 23 facilities
complied with aspects of eight of ICE&apos;s 38 National Detention	 
Standards. This report did not address quality of care issues.</abstract>
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         <topic>Accountability</topic>
         <topic>Aliens</topic>
         <topic>Correctional facilities</topic>
         <topic>Detention facilities</topic>
         <topic>Facility management</topic>
         <topic>Health care facilities</topic>
         <topic>Health care personnel</topic>
         <topic>Health care policies</topic>
         <topic>Health care programs</topic>
         <topic>Health care reform</topic>
         <topic>Health care services</topic>
         <topic>Health policy</topic>
         <topic>Inspection</topic>
         <topic>Internal controls</topic>
         <topic>Mental health</topic>
         <topic>Mental health care services</topic>
         <topic>Noncompliance</topic>
         <topic>Standards</topic>
         <topic>Standards evaluation</topic>
         <topic>Standards (health care)</topic>
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