Barbara Barney-Knox is the Deputy Director Nursing, Statewide Chief Nurse Executive for California Correctional Health Care Services (CCHCS). Barbara is responsible for the oversight and clinical practice of over 7000 nursing personnel working in the 34 prisons in California. Barbara has been with CCHCS for 8 years and has been instrumental in developing and implementing Shared Governance, a nursing professional practice model that empowers nurses to have a voice in decisions that impact nursing and for building the first LVN to RN Apprenticeship program in the state.

In her career Barbara has been selected to present at several professional conferences including the American Nurses Credentialing Center (ANCC) National Magnet Conference, and most notably a presentation to the National Academies of Sciences, Engineering and Medicine. Barbara has also testified at a Congressional Hearing on the value of Apprenticeship to underserved communities. In her spare time Barbara is a motorcycle enthusiast and has rode across country on her Harley Davidson on four occasions.

Prior to working for CCHCS Barbara spent 8 years as a leader at Kaiser Permanente and 17 years at University of California Davis Health System.

PAST-PRESIDENT: Paul Adler, DO, FACEP, MBA, California AND National

Paul Adler is the CEO/CMO of Correctional Health Management. CHM runs correctional health in police lockups and small county jails.

He is also the division head of Telemedicine for Orbit Health Telepsychiatry.

He was a Covid consultant across the US during the pandemic. 

He has been the Medical Director of the Jail system for Ventura, California, Westchester County New York and Rockland County New York for 20+ years.

SECRETARY: Niki Kelley, RN, BSN, Benton Co, Oregon

Niki Kelley has been the Corrections RN at the Benton County Jail in Oregon since graduating from nursing school in 2010. Niki is the only nurse on staff at this small 40-bed facility in the heart of the Willamette Valley.

Niki also teaches Medical Awareness to new Corrections Deputies at the Oregon Department of Public Safety Standards and Training.

Niki served as President of the Oregon Chapter of the American Correctional Health Services Association from January 2016 until the Oregon Chapter merged with the California/Nevada Chapter to become the Western American Correctional Health Services Association (WACHSA) in 2019. Niki has served as a Board Member at Large for WA​CHSHA since April 2019 and in 2022 was voted into the Secretary position.

Niki enjoys reading, cooking, camping, attending baseball games, and spending time with family.


Paulette Finander MD, CCHP-P has been involved in correctional healthcare since she graduated medical school at the Medical Center (Downstate Medical Center in Brooklyn, New York), where she did her training in Internal Medicine and provided medical care (outpatient, ER, and inpatient as well as dental) for the men housed at Riker’s Island Jail. After working in Internal Medicine, Nephrology, and Administrative Medicine), in 2007, she returned to Correctional Medicine, working first as a medical provider and then in administration at three different prisons in California (Lancaster State Prison, Chuckawalla State Prison, and Ironwood State Prison). She returned to her work in the CDCR as a Retired Annuitant from fall 2021 until early spring 2022. 

Paulette also became a Physician Surveyor for the NCCHC (National Commission for Correctional Health Care) while working at the CDCR and has continued her work as an NCCHC Surveyor following her retirement in December 2019. 

At the October 2022 NCCHC Fall conference, she was awarded the “Surveyor of the Year” for her continuing work during the pandemic as a surveyor of jails, prisons, juvenile facilities, and correctional OTPs (Opiate Treatment Programs). Her award presentation described her as providing “clear input, accurate data, in-depth knowledge, insightful feedback, practical applications, and high-caliber summary reports.” 


Alex Chyorny has been the Medical Director of Adult Custody Health Services for the Santa Clara Valley Health and Hospital System in San Jose since 2004. In addition, he works as an attending physician at the medical ICU at the Santa Clara Valley Medical Center. He also has an appointment as an affiliated Assistant Clinical Professor at Stanford University School of Medicine. He is a fellow of the American College of Physicians. He has several publications in the areas of latent TB treatment, medication-assisted treatment for opioid use disorder, HIV/HCV screening, and COVID-19 in correctional settings. He was the president of the Western American Correctional Health Services Association from 2015-17 and is currently serving on the board in ex-officio status. Alex spends his free time reading, going to rock concerts, traveling, and keeping in touch with his friends from Ukraine.


Marsha joined the world of correctional healthcare in 1998, working in the Marin County Jail for 12 years, advancing through the ranks from extra-hire night shift to  Nursing Services Manager.  She has professional nursing experience in adolescent and child mental health, neurology-neurosurgery, communicable disease and adult medicine.  Throughout her nursing tenure she saw barriers to care driven by racial inequities. Witnessing long-term pediatric outcomes were often determined by the door adolescents entered in, either the judicial or the mental health system. 

Encouraged by friends, she went into correctional nursing and began vociferously advocating for access to care and services for the seriously mentally ill, homeless and addicted.  Successfully she was able to advocate across systems for the collaboration of law enforcement, public health, mental health, and substance use community services for juveniles and the homeless. With this passion, she helped to start one of the first Re-Entry teams in a jail during the early 2000s. She joined the WACHSA board in 2002 as the Communications Coordinator, digitalizing CA-NV ACHSA from paper and mail communications to online member and  event management.  Frustrated by an entrenched system, she "burned out" and transitioned to Public Health,  Communicable Disease and Public Health Emergency Planning. Her experience and comprehension of corrections became invaluable, helping to manage the San Quentin Legionella outbreak and the Covid-19 pandemic response in the community. 

She recently retired after 44 years of nursing, and enjoys travel, painting, and playing on computers. 


Heike Olafsen, DDS, is the Chief Dentist for the San Bernardino County Sheriff’s Department in the Correctional Health Services Division. Heike has served on the board of WACHSA for the last seven years, through the transition from Ca-Nv ACHSA to WACHSA. 


Affie is a Nursing Consultant with Nursing Services for the California Correctional Healthcare Services. Affie has served over 20 years as a healthcare professional with much of it managing Substance Use and Behavioral Health delivery system and quality management programs. As a Nursing Consultant with CCHCS, Affie has spent most of her career in CCHCS developing and designing programs such as the Nursing-Led Therapeutic Groups, Integrated Substance Use Disorder Treatment designed to improve quality of patient care. She is currently working on implementing Medi-Cal initiatives for justice involved and developing a peer support specialist program for residents of the California Department of Corrections and Rehabilitation. Affie’s drive for quality care and positive patient outcomes led her to attain a Master’s Degree in Quality Management in Healthcare and Services. She continues to find new ways to enjoy her time on earth, seizing the memorable moments on her journey through life.

Executive Director Custody Health and Behavioral Health
Santa Clara County Health and Hospital Systems

Dr. Eureka C. Daye is a leading visionary and transformational leader with over 30 years of combined experience in healthcare, behavioral health, and academia. Dr. Daye is the Executive Director of Custody Health and Behavioral Health for the Santa Clara County Health and Hospital Systems. She was Deputy Director of Statewide Mental Health for the California Department of Corrections and Rehabilitation (CCHCS/CDCR).  She also served as a Regional Healthcare Executive over a 10-facility catchments area and the Director of Women’s Health – Policy oversite for the California Correctional Healthcare Services (CCHCS). Her other titles include Chief Executive Officer, Chief Operations Officer, Vice President of Operations and Clinical Services, and Director of Education.  Dr. Daye's academic assignments included being a lecturer and the Assistant Vice Provost of Affirmative Action and Gender Equity at North Carolina State University, where she was also appointed to the Chancellor’s Commission on the Status of People of Color, was the Director of Organizational Change Management at the University of Nebraska - Lincoln and Director of Health Management at the Duke University Fuqua School of Business.   She also served two 4 - year terms as a County Board Member for Mental Health. She separately served on the Board of the YWCA, YMCA, and the Diversity, Equity, and Inclusion Committee for the United Way.

She has been in private practice as a clinician. She has been a consultant in designing opioid dependency treatment programs for women and a residential substance abuse treatment program for pregnant women and their young children.  She served on the North Carolina Community Task Force and was the commentator on the Public Broadcast Services (PBS) series on Remaking American Medicine. Dr. Daye’s area of research includes Disparities and the Built Environment: Using Global Positioning System (GPS) to assess the design of the environment and deprivation indexes by zip code to predict health outcomes of disenfranchised populations.  

In addition to being CEO at Universal Health med-surge hospitals, Dr. Daye has been the CEO at several National Medical Enterprise Psychiatric Hospitals, where she opened one of the first Sexual Offender units for adjudicated adolescent males. She also opened a psychiatric hospital wing for indigenous patients using the tribal traditional healer and spiritual leader as a member of the multidisciplinary treatment team.  Dr. Daye creatively opened one of the first joint commissioned accredited inpatient programs for young children and their parents called Scribbles and Giggles - treating the whole family, not just the identified child patient. 

Dr. Daye received her B.A. in Psychology from Pepperdine University, her Master of Arts in Counseling Psychology from the University of San Francisco, and her Master of Public Health and Ph.D. in Public from Walden University. She holds three active clinical licenses in mental health and certifications in Diversity Training, Conflict Mediation and Resolution, and Critical Incident Stress Management.  She is a Correctional Health Care Professional (CCHP) and Lean Six Sigma Black Belt in Healthcare. 

Dr. Daye was inducted into the Continental Who’s Who Registry of Healthcare Executives in 2013 and named the Woman of the Year by the National Association of Professional Women in 2014.  Dr. Daye received a Medal of Valor in 2019 as a member of the planning committee and speaker at the 2018 Women Working in Corrections and Juvenile Justice National Conference, Medal of Valor in 2020 for collaborative work on Medication-Assisted Treatment (MAT) for Substance-use Disorder Treatment (SUDT) w CCHCS; recipient of a Certificate of Recognition from the Senate; Certificate of Recognition from the Assembly and a Certificate of Congressional Recognition while serving with the California Correctional Healthcare Services  She is a lifetime member of the Delta Sigma Theta Alumnae Sorority.  


Dr. Nnenna Ikegbu graduated from the University of Nigeria, Nsukka, in 1996. She completed two years of general surgery in Nigeria before immigrating to the USA where she completed an additional 2 years of general surgery at Harlem Hospital NY, NY, from 2004-2006. She then completed a family medicine residency program at York Hospital, York, PA, from 2007-2010. She briefly provided primary care at the Madigan Army Medical Center, Tacoma, WA, between 2010 and 2011, prior to joining the CDCR in 2011. She currently holds the position of Chief Physician and Surgeon at the California Medical Facility, Vacaville, CA. In addition to being a physician manager and supervisor, Dr. Ikegbu also provides outpatient surgical services and co-management of complex inmate/patients. Dr. Ikegbu, being a huge proponent for the delivery of good quality healthcare to all, in her spare time, provides medical services for her local communities. These include urgent care and surgical wound specialist care in long-term facilities and homes. Dr. Ikegbu also has her own private medical practice where she addresses the huge healthcare gaps in her community by providing both primary care and outpatient procedure services. When Dr. Ikegbu is not providing medical care in and outside the correctional setting, she loves having a quiet time with family and friends. She also loves cooking and traveling.


Shanta Ramdeholl RN  is Chief of Detention Nursing for Contra Costa County Detention Health Services (CCCDHS). She has been with Contra Costa Health Services for eight years, overseeing five facilities.  She is influential in bridging the gap between custody and health services, especially during the pandemic, Shanta initiated a vaccination program to ensure that patients were educated and vaccinated against COVID.

Shanta has cultivated her nursing staff and teams by building a successful patient-centered care system. Her beliefs are expressed in extraordinary ways, engaging staff with new concepts.

Before working for CCDHS, Shanta spent 12 years in maternal child health with Alameda County and ten years for UCSF Benioff Children’s Hospital at the Alameda County Juvenile Justice Center. She enjoys mentoring high school students; and serves as clinical faculty with several colleges. She also enjoys traveling and gardening in her spare time, collecting different  types of plants, especially succulents. 

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