Archive 10/04/2023

White-Collar FBI Target: How Do I Get Out of Prison — The Fastest?

White-Collar FBI Target: How Do I Get Out of Prison — The Fastest?

Hello and welcome

My name is Marc Blatstein, and I’m the Physician who founded the Physician Presentence Report Service (PPRS)

My focus in creating The Physician Presentence Report Service is to prepare you for what is to come.

 

Learn From My Mistakes – So You Don’t Make Yours.

Unfortunately, I’ve been in practice for 30+ years, which was interrupted by an early 6 a.m. knock at my front door and a 2nd at 8 a.m. at my podiatric medical practice – all for a problem I created.

As a result, I pleaded guilty to a Felony, was convicted of a federal White-Collar crime, and was sentenced to time in the BOP.

After my release and several years of hard work, my license was fully restored in 2010.

Around that time

·        I chose to use my skills in medicine

·        with my understanding of the BOP

·        to assist those of you,

·        who like me,

·        find themselves facing our Criminal Justice System.

While I found myself totally UNPREPARED

I Made It A Point

TO PROVIDE YOU WITH THE RESOURCES SO YOU WILL BE PREPARED –

BECAUSE

IN PRISON, AS IN LIFE PREPARATION = SURVIVAL

WHILE YOUR STAY IN  PRISON WILL BE TEMPORARY (and a bit terrifying)

The Goal Is To Be Productive and  Keep It as Short as Possible

So, let’s get to it!

 

Today, we’re going to Cover:

“You find yourself at the end of an FBI White-Collar Investigation

 And now you want to know: How Do I Get Out of Prison — The Fastest?

I)                 GOOD TIME CREDIT 15%

  • time reduction from the date the sentence was imposed.
  • Don’t get in trouble – No Infractions.

 

II)               First Step Act (FSA): LAW 12 MONTHS

The program allows up to 365 days of earned time credits (ETC) will apply to early release if you:

  • The court ordered your supervised release
  • You have a Low or Minimum PATTERN (SPARC-13) score
  • You have kept your PATTERN risk level for at least two consecutive assessments conducted by your Unit Team
  •  You have no detainers or unresolved charges, including immigration status
  • You have accepted All required programs and are in earning status.
  • RDAP

You’re allowed up to 1 Year OFF for RDAP

PLUS

UP TO ANOTHER 1 YEAR OFF AFTER THE SUCCESSFUL COMPLETION OF APPROXIMATELY 2 YEARS OF FSA PROGRAMS –  BUT DON’T STOP THERE…

 

III)             Congress Second Chance Reauthorization Act (SCRA). 12 MONTHS in an RRC Law  

  • If your sentence is > 60 mo (5 yrs) = last 6 mo on home confinement
  • If your sentence is < 60 mo (5 yrs) = last 10% on home confinement

1. The regulation mandates that 

  • “Inmates may be designated to community confinement as a condition of pre-release custody and Programming during their final months not to exceed twelve months.” 28 C.F.R. § 570.21(a).

2. This regulation also provides for 

  • home detention as a condition of pre-release custody during their final months of imprisonment,
  • not to exceed the shorter of ten percent of the inmate’s term of imprisonment or
  • six months.”

3. BOP staff is required to review inmates for RRC placement 17-19 months before their projected release date, and inmates are to be individually considered using the five factors listed in §3621(b).

4. Elderly Home Detention through the First Step Act: Rare to Get Program availability at all BOP facilities.

  • The qualifying age of 60+ years, and You can serve that last part at Home, but
  • You must have served two-thirds of the sentence must be served to be eligible.
  • The offender must be serving a term of imprisonment other than life imprisonment based on a conviction for an offense or offenses that
    • the offender must not have been convicted in the past of any Federal or State crime of violence, sex offense, or other offense enumerated in the statute.
  • the offender must not have escaped or attempted to escape from a BOP institution;
  • the BOP must determine that the release of the offender to home detention will result in a substantial net reduction of costs to the federal government, and
  • the BOP must determine that the offender poses no substantial risk of engaging in criminal conduct or of endangering any person if released to home detention.

IV)            P5050.49, CN-1 (2019), Compassionate Release/Reduction in Sentence: Procedures for Implementation of 18 U.S.C. § 3582(c)(1)(A) and 4205(g)

The new Compassionate Release Program has added more criteria to make qualifying inmates easier. These include medical circumstances for the inmate, non-medical circumstances for elderly inmates, situations where the family member caregiver of an inmate’s child has died or become incapacitated, and situations where an inmate’s spouse or registered partner has become incapacitated. One of the most significant changes is for elderly inmates with medical conditions. If an inmate is 65 years or older and suffers from chronic or serious medical conditions related to aging, they may qualify for release. In addition, a 65-year-old inmate with deteriorating mental or physical health that significantly affects their ability to function in a correctional facility may also qualify, particularly if conventional treatment offers no substantial improvement.

I hope you have found this helpful, and am grateful that you have taken the time to listen.
My Contact info
PPRSUS.com
240.888.7778

Treatment and Rehabilitation in Federal Prison: The Critical Role of the Presentence Report

Availability of Treatment and Rehabilitation in Federal Prison

The Federal Lawyer Jan./Feb. 2021                    Availability of Treatment and Rehabilitation in Federal Prison

 

 

The Critical Role of the Presentence Report
MARC BLATSTEIN, D.P.M.; FAY F. SPENCE, J.D.; E.J. HURST II, J.D.; AND MAUREEN BAIRD

Prisoners have a constitutional right to adequate medical care, but what that means and how to get needed treatment are often not well understood by attorneys representing criminal defendants.
This article attempts to address that knowledge deficit by explaining the medical, mental health, and substance abuse programs and policies in the federal Bureau of Prisons (BOP), as well as some of the educational, vocational, and other available programs intended to rehabilitate inmates and prepare them for return to society. Equally important, the article explains the critical role of the presentence report (PSR) in determining whether and how needed treatment and programs will be available to a defendant. Documentation is paramount, and the diligent attorney must be proactive in gathering and supplying the appropriate documentation to the probation officer preparing the PSR and to the court, along with a sentencing memorandum advocating for the defendant’s desired sentencing outcome and institutional placement, supported by the sentencing factors set forth in 18 U.S.C. § 3553(a).

https://www.pprsus.com/wp-content/uploads/2022/09/Dr.-Blatstein_The-Federal-Lawyer-The-Critical-Role-Of-The-PSR_Jan-Feb2021.pdf

TO SUCCEED – 10 LIFE LESSONS

Admiral McRaven’s Story: Write Your Story – Your NARRATIVE   



William H. McRaven, rising through the ranks to become commander of the Pentagon’s Joint Special Operations Command, was credited for organizing and overseeing the execution of Operation Neptune’s Spear, the special ops raid on Osama bin Laden on May 2, 2011. Admiral McRaven’s experiences and challenges hold true in those challenging times of warfare as a member of SEAL Team Six or to those of us facing Federal Indictments and Prison (temporarily).

His 10 Inspirational Lessons to Live by, from Mandela to a young girl in Pakistan, Malala, should leave you with hope. I Hope You Take 15 Minutes and watch this YouTube; it may Change Your View on Life – “NEVER GIVE UP.”

#10. NEVER GIVE UP

  1. START THE DAY WITH A TASK COMPLETED – MAKE YOUR BED, [PLEASE DON’T LAUGH]
    • Don’t depend on The Correction Staff For Support now that you’re aware and Have Your Plan – Work Your Plan…
  2. FIND SOMEONE TO HELP YOU THROUGH LIFE
    • You’ll need a Federal Criminal Defense Attorney with Experience in Federal Criminal Court.
    • You may also need someone Familiar With Federal Prison and the work needed to get you through – with a Possible Early Release Date.
    • REMEMBER – NO GUARANTEES
  3. RESPECT EVERYONE
    • Then, become friends with those with shared interests – Don’t Get Disciplined and No Cell Phones.
  4. LIFE IS NOT ALWAYS FAIR
    • Disappointments are how the BOP operates – How You React is Up To You, Stay Humble.
  5. DON’T BE AFRAID TO FAIL
    • That’s part of Life and Moving Forward – Please don’t constantly Complain to your Case Manager – Everyone else is Complaining – Keep Your Head Down and Do the Work.
    • If needed: Start The Administrative Remedy Process.
  6. SOMETIMES, HIT LIFE HEADFIRST 
    • This Is What We Have All Been Doing Since Being Indicted – Own It and Keep Moving Forward
  7. FACE DOWN THE BULLIES
    • If it’s an inmate – walk away; if It’s BOP staff – Apologize
  8. STEP UP WHEN TIMES ARE THE TOUGHEST
    • The only person’s emotions you can control – Are Yours.
  9. HOPE – LIFT UP THE DOWNTRODDEN: Washington, Lincoln, King, Mandela, and even a young Pakistan Malala
    • Prison Is Temporary IF THEY OVERCAME OBSTACLES – So Can You
  10. NEVER GIVE UP
    • Don’t Give Up On Working Towards Your Goal, Your REENTRY Plan. Even if your Case Manager throws it in the trash, it eventually will be read as you document your journey.
    • It could be used in a BLOG or Website.
    • The Halfway House Reentry Manage, Supervised Release Probation Officer, and possibly your Judge may eventually read it.

LIFE LESSONS, WHETHER IN PRISON OR A SEAL

Your Personal Narrative | PSI Investigation Report

Your Personal Narrative

and

The Presentence Interview Investigation Report

When addressing the Judge, initiating a written exercise is advisable. The Personal Narrative presents a great opportunity to share pertinent details about yourself and the incident in question.

YOUR SENTENCING HEARING – YOUR 1st and ONLY CHANCE TO SPEAK WITH YOUR JUDGE 

 What Can You Do To Stand Out?

M.. Santos interviews Federal Judge Mark Bennett on the importance of writing Your Personal NARRATIVE and including it in Your Presentence Report.

Creating a compelling narrative requires multiple revisions. To ensure the best possible outcome, it’s worth asking trusted friends or family to review beforehand. While your biography should contain pertinent information, we’ll collaborate to select the most pertinent details. We must communicate with those closest to you to gain a more intimate understanding of your personality, character, and circumstances. Remember, this is Your Life – we should approach it with the utmost seriousness.

The categories below are meant to encourage deep reflection but may be challenging. It is advisable to take time to consider them carefully and seek advice from trusted individuals, including a legal representative. You must provide authentic and heartfelt responses for several reasons. Firstly, it will hold no worth if you do not believe in what you are saying. Secondly, if a Judge suspects that someone else wrote your responses, it may cause further complications for you. Lastly, Probation will review your answers and offer recommendations to the Judge, therefore, they must trust your responses are sincere.

 Topic Categories:

In the United States Code, specifically in Title 18, Section 3553, there are provisions that state the various factors that judges must take into consideration when determining the proper sentence for a given offense. Among the most pertinent considerations are the Nature and Circumstances of the offense itself, as well as the offender’s Personal History and Individual Characteristics. These factors help to ensure that sentencing decisions are fair and just and that the punishment fits the crime. Here, through your NARRATIVE, this is your opportunity to provide your Story, Autobiography, or NARRATIVE of your life and what brought you to this day. Accepting responsibility, Triggering Events, and Having Remorse for the Victims you Created,

It is essential to start by conveying heartfelt condolences to the victims of the crime and acknowledging the immense agony and distress they have undergone. It is imperative to understand the seriousness of the crime and refrain from belittling its severity in any manner. This provides an opening to delve deeper into the subject.

Take some time to reflect on the events that led to this moment. What circumstances led you to commit this act? If applicable, you may draw on pertinent experiences from your childhood. Seeking the advice of an expert or legal professional may be helpful.

It is advisable to try and identify any triggers that may have contributed to your actions. Develop a plan to eliminate them from your life. It is pertinent to refine your initial drafts over time and to ensure that your personal narrative is authentic and truthful.

What have you learned from this experience? Did it bring up memories from your past? Share these insights with the judge. If you have victimized others, describe your plan to make amends, even if it is a small effort. Finally, outline your plan for preventing re-offending and ensuring that you will never appear in their courtroom again.

It is advisable to inform the Judge of your willingness to take financial responsibility and make amends. Bring some money with you (such as $100 or $1000) and tell the court that you would like to submit it if you can. You may say something like, “I understand that this may not be a significant amount, but I would like to offer $ 000.00 to the court.” 

Moreover, it would be helpful to let the court know that you have a job offer (only if you do and have that Character Letter with you) for when you return home and are willing to participate in the Financial Responsibility Program. If the Judge orders a payment of $25/Qt, you may find it challenging to comply. However, doing your best to honor the plan is advisable, even if you have little to no financial support while in prison. 

Not participating in the Financial Responsibility Program (FRP) while in prison may affect your ability to participate in other programs and could be held against you. Therefore, it is strongly advisable to participate in the FRP and any other programs that may be available to you.

Overall, it is essential to take financial responsibility seriously, as it can have a significant impact on your future. Additionally, it is advisable to approach the situation respectfully and properly, as this may positively impact how the court views your case.

Cases that judges find most challenging. If you fall into either of these two categories, the plan we have covered still applies, but with a caveat.
1. Predatory child sex offenders who have harmed children; if you fall into this category – You will be strictly monitored once released.

2. White-collar criminals who have harmed vulnerable people. If you fall into this category – once off supervised release, you are smart enough to know that you do not want to return.

 

 The Presentence Interview Investigation Report

can be aided by

Your Personal Narrative and Allocution

While I previously mentioned that it could be started in written format, it could also be submitted with the Sentencing Memorandum and made available in,

  • Video MP4 format and placed in a flash drive or CD so that the judge could easily see it the week before (optimal timing) sentencing.
  • You could work this with your attorney using either PowerPoint or a smartphone.

YOUR PRESENTENCE INTERVIEW (PSI) – INVESTIGATION REPORT

 


LIFE LESSONSAdmiral McRaven


PREPARATION FOR THE PRESENTENCE INTERVIEW.

§9:30.7 Inside Baseball: Interview With Former Federal Probation Officer Tess Lopez, by Alan Ellis.

 

Counsel and Clients need to hold each other accountable and be respectful and listening to each other. While counsel is reaching out to Probation, the defendant is responsible for providing copies of ‘all’ of their Biographical Background and Personal Identification information that Probation has requested from your attorney.

At the same time, it is critical to draft a well-thought-out NARRATIVE and Release Plan and include content relevant to their PATTERN SCORE and Risk Assessment Survey. After multiple revisions, these are woven together, and then with the copies of all of the documents that are accurate and comprehensive, are organized and prepared and then given to the Probation Officer ~2 weeks before the interview so that it can be eventually included in their PSR, under Seal.

This allows time at the interview for the Probation Officer to get to know the client and ask any questions they may have. This ‘discussion’, with counsel present and the fact that the defendant was prepared and the officer’s time was respected, is usually appreciated as Probation Officers’ time is a rare commodity. Being comprehensive and accurate, as outlined below, allows the court to consider sentences outside the guideline range or “variances” because you are the only resource for the – the government will Not Volunteer this information.

I. Counsel’s goal is to learn the final “dictation date,” or the date by which the P.O. must complete their first draft of the official Presentence Report (PSR).

  • Right away, counsel and client know their timeline to have everything completed. If the client has a company with legal issues that need to be resolved or personal issues, all of this requires time in addition to preparing for their Interview.
  • Therefore, requesting, at a bare minimum 3 months to prepare for the interview would be great. This would also have been done at the guilty hearing, and hopefully, the judge agreed before setting the date for sentencing.
  • Counsel learns who the PO will be and contacts them before they have spoken with the Prosecutor. Next, building a fundamental introductory relationship is important to understand what the officer already knows – which hopefully is not a lot!
    • This offers counsel the opportunity to explain your position, as the PO was not at trial and has not yet formed an opinion.
    • They may still have an open mind if they have not spoken with the prosecutor.
      • If the PO had already spoken with the Prosecutor before they ever met/interviewed you – they may have already been influenced, just not in your favor.
    • Your attorney aims to make their case and position with a personal meeting.
    • Meanwhile, you have begun writing your personal narrative, which will undergo multiple rewrites until it is distilled into its final version, where you accept responsibility.
      • This is your story, a Unique and Honest version of the events that resulted in your arrest. Once complete, your Personal Narrative is to be included in your Presentence Report.
      • Next, start writing your Release Plan, followed by an Allocution or your conversation with the judge at sentencing.
      • Then, be ready should the Judge wish to speak with you at the Sentencing Hearing and honestly answer his/her questions from the heart.
  • Prison Placement: Counsel will start framing reasons “why” this prison placement request is being made (e.g., supported with reasons why, for example, programs: medical, FSA programming, etc.).
  • Counsel will outline each factor for the PO to consider under 18 U.S. Code § 3553
    • Part E (departure, assistance in the investigation or prosecution of another person, section 994 of title 28,)
      • These factors include aspects of the offense or the offender’s background that the guidelines do not adequately consider. Some examples of E factors include:
        1. The defendant’s role in the offense
        2. The defendant’s criminal history
        3. The presence of substantial assistance provided by the defendant to law enforcement
        4. The defendant’s mental or physical condition
        5. The defendant’s acceptance of responsibility for the offense
        6. Any other relevant factor that justifies a departure from the guidelines and
    • Part F (sentence below the guideline range under 18 U.S.C. §3553(a)) of the PSR makes strong arguments to support these requests.
      • These factors are also considered under 18 U.S.C. § 3553(a) and include:
        1. The nature and circumstances of the offense
        2. The history and characteristics of the defendant
        3. The sentence must reflect the offense’s seriousness, promote respect for the law, and provide just punishment.
        4. The need to afford adequate deterrence to criminal conduct.
        5. The need to protect the public from further crimes of the defendant.
        6. The need to provide the defendant with needed educational or vocational training, medical care, or other correctional treatment.
      • Defendant does Not Have:
        • 1) more than 4 criminal history points, 2) a prior 3-point offense, or 3) a prior 2-point violent offense
        • did not use violent threats
        • did not result in death or injury
        • was not an organizer, leader, manager, or supervisor
        • defendant has truthfully provided the Government with all information and evidence
    • If the PO is receptive to a variance, it may be key to convincing the court to consider a sentence below the guideline range.
    • If your client receives a prison sentence, the Presentence Report (PSR) followed by The Statement of Reasone (SOR) are the documents used by the BOP to determine your client’s future.
      • This information (or lack thereof) will dictate whether the client is sent to a dormitory-style Camp or the Penitentiary Maximum-Security Prison.
  • Meeting with the probation officer is to discuss their position on these issues.
    • This is particularly important in a complex case involving numerous counts, various ways to calculate the guidelines, and which guideline is appropriate.
    • Personal contact with the probation officer builds rapport and offers an opportunity to explain your position.
    • Sometimes as they are so busy with no extra time, and for a complex case, the PO would welcome the opportunity for defense counsel to explain their version of the case.
    • Remember, the PO wasn’t present at the trial; therefore, this personal meeting also assures the lawyer that the PO understands the case and their personal position. At the same meeting, they can get a feel as to how receptive the PO is.
  • When working with Probation Officers, a little extra effort goes a long way as they are very busy, doing their best, and never have enough time. They may appreciate your efforts in easing that portion of their workload.
    • Consider presenting your entire view of the case clearly in a letter to the PO as soon as possible.
    • It is helpful to have the Probation Officer and Assistant U.S. Attorney (AUSA) buy into your client’s behavior and role in the offense before requesting relief from the Guidelines, and again, everything to be completed and handed in before the interview and dictation date.

II. Learn as much as they can about the judge’s likes and dislikes. If they find this hard, ask a Federal Defender.

  • Counsel will want to learn whether the judge reads sentencing memos and character letters and how long those letters should be.
  • If applicable, issues like overcrowding and staff shortages could affect your client’s access to their Programming Needs or other required BOP Services- is the Judge sensitive to this?

 III. Mental Illness: Did this contribute to the crime, or has your client suffered significant abuse or trauma? Either way, have them evaluated, and if you are unsure of a local expert, ask the prosecutor for recommendations.

  • If there is a current treating therapist, it is best for all if they appear as witnesses; most judges would rather hear from a treating physician than a doctor for hire. This is not to put down experts, as they provide expert testimony that can only come from a select few.
    • If, on their own, treatment was started before the indictment, Guilty Hearing, PSI, or Sentencing, all the better. (AA, NA, GA, Psych. Counseling); this needs to be included in the PSR, Sentencing Memorandum…
  • Mental Health example in this White Collar case. This client is an
    • Exceptionally bright, high-functioning, and very successful individual.
    • He/She is very skilled, highly motivated, and works 18-20-hour days for money-promotions-privileges.
    • The psychological evaluation:
      • The client is an obsessive-compulsive perfectionist.
      • Suffers from depression and anxiety.
      • The overwhelming desire to be successful, personally and financially, may cause an ordinarily law-abiding person to “cross the line” into inappropriate or illegal behavior.
        • Familiar?
      • Later diagnosed with bipolar disorder
    • Latest statistics by the U.S. Sentencing Commission
      • 6 percent of inmates received downward departures for diminished capacity (U.S.S.G. §5K2.13).
      • If half of the inmates have symptoms of mental health problems,
        • yet only 2.6 percent are receiving departuresare the judges simply insensitive?
      • Or does the problem lie at the feet of the defense counsel, who is not taking the time to conduct a thorough investigation into the client’s social and psychological history?

 IV. Character Letters: only pick out a few to discuss in the memorandum, but add at the end that “there were another 50 that all said similar things, and the PO has those.”

  • If an employer is willing to write a character letter that says they are willing to rehire you due to your skills and character once you are released – that is a Great letter for The NARRATIVE and Release Plan. 

 V. The Sentencing Memorandum is best submitted approximately seven days before the sentencing hearing,

  • Corroborate the issue with the appropriate supporting documents, albeit a doctor’s letter/ report/ medical/treatment records, etc. Remember to document, document, document.
  • All of this is preferably done under seal via the Probation Office so that the information is appended to the PSR when given to the BOP.
  • In The Sentencing Memorandum, give the Judge 1 or 2 cases with the highlighted pertinent points; if there is a video or pictures, include those.

 VI. 18 U.S.C. §3553(a)(2)(D) requires a sentencing court to consider The Nature and Circumstances of the offense and The History and Characteristics of the Defendant. In the client’s NARRATIVE, most of this should be covered.

  • To determine which 18 U.S.C. §3553(a) factors apply, while someone with experience should:
    • 1st) Conduct in-depth (multi-hour) interviews with the defendant, should an evaluation be needed (even in White-Collar); now is the time, and
    • 2nd) plus having the time (multi-hours) to speak with family members, close friends, and business associates or trusted employees to understand the person better.
    • As most Officers do not have ‘any’ time, at times, this is left to counsel to do themselves. This provides the opportunity to discuss hiring someone to do this part of the background work, or it may just not get done.
  • Evaluation of the care needed for a client’s medical condition – may support a cost-related (home confinement) argument.
    • This is most apparent in cases of defendants diagnosed with a terminal illness or a diagnosis that falls outside the scope of what the BOP can provide (Long-Haulersor Post-COVID).
  • The cost of incarceration should also be factored into whether a sentence is “greater than necessary.”
    • Last are those, where appropriate, emphasizing to the court what the client would be doing if not incarcerated (i.e., working, supporting a family, paying taxes, and/or restitution).

The Presentence Report Determines Your Future – So Preparation For Your Interview is Vital

  • Judges use the PSR to determine the length of a sentence.
  • The Bureau of Prisons (BOP) uses the same PSR for prison placement.
  • The PSR is again used by Probation during Supervised Release.
  • Lastly, this same PSR becomes a permanent part of your record and the Inmates Bible – It truly is the gift that keeps on giving.

Call Dr.Blatstein at 240.888.7778 or by email for a No Obligation Free Consult; I return all of my calls personally.

Medications 💊 For Indigent Inmate/Patient | AVAILABLE AT THE COMMISSARY, (OTC)

OVER-THE-COUNTER (OTC) MEDICATION AVAILABLE THROUGH THE COMMISSARY

Ammonium lactate lotion/cream

  1. Requests to improve the appearance of the skin will be disapproved.
  2. Indigent Patient AND treatment is medically necessary. Orders are limited to 30 days in duration when approved on the basis of indigent status alone. If renewed, the indigent status will be reassessed.

 

Analgesics Topical – capsaicin cream, diclofenac 1% (Voltaren®), salicylate/menthol (Bengay®)

  1. A failed 30-day trial of oral NSAIDs or NSAIDs is contraindicated AND
  2. Documented improvement in functional status (required for renewals) OR
  3. Indigent Patient AND treatment is medically necessary. Orders are limited to 30 days in duration when approved on the basis of indigent status alone. If renewed, the indigent status will be reassessed.
  4. Diclofenac gel 3% will not be approved without sufficient justification as to why 1% cannot be used.

Artificial tears – solution and ointment (various OTC formulations)

1. Initiated by an optometrist or ophthalmologist with ongoing evaluation and

2. Failure of commissary alternatives or Indigent Patients AND treatment is medically necessary. Orders are limited to 30 days.

 

Benzoyl peroxide washes/soaps

  1. Chronic cystic scarring acne and/or causing secondary bacterial infections OR
  2. Indigent Patient – treatment is medically necessary. Orders are limited to 30 days in duration when approved on the basis of indigent status alone. If renewed, indigent status will be reassessed.

Bismuth Subsalicylate (Pepto Bismol®)

  1. Indigent Patient: treatment is medically necessary AND has failed OTC Indigent program alternatives. Orders are limited to 30 days in duration.

Calcium carbonate (Tums®)

  1. Indigent Patient: treatment is medically necessary AND has failed OTC Indigent program alternatives. Orders are limited to 30 days in duration.

Carbamide peroxide 6.5% ear drops (Debrox®)

  1. Indigent Patient – treatment is medically necessary. Orders are limited to 10 days in duration when approved on the basis of indigent status alone. If renewed, indigent status will be reassessed.

Coal Tar shampoo/gel/solution

  1. Documented failure of OTC commissary selenium or coal tar shampoo OR
  2. Indigent Patient, treatment medically necessary AND has failed OTC Indigent Program alternatives (ex: Selenium 1% Shampoo). Orders are limited to 30 days in duration when approved on the basis of indigent status alone. If renewed, indigent status will be reassessed
  3. For Psoriasis, lesions interfere with function.
  4. For Psoriasis: Psoriasis affects >10% of BSA (refer patients to the commissary for mild psoriasis) OR crucial body areas (hands, feet, fact, etc.)
    • Selenium shampoo/lotion
    • Documented failure of OTC commissary selenium or coal tar shampoo OR
    • The patient is indigent, treatment medically necessary, AND has failed OTC Indigent Program alternatives (ex: Selenium Shampoo 1%Shampoo). Orders are limited to 30 days in duration when approved based on indigent status alone. If renewed, the indigent status will be reassessed.

Hemorrhoidal cream/ointment- (Preparation H®, Anusol ®, others), dibucaine ointment

  1. Pending hemorrhoid surgery or 30 days (or less) post-hemorrhoid surgery OR
  2. For indigent Patients, treatment is medically necessary. Orders are limited to 30 days in duration when approved based on indigent status alone. If renewed, the indigent status will be reassessed.

Loperamide (Immodium®)

  1. For Indigent Patients, treatment is medically necessary. OTC has failed Indigent program alternatives. Orders are limited to 30 days in duration.

Magnesium/aluminum/simethicone-containing products (Maalox®/Mylanta®/Gaviscon®, Milk of Magnesia®, etc.)

  1. For Indigent Patients, treatment is medically necessary. OTC has failed Indigent program alternatives. Orders are limited to 30 days in duration.

Moisturizers topical (all formulations except Vitamin A&D)

  1. Failed a 30-day trial of two commissary moisturizers OR
  2. Indigent Patients, and treatment are medically necessary. Orders are limited to 30 days in duration when approved based on indigent status alone. If renewed, the indigent status will be reassessed.

Naphazoline-pheniramine Ophthalmic drops (Visine-A®, Opcon A®)

  1. Initiated by an optometrist or ophthalmologist with ongoing evaluation and
  2. Failure of commissary alternatives or
  3. Indigent Patients, and treatment are medically necessary. Orders are limited to 3 days.

Simethicone tablets/capsules (Gas-X®)

  1. Indigent Patients, and treatment are medically necessary. Orders are limited to 30 days in duration when approved based on indigent status alone. If renewed, the indigent status will be reassessed.

Sunscreens (various formulations)

  1. Prescribed an essential medication causing documented photosensitivity OR
  2. For indigent Patients, treatment is medically necessary. Orders are limited to 30 days in duration when approved based on indigent status alone. If renewed, the indigent status will be reassessed.
  3. Requests due to the unavailability of protective clothing will be disapproved.
  4. Approvals will be for SPF 30 products only.

Vitamin A&D Ointment

  1. Diabetes with Neuropathy OR
  2. Circulatory disorder evidenced by the absence of pedal pulses and/or extremity hair loss due to poor circulation or abnormal monofilament exam demonstrating loss of sensation OR
  3. Indigent Patients, and treatments are medically necessary. Orders are limited to 30 days in duration when approved based on indigent status alone. If renewed, the indigent status will be reassessed.

Witch hazel & glycerin pads topical (Tucks® Pads)

  1. Pending hemorrhoid surgery or 30 days (or less) post-hemorrhoid surgery OR
  2. Indigent Patients, AND treatment are medically necessary. Orders are limited to 30 days in duration when approved based on indigent status alone. If renewed, the indigent status will be reassessed.

The administration of that dose must be recorded on a Medication Administration Record (MAR’s) by the employee.

Risk Evaluation and Mitigation Strategies (REMS)

VETERANS: ALTERNATIVES TO PROSECUTION AND INCARCERATION

U.S. Department of Veterans Affairs – Veterans Benefit Administration



 Justice-Involved Veterans

SENTENCING LAW AND POLICY, September 6, 2023

Council on Criminal Justice releases new policy roadmap encouraging alternatives to prosecution and incarceration for justice-involved veterans.

 

The policy framework offers alternative sentencing for veterans, taking into account their service and potential impact on their criminal behavior. These options include pretrial supervision and probation, replacing imprisonment and criminal records. These evidence-based practices are implemented in problem-solving courts and community supervision. The Commission also encourages laws that allow veterans to apply for record expungement.

“Once ensnared by the system, veterans often present a complex set of needs and risk factors that are distinctive from those characteristics of civilians without a military background.”

The American Legislative Exchange Council adopted the Veterans Justice Act as a model policy. State legislatures will receive an updated framework to address the issue. Recommendations were released in March, with more coming next year. The Commission includes military and criminal justice leaders and is dedicated to helping veterans transition smoothly to civilian life.

 

Improve Definition and Identification of Veterans Involved in the Criminal Justice System

“Studies show that when asked about their status by law enforcement, many former service members are hesitant to identify as veterans.”
Recommendation: Federal, state, and local criminal justice agencies and courts should improve processes for identifying veterans in the criminal justice system and adopt a uniform definition of “military veteran” for use in those processes.

 

Create a Continuum of Alternatives to Prosecution and Incarceration for Justice-Involved Veterans

“America, in turn, has a responsibility to manage all veterans in a fashion that honors their service and helps them address the multiple challenges that service can create.”

Twelve states have created post-conviction statutory schemes, separate from VTCs, that recognize veteran status as a mitigating factor in sentencing.

 

 

Establish a National Center on Veterans Justice to Improve Justice-Involved Veterans Programs through Research and Coordination

“The Commission finds that the lack of coordination between programs for justice-involved veterans results in the duplication of efforts, a lack of proper program evaluation, and an inability to disseminate best practices.”

 

 


Provides Unconditional Love Inside, along with skills to take with them on the outside.


Suicide Among Justice-Involved Veterans: Understanding Risk and Meeting Needs

The Council on Criminal Justice is a beacon of hope in a world that desperately needs solutions to our criminal justice problems. They are dedicated to advancing our understanding of the policy choices that impact our nation and building consensus on solutions that will enhance safety and justice for all. This independent and nonpartisan organization invites people to become members and contribute to its think tank, which serves as a center of gravity and an incubator of policy and leadership for the criminal justice field.

The Council is a catalyst for progress, using facts, evidence, and fundamental principles of justice to drive change. They believe a fair and effective criminal justice system is essential to democracy and a core measure of our nation’s well-being. With their tireless dedication to justice, the Council on Criminal Justice is leading the way toward a brighter future for all of us.


THE VETERANS JUSTICE ACT, 7/27/2023

This policy presents alternative sentencing choices for American veterans who are accused of certain crimes and acknowledges their contribution to the nation and the possibility that their criminal conduct may stem from their military service. These choices comprise employing pretrial supervision and probation instead of a criminal record or imprisonment and are based on proven techniques for efficient supervision and restoration.

You are Federally Indicted – What To Do First?

You are Federally Indicted – What To Do First?

You need a Federal Criminal Defense Attorney specializing in White-Collar Defense.

Together, You Decide on Your Strategy: Trial or plea, as 98% of cases do. Here, you need an attorney who specializes in Mitigating Your Sentence.

  • If Prison is inevitable, start preparing for your Presentence Interview and Personal Narrative – ASAP.

Presentence Interview Preparation is Next, and it Controls Your Life.

Probation Officers conduct the Presentence Interview (PSI) and write the official Presentence Report (PSR) to the Judge and Court.

In reading how attorneys prepare for the PSI, I side with those who believe in being proactive and drafting their own memorandum that contains the information needed for the PSR and providing it to the Probation Officers before the Presentence Interview – Getting Your Message On The Record.

Why being Proactive with your Presentence Interview is best, is because this is the beginning of your Presentence Report (PSR)

  • Probation officers are very busy and appreciate having some of the work already completed.
  • It allows the legal team to get Your message into the record.

The Presentence Report (PSR), Controls Your Life :

In the trial, you will need a Trial Attorney in whom you have confidence.

  • They will review with you the strength of your case.
  • The US Attorney simultaneously makes it more difficult for you if you lose,
  • with the penalty resulting in more jail time.
  • But if you and your attorney are confident and in the right, then stay strong!

Has ‘2’ outcomes that I am aware of:

  1. You win, are proven innocent, and go home.
  2. You are found guilty, then back to preparation for your Presentence Interview.
  • Preceded by the Presentence Interview (PSI) and Presentence Report (PSR): Next, and it Controls Your Life.

DrMB@PPRSUS.com

A 30+ YEAR CAREER AND REPUTATION 👉 MY STORY

As criminal defense attorneys, you’re on the other side of the bench; this is my firsthand perspective.

In 2006, I was convicted of a felony and served a 1-year, 1-day sentence for Mail Fraud for my Medical-Surgical Suites billing before officially certified that I owned. While there was no Medicare or Medicaid Fraud, this was a terrible, embarrassing, and humbling self-inflicted experience.

In 2010, I was grateful to have my license to practice reinstated in full, which was good for my soul. Several years later, I realized several things,

1st) In addition to being a terrible and terrified client, in the end, I was unprepared for everything related to the Law, Sentencing, and what to expect once inside Federal Prison.

2nd) Judges understand that crimes don’t occur in a vacuum – they want to understand the why and what happened that caused the breaking of the law and hear that explanation from the person they are about to sentence while having Remorse for the Victims and Accepting Responsibility.

3rd) When is the best time to provide this?
Provide to the Probation Officer 1-2 Weeks before The Presentence Interview in a well-organized format, this includes,
Copies of all:
1. Personal Identification
2. Biographerical Background Information

Well Written;
1. Personal NARRATIVE
2. RELEASE Plan
3. Previously Reviewed: FSA SPARC-13 Assessment Survey and PATTERN SCORE
4. ALLOCUTION

Marc
Dr. Blatstein
Published, Co-Author
1. The Federal Lawyer, 2021, The Critical Role of The Presentence Report
2. ABA, 2022, Dementia

Entering The BOP, Ease Your Client’s Medication Fears

BOP generic medications

Entering The BOP, Ease Your Client’s Medication Fears

To someone enters prison for the first time, they assume that they will still get medical care. The assumption may be that they will also get the same medications that they got on the outside, which is likely not the case.

Medication availability (~ 3000 different drugs), falls into 3 categories.

  • 1st) On Formulary -Available: These medications are available for BOP healthcare providers for inmate use.
  • 2nd) Non-Formulary -These require a lengthy Preauthorization Process-: These medications while they are stocked, they are not immediately available for your use. The prescribing BOP Physician or other healthcare provider needs to go through a lengthy Pre-authorization process to get permission to provide this to you.
  • 3rd) Similar equivalents- When there are no other options, here similar or equivalent substitutions are used. Should the need for a required drug be used where there is no equivalent substitute; this medical problem should be brought up before the sentencing hearing, and hopefully get the backing of the US Attorney, and finally the court.

Examples of medication confusion;

  • Cholesterol Control: PCSK9 Inhibitors vs. Statins. Statins are a popular treatment that has been available since the 1980s. PCSK9 inhibitors, on the other hand, are a new type of cholesterol drug. They were approved by the Food and Drug Administration in 2015.
  • But these Cholesterol generics look very different (see heading photo), and may not look like what the defendant has been taking – adding to their stress level.

Generics:

  • These are the drug of choice for the BOP as they are cheaper than brand-name medications.
  • It may be beneficial to inform your client ahead of time that, while they’ll be taking a generic medication since there are many manufacturers who each produce similar generic drugs that may differ in color and shape; they should be appropriate.

Nobody likes surprises, especially if they are entering prison for the first time.

Pregnant In State Prisons

Pregnant In State Prisons

As a follow-up to my previous issue, today we discuss the concerns of pregnancy in state prisons. Here too, they have the constitutional right to obtain appropriate medical care. The extent prison policies address pregnancy-related services is another moral indicator of how state-run facilities or agencies provide care to the women in their custody.

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It seems to this author as we have 50 individual states, each with its own individual policies as to whether or not a pregnant inmate gets the required prenatal and postpartum care, it appears that the care they get depends on the state in which they live. Not Very Good Odds!

50-state survey of state prison systems shows that some failed to meet even basic standards of care for expectant mothers.

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Dr. Carolyn Sufrin M.D., Ph.D., A.M. at John Hopkins School of Medicine’s School of Public Health, has a series that studies pregnancy prevalence and outcomes in U.S. jails, prisons, and youth facilities. Together with The Prison Policy Initiative, she points out that;

Dr. Sufrin founded JailcareFinding the Safety Net for Women Behind Bars.

“Jailcare is a moving and galvanizing story of pregnant women in jail and those responsible for their health, it is essential reading for anyone who cares about women, children, and justice.” Piper Kerman, author of Orange is The New Black.

  • Dr. Sufrin Contact numbers: 410-550-0337 (Appointment Phone: 443-997-0400).

STATES, Funding, and The Second Chance Act

The Bureau of Justice Assistance is the agency that administers the Second Chance Act. As such, they conduct low-cost outreach by highlighting grantee successes, that;

  1. reminds states of available funding,
  2. provides technical assistance with state applications.
  3. So remember, April is Second Chance Month – there are a few days left!

These funds allow prison nurseries to be developed by states, tribal or local prosecutors, too;

  1. establish or expand demonstration programs,
  2. reduce recidivism,
  3. improve reentry into the community,
  4. support Pregnant Incarcerated Mothers and Infants Together Programs.

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Some Positive News: States With Onsite Prison Nurseries.

California

SHIELDS for Families’ Tamar Village Program: provides comprehensive family-centered substance abuse treatment services to mothers re-entering the community from the criminal justice system.

Services included:

  • Educational groups (health and nutrition, HIV/AIDS, life skills, relapse prevention for addiction).
  • Parenting and child development classes.
  • Therapeutic groups (trauma, grief and loss, domestic violence, sexual abuse, women’s issues, and relationships).
  • There is also an on-site child development center for children ages 0-5 and a youth program for children ages 6-18.

 Illinois

  • Illinois Department of Corrections: Focuses on the Needs of Pregnant and Parenting Inmates.

Decatur Correctional Center called “Moms and Babies” started a prison nursery program initiated in 2007. The program includes an Infant Development Center, and each of the five prisons for women in Illinois includes;

  • A child-friendly visitation area where mothers can read with their children, watch videos or play on the floor.
  • Family activities range from; day camps, video visiting, and holiday activities for mothers and children.
  • Parenting programs are offered to all inmates, no matter their security level.

Indiana

I) Family Preservation Program includes individual and family counseling to begin healing trauma caused by histories of addiction, poverty, and mental, physical, and sexual abuse.

Indiana Women’s PrisonFamily Preservation Program, started in 1996.

Women typically come to prison from underserved communities;

II) Women’s Prison in Indianapolis for Low-level offenders

III) WOMEN BEHIND BARS: LIFE AND DEATH IN INDIANA  S1 E1

Women Behind Bars: Maximum Security

Maryland

Maryland Correctional Institute for Women (MCIW).

The Baltimore Doula Project currently provides doula support to pregnant women, info@baltimoredoulaproject.org

Missouri 

  • The Center for Women in Transition is a St. Louis organization that provides wraparound services for women reentering the community from jail or prison.
  • They support The Correctional Center Nursery Programs which allow women who give birth while incarcerated the chance to stay with their newborns in prison for up to 18 months.

New York Opened, in 1930

Bedford Hills Correctional Facility for Women includes the longest-standing continuous prison nursery in the country.

Oregon

Coffee Creek Correctional Facility Parenting Inside Out (PIO) program’s curriculum offers interactive skill-building on child and adult development, parenting skills, and effective communication through letters, calls, and visits (page 31).

Pennsylvania

 I) SCI Muncy with doula services, that provide people with physical, emotional, and educational support during pregnancy and childbirth. They have been linked to better birth outcomes by lowering the likelihood of birth complications and helping to treat postpartum depression.

  • Gerria Coffee is the founder of Williamsport-based Genesis Birth Services. 1307 Park Ave, Williamsport, PA 17701, Phone(717) 970-3009, George Little, Acting Pa. Secretary of Corrections 717.728.4109.
  • “To have a program where someone is there for them when they are giving birth, it’s immeasurable,” Coffee said. She’s held women’s hands during birth, cut umbilical cords, and provided encouragement during labor. “All of those are priceless experiences and experiences that anyone who is giving birth deserves.”

II) Maternity Care Coalition’s MOMobile works within Philadelphia’s Riverside Correctional Facility, where it delivers the education and support women need to prepare for reintegration with their families and communities.

  • The in-prison component is coupled with individual case management for up to one year after release, helping newly-released parents form strong ties to their communities and positive relationships with their children.
  • MOMobile staff has attended 34 births since the start of a doula program in May 2008. The program teaches parenting skills, mother-child bonding, and positive discipline skills, which has the potential to result in substantial community-wide benefits if expanded to serve a greater percentage of incarcerated mothers having served over 300 women.

I thank you for reading with me. On a lighter note, to you moms

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In closing, I believe that the responsibility for a client’s Mental and Physical Health should be safeguarded to protect them from themselves and others, …while providing a safe environment for the duration of their incarceration (for them and their newborn). Ultimately this is the responsibility of the Court, Defense Team, and The Respective State Authority.

If this was helpful, please share it with your colleagues. With more to follow, should you have any questions, are interested in engaging my services (getting your message on the record – is best done before the PSI, and also could support your BOP placement request), or have any suggestions for future topics, I am easy to reach, and thank you for your time.

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Marc, Dr. Blatstein

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