BOP Mental Healthcare: Levels I-IV

Medical Healthcare Mental Healthcare

Through my story, this video explains why finding the right attorney for you is important. Although this is your life-altering event, preparation and Knowledge of what you are about to do could still result in a positive outcome. Knowing that the DOJ has a 98% conviction rate, what is a positive outcome for you? Learn from my experiences through my video.

NEW Reentry Act legislation is introduced that expands access to health care, including mental health services and substance use disorder treatment, for Medicaid-eligible individuals 30 days before their release from jail or prison.

Senators Tammy Baldwin (D-WI) and Mike Braun (R-IN), 3/30/2023

BOP Placement.
Before any initial designation decision is made, DSCC staff assess a provisional CARE LEVEL from I – IV for each inmate. BOP institutions also have a Mental Healthcare (MH) CARE LEVEL assignment, reflecting the mental healthcare resources available.

The Designation and Sentencing Computation Center (DSCC) designates those inmates with Medical and Mental Healthcare CARE LEVEL I-II.

For those inmates with Mental Healthcare, CARE LEVELS III-IV, the designation decision will be made by The Office of Medical Determinations and Transportation (OMDT).

Unfortunately, the BOP is not equipped to provide any meaningful treatment for the following underlying disorders (to mention a few) – for example:

  • Post-traumatic stress
  • Major depressive
  • Bipolar

As medical staffing differs from one facility to another, and if the care is available within the BOP, this may necessitate a transfer to a facility further away from their home.

If your client is approaching Dementia or is currently being treated,

  • Published by the ABA, Fay Spence, Esq., and I am proud to have contributed two chapters regarding REPRESENTING PEOPLE WITH DEMENTIA
    • CHAPTER 1. What Is Dementia? Page 1, Dr. Marc Blatstein, and Faye Spence, Esq.
    • CHAPTER 13. Jail and Prison Conditions, Page 155, Dr. Marc Blatstein, and Faye Spence, Esq.
  • There is only 1 BOP location,
  • with one wing; if I recall what I read last, they had only 35 beds.


Call 240.888.7778 for a personal one-on-one call
to discuss your current issue or that of a loved one.

-Marc Blatstein

We are not Attorneys; you need Legal Representation.

Mental Health CARE LEVEL I

  • No Remarkable Issues.
  • No history of regular Mental Illness Interventions, seeking help should there be a returning episode.

Mental Health CARE LEVEL II

  • ‘Routine and/or Crisis Oriented Outpatient’ Care.
  • Outpatient or brief crisis-oriented care.
  • Controlled with medication.
  • It may require a suicide watch or brief observation.

Mental Health CARE LEVEL III

  • ‘More Severe Outpatient’ or Residential Mental Healthcare.
  • May require weekly mental healthcare visits or Residential Psychology Treatment.

Mental Health CARE LEVEL IV

  • ‘Inpatient’ Psychiatrist Monitored, include those who are:
    • Gravely disabled and cannot function in the general population as in MH III.
    • Have a current or recent historical need for inpatient psychiatric care?
    • 24/7/365 nursing.

The First Step Act

The BOP Mental Healthcare Model is set up where some mental health programs are run by trained [Contractors, Education, Health Services, Psychology, RAC, Social Workers, SPPC, Unit Team, and Volunteers] providing mental health care services. Should your client have a unique need, it is recommended that this should be professionally addressed long before the Presentence Interview.

A separate challenge I have encountered is that qualified inmates who need access to some of these psychology-oriented programs may wind up on waiting lists due to staffing shortages.

It is incumbent upon the legal defense team, in preparation for their Presentence Interview, to work with the court to get their client designated appropriately should there be an accurate ICD MH diagnosis that would require greater care.

If You Suspect You’re The Target of a Federal Investigation | Before The Presentence Interview (PSI) | After The PSI – But Before The Sentencing Hearing | or After Sentencing or You’re Already Incarcerated – There Are Still Things – At All Levels, We Can Do

We are not Lawyers – You Need Legal Representation.