BOP Mental Healthcare: Levels I-IV

Medical Healthcare Mental Healthcare

Prison Design Affect Inmates’ Mental Health

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 which reflects the mental healthcare resources available at that facility.

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 (just 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.


For a No Obligation Free Consult, Dr.Blatstein can easily be reached at: 240.888.7778, or through email. Dr. Blatstein answers and personally returns all calls.


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.
  • 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

It appears that the BOP has created an “in-between” First Step Act Mental Healthcare Model which cross-references their: [13 areas of criminogenic needs], and has these respective programs run by a collection of [Contractors, Education, Health Services, Psychology, RAC, Social Worker, SPPC, Unit Team, and Volunteers] providing mental health care…

A separate challenge that I have come across is that due to severe staffing shortages, qualified inmates that otherwise would have already been eligible for release, have not been able to take programs as, for example, at Coleman, Education has been closed.

As the FSA is still undergoing changes, and if my assumption is anywhere near accurate, it is incumbent upon the legal defense team in preparation for their PSR, to work with the court and prosecution in order to get their client designated appropriately should there be an accurately ICD 10 (or greater) 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

Call Dr.Blatstein at: 240.888.7778, or through email, for a No Obligation Free Consult, he answers and personally returns all of his calls.