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:
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,
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Mental Health CARE LEVEL I
Mental Health CARE LEVEL II
Mental Health CARE LEVEL III
Mental Health CARE LEVEL IV
The First Step Act
It appears that the BOP has created an “in-between” First Step Act Mental Healthcare Model where some of their 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 that I have come across is that due to severe staffing shortages, qualified inmates that need access to some of these psychology-oriented programs may wind up on waiting lists.
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 in order 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