Category Dr. M Blatstein’s Blog

SENTENCING, YOUR JUDGE WILL WANT TO SPEAK WITH YOU. MAKE THAT A GREAT 1ST IMPRESSION

This video is for you. If you received a Target letter invitation to speak to a Grand Jury, you need Legal Representation. For a federal crime, it is best to have an attorney who practices federal criminal defense, having had cases similar to yours, and practices in federal court. After that, hopefully, you will have time for follow-up questions to see if he/she is the best fit for you.

Facing the Criminal Justice System is not easy. Are You Pre-Prepared?

 

Your attorney has taken you this far, The Rest Is Up to You.
Your Sentencing Hearing and Presentence Interview Is Coming, and Will Change Your Life.
Today, Are You Prepared to Speak to Your Judge?

Your Judge Sees a Lot of Defendants – How Do You Stand Out?

The Judge Knows that the Prosecutor wants to convict you, and your Attorney wants a lesser sentence for you.

  1. Help the Judge Understand Who You Are – And Why You Deserve Leniency
  2. What Changed in Your Life That Caused You to Break the Law

Your Judge Already Knows 
The DOJ wants you in Jail.
The Prosecutor wants to convict you.
Your Attorney is paid to keep you out of prison.
Judges Also Know That Crimes Aren’t Committed In A Vacuum.
This is Your Opportunity to Help Your Judge Understand Who You Are

Write Your Story, your Narrative that tells how you came to this point in your life, to the Judge.  This is an arduous, reflective experience for you to go through, forcing a face-to-face with your innermost thoughts, and may require you to enlist an outside mitigation expert to work with you, but you have to participate in doing the work. 

Federal Judge Mark Bennett highlights the significance of incorporating your personal account or Narrative into your Presentence Report. This will enable the court to understand your background and the factors that led you to commit the offense. Taking responsibility for your actions, expressing regret for the harm you caused, and speaking humbly from the heart are all imperative during your court appearance. Listen to my video, and help your judge understand who you are while challenging the DOJ INDICTMENT with your Personal NARRATIVE  included in your Presentence Report.

Taking weeks to months to complete, this can result in a distilled version of you that is honest and true, a version where you have Remorse, Accepted Responsibility, and Identified with the Victims of the Crime You Perpetrated.

  • The resulting Narrative or Story of you is quite the opposite of the one that the DOJ previously presented through their Indictment. As you now stand at your sentencing hearing waiting on the judge, you may also have an unexpectedly cathartic experience as a result of revealing all of your life through your writing.

Now, Are You Prepared to Speak to Your Judge?


CLIENT PREPARATION: THE WORK YOU DO – IS ADVOCATING FOR YOURSELF

The Personal NarrativeReentry-Release Plan, and answers to the SPARC-13 Assessment Questions (as you are expected to answer these questions when you first arrive, you might as well become familiar with them early), are written as one document and weaved into the Presentence Report when provided to your Probation Officer, a few weeks before your Presentence Interview.

Here the defendant has accepted responsibility, expressed remorse for the victim(s) pain, suffering, and how it has impacted them, and agrees with the court about the seriousness of the crime without minimizing it.

  • The caveat is that the defendant must put time and effort into writing their Narrative, Allocution, and Reentry Plan because their future depends on it being honest, pure, and from the heart.

PERSONAL NARRATIVE. Writing your story through Your Narrative tells the Judge how you came to this point in your life. This is an arduous, self-reflective experience for you to go through, forcing a face-to-face with your innermost thoughts. This is your autobiography (of you and those around you), the good, the bad, and the ugly. It may require you to enlist someone with federal sentencing mitigation experience to guide you in drafting your narrative, but this is the story of your client’s life and requires their participation. Listen to this video regarding your Narrative.

  • 18 U.S.C. § 3553
  • Judges
    • Look for WHY and HOW the incident happened –
    • Did they have PTSD
    • People don’t commit crimes in a vacuumtherefore
      • It’s important for the Judge to Know ABOUT the Person
      • Before they pass judgment
    • NATURE and CIRCUMSTANCE You want to include,
        1. What led you to do this, 
        2. How did you get involved, and 
        3. What was your involvement? [check that your involvement reflects what is in the official Presentence Report].
    • HISTORY and CHARACTERISTICS Here, you want to include,
        1. Your remorse, 
        2. How you ruined your victim’s lives, 
        3. Show what you’re doing to change and improve yourself regarding rehabilitation (NA, AA, GA, Therapy, etc.) and paying restitution – if you can, 
        4. Where there was a positive or negative family life – explain this, 
        5. Traumatic event – review with details, 
        6. Good things you’ve done, explain with examples, 
        7. Show Judge your Future Plans to not come back and 
        8. Cooperation = Substantial Information that does not implicate another.
    • Include if Applicable,
        1. FAMILIAL HISTORY: Married – Children – parents’ responsibilities and sole caregiver
        2. DEFENDANT’S PHYSICAL CONDITION: Medically documented bad Back-Hip-Knees-Shoulder could provide you with a Bottom Bunk. Diabetic, Vascular Disease, Raynaud’s could allow the Medicare soft shoe or sneakers.
        3. MEDICAL/PHYSICAL HEALTH, MENTAL AND EMOTIONAL HEALTH: Include ALL medical records, Labs, Surgery Reports, X-ray – CT-MRI-Ultrasound-Pet Scans (in Written and CD Format), Prescriptions for medications (Check Generic Medication Availability), and medical devices, along will ALL physician contact information.
        4. SUBSTANCE ABUSE: Alcohol, Drug (Legal or Illegal), within the previous 12 months before the arrest. RDAP allows up to 1 year off the sentence. They may do a Urine test.
        5. EDUCATION AND VOCATIONAL SKILLS: Copied of the highest level. Otherwise, a GED will be required in prison. If you have experience in/with computers, administrators frown on these skills, so you may want to consider not using them.
        6. MILITARY: Copies, branch, discharge?
        7. EMPLOYMENT: The PO will check. Judges love an excellent work record/history.
        8. STATEMENT FINANCIAL RECORDS: If there are financial fines/restitution, Congress and The BOP now require a Financial Responsibility Plan to benefit from all Earned Time Credits and access to Programming. Therefore, if the events allow, counsel could ask that the court write into the record that payments should only start after release from the BOP.

RELEASE PLAN. Include that you realize you need to learn from the FSA Risk Reduction Programs and implement their lessons into your daily life. Then expand on an appropriate theme, “Since my indictment, arrest, criminal charge, plea hearing, trial or guilty plea, presentence investigation, and sentencing process, I had the time to think about all that I have done. I made BAD decisions, except it shouldn’t be about ME – It’s about MY Victims and What I did. This is most important, as I must Prove my Remorse and my Efforts to Change and Accept Responsibility for The Pain I caused to my victims, the community, my family, and myself. To the court, I do not want to be here again – I have learned a hard and humbling lesson.

If you are currently taking FSA Programs for AA, NA, Gambling, or a Sex Therapy Program, where applicable when released, you want to continue the Therapy and Rehab for AA, NA, Gambling, or Sex therapy rehab. sessions. State this in your Reentry Plan.

You also should refer to (or have) copies of your Social Security Card, Driver’s License (if expired, it needs to be updated with a new test likely), and Birth Certificate. You are also grateful to be moving into a home with a support structure where they will keep you accountable. While you have been self-employed in your career, you have a letter from a friend willing to hire you, “all I have to do is let them know that you are released, as they are expecting my call”. “As you see, the letter was also a character letter that I initially provided.”

At the same time, you can also plan to be self-employed again if your role was not part of your criminal charge. Then everything that goes into a traditional business plan, including what you would present to a bank, should be professionally (not handwritten, not expensive), put together, as your Probation Officer will want to see this during or before your Supervised Release.


ALLOCUTION. You may begin by writing (in your own words) something like this…, “I am embarrassed and since my indictment, I’ve had the time to think about how I have damaged so many (victims) and I am 100% responsible. I was raised to do the right thing, and I brought this on myself facing my demons is humbling and I owe it to the victims, community, and my family to make things right. 

I have looked into the FSA programs that may help like Threshold Program, a non-residential faith-based, and I’ve already started AA.  I understand that it is about my victims, and for me to somehow make it right – even with my medical license being debarred, this is something that I must do.

 

  1. “No punishment will be enough. If I could go back and change everything, I would.”
  2. I am persuaded that the defendant is sincere and demonstrates insight into the crime.
  3. Allocution is very important, “I’d like to have a conversation with the defendant” …
  4. I want him/her to apologize to the victim and their family, mainly if they are in the courtroom.
  5. “Allocution, however, changes this when I see the defendant has insight into the harm they have done,” when I see they have insight into this.”
  6. “I am looking for remorse and insight as to why he did what he did and what he is doing to ensure that it doesn’t happen again.

As you stand at your sentencing hearing, nervous, anticipating the conversation with your Judge (your Allocution), you may also realize that writing your narrative has been an ‘unexpectedly cathartic experience’. Speaking from the heart could influence the court, and ‘may’ impact your sentence…


CHARACTER REFERENCE LETTER. These are letters to one’s character, they are aware that you have broken the law, and they have known you for a long time. Should an employer be willing to write a letter that states they are still willing to rehire you after release from prison due to your ‘character and skills’ – that is a Great letter and should be included.

EXAMPLE. The ‘writer’ states that they know that you are in trouble and facing federal charges and that you feel terrible about what you did. They have known you for 40+ years, “We went to college together, and this is so out of character,” and you are so remorseful.

I know that he/she won’t be back to this court because we will be looking out for them in the future, and we will hold them accountable.


Now… Do You Feel More Prepared to Speak with Your Judge?


My 30+ years in practice, and experience in the BOP, have provided me with the answers to almost all of your questions and concerns about how to craft your Sentence Mitigation Strategy.

For Free,

  • On my website, YouTube channel, Podcast, and various other social media venues you may find the tools you need to do this on your own.
  • Whether using these free services, or engaging me, or someone else, please get experienced assistance.
    • This will impact your future through your Presentence Report and will influence the actions of your Judge (Your 1st  STAKEHOLDER), and
    • Other STAKEHOLDERS as you move through the prison on your pathway home.

Once you are incarcerated, expect that life in The Federal BOP will come with,

  • Promises are made and broken, timelines are not kept, and sometimes rules are broken.
  • Having been in prison, despair, discomfort, frustration, and the like will become all too frequent and familiar, but this is all Temporary.
  • Therefore the only person who can control your reactions to all of this, and this person is you, so work at keeping positive and humble, focusing your efforts on the goal of getting home.

Remember that no consultant or attorney, can promise any special relationship with any judge, or any outcome if it sounds too easy or too good to be true, then Next. This takes hard work, and Self-Advocacy on your part.

Let’s take the next step together and answer your questions. Marc 


OUR SERVICE

I) PREPARATION

    1. The first Expert You Need is a Federal Criminal Defense Attorney who practices in Federal Court. Next, they should be experienced in working cases similar to yours, and most importantly, You Should Feel Comfortable with them accepting advice from you, as you hold each other accountable.
    2. Personal Narrative. Your only opportunity to speak directly to the Judge and share your personal history, accept responsibility, and remorse, and explain why you will not revisit this courtroom again. This can be in written, video, or both formats.
    3. Allocution. This is the Judges 1st and only time to meet and speak with you – he really does not want to see you back in this courtroom on a criminal matter, again. 
    4. Release/Reentry Planning 
    5. Preparation for Early Release
    6. Pre-Surrender Reminder List 
    7. Self-Surrender List (What You Can Bring) 
    8. Financial Responsibility Program (FRP). Guidance as to what makes a great Character Letter Recommendation – From People That Have Known You.
    9. Character Reference letters
    10. Preparation for The Sentencing Hearing
    11. Preparation for Your Presentence Interview
    12. Preparing for your 1st Day In Prison
    13. Sentence Mitigation Video (Helpful, this can be professionally done with us, or with a smartphone)
    14. Instructions on the Administrative Remedy Process, as the BOP encourages its use, and attorneys will not be inside with you.
    15. BOP Visitor Form
    16. BOP TRULINCS Email
    17. Sample BOP Commissary List
    18. BOP MEDICAL INTAKE SCREENING UPON ARRIVAL
    19. Sample BOP INMATE ADMISSION & ORIENTATION HANDBOOK

How To Avoid A Medical CoPayment.

II) SCORING 

  1. Public Safety Factors vs Management Variables (Approximate),
  2. Criminal History vs Offense Level (Approximate)

Your Probation Officer will be scoring you, it makes sense that you be prepared, as this could impact your sentence and placement.

III) PREPARATION For Your Presentence Interview and optimal BOP Placement Facility with supporting BOP Programs

The Presentence Interview is done by the Courts Representative, The Probation Officer (PO), who will try to learn as much about your as they can – in a short period of time. After they have spoken with The Prosecutor and Googled You, they will have learned all of the Negative Information available online, provided by the DOJ. Then they will concentrate on conducting their Presentence Interview of you, followed by their Investigation.

After they have assembled your biographical background information, they will write your official Presentence Report, and passed to the Judge, along with recommendations regarding your sentencing and placement.

  1. First, your legal team is currently prepping for the date of your Presentence Interview.
    • They work to establish 1st contact with your Probation Officer (PO) before they learn more about you, so they are not biased against you – before you ever meet,
    • They will quickly learn 1) what the Officer knows, 2) provides the opportunity to explain their client’s defense strategy, 3) you now have a timeline regarding The Interview Date, along with the Documents you need, and 4) The Dictation Date Deadline – which is when their final Presentence Report of you is due to their supervisor.
  2. You begin to assemble your Biographical Information
    • Highest education level achieved
    • Identification documentation
    • Character Letters
    • Past and First Work Character Letters
    • Military Service, what branch, type of discharge, and highest rank.
    • Past Medical (and Mental Healthcare) Care History
      • Comprehensive Medical and Mental Healthcare Profile Development 
        • Mental Healthcare needs directly matched to FSA Specific Programs
        • Your Medication list checked for availability according to the BOP 3 Tier Formulary
  3.  Pregnancy:
  4. RDAP Eligible, if yes – include it, there are minimal negative repercussions.
  5. 18 U.S. Code § 3553 – The imposition of a Sentence, addressing other factors could be considered.
  6. COVID Modified Operational Levels (BOP.gov): for those concerned who are self-surrendering 2022/2023
  7. Also, answering the question regarding, who listens to the ‘AM’ Radio Station: W.I.I.F.M., all the time?
  8. I provide you and your legal team with; 1) a personalized, court-ready BOP Placement Packet, and 2) supporting reasons for the request, with the appropriate documentation; Medical Care, First Step Act Programming, or other pertinent issues. (Example – Alderson)
  9. A Surrender list of what to bring, and a Pre-Surrender Checklist of what to prepare for you and your family

IV) Our Presentence Investigation Report

We can also provide an “alternative presentence investigation report” for the defense so that it can be submitted to the court for consideration. This may also include the expense of additional experts.

V) When To Make Your BOP PLacement Request To The Court 

  • JUST BEFORE SENTENCING, or
  • WITH THE SENTENCING MEMORANDUM, or
  • IF THE TIMING WAS RIGHT – AT YOUR PRESENTENCE INTERVIEW
  • AT SENTENCING

Learn CPR – Save Lives – Hands-Only (30 sec)

It could be yours, a friend, a stranger, or a relative.


 

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 Attorneys, you need legal representation.


There is no implied or otherwise guaranteed final prison placement, medical and medication availability, or program enrollment.

SELF-SURRENDERING? DO YOU KNOW WHAT TO BRING, WHERE YOU SHOULD GO?

In this YouTube, I cover what you can bring when you self-surrender. The optimal time is before noon and then before 4 P.M. In the weeks before, there is additional planning, which I cover below.

1) WHAT HAPPENS WHEN YOU SURRENDER?
  • Learn what prison you have been designated to.
  • If it’s a Satellite Camp – You Surrender to the Higher Facility or Prison.
  • While the Higher Secure Prison may house Violent Persons, you will not (Should Not) be interacting with them.
  • You will Interact with the staff, and as they deal with Violent persons (or higher security persons), their attitude toward you may reflect the same harshness.
  • …in other words, it won’t be a warm welcome or warm first impression.
  • Bring actual or copies of your Driver’s License, Social Security Card, Medical File, prescriptions for your Medications, and Medical Device, if applicable.
  • If you owe and Paid your Restitution, bring Proof and contact your attorney ASAP to get that to you. Next, once paid, you can keep any amount of money in your Trust or Commissary account.
  • Sending Money: Western Union $3 – $500, MoneyGram is $300 Max, BOP Lockbox is any amount.
  • Wedding Band, Religious Neckless; Max value of $100 is permitted.
  • Release Plan, Phone Contact list (No Color, Not Double Sided): Bring it saying that you read online that this was important, and I wanted to give it to my Case Manager. You can also mail it to yourself that day [no more than three pages per envelope]).
  • The soonest early release is after you’ve served 25% of your time.
  • Letters to your PO in the District of your Permanent Legal Residence.
  • The 1st Case Manager meeting is within 30 Days.

2) ENSURE A SMOOTHER PROCESS WHEN YOU SURRENDER 

    1. Verify with all parties that the receiving facility has received all the required judge’s orders for your arrival before you get there18 U.S.C. § 3621(c).
      • If you arrive before your commitment orders (no matter how rare that may be), you may find yourself being placed in an Isolation Cell, and now that they have you, they’re not likely to let you go.
      • If we have prepared you, you will have books arriving soon, which should take the edge off should they keep you in Isolation longer than several days.
    2. If you’re ultimately designated to a ‘satellite’ camp, know that you must present yourself to the adjacent, ‘higher’ secure facility – not the satellite camp. If you’re going to a Free Standing Federal Prison Camp (FPC), No Worries, and you will not be facing most of these challenges.
      • Also, know that at the higher secure facility, you will likely see prisoners in handcuffs and shackles, guards with long guns, guard towers, etc., so just an FYI.
      • Being prepared is essential – as this is not the time for surprises. This is because every client will deal with the emotional aspects of “prison,” each in their own way, especially if it’s their first time.
    3. Once inside you will be screened and given a change of clothes. The clothes they came with and peripherals will then be boxed and mailed to your ‘legal residence’. You’ll also have to strip, squat, and cough.
    4. The copies (or originals) of your birth certificate, passport, driver’s license, and social security card will all be kept and returned to you at the time of your release.
    5. What Not to do while you’re there,
      • No Alcohol, Drugs, Gambling, or Sex with Inmates or Staff.
      • When you’re first there, keep a low profile until you understand prison better; look for someone like you.
      • No chit-chat, casual talking to guards.
      • Don’t be an informant.
      • Don’t use anyone’s Cell Phone.
      • It’s normal to be apprehensive at first.
      • Emails and USPS letters are read, and calls are monitored (Never do a 3-WayCall)
      • Don’t use someone else’s medications.
      • The TV Room is under others’ control – don’t change the channel if others are watching TV.
      • Don’t miss counts, find out where the Call-Out Sheet is, and look at it daily for your name.
      • Be Respectful to other inmates, their personal space, and staff.
    6. Be aware that banks and different investment, mortgage, and other loan companies may elect to close your accounts due to your charge(s).
      • Be sure to have someone you trust notarized as your Power of Attorney. They could also be your Emergency Contact person with the prison and for your visits.
      • Start looking at smaller local banks, possibly in different states, and look to open different accounts.
      • To not get financial penalties as some of your investments are being forced to close, here too, look for other places to move your funds to avoid those penalties.
    7. Case Managers will be looking for Personal Growth and Development in addition to your taking the First Step Act (FSA) Programs. To keep a record your yourself, like insurance – where you don’t need it, until You Do.
    8. Reading Books (Non-Fiction) for Personal Growth,
      • Amazon sells cheap paperback journals with lined pages, but they will also need writing inside – because the BOP may not let in blank pages. These can be inspirational quotes, religious, or anything, but something is necessary.
      • Constructive Learning. Whatever you are interested in, Art, History, Famous people, Banking, Real estate, or if you like to paint or draw, then do that.
      • Now The Journal. Every day, start a routine for yourself once you get inside. Every day, write what you’ve done,
        • 1) you’ve taken an FSA Class [note the day, time, class name and find something that you learned],
        • 2)  note every conversation that you had with a correction officer (BOP Staff), just in case…
        • 3) once you start reading BOOKS (Non-Fiction), again [note the day, time, book, and find something that you learned and may want to implement later].
        • 4) As you document your journey, this is also Building your Release Plan
        • 5) You’ve been educated to the max as a Ph.D., Doctor, Lawyer, Scientist, etc., so consider teaching a class to inspire those around you.
    9. Reputation Management. Create a website for yourself before you surrender, and then email home everything you’re doing to rebuild your life. So far, all that is there is your INDICTMENT, and Reputation Management Companies don’t hold in the long run. I’ve paid for it, and it hasn’t held.
    10. Once you enter the BOP, this is another Planet. Frustration and Disappointment are to be expected and will test you to your core.
      • Please don’t vent your frustrations to your unit team and case managers; you will only worsen things for yourself. For you, this period is Temporary, but for the BOP Staff, this is their job; they are here every day and have heard every complaint. Please stay under their radar and don’t get the reputation of a complainer.
    11. When you first arrive, as soon as you can get to a computer, take your first SPARC 13 Assessment Questions, because without it, you may still be offered Programs to take, you just will not get any credit.
3) WHAT YOU CAN BRING: (P5580.08)
    1. Wedding band, Bible, under $100.
    2. Bring verification if you have had all your Flu and COVID vaccines and boosters.
    3. Prescriptions for Medical Devices and Medications (2-3 weeks recommended; at worst, they are thrown out); at best, they are available for your use. When surrendering on weekends or holidays, the BOP may allow these to be used if not available from their on-site pharmacy, medical devices, and glasses (that are not made with metal).
    4. ID: birth certificate, passport, driver’s license, and social security card. Copies or originals: It depends on how long your sentence is, and whether you will remember where and who holds your document originals.
    5. Cash may or may not be allowed, but you can try: $320 ($370 in November and December). Otherwise, use either Money Gram or Western Union, as the funds will be deposited within hours.
    6. Legal papers (not your PSR) can include your Medical File and personal contact list. List of personal names (including phone numbers and addresses). Type on the back of a page from your court case, and put it in an envelope labeled ‘Legal’ to take with you when you self-surrender.
    7. Schedule your list of books you’d like to read to start being sent (2 at a time) 2 days before your arrival, lasting most of your pre-calculated stay.
    8. Don’t arrive at lunchtime.
    9. Do present to the higher security facility if you are expecting a satellite camp.
    10. Speeding is sometimes understood at three mph over the limit when driving to surrender.
    11. Arrive early.

4) THINGS TO UNDERSTAND AND PREPARE FOR BEFORE YOUR SURRENDER – POSSIBLY LEADING TOWARD EARLY RELEASE

I. Compassionate Release – What is this?

II. RDAP: What is this, and do I Qualify?

III. Your Reentry/Release Plan – Is this Important? What is this?

IV. FSA—How does it work? What is this? In this video, I review how to implement The First Step Act (FSA) successfully.

 

V. Case Managers, what power do they have on me, and who are they – what do they do?



WHY A RELEASE PLAN?

THIS IS ALL ABOUT PREPARATION; YOU WILL BE GOING HOME ONE DAY
SUCCESS IS A MENTAL PROACTIVE DECISION – THAT DOESN’T HAPPEN OVERNIGHT

I’m here to help you Navagate Through What You Going To Encounter – Because I’ve Been Where You Are Now, And Understand Your Fears


VI. Who should you tell the prison to call in case of an Emergency?

VII. What are the BOP policies for phone calls, email, and personal Contacts, and how do you get money for the commissary?

VIII. Do you have a business that will be running while you are in prison? What can and can’t you do?

IX. Understand Your Medical Needs Is your healthcare available? This is a big deal. Yes, you can get Surgical 2nd Opinions –  and there may be a 1-3 year wait to get an appointment. After the medical 2nd opinion consult reaches your medical team, The BOP Is Under No Obligation To Follow It.

X. Financial Considerations

    • Banks, Power of Attorney, and what they have in common. 
    • You have a court-ordered Financial Penalty, so understand its impact on your life in prison and release date.

XI. Did you know that your Judge wants to learn about you because Crimes Do Not Occur in a Vacuum;

    • Narrative,
    • Allocution,
    • Reentry/Release Plan
    • Letters That Attest To Your Character
    • Are you Prepared?

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.

2023 GAO, High Risk Update: Management of the Federal Prison System

The U.S. Government Accountability Office (GAO) is an independent, nonpartisan agency that works for Congress.

Taken directly from  www.gao.gov

Transcript for: High Risk Update 2023:

Management of the Federal Prison System Description:

As part of GAO’s 2023 update to our High-Risk List, we added the Bureau of Prisons for staffing issues that can affect inmate and staff safety, and the need to better monitor rehabilitation programs that help inmates return to the community.

Related GAO work: GAO-23-106203, High-Risk Series: Efforts Made to Achieve Progress Need to Be Maintained and Expanded to Fully Address All Areas Released: April 2023 [Gretta Goodwin:] Nearly 45% of federal prisoners who complete their time in prison are re-arrested or returned to federal prison within 3 years of their release. The Bureau of Prisons, or BOP, is charged with providing safe and secure confinement for inmates and with reducing recidivism by helping people successfully return to the community.

While BOP received $8.5 billion in the current fiscal year to do this, it continues to face challenges in its efforts to manage the federal prison system. We have reported longstanding and increasing concerns with the federal prison system across three areas. For 2023, we added Management of the Federal Prison System to our High-Risk List to help BOP focus its attention on the root causes of these matters, as well as the more than 20 recommendations we’ve made in these areas.

First, BOP has had challenges managing its staff and resources. For example, there have been six different individuals serving as BOP directors in the past 6 years. BOP also has increasingly used overtime to address staff vacancies. But that’s not a solution because officer fatigue presents a serious threat to prison safety.

Second, BOP’s plans to manage some of its inmate rehabilitation programs are limited. These programs require better planning and ongoing review for BOP to be successful in reducing some incarcerated individual sentences through credit-earning programs and in lowering the rates of recidivism.

Third, BOP needs to improve how it monitors and evaluates all of its programs. Some efforts that haven’t yet been evaluated include BOP’s management of disaster risk at its facilities, efforts to help incarcerated individuals secure ID documents before they leave prison, and the delivery of programs that may lower the risk of recidivism.

In March 2023, we recommended that BOP monitor whether it’s offering enough recidivism reduction programs. GAO and BOP leadership recently met on these issues, and the new Director of the Bureau of Prisons expressed her commitment to bringing sustained attention to resolving this high-risk area. In addition to sustaining leadership commitment, BOP needs to address the other four criteria for which GAO assesses high-risk areas–capacity, an action plan, monitoring efforts, and demonstrated progress. Attention to these and other issues we’ve identified could ultimately improve prison safety, reduce recidivism, and save taxpayers money.

Second Chance Reauthorization Act

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

  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).
  1. 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.”
  1. 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).

(1)the resources of the facility contemplated;
(2)the nature and circumstances of the offense;
(3)the history and characteristics of the prisoner;
(4)any statement by the court that imposed the sentence—
(A)concerning the purposes for which the sentence to imprisonment was determined to be warranted; or
(B)recommending a type of penal or correctional facility as appropriate; and
(5)any pertinent policy statement issued by the Sentencing Commission pursuant to section 994(a)(2) of title 28.

    • In designating the place of imprisonment or making transfers under this subsection, there shall be no favoritism given to prisoners of high social or economic status.
    • The Bureau may at any time, having regard for the same matters, direct the transfer of a prisoner from one penal or correctional facility to another.
    • The Bureau shall make available appropriate substance abuse treatment for each prisoner the Bureau determines has a treatable condition of substance addiction or abuse.
    • Any order, recommendation, or request by a sentencing court that a convicted person serve a term of imprisonment in a community corrections facility shall have no binding effect on the authority of the Bureau under this section to determine or change the place of imprisonment of that person.
      • Notwithstanding any other provision of law, a designation of a place of imprisonment under this subsection is not reviewable by any court.
  1. 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
    • 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.

THE PRESENTENCE INTERVIEW; Determines Placement and How Fast You’re Released

Is your referral to the Judge and then into the BOP

  • The Probation Officer, as he/she drafts The Presentence Report based on what they learn from you and their investigation.
  • The Judge, as we all know, he/she uses at sentencing,
  • The BOP uses THE PRESENTENCE REPORT as a Referral for placement, based on your clients:
  • 18 U.S. Code §3553, Provides options: critical in mitigating your client’s sentence and requires time to be developed by the defense.
    DrMB@PPRSUS.com

THE ADMINISTRATIVE REMEDY – BP 8, 9 10, 11, and USC § 2241

The Prison Litigation Reform Act (PLRA) Allows For US District Judges To Provide Relief 

 

But Only After The Administrative Remedy Process Is Complete

Lawyers Are Not In Prison With  You – You ARE Your Best Advocate


Supplies you will need;

  1. If you have access to a copy machine (possibly in the library) then learn how to use it. You may need a pen, a tablet with paper, envelopes, and likely stamps.
  2. Calendar – is critical.

EXAMPLE:

The Administrative Remedy Process – Only 1 Complaint at a Time

 

1st) The Informal Complaint Is Called Your Cop-Out or BP-8 – Which Is Your Informal Complaint, or Resolution

You’re expected to try and resolve the matter through this simple conversation or BP-8.

  • As each facility has its own rules, to start the process, speak with your counselor 1st to learn how their process works.
  • When the counselor responds, remember what they tell you – with attention to detail writing your notes later, noting the conversation’s date, content, and time. Once the counselor explains the process, follow the process exactly.

When writing out your Informal Complaint, “Cop-Out or BP-8,” follow this process;

Write the date that the incident“Happened”, not the date that you’re filling out the form – unless it’s the same date. 

    1. Write an informal complaint, preferably on the day of the incident, or the next.
    2. Because the Formal complaint (BP-9) comes next and must be written within 20 days of the incident, begin to track these dates on your calendar.

Deadlines are critical, as the BOP-Staff may be Late, you are not given that same grace period, and if you are late, the staff may reject the complaint because the time to complain has expired.

1. Write down the day the incident happened.
2. Write down the day that you made the informal complaint (which has to be within 20 days of the incident – or Sooner)
3. Although a person in prison must adhere to the deadline of 20 days, staff members are not required to respond, nor do they have to respond. Nevertheless, you must show that you attempted to resolve the matter with an informal complaint.

Only after you’ve lodged The Informal Complaint (BP-8 or Cop-Out), can you next launch a formal complaint.

  • If the informal complaint is submitted to the counselor on day 1, and if the counselor does not reply within one day, that next day I would ask the counselor for the BP-9 form to launch the formal complaint.

Remember the rules: they provide 20 days from the time of the incident – for you to start the administrative remedy process with a BP-9.

 

Launching the “informal complaint”  (BP-8 or Cop-Out) allows you to, 1) Populate the Record, and 2) shows that you’ve given staff members an opportunity to Resolve The Complaint Informally. 

The Formal Process Starts with the BP-9

The record becomes crucial to the administrative remedy process, so keep copies of everything you’ve done.

An Example of a BP-8 or Cop-Out – regarding ETC Calculation Discrepancy

“I’m filing this (on insert date) because my release date does not reflect what I believe to be my Earned Time Credits. I feel by my calculations that I have met all the criteria of the First Step Act, as I have participated in (xx #) Productive Activities over the past (xx#) months. I request that the BOP update my sentence computation sheet to include my Earned Time Credits, thank you.” 

Make a copy for your records.

CASE MANAGERS HAVE 24 HRS TO RESPOND – IF THEY RESPOND, OR IF THEY PROVIDE A COMPUTATION SHEET THAT DOESN’T MATCH YOURS, POLITELY ASK WHY, OTHERWISE – NEXT:


2nd. AFTER 24 HOURS, WITH NO RESPONSE OR AN UNSATISFACTORY RESPONSE FROM YOUR BP-8

You now can request your BP-9 (Your Administrative Remedy Request to the Warden)

 

Again, the rules require you to receive the BP-9 from your counselor, who then enters your name and the date you requested the Form BP-9 into their BP-9 logbook. This logbook is now part of the record. This should be the 2nd or 3rd day from when the incident happened.

Instructions to complete a BP-9:

  1. This form has a limited amount of space, so if you need additional space, you may write “See attachment,” where you can attach just one page to the form.
  2. On that page provide a complete explanation, using as many details as possible to strengthen your position.
    Only list One Complaint per Administrative Remedy. 

    1. If you have different complaints, each requires different and separate Administrative Remedy Requests.

Be very organized as you begin to write your complaint, including;

  1. Start with the date and time of your informal complaint (BP-8) –different from when the incident occurred.
    • If you did not receive a response to your informal complaint
      • Write that the staff member did not respond to your informal complaint, and to comply with deadlines, you filed the (BP-9) formal administrative remedy request.
    • If you received an unfavorable response,
      • Write that you disagree with the decision on the informal complaint.
      • This is why you’re filing a (BP-9) formal administrative remedy request.
  2. If you’ve missed the deadline to file the formal complaint within 20 days of the “Incident”, you must explain the reason why.
    • For example, if you’re locked in the SHU and your counselor did not provide you with a BP-9 form.
  3. Do your best to comply with the deadlines, because the BOP will do its best to deny your requests.

At the end of the form, indicate how you are submitting the form.

  1. If you’re submitting it to the counselor, include their name, date, and time.
  2. If you’re putting it into the unit mailbox, write the date and time you’re putting it into the mailbox.
  3. If you’re in the SHU and you want to submit to a staff member that works in the SHUwrite the date and time and the name of the staff person you’re passing the form to.

Make at 3-4 copies of the form and the supporting documentation.

  1. If no copy machine is available, then make sure you handwrite the 3-4 copies.
  2. You will need these copies for the next phases of the process when you appeal to The region, Central Office, and possibly, the District Court.

Your personal record should indicate,

  1. The date that you filed the BP-9,
  2. How you made copies (and the number of copies) of the BP-9, and
  3. The date that you anticipate receiving a response from staff members – mark your Calendar.
    1. To anticipate the approximate date that you expect a response,
      • Add three weeks, or
      • You Expect a Response to your BP-9 21 days to the day after it’s filed
      • Don’t Wait – the Warden doesn’t reply.
    2. Theoretically, the warden is supposed to respond to the BP-9 within 20 days after the date that the warden received the form.

Example of BP-9
“I’m filing this so that my Earned Time Credits can be applied to my sentence computation. I have attached the initial request I made to staff on (insert date) when I requested my updated sentence computation sheet that should have reflected my Earned Time Credits.

As I did not receive an updated sentence computation reflecting the Earned Time Credits that I have earned, per the First Step Act and BOP policy Number 5410.01, please provide an updated computation sheet describing why my sentence computation sheet does not reflect the time credits I believe I have earned in accordance with the First Step Act and BOP policy Number 5410.01.
(I am attaching a copy of my initial copout)


3rd. AFTER 20 DAYS WITH NO RESPONSE OR AN UNSATISFACTORY RESPONSE

You may request a BP-10, Administrative Remedy Request to the Regional Director

 

If the counselor is unavailable, 

  1. you should record that the counselor is unavailable and then
  2. write a letter, requesting that the Regional Director treat the letter as a BP-10, Regional Administrative Remedy Appeal.

Options once this form is sent:

  1. The warden replied but did not resolve the matter in your favor, or you believe the warden made an error, or
  2. You did not receive a response from the warden within the allowed time, as identified in the First Step Act and BOP policy Number 5410.01.
  3. Either #1 or #2, allows you to file the appeal with the regional director for the region where your prison is located.

THE PROCESS OF COMPLETING THIS FORM

I. The warden replied to your BP-9 but did not resolve the matter in your favor, or you believe the warden made an error, or

YOUR RESPONSE:

  • I disagree with the decision that the warden gave regarding my initial administrative remedy request.
    1. I am now exercising my right to appeal, in accordance with the BOP policy.
    2. Use the same description for your problem as you used in the BP-9.
    3. Should you have to write out the copy by hand, you must make at least two copies.
    4. Ensure that you do not introduce anything new into the BP-10 that you did not introduce in BP-9.
    5. The BOP will only consider what you submitted to the warden.
    6. I am filing this appeal within the allotted time frame.

II. You didn’t receive a response from your warden within 20 days, as the rule for administrative stipulates in Program Statement 1330.18, Section 542.18.

YOUR RESPONSE:

  1. I attached a copy of the administrative remedy request form that I filed on (insert date).
  2. I am now exercising my right to appeal, in accordance with the BOP policy.
  3. Use the same description for your problem as you used in the BP-9.
  4. Should you have to write out the copy by hand, you must make at least two copies.
  5. Ensure that you do not introduce anything new into the BP-10 that you did not introduce in BP-9.
  6. The BOP will only consider what you submitted to the warden.
  7. “I am filing this appeal within the allotted time frame”.

DEADLINES:

As described in the section above on BP-9, make sure that you’re conscious of deadlines.

The rules require a person to file the BP-10, 

  1. Within three weeks (21 Days) of the time the person receives a response to the BP-9 or
  2. The time of the extension was supplied by the warden or BOP staff.
  3. Be super cautious about maintaining these deadlines and keep an accurate record(s) of why you cannot.

COPIES:

Make sure to attach a copy of the original Form BP-9 that you sent earlier.

And also make at least two copies of the form BP-10, for the same reasons we discussed earlier

RESPONSE:

The policy provides that the Regional Director has 30 days to respond to the BP-10.

  • I would recommend that you keep a calendar to keep track of (time and days) their four weeks, but allow five weeks for mail slowdowns – keep an accurate record in the same way that we describe above:

The date you filed the BP-9; the Date you received, or expected response to your BP-9

The date you filed the BP-10; the Date you received or expect a response to your BP-10

Example BP-10
I appeal the warden’s response to my request for administrative remedy. On (insert date) I filed a notice requesting an accurate sentence computation sheet showing the Earned Time Credits I earned per the First Step Act and BOP policy Number 5410.01. I did not receive a favorable response and I appealed. The warden did not grant the relief requested. To comply with the Prison Litigation Reform Act, I appealed the BOP’s denial to apply Earned Time Credits to my sentence computation and request administrative remedy.
(I am attaching copies of my initial copout and BP-9)


Regional Director Addresses
Regional Director / Mid-Atlantic Regional Office
10010 Junction Drive, Suite 100-N
Annapolis Junction, Maryland 20701

Regional Director / North Central Regional Office
Gateway Complex Tower II, 8th Floor
400 State Avenue, Kansas City, KS 66101-2492

Regional Director / Northeast Regional Office
U.S. Custom House, 7th Floor
2nd and Chestnut Streets
Philadelphia, Pennsylvania 19106

Regional Director / South Central Regional Office
4211 Cedar Springs Road, Suite 300
Dallas, Texas 75219

Regional Director / Southeast Regional Office
3800 Camp Creek Parkway, S.W.
Building 2000
Atlanta, Georgia 30331-6226

Regional Director / Western Regional Office
7950 Dublin Boulevard, 3rd Floor
Dublin, California 94568

When the time is right, proceed to the final stage of the administrative remedy process, with an appeal to the General Counsel in the Central Office, on a form BP-11.


 

4th. AFTER 30 DAYS WITH NO RESPONSE OR AN UNSATISFACTORY RESPONSE

BP-11, Administrative Remedy Request to BOP General Counsel in Washington DC

  • If the counselor is unavailable, you should record that the counselor is unavailable and write a letter, requesting that the Central Office treat the letter as a BP-11, Central Office Administrative Remedy Appeal.

If the regional director responded to the BP-10, but you do not think the regional director made the correct decision, then take the next step of filing a BP-11.

  • When the staff member provides the response to the BP-10, request a form BP-11 to appeal.

File your BP-11 at the following address:
Bureau of Prisons
National Inmate Appeals Administrator,
Office of General Counsel
320 First Street, NW
Washington, DC 20534

Use the same instructions provided in the previous section, but begin by writing:

I disagree with the regional director’s decision regarding my administrative remedy appeal request that I filed on (insert date).

Consistent with BOP policy, I am filing this appeal.”

  1. You should write your description in the same way that you wrote in the BP-9 and the BP-10.
  2. Make sure that you create three copies of each page, even if you have to write it by hand.
  3. Write/document the manner you’re using to submit the appeal, indicating whether you,
    • Put it in a mailbox, including the date and time, or
    • Giving it to a staff memberincluding the date and time.

DEADLINE:

The rules: you must file the appeal to headquarters within 30 days of the date that the regional director responded.

 If there is a valid reason for being late,

  1. Be clear in explaining the reason for missing the deadline.
  2. It had better be a reason that is beyond a person’s ability to control, and
  3. not because of disorganization.

Attachments: attach a copy of the BP-9 and a copy of the BP-10.

  • Make at least two copies of the BP-11, even if you must write by hand. 

At the conclusion of this process, you want to have in your possession:

  • Two copies of the informal complaint (BP-8)
  • Two copies of the BP-9
  • Two copies of the BP-10
  • Two copies of the BP-11

You may need those copies to continue the process with a motion to the US District Court.

RECORDS:

Make sure that you memorialize all dates with accurate records.

  1. I filed my BP-11 on (insert date), which is within 30 days of the time I received the regional director’s response.
  2. I made two copies of my BP-11 and have two copies of the previous submissions.
  3. I expect to get a response to my BP-11 within 40 days, but I will wait for 45 days to account for mail delays.
  4. If the regional director did not respond to the BP-10 within the appropriate time, then follow the same instructions as above, but change the first line to read:
    • I have complied with all deadlines in my administrative remedy request, but
    • I did not receive a response from the regional director within 35 days. For that reason,
    • “I am filing this appeal”

Example BP-11
I appeal the Regional Director’s response to my request for administrative remedy. On (insert date) I filed a notice requesting an accurate sentence computation sheet showing the Earned Time Credits I earned per the First Step Act and BOP policy Number 5410.01. I did not receive a favorable response, and I appealed to the warden on (insert date). The warden did not grant the relief requested. To comply with the Prison Litigation Reform Act, on (insert date) I appealed to the Regional Director for administrative relief. The BOP continues to deny the application of my Earned Time Credits to my sentence computation, and I request an administrative remedy.

(I am attaching copies of my initial copout, BP-9, and BP-10)


 

5th. If the Central Office does not grant relief within 30 days,you have complied with the PLRA Process and exhausted all requests for Administrative Remedy. 

You’re Now Ready For U.S. District Court

The PRO SE HABEAS CORPUS GUIDEBOOK

The Actual § 2241 pdf. Form, For HABEAS CORPUS UNDER Title 28 U.S.C. § 2241

  1. This goes to the Federal District Court.
  2. You may now submit a: Pro Se Motion pursuant to Title 28 USC § 2241FORM § 2241
  3. They should have copies of all previous correspondence regarding your pursuit of administrative remedy.

This letter is ready to be written to the court, as below,

YOUR NAME (Petitioner)

V.

Warden (Respondent)

Beneath the heading insert the following heading, in bold or in all caps:

Regarding: Pro Se Motion – For Application of First Step Act (FSA) Earned Time Credits Toward Sentence Computation.

Then write it as a standard letter to the judge:

ATTACH LETTER TO FORM, DEAR JUDGE

Dear Judge ….:
I am not an attorney, and I am filing this pro se motion, moving this Honorable Court to order the Bureau of Prisons to apply First Step Act (FSA) Earned Time Credit to my federal prison sentence.

Background:

On (insert date), the President of the United States signed into law the “First Step Act” (FSA) 18 U.S.C. § 3632. The FSA grants eligible inmates the ability to earn time credits (ETC) for successfully participating in and completing approved Evidence-Based Recidivism Reduction (EBRR) programs or Productive Activities (PAs).

My conviction qualifies me to earn the FSA credits.

Since entering federal prison on (insert date) to serve a sentence of (insert the number of months), the record shows that I have avoided disciplinary infractions and participated in Evidence-Based Recidivism Reduction (EBRR) programs or Productive Activities (PAs) as directed by staff members.

On several occasions, I requested BOP staff members to apply the credits ETC toward my sentence computation. Despite numerous requests, the BOP has not updated my computation sheet to reflect the ETC I earned, in accordance with the First Step Act and BOP policy Number 5410.01.

Pursuant to Title 42 U.S.C. § 1997e(a), I have complied with the Prison Litigation Reform Act, requiring me to exhaust administrative remedies to resolve this grievance.

Petitioner contends that the BOP failed to adhere to the FSA in its imposition of his sentence in two distinct areas:
1. The BOP failed to apply 15 days of ETC for every 30 days of confinement, and
2. The BOP failed to correctly calculate the FSA and Productive Activity or EBRR credits toward the remainder of his sentence.

Petitioner contends that not applying the correctly calculated FSA Earned Time Credits violates the Congressional intent under Title 18 U.S.C. § 3632 and inflicts irrefutable harm, by sanctioning him to a longer prison term than allowed under Title 18 U.S.C. § 3553 and § 3632.

Petitioner contends that he made a good faith effort in attempting to resolve these concerns prior to filing in the District Court. The movant submitted the following administrative remedy forms:
1. Initial request on (insert date)
2. BP-9 Administrative remedy form (insert date)
3. BP-10 Regional Appeal for Administrative remedy form (insert date)
4. BP-11 Central Office Appeal for Administrative remedy form (insert date)

Section (4) Time Credits: Application of Time Credits Toward Pre-Release Custody holds that:

Time credits earned by prisoners who successfully participate in recidivism reduction programs or productive activities and who have been determined to be at minimum or low risk for recidivating pursuant to their last two reassessments shall be applied toward time in pre-release custody. The Director of the Bureau of Prisons shall transfer prisoners described in this subsection into prerelease custody (also known as Supervised Release).

Conclusion:

For the foregoing reasons, Petitioner moves this Honorable Court to GRANT immediate Habeas Corpus relief under 28 U.S.C. § 2241, forcing the Bureau of Prisons to apply all Earned Time Credit to the Sentence Computation and grant an immediate release.

I, Your Name, under penalty of perjury, hereby affirm that all statements given hereof are truthful to the best of my knowledge. I have mailed a certified copy of this motion to the Assistant United States Attorney’s Office for the (insert district), and I also sent a copy to the Clerk of the Court.

The petitioner requests the Clerk of the Court to return a stamped copy to the petitioner showing this motion has been filed with this Honorable Court and showing the appropriate case number for this pro se motion filed pursuant to 28 U.S.C. § 2241.

Respectfully submitted,

//signature//

YOUR NAME

(Insert address)

Note: To complete this pro se motion, I would have taken the additional steps:

Included copies of all my requests for administrative remedy (BP-8, 9 10, and 11).
Send a copy to the Assistant United States Attorney for the district.
Send a copy to the Clerk of the Court for the district of confinement (not the district that imposed the sentence).



ADMINISTRATIVE REMEDY PROCESS: FROM YOUR HALFWAY HOUSE (RRC) or HOME CONFINEMENT

  • BOTH ARE MANAGED BY: THE RESIDENTIAL RENTRY MANAGERS of each Halfway House, and their contact information should be posted there.
  • If you cannot get a BP-8 (Cop-Out), start the process by writing a letter to them there, preferably a registered return receipt, unless you can call them.

THE SENTENCING HEARING: YOUR CLIENT’S CHANCE TO ADVOCATE FOR THEMSELVES – WITH THEIR JUDGE

Today, Is Your Client Prepared to Speak with Their Judge? What is the ‘1’ Thing that Differentiates Them from Everyone Else Entering Their Judge’s Courtroom?

Your Sentencing Hearing is a pivotal moment that could profoundly impact your future. You need to recognize that the Judge has already assessed your Presentence Report, which was created by your Probation Officer, and carefully considered your case. Additionally, the Judge has received a recommendation regarding your sentence. It’s imperative to understand that this hearing does not have to be a mere formality but an opportunity to present yourself in the best possible light and potentially influence your outcome. Take it seriously, and prepare accordingly. I hope this video is helpful and gives you a starting point to work with.

Facing America’s Criminal Justice System for the first time is a life-altering, surreal, and frightening experience. The importance of preparation and working with your legal team before the presentence interview cannot be overstated.

Once this has all been completed, as an attorney, you’ve prepped your client right up to their sentencing hearing.

Then, after sentencing, there still are a lot of fears and unknowns as they face either their self-surrender date or are remanded at that time.


Attorneys know the law, but the nuances of navigating through Federal Prison aren’t part of a traditional legal defense. This requires a unique set of knowledge and skills that interest those assessing a person’s access to freedom.

STAKEHOLDERS are part of the system that controls everything that happens following the guilty verdict and until you’re released from the Federal Bureau of Prisons. They are responsible for keeping society safe by reducing criminogenic needs for those who will eventually be released. From the Judge to the BOP Case Manager and Unit Team, to the Probation Officer on Supervised Release, and then possibly back again to the Judge to get off Supervised Release early, at each stage, these STAKEHOLDERS make decisions that impact your client’s future.


Realize that even if you’re doing everything right from the start, the only person you can control is – you, and still, there will be disappointments. Therefore, being prepared at every stage, keeping your eyes open with a positive attitude, and continuing to add to your Reentry Plan are all ingredients needed for getting home to your loved ones. Remember: No Cell Phones, No Trouble, and No Infractions.


YOUR STAKEHOLDERS

In this video, I introduce you to your STAKEHOLDERS, who will be making decisions that determine and impact your immediate future. Some of these you will meet personally, while others, such as the BOP Staff located at the BOP Designation Center in Grand Prairie, TX, you will never meet. These two groups have in common that they will, for lack of a better term, profile you based either on (1) your INDICTMENT and Presentence Report or (2) Your Personal NARRATIVE, if it’s included with your Presentence Report and Indictment. Which do you suppose will portray you in the best light? I hope the video provides some clarity.

1  Your Judge, who already knows that;

  • Your Attorney is paid to keep you out of prison or, at best, spend the least time “in prison”.
  • The Probation Officer will conduct their interview, draft the Presentence Report, and recommend your sentence and placement to the court based on your interview. Currently, all they know about you is the Narrative provided by the DOJ through their Indictment of you – this, you can change.
  •  The Prosecutor wants another conviction in his/her file. Currently, all they know about you is also the Narrative provided by the DOJ.
  • The DOJ wants Jail time.
  • But your Judge knows nothing about you – and only Your NARRATIVE can begin to change this, starting with 1st) Helping the Judge Understand Who You Are – and why You Deserve Leniency – Selling your Luxury Cars, Homes, and other stuff if You Have Financial Penalties, 2nd) What Changed in Your Life – That Caused You to Break the Law? 3rd) Invest In Yourself You Can’t Change the Past, But You Can Change Your Future, start by writing your Story or Narrative.

2.     Your Attorney, until now, also knows nothing about your background, but their time is mostly spent on your legal defense.

3.     The Probation Officer will conduct your Presentence Interview and then write the official Presentence Report. But a week or so before your Presentence Interview, your attorney could provide your Probation Officer with your,

I. Copies of all of your Personal Identification and Biographical Background Information

II. NARRATIVE,

III. REENTRY/RELEASE Plan and answers to the,

IV. Answers To The FSA SPARC-13 Assessment – ‘Questions,’ with them all woven into one document. This does not replace your ‘Interview,’ but it will help save the Officer some work (Sample Probation Presentence Interview Intake Form) while giving them time to know you before you meet in person. You also demonstrate to them that you have done your preparation.

  • Why be prepared with answers to the Assessment Questions? When you arrive at your 1st meeting with your Case Manager, these Assessments must be done and completed for your FSA Programs and Earned Time Credits (ETC) to be offered and then counted – without you taking the Assessment Survey, the programs cannot be offered.
  • During the interview, they can now ask questions and get to know you more personally.
  • Some may appreciate your efforts and become advocates since they are overworked and have no time.

4.     The Prosecutor wants a conviction and only knows about you through the DOJ’s Narrative or your Indictment. Your Narrative may sway them, too.

5.     The BOP Designation Center in Texas places you into a BOP Prison without ever meeting you.

6. Your Probation Officer during Supervised Release. To date, all they know about you is the Narrative released by the DOJ through their Indictment. Your Narrative and Release Plan can change that and your life.


CLIENT PREPARATION: THE WORK YOU DO – IS ADVOCATING FOR YOURSELF

The Personal NarrativeReentry-Release Plan, and answers to the SPARC-13 Assessment Questions (as you are expected to answer these questions when you first arrive, you might as well become familiar with them early), are written as one document and weaved into the Presentence Report when provided to your Probation Officer, a few weeks before your Presentence Interview.

Here, the defendant has accepted responsibility, expressed remorse for the victim(s) pain, suffering, and how it has impacted them and agrees with the court about the seriousness of the crime without minimizing it.

  • The caveat is that the defendant must put time and effort into writing their Narrative, Allocution, and Reentry Plan because their future depends on it being honest, pure, and from the heart.

PERSONAL NARRATIVE. Writing your story through Your Narrative tells the Judge how you came to this point in your life. This is an arduous, self-reflective experience for you to go through, forcing a face-to-face with your innermost thoughts. This is your autobiography (of you and those around you), the good, the bad, and the ugly. It may require you to enlist someone with federal sentencing mitigation experience to guide you in drafting your narrative, but this is the story of your client’s life and requires their participation. This short 3-4 minute video provides another way to think about when writing your Narrative.

18 U.S.C. § 3553 – Imposition of a Sentence

  1. NATURE and CIRCUMSTANCE You want to include: 1) What led you to do this, 2) How did you get involved, and 3) What was your involvement? [check that your involvement reflects what is in the official Presentence Report].
  2. HISTORY and CHARACTERISTICS Here you want to include 1) Your remorse, 2) How you ruined your victim’s lives, 3) Show what you’re doing to change and improve yourself regarding rehabilitation (NA, AA, GA, Therapy, etc.) and paying restitution – if you can, 4) Where there was a positive or negative family life – explain this, 5) Traumatic event – review with details, 6) Good things you’ve done, explain with examples, 7) Show Judge your Future Plans not to come back, and 8) Cooperation = Substantial Information that does not implicate another 8a)Rule 35. Correcting or Reducing a Sentence, or 8b) Offenders who cooperate with the government in its efforts to prosecute others can receive credit for their “substantial assistance” in at least two ways.
  • Taking weeks to months to complete can result in a distilled version of yourself that is honest and pure, where you feel Remorse, Accept Responsibility, and Identify with the Victims of the Crime You Perpetrated.
  • Mention if you have already started taking these before your Indictment or Presentence Interview (if applicable AA, NA, Gambling, or Sex offense) therapy and forensic (per your attorney, for example, Dementia, there is only ‘1’ Prison Nationwide with a very limited number of beds), therapy sessions.
  • If the resulting Narrative or Your Story – is quite the opposite of the DOJ’s Indictment Narrative, where you sounded like ‘America’s Most Wanted’, you did a Great Job!

REENTRY/RELEASE PLAN EXAMPLE.  Include that you realize you need to learn from the FSA Risk Reduction Programs and implement their lessons into your daily life. Then expand on an appropriate theme, “Since my indictment, arrest, criminal charge, plea hearing, trial or guilty plea, presentence investigation, and sentencing process, I had the time to think about all that I have done. I made BAD decisions, except it shouldn’t be about ME – It’s about MY Victims and What I did. This is most important, as I must Prove my Remorse and my Efforts to Change and Accept Responsibility for The Pain I caused to my victims, the community, my family, and myself. To the court, I do not want to be here again – I have learned a hard and humbling lesson.

If you are currently taking FSA Programs for AA, NA, Gambling, or a Sex Therapy Program, where applicable when released, you want to continue the Therapy and Rehab for AA, NA, Gambling, or Sex therapy rehab. sessions. Write this.

You also have copies of your Social Security Card, Driver’s License (if expired, it needs to be updated with a new test likely), and Birth Certificate. You are grateful to be moving into a home with a support structure. While you have been self-employed forever, you have a letter from a friend willing to hire you, “all I have to do is let them know, as they are expecting my call from me.” “As you see, the letter was also a character letter that I initially provided.”


This YouTube covers Self-Advocacy or everything you can do before your Presentence Interview and then while incarcerated to help you expedite your way to freedom. While this sounds simple – It’s Not. You will be faced with many days of frustration and disappointment, and BOP staff who appear to be there just to give you a hard time. On the other hand, there will be those who care and will, over time, surprise you in good ways, yet unseen. While nothing can or is guaranteed, please use no cell phones, keep busy with constructive activities and non-fiction reading, and document everything that you you for your record. This video provides helpful content.

At the same time, you can also plan to be self-employed again if your role in that business was not part of your criminal charge. Then everything that goes into a traditional business plan, including what you would present to a bank, should be professionally (not handwritten, not expensive) put together, as your Probation Officer will want to see this during or before your Supervised Release.


ALLOCUTION. You may begin by writing (in your own words) something like this…, “I am embarrassed and humbled to be standing here – since my indictment had the time to think about all that I have done, I didn’t recognize how BAD my decisions were, but Now I realized it’s Not About Me. It is about MY VICTIMS, What I did, and What I must do – to make it right. Please listen to this Short but direct YouTube.

Several memorable Statements/Allocutions that positively impacted these Judges,

  1. “No punishment will be enough. If I could go back and change everything, I would.”
  2. I am persuaded that the defendant is sincere and demonstrates insight into the crime.
  3. Allocution is very important, “I’d like to have a conversation with the defendant.” 
  4. I want him/her to apologize to the victim and their family, mainly if they are in the courtroom.
  5. “Allocution, however, changes this when I see the defendant has insight into the harm they have done,” when I see they have insight into this.”
  6. “I am looking for remorse and insight as to why he did what he did and what he is doing to ensure that it doesn’t happen again.

As you stand at your sentencing hearing, nervous, anticipating the conversation with your Judge (your Allocution), you may also realize that writing your narrative has been an unexpectedly cathartic experience. Speaking from the heart could influence the court and ‘may’ impact your sentence…


CHARACTER REFERENCE LETTER. These are letters to one’s character; they know that you have broken the law and have known you for a long time. Should an employer be willing to write a letter that states they are still willing to rehire you after release from prison due to your ‘character and skills’ – that is a Great letter and should be included.

The ‘writer’ of a Character Letter states that they’ve known you for many years and are aware that you are in trouble and facing federal criminal charges and that you feel terrible about what you did.  “We went to college together, and this is so out of character,” and they know that you are so remorseful. Further, as someone who is close to you and part of your support system, they want to assure this court that the defendant won’t be back in front of this judge again because we will be looking out for them in the future and hold them accountable. The video is short but goes into the do’s and don’ts of what goes into a Character Letter. Also, a great Character letter may be a letter that includes that a person will be willing to rehire you after your release due to your character, knowledge, and skills. In this video, I lay out the “dos and don’ts” of what to include in Character Reference Letters.


NOW,are you Better Prepared to Speak to The Judge at Their Hearing Regarding…What is the ‘1’ Thing that Differentiates Them from Everyone Else entering their Judge’s Courtroom?


MORE THAN WHISPERS – Target #1: The FBI’s Coming

MORE THAN WHISPERS – You’re Target #1: The FBI’s Coming

If the Rumors and whispers that the FBI is poking around are true…

I’d take that seriously.

HELLO AND WELCOME. MY NAME IS MARC BLATSTEIN, AND I AM THE PHYSICIAN WHO FOUNDED THE PHYSICIAN PRESENTENCE REPORT SERVICE

You’re Now The Target of The FBI – What Are Your Options?

If you’re hearing FBI whispers,

Start interviewing attorneys, ask questions, get references, and ask to see several Sentencing Memorandums written for previous clients with similar legal challanges

Then, be honest with your attorney and yourself regarding your case. This is not a trick question, as it’s taken me time to see how I was at fault. Your attorney doesn’t want surprises because you are the only one who suffers.

 

PSI Preparation is crucial – You Are your best and only Advocate

Ask yourself long before your presentence interview:

•        Do you have confidence in your defense?

•        Do you need additional team partners who are specialized in, Sentencing Mitigation, Allocution, Personal Narrative and Reentry Release Planning and Advocacy

 

If Not,

·       There are No Redo’s ⇒ this is Your Future ⇒ Speak up now

 

PREPARATION and SELF-ADVOCACY are CORE VALUES

PREPARATION:

Attorney Interview, Working together – must be a Joint Project

  • Decision #1: Trial or Plea

PRACTICE Role Playing: Your Allocution and Your Attorney’s Statement for the Sentencing Hearing

The Memorandum will be given by your Attorney

  • Your Presentence Interview (PSI)

Your Narrative is weaved into your conversation with your PO for placement into your Presentence Report (PSR), which is now complete.

 

SELF-ADVOCACY:

•        Relies on the skills that made you successful, some being “Self-Motivated”

•        At your Attorneys request, your Personal Narrative was included in Your PSR

•        Reentry Planning

•        Sentence Mitigation Strategies are employed before Sentencing and During Incarceration

 

YOUR PREPARATION

  • Working Together With Your Attorney At Every Stage

 

1st) Be honest with your attorney about everything – Plea or Trial – Nobody wants surprises

 

2nd) Your PSI needs to include everything about you.

In addition to all your Biographical Background information, Medical, Character References, Education, Legal, Etc.

Your attorney has connected with your PO before your Interview to get a “pulse” on how much they know, to present their case/defense strategy, and learn the date the PO must have their final PSR completed and submitted to their supervisor.

  • RDAP (if applicable): Include it now, because if it is not there, and you need it later to reduce your time, that may be a big lift.
  • Compassionate Release (medical issues, transplant, medications (physician testimony)
  • FSA Programs, your attorney will be able to review or know your PSF, and if any of the applicable programs apply;
  • Your Personal Narrative needs to be finished before your interview so;
    • That you know it, cold, and discuss it in 1st person with your P.O.
    • It should be able to be, copy-pasted directly into the P.O., Presentence Report
  • This Is  Your Story: In Written and/or Video Format

3rd) Time must be allowed for the development of your Personal Narrative.

4th) The PSR is Now Complete and should Include all the Above, including your Personal Narrative – which Judges want to see.

 5th) Time is spent practicing your Allocution for your sentencing hearing with your attorney.

1.     If the Judge is aggregable, due to your allocution, they may Depart below the guidelines

2.     If RDAP is applicable (it’s referenced in your Presentence Report) now, your attorney can ask for it to be put into the order, and if the judge agrees, then

3.     Politely, also request for 1 specific BOP prison, based on a specific BOP program (camp eligible < 10 years), also to be put into the order.

  • Additionally, if the BOP is unable to make the placement, could they inform the court why, in writing?

 

SELF-ADVOCACY  Allocution – Your Personal Narrative

Federal Judges Have Their Say

THE FEDERAL LAWYER • September/October 2019, VIEWS FROM THE BENCH, Own the Mistake and Demonstrate Sincere Remorse

Judge Richard G. Kopf of the District of Nebraska,

Judge Jon D. Levy of the District of Maine in Portland,

Judge Patti Sarris of the District of Massachusetts

Judge Cynthia A. Bashant;

Judge Morrison C. England Jr;one of the biggest mistakes defense lawyers can make is not having their client answer the question…

Judge Lawrence C. O’Neill,

Judge James K. Bredarsays he comes out on the bench with a sentence already in mind. “Allocution, however, changes this when I see the defendant has insight into the harm he has done.”

NACDL, The Champion • March 2011, Heartstrings or Heartburn:  A Federal Judge’s Musings On Defendants’ Right and Rite of Allocution,

Judge Mark Bennett: A Good Allocution Can Be Beneficial

 

Here’s what Federal Judges Want To Hear

We’re interested in a defendant who has the capability of introspection and who has come to grips with the impact of his offense on others

 “No punishment will be enough. If I could go back and change everything, I would.”

I am persuaded that the defendant is sincere and demonstrates insight into the crime.

Allocution is very important, “I like to have a conversation with the defendant,”…

I want him to apologize to the victim and his or her family, particularly if they are in the courtroom.

“Allocution, however, changes this when I see the defendant has insight into the harm he has done,” when I see the defendant has insight into the harm he has done”

 “I am looking for remorse and insight as to why he did what he did and what he is doing to make sure that it doesn’t happen again.

“It’s very important that lawyers prepare a client for allocution, even if they have gone to trial and do the job that they are retained to do.”

Start paying restitution, even $25/mo, and don’t show up at court in a $900 luxury car.

 

You’re Now The Target of The FBI

You Have A Choice

PREPARATION FOR A SUCCESSFUL LIFE AFTER RELEASE

Marc
240.888.7778
Physician Presentence Report Service

No matter where you are in The Process, there are things we can do.

* No Physician,  Attorney, or Consultant can promise any outcomes.

MEDICAL TREATMENT AND REHABILITATION IN FEDERAL PRISON | The Federal Lawyer 1/2021

The Critical Role of the Presentence Report

Dr. MARC BLATSTEIN, D.P.M.; FAY F. SPENCE, J.D.; E.J. HURST II, J.D.; AND MAUREEN BAIRD

The Federal Lawyer January/February 2021

Prisoners have a constitutional right to:

  • Adequate medical care,
    • But what that means and how to get needed treatment is 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).

The PSR plays a critical role in a defendant’s post-conviction life.

In federal court,

  • The sentencing judge relies on the report to determine sentencing guidelines, departures, and statutory sentencing considerations under 18 U.S.C. § 3553(a).

The BOP

  • Relies on the PSR to make decisions about custodial placement, security classification, educational/vocational needs, and medical/psychological treatment needs.

On supervised release after incarceration,

  • The PSR influences the probation officer’s supervision of the defendant and the requirements of supervision. In short,

The PSR is now part of the defendant’s permanent record and is considered the gospel truth about the defendant. It truly is

  • “The gift that keeps on giving,” so accuracy is key.

Given the PSR’s permanence and omnipresence,

  • One cannot overstate its importance or the need for accuracy. Counsel must
  • Object to inaccurate facts and omissions of important information in the report.
  • Once the court has made final rulings on all objections, and
    • Before the PSR is sent to the BOP, counsel must ensure that the report is updated in accordance with the court’s ruling.
    • Asking to amend the PSR later, when an inmate is already in the BOP,
      • Asks a court to change positions that it has already adopted as accurate.
      • Even if this can be done—a big if—the amendment process can take years and many attorney hours to complete.2

 

Components of the Federal PSR

First and foremost,

  • The PSR provides details about the offense for which a defendant is being sentenced,
  • Whether the defendant has accepted responsibility for his or her conduct, and
  • How the sentencing guidelines apply.

The report also contains some

  • Background information about the defendant that the court may consider in deciding what sentence to impose, including
  • Prior criminal history,
  • Educational background,
  • Work history,
  • Family background, and health.

Many attorneys seem to forget, however, that sentencing is only one purpose of the PSR.

The BOP initially relies on the PSR to determine, a defendant’s security classification and whether to house the inmate in a high-security U.S. penitentiary (USP), a medium or low-security federal correctional institution (FCI), or a minimum-security prison camp.

The BOP also determines whether a defendant has

  • Medical or mental health needs that affect placement.
  • Continuity of care in the BOP, to the extent it will happen, depends on an accurate PSR.

The PSR acts as a

  • “Medical referral” for the client based on his or her
    • Medical and mental healthcare history,
    • Current medications, and
  • Security referral regarding their requirements.

The PSR needs to be as complete as possible to reduce unnecessary lapses in medical care.

Finally, the PSR can provide information about a defendant’s

  • Educational, vocational, and avocational interests, can
  • Facilitate placement in a facility with appropriate programs to enhance rehabilitation and successful return to society.
  • By knowing what programs and treatment the BOP provides, an attorney can better assist the client in making sure the PSR has appropriate documentation to improve the chances of a client’s placement in the most appropriate location.

Healthcare in the Federal BOP

A defendant has a constitutional right to adequate health care.

This means that prisons must provide necessary medical attention and may,

  • Not act with deliberate indifference to a prisoner’s pain and suffering.3
  • The BOP attempts to meet its constitutional obligation efficiently and cost-effectively by having inmates placed at different facilities based on their
    • Medical CARE LEVEL.
  • All BOP facilities have staff members who are trained as first responders to use the automatic external defibrillator and to perform cardiopulmonary resuscitation in emergency situations.4

As an inmate first enters the BOP system, the Designation and Sentence Computation Center enters the defendant’s information, including

  • criminal history, offense, sentence, medical documents, and treatment history from the PSR
  • into their SENTRY software to
  • determine both
    • security classification and
    • medical care level designation for that inmate.
  • Designations range from
    • CARE LEVEL I for the healthiest inmates to
    • CARE LEVEL IV for gravely ailing inmate-patients needing inpatient care.

An institution designation is then determined, based on the appropriate medical care level and security classification level. Final placement decisions for those inmates with significant health concerns/conditions are made by the Office of Medical Designation and Transportation at the BOP.

 

Medical CARE LEVELS in the BOP

Care Level I

  • Is comparable to the care provided by a general practice physician
  • Here one rarely visits for the occasional minor illness or injury.
  • For inmates who are less than 70 years old and healthy, with limited medical needs.
  • Stable mental and physical health and
  • Typically need physicians no more than once every six months.
  • Mental health crises would be of short duration and
    • would not require hospitalization.
  • Examples of “limited” medical needs include;
    • Mild asthma,
    • Diet-controlled diabetes, and
    • Stable HIV for which medications are unnecessary.
  • A community hospital is usually approximately one hour away.

See Table 1 for BOP Care Level I facilities, grouped by security classification.

Most federal prison facilities are designated Care Level II

  • This is the level of care needed by the majority of people.
  • These facilities provide medical care similar to a fully staffed internal medicine practice.
  • Some chronic illnesses or those requiring regular medication, but their
  • Health is generally stable, and hospitalizations are not usually required.
  • Inmates may have a mental health diagnosis requiring
    • routine outpatient care,
    • controlled with medication or talk therapy.
    • Medical or psychological patient care visits may be available monthly to quarterly.
  • The Care Level II facilities are within one hour of a regional hospital center, but
    • the need for hospitalization for such an inmate would not be expected more than once every two years. See Table 2 for BOP Care Level II facilities, grouped by security classification.

Care Level III facilities are located near a major community medical facility to ensure outside necessary medical care is within close proximity to the designated institution. Care Level III inmates include those needing “companions” to help with their activities of daily living (but not needing daily nursing supervision) and those needing daily to monthly medical or psychiatric visits.

Other Care Level III inmates include those suffering from cancer in remission of less than one year, advanced HIV, severe mental illness in remission on medication, congestive heart failure, and end-stage liver disease. These inmates may have chronic or recurrent mental illnesses or ongoing cognitive impairments. Daily inpatient nursing care is not available, but inmates at this care level may require hospitalization periodically to stabilize their medical or mental health conditions enough to keep them from deteriorating to the point of requiring around-the-clock nursing care. See Table 3 for BOP Care Level III facilities, grouped by security classification.

Care Level IV facilities are known as Medical Centers For Federal Prisoners (MCFP) or Federal Medical Centers (FMC). They operate like small hospitals and provide varying degrees of nursing and medical care, including surgical, diagnostic, and therapeutic services. They are the only BOP facilities able to provide Care Level IV inmates with the around-the-clock nursing care needed for acute

medical or chronic mental health conditions resulting in severe physical and cognitive impairments. Physical ailments designated to this level include end-stage kidney failure (requiring dialysis), unremitted cancer, quadriplegia, stroke, debilitating neurological trauma, major surgery, or high-risk pregnancy, and recent transplant recipients (within one year). Mental health diagnoses so severe that an inmate cannot function in the general population may be designated to a mental health unit within one of the prison medical facilities. Care Level IV facilities accommodate inmates of every security level, which makes the safety of a nonviolent offender an issue to be raised. See Table 4 for more detailed information about the BOP Care Level IV facilities.

 

Scope of Services Covered

Federal prison healthcare is implemented through a mix of BOP employees and public health service officers. Primary responsibilities fall on the primary care provider team, which provides medical care to inmate patients under a medical or clinical director’s supervision.5 This is the BOP’s equivalent of a staffed medical practice.

Working under staff physicians (and psychiatrists at selected facilities), mid-level practitioners include registered nurses, licensed practical nurses, licensed vocational nurses, nurse practitioners, physician assistants, and certified nursing assistants. These staffers are in turn supported by general laboratory technicians, like X-ray technicians and phlebotomists, as well as not-yet-licensed foreign medical school graduates. EMTs also act as mid-level practitioners. Additionally, all facilities have a dentist and may have contracts with orthopedics, neurologists, optometrists, and other specialists from the local community who come to the prison for onsite medical visits. Mid-level practitioners are the inmate-patient’s primary point of contact. They serve as the primary care provider for routine requests, new complaint evaluations, and ongoing management of recur- ring conditions, and emergencies.

The BOP sorts medical treatment into five categories, which can objectively be called:

1. Life-Threatening Conditions

Treatment for life-threatening conditions is essential to sustain the life or function of a critical bodily system and requires immediate attention. The BOP refers to these conditions as “Medically Necessary–Acute or Emergent” and includes the following conditions in this category: heart attacks, severe trauma such as head injury, hemorrhage, stroke, detached retina, sudden vision loss, and complications of pregnancy or labor.7

 

2. Medically  Necessary Conditions

The BOP defines this category to include conditions that are not immediately life-threatening but which without treatment now, the inmate could not be maintained without significant risk of:

  • Serious deterioration leading to premature
  • Significant reduction in the possibility of repair later without present
  • Significant pain or discomfort that impairs the inmate’s participation in activities of daily 8 Examples of conditions the BOP includes here are chronic conditions such as high blood pressure, high cholesterol, heart disease, and diabetes; severe mental health issues (e.g., bipolar disorder, schizophrenia); infectious disorders (e.g., HIV, tuberculosis); and cancer.9

3. Medically Necessary but Not Urgent

The BOP actually defines this category as “Medically Acceptable— Not Always Necessary.”10 The group includes conditions for which “treatment may improve the inmate’s quality of life.”11 Examples of treatments for conditions in this category, as listed in the BOP Policy on Patient Care, include joint replacements, reconstruction of the anterior cruciate ligament (ACL) in the knee, and treatment of noncancerous skin conditions.12 Such treatment procedures require review and approval by the institution’s Utilization Review Committee, which considers various factors, including risks and benefits of the treatment, available resources (including the cost of security staffing and transportation), the inmate-patient’s medical history, and how an intervention (or lack thereof ) will impact the inmate’s activities of daily living.13

Should an outside specialist consult be needed for a nonemergent condition, a referral request is made to the prison’s Utilization Review Committee and clinical director. Other members involved in this decision-making process include the associate warden or warden, health service administrator or assistant, the medical trip coordinator, any health care providers directly involved in the referral, and perhaps the director of nursing and the chaplain or a social worker.14

The clinical director has the final say over all Utilization Review Committee decisions.15 If approved, the inmate-patient will be placed on a schedule or waitlisted until the specialist has an opening during the contract’s limited monthly hours, which may be several months or years later. Notably, the clinical director is under no obligation to follow medical recommendations made by the outside physician consultant specialist. If the recommendations are not followed, the clinical director will document his/her justification in the inmate’s health record.16 Justification may be based on the category of care sought.

 

4. Medically Appropriate

Some treatments, even though recommended by a health care provider and deemed appropriate by the clinical director, still require approval by the Utilization Review Committee, which is not likely to be granted. These treatments are considered by the BOP to have “limited medical value” and include cosmetic procedures and the removal of noncancerous skin lesions.17 It is worth noting that some skin lesions may be misdiagnosed, so the denial of treatment for these appropriate medical procedures is a concern for inmates with such health needs.

 

5. Extraordinary Treatments

The BOP considers a medical treatment extraordinary if it “affect[s] the life of another individual, such as organ transplantation.”18 Thus, organ transplants and experimental/investigational treatments require approval of the Utilization Review Committee, which is not likely to be granted.

 

Medical Devices and Pharmaceuticals

If an incarcerated inmate needs medical devices, glasses, prosthetics, or other medical support items, these can be mailed directly from his or her personal physician’s office or a medical business (e.g., Pearl Vision) with the attached physician orders and using form BP-AO331.19 These items cannot be mailed by family members, friends, or other nonmedical civilians. Prescription eyeglasses, medical devices (such as CPAP or BiPAP, or other machines for sleep apnea), prosthetics, and similar devices should also be brought with the patient, along with doctors’ prescriptions and orders. The PSR should also mention that the defendant has these devices pursuant to medical orders. If the client does not take these devices with him or her when reporting, he or she may have to wait several weeks for the BOP to obtain appropriate medical devices; the inmate’s family will not be allowed to mail/send the items to the facility, as they must come directly from a medical company or health care provider.

If the inmate regularly takes prescribed medication, the BOP will usually substitute generic medications for brand-name drugs. Not only does BOP policy generally require generic medications, but BOP medical personnel, pharmacists, and consulting physicians are required to use “the least expensive generic equivalent … when available.”20 Thus, instead of generic equivalents, the BOP may prescribe an alternative (but less expensive) generic medication that is for the treatment of the same medical condition. Much like insurance companies, the BOP has a formulary of approved medications.21

The formulary includes the generic name of the medication, what conditions it may be prescribed for, acceptable dose levels, and limits on the number of days the medication can be prescribed.22 Use of any medication that is not on the formulary or use of a medication in a different manner, for treatment of a different condition than authorized by the formulary, or longer than authorized, requires pre-approval from the BOP medical director, after going through the institution’s clinical director and the BOP regional medical director—an extensive and lengthy process.23 Some nonformulary drugs are available only in limited circumstances, such as the preferred medication’s failure to work for the patient, but only after the lengthy pre-approval process. Some medications, such as opiate narcotics, are only available in Care Level IV facilities for very limited circumstances; those medications and psychiatric medications must be crushed by the health care provider and administered to the patient in the provider’s presence.24 This is to prevent diversion of the medication by inmates for unlawful purposes. Prescribing medication without pre-approval is considered an unauthorized use of government funds, a felony offense.25

In short, the medications the patient-inmate receives in custody will not necessarily match the medications that the inmate received before incarceration. Even if the inmate is lucky enough to be taking the same medications as before, a variety of manufacturers will pro- vide the same generic drug in different colors, sizes, and shapes than the inmate may have been used to. To avoid unnecessary anxiety and surprise for the client, an attorney should educate his or her client about these BOP policies. If a client is on nonformulary medication, the attorney needs to assist the client in obtaining pre-approval before arrival at the facility, which takes substantial time, in order to prevent unnecessary and potentially harmful interruption of the client’s medical treatment.

If a client is self-surrendering to the BOP, he or she should bring along a three to four-week supply of his or her medication in original, properly labeled bottles. These prescriptions may ultimately be returned to the client’s home, but at least they will be available if needed for continuity of care purposes, in case the institution does not have the correct medication in stock.

Programming in the Federal BOP

In the last century, American society transitioned from institutionalizing people with mental health conditions in mental health facilities (often underfunded and operating under poor conditions) to incarcerating the mentally ill in jails and prisons.26 Nearly 50 percent of jail inmates and over one-third of prison inmates suffer from mental health problems.27 Mental illness often underlies behavioral problems, and if an incarcerated inmate has not been properly diagnosed or given treatment for a mental illness, chances are high that the inmate will be involved in fights, assaults, self-injurious behavior, or other misconduct in prison that leads to disciplinary consequences, including restrictive housing units;28 use of restrictive housing units, especially solitary confinement, exacerbates mental illness rather than helping the inmate.29

Therefore, it is imperative that the defense attorney makes sure that psychiatric and psychological issues are identified and included in the defendant’s presentence report, along with the appropriate treatment plan recommended by a qualified psychiatric health provider. If mental health issues are apparent, but the defendant has no documentation of diagnosis or treatment, the attorney should obtain a professional psychological evaluation before the probation officer begins preparing the PSR. Failure to do so will consign the defendant to an increased risk of restrictive housing or solitary confinement. When requesting placement in a specific facility or program, the defense counsel should ask the court not only to recommend the placement but to include the reasons for his recommendation, which will improve the chances of securing the placement. One additional measure to possibly increase the chance of the BOP following the recommendation of the court is to ask the sentencing judge to order the BOP to provide in writing, the reason for not following the judicial recommendation.

Documentation of known mental health issues and treatment (including substance abuse and addiction) is essential for continuity of care. Without documentation of the diagnosis and need for specific medication in the PSR, for example, an inmate entering the BOP will have no access to medication.

In that case, there will be a waiting period, sometimes several weeks, before the inmate will be seen and evaluated, and prescribed a medication deemed suitable by the prison medical establishment. During the delay without any medication, the inmate’s condition is likely to deteriorate. In addition, when providing the substance abuse history, it is imperative that the PSR document frequency and current substance use activity. Upon initial remand or voluntary surrender to the assigned prison, the defendant may require placement in an institution that is equipped to provide a safe detox environment. If the BOP is unaware—from documented medical records in the PSR—that some medications have been unsuccessful, the patient-inmate may be doomed to another trial period of medication already known to be ineffective for him.

Beyond access to basic mental health care and medication, documentation of known mental health and related conditions is necessary for inmates to be eligible to participate in some programs. The BOP offers a variety of programs to provide mental health support, substance abuse education and treatment, continuing education, and vocational training. Other programs help inmates adjust to prison life, develop coping skills, or heal from past trauma that may have played a contributing role in an inmate’s criminal conduct. However, some of the programs have the minimal capacity and are offered only at certain facilities. If a defendant’s need and desire for a particular program are made clear in the PSR, his or her chances for placement at a facility offering the program will be improved. Addressing program needs with the assigned assistant U.S. attorney before sentencing and obtaining the government’s agreement to recommend the placement will also improve the defendant’s chances. These programs are discussed in this section.

 

Programs Promoting Psychological Well-Being

1. The Mental Health Treatment Programs

The BOP has a series of residential Mental Health Treatment Programs to treat inmates diagnosed with serious mental illness and behavioral disorders, particularly for inmates who do not require hospitalization but nonetheless need intensive treatment services and/ or lack the ability to function in a general population setting. These programs include the Habilitation Program, the Skills Program, the Axis II Program, and Mental Health Step-Down units.30

The Habilitation Program is for high-security inmates who lack the ability to adapt to the penitentiary environment because of mental illness, but who may be able to function in a medium-security environment with proper residential treatment.31

The Skills Program is for inmates with both mental illness and cognitive/intellectual limitations that limit their ability to adapt to living in the community and in prison.32 The program is currently available at FCI Danbury (Low) and FCI Coleman (Medium). The Skills Program has evolved into a residential program that now has an emphasis on addressing the needs of offenders who are determined to be on the Autism Spectrum. This 12-18 month program assists in providing inmates on the autism spectrum with coping mechanisms and tools to be able to manage better once released from the program and assigned to the general population.

The Axis II Program is for inmates with Borderline Personality Disorder or other severe personality disorders who have a history of behavioral problems in the prison, but who are amenable to treatment.33 More recently, this program, also known as STAGES (Steps Toward Awareness, Growth, and Emotional Strength). The program is designed to increase the time between disruptive behaviors, foster living within the general population or community setting, and increase pro-social skills. The Stages Program is available at FMC Rochester, USP Florence, and FCI Terre Haute.34

Mental Health Step-Down Units provide intensive treatment for inmates recently released from in-patient psychiatric hospitalization. Sometimes, inmates are placed in these units in an effort to avoid the need for in-patient hospitalization.35

Acceptance into any of the Mental Health Treatment Programs requires a diagnosis of mental illness or behavior disorder and a demonstrated need for intensive treatment (demonstrated by prior psychiatric hospitalizations/interventions, complex treatment with psychotropic medication, major functional impairment, or repeated incidents of severe behavioral problems in prison). Inmates in a residential treatment program reside together in a unit, with their living areas being separate from the general population, allowing the inmates to create a therapeutic community environment.

Most of their other activities, recreation, work assignment, and meals are shared with the general population inmates assigned to that particular facility. This placement also helps to protect mentally ill inmates from injuring themselves, from being victimized, and from being negatively influenced by peers in the general population. Inmates in these residential programs are still subject to being victimized; however, the potential for victimization is reduced. Unfortunately, the BOP has very limited capacity and lengthy waiting lists for placing inmates in one of these programs. With such limited capacity, the need for thorough documentation of prior mental health history in the PSR is readily imperative. Without the documented need for special placement, an inmate will be placed in the general population, with greatly increased chances of restrictive housing, isolation, and other counter-productive sanctions rather than treatment.

 

2. The Resolve Program

The Resolve Program is a cognitive-behavioral program designed to address the trauma-related mental health needs of inmates. Specifically, the program works with those who have previously been victims of child abuse or neglect, sexual assault, domestic violence, or other trauma is known to correlate with psychological disorders. Starting with an eight-hour workshop, the program is followed by six months of nonresidential treatment and seeks to decrease the incidence of trauma-related pathology and improve inmates’ level of functioning.36 Since 2007, the Resolve Program has been implemented at all BOP facilities housing women (except during times when the institution lacks a psychologist to lead the program).37 The program is available for men at the maximum security prison in Florence, Colo., and at FCI Danbury (Low) in Connecticut.38

 

3. The Challenge Program

The Challenge Program is a residential cognitive-behavioral treatment program developed for male inmates in penitentiary settings. The Challenge Program, which lasts at least nine months, provides three phases of treatment to high-security inmates with substance abuse problems and/or mental illness. Like the Mental Health Treatment Programs, participants live together in a unit separate from the general population. Incentives and rewards are available for the successful completion of all phases of the program.39 The program is available at several BOP facilities, but not at all of them.

 

Substance Abuse Programs

The BOP offers several different options for those inmates dealing with substance abuse issues, ranging from education to intensive treatment.40

 

1. Drug Abuse Education

Drug abuse education includes a series of classes providing education about substance abuse and its unwanted side effects. The classes may help identify offenders who need more than education.41 Any inmate is eligible to participate in drug abuse education classes, as long as he or she is not already enrolled in or has not already completed the residential drug abuse treatment program and has enough time remaining in custody to complete the course. The course is available at all BOP institutions.

2. Nonresidential Drug Abuse Treatment

Nonresidential drug abuse treatment is a 12-week cognitive-behavioral therapy, treatment program, usually conducted in group-therapy sessions. The program addresses the link between substance abuse and criminal lifestyles and provides opportunities for building and improving skills in rational thinking, communication, and community adjustment. The program is intended for inmates with relatively short sentences, those transitioning to the community, those who have failed a urinalysis drug screen, and for addicts in need of substantial treatment who are on the waiting list for the RDAP intensive treatment program or who are not eligible for RDAP.42 All BOP institutions have this program, which is open to any inmate who volunteers.43

3. Residential Drug Abuse Program (RDAP)

RDAP is an intensive residential treatment program, followed by transitional treatment in the community following release. Inmates in the program live in a prison housing unit separate from the general population in a modified therapeutic community setting. They spend half of each weekday in treatment, including individual and group counseling, and the other half of each day is spent in school, work, or vocational training.44 This portion of RDAP must last at least six months.45 The usual length of time of the residential portion of the treatment is approximately 10 months.

To be eligible for RDAP, the inmate must have a verifiable substance use disorder that was active within one year of the offense for which he or she is incarcerated.46 This means for eligibility, the offender must have been actively using substances within one year from the date of the arrest. For this reason, it is critical for the PSR to document active substance abuse and any prior efforts at treatment. Details of where and when treatment in the community was obtained should also be documented in the PSR for easy reference. A defendant who denies having a substance abuse problem during his or her presentence interview will have a much harder time establishing eligibility for the program later. An inmate must also sign an agreement to comply with program responsibilities and requirements; finally, an inmate must have sufficient remaining time on his or her sentence to complete the full program, or admission to the program will be denied.47

The RDAP program is widely sought because studies have demonstrated its effectiveness in preventing relapse to drug use and in reducing criminal recidivism.48 The program is also popular because eligible inmates who successfully complete the program can reduce the length of their prison sentences by 10 percent, up to a maximum of one year.49 Because of the program’s popularity, there is a waiting list to get into RDAP, and not all who need the program can get it.

There are also eligibility requirements for early release, such that not every participant in the program will receive the benefit of early release under 18 U.S.C. § 3621 (e). Those ineligible for early release include illegal aliens; pretrial detainees; military inmates or state inmates serving time in a BOP facility; inmates who previously completed the program and got an early release the first time; inmates currently serving a sentence for any violent felony,  sex offense involving a minor, or any attempt, solicitation, or conspiracy to commit such violent felony or sex offense; and inmates with a detainer and inmates with a previous conviction (within 10 years of the sentence on current offense) for homicide, rape, robbery, aggravated assault, arson, kidnapping, or sexual abuse of a minor.50

Sex Offender Programs

The BOP offers sex offender treatment programs for inmates serving criminal sentences and for those who have been civilly committed as predatory sex offenders suffering from mental illness that renders them dangerous to the community.

1. Nonresidential Sex Offender Treatment Program

The non-residential sex offender treatment program consists of outpatient groups meeting two to three times per week for a total of six to eight hours per week. Completion of this moderate-intensity program takes at least nine months. Participants learn basic skills and concepts to help them understand their past offenses and to reduce the risk of future offenses. Eligibility for this program is limited to offenders who have been evaluated and found to have a low to moderate risk of re-offending. Attorneys should advise clients that the BOP uses this program to identify persons likely to re-offend; therefore, participation carries risks. However, failure to participate, if recommended by the BOP, can result in a loss of good-time credit. The non-residential sex offender treatment program is available at FCI Elkton, FCI Englewood, FCI Marianna, FCI Petersburg, FCI Seagoville, USP Marion, and USP Tucson for male offenders and at FMC Carswell for female offenders.51

2. Residential Sex Offender Treatment Program

The residential sex offender treatment program involves high-intensity programming for a period of 12 to 18 months. The BOP provides this program at FMC Devens in Massachusetts. Participants benefit from a therapeutic community in a residential housing unit where they work to reduce their risk of future offending. Offenders receive treatment five days per week. The program is targeted at offenders with an elevated risk of re-offending.52

3. New Butner Program

Butner recently added a new program—the Commitment and Treatment Program (CTP) for Sexually Dangerous Persons—in lieu of the residential sex offender treatment program. Little information is available about this program due to its recency.

 

4. Involuntary  Civil Commitment

Inmates who have served their sentences but are deemed at high risk of re-offending because of severe mental illness can be involuntarily committed to the custody of the attorney general for continued confinement and treatment.53 Some defense attorneys may advise their clients not to participate in sex offender treatment programs because information disclosed in treatment has sometimes been the basis for seeking an order of civil commitment.54

 

Policies and Programs for Pregnant Inmates

Female inmates are medically screened for pregnancy upon admission to the BOP, and they are instructed to inform medical staff immediately if they suspect they are pregnant.55 The BOP provides female inmates with medical and social services related to pregnancy, birth control, and child placement, as well as access to abortion. If necessary, childbirth takes place at a hospital outside the institution.56 Previously, an inmate could be handcuffed during delivery, but a provision of the First Step Act now prohibits such use of restraints except in limited circumstances.57 Outside social service agencies are contacted to help the inmate find an appropriate placement for the baby. Newborns are not allowed to return to the prison with their mothers, but they can accompany an adult visitor to the prison for visitation, in accordance with the prison’s visitation policies.

Attorneys representing a client who is pregnant or has a young child need to be aware of two special situations in the BOP discussed below.

 

Abortion

Federal law popularly known as the “Hyde Amendment” prohibits the use of federal funds to perform or facilitate abortions except where the mother’s life is endangered or in cases of rape or incest.58 This law applies to and is followed by the BOP.59 Pursuant to 28 C.F.R. §551.23, a pregnant inmate receives medical, religious, and social counseling about her pregnancy decision. If she decides to have an abortion, arrangements are made for these medical services to be provided at an appropriate clinic outside the institution, at the inmate’s expense (or her family’s). Even though not paying for the abortion procedure, the BOP may pay to escort the inmate to the procedure. Under BOP policy, BOP employees may decline to participate in the provision of abortion counseling or services, including transportation.60

 

The MINT Program

MINT (Mothers and Infants Nurturing Together) is an alternative residential program for low-risk female inmates who are pregnant when they arrive in prison. Eligible female inmates can enter the program two months before their delivery due date, and they can remain in the program for three months after the baby is born.61 The program’s purpose is to promote parent-child bonding and to improve parenting skills for the new mother. The program is administered through the Community Corrections Centers (CCC) and Residential Re-entry Centers (RRC), and the inmate must qualify to participate. A woman with more than five years to serve, who gets pregnant while incarcerated, or who plans to place the child for adoption is not eligible for the program, nor are sex offenders; deportable non-citizens, those with pending charges or a history of violence, or those requiring psychiatric hospitalization.62 Another requirement is that the mother is able to provide financial support for herself and her child (so that the BOP does not have to pay), but she may seek help from Social Services.63 Prior to the child’s birth, the mother must make custodial arrangements for the child, because, after the three-month bonding period, she must return to her original prison to finish her sentence.64 The CCC or RRC provides psychological counseling, drug counseling, and parenting classes.

One facility differs from the other federal MINT programs: Greenbrier Birthing Center, overseen by the Baltimore Residential Reentry Office, operates under a contract with the BOP. A female may remain at Greenbrier for up to 12 months with her child after birth. Located in Hillsboro, W. Va., the program seeks to provide a “home-like environment” to promote bonding and parenting skills. The facility has 20 private bedrooms, with every two rooms sharing a bathroom. The common area has a kitchen, recreation room, education room, physical training area, laundry facilities, and a phone room. Greenbrier also offers more programming than the minimum required by the BOP; in addition to parenting classes, psychological counseling, substance abuse counseling, and weekly screening, Greenbrier provides life skills classes, financial management, job readiness, and GED classes and testing onsite, all of which are intended to motivate and help the mother provide a stable environment for the child upon her release from custody.65

 

BRAVE Program

The BRAVE Program (Bureau Rehabilitation and Values Enhancement) is for young male offenders serving their first federal sentence. To qualify for the program, an inmate must be 32 years of age or younger, with a sentence of five years or longer, and federally incarcerated for the first time. The program utilizes a cognitive-behavioral approach to promote favorable institutional adjustment, positive interaction with staff members, and self-improvement activities. During the six-month residential program, inmates live together in a unit, completing an Orientation Phase, Core Treatment Phase, and Transition Phase.66 The BRAVE Program is offered at FCI Beckley and FCI Victorville-medium.

 

Educational Programs

An adult literacy program leading to the completion of a GED is available in each BOP institution. Inmates without a verified high school diploma or GED certificate who have the capacity to obtain one are expected to work towards completion of this program while incarcerated.67 The Warden at each facility is also to ensure the availability of an English as a Second Language program for non-En- English-speaking inmates who score below eighth-grade proficiency in reading and listening comprehension in English.68

The BOP Program Statement on Education notes the goal of providing postsecondary educational opportunities and adult continuing education classes for inmates.69 Individual classes in typing, computer literacy, and parenting skills are available as continuing education courses, but the reality is that … [2nd Chance Act for Incarcerated Individuals allowed eligible students in college-in-prison programs to access Federal Pell Grants beginning on July 1, 2023] Some BOP facilities have access to community college programs in which professors come to the facility to teach classes, and some have correspondence school options available to inmates. The attorney for a defendant who hopes to obtain some collegiate education should check the handbook for facilities where the client is likely to be placed to determine what advanced programs, if any, are available at the institutions.

 

Vocational Programs

The BOP endeavors to provide vocational education opportunities for inmates with limited employment history and few marketable skills. Vocational training is available in the form of apprenticeship programs, certificate programs, and on-the-job training in various fields.70 Popular apprenticeship programs include HVAC, electrical, and welding. The same programs are not available at every facility, however, and an attorney should determine which facilities offer a program that the client wishes to learn.

 

Conclusion

A defendant’s legal team must determine what medical and nonmedical information needs to be included (or not included) in the client’s presentence report. The goal is to request the client’s placement in a facility appropriate to his or her security classification, taking into consideration the defendant’s medical, psychological, and educational/programming needs. Accuracy and documentation of information from the beginning of representation is key to accomplishing this goal. Further, it is advisable for the legal team to call the classification center in Grand Prairie or to speak with staff at specific facilities to verify that desired programs are still available at that facility. Individual facilities sometimes “supplement” BOP practices based on local needs and resources, without public notification. Particularly if the defendant may be placed in a private contract facility, the attorney needs to learn about the programs, medical resources, and mental health care available at that facility and the requirements for eligibility. Most low-security non-U.S. citizen inmates are placed in one of the BOP’s contract for-profit prisons. Only by knowing the client’s needs and obtaining the appropriate documentation for the presentence report can the attorney give a defendant the best shot at receiving appropriate treatment and programming while incarcerated. 8

Dr. Marc Blatstein (info@pprsus.com) had a successful podiatric medical practice for 30 years providing quality patient care. In 2006, he was convicted of felony mail fraud and served one year and one day in prison for the actions of his office billing department’s use of incorrect billing codes. He maintains an active medical license and is the founder of Physician Presentence Report Service, LLC. 

Fay F. Spence is an attorney with more than 30 years of experience in criminal law. She currently serves as a pro se law clerk for the U.S. District Court for the Western District of Virginia.

E.J. “Jay” Hurst II (jayhurst@jayhurst.net) has worked with BOP inmates and federal defendants since 2001. Besides criminal defense and post-conviction law, Hurst pursues federal government records under the Freedom of Information Act and will periodically go to court on civil rights matters.

Maureen Baird (moiep@aol.com) served as warden at the Federal Correctional Institution in Danbury, Conn., and at the Metropolitan Correctional Center in New York City. While there, she was appointed to senior executive staff by the U.S. Attorney General. She then became warden of the U.S. Penitentiary in Marion, Ill.

Endnotes

1Estelle v. Gamble, 429 U.S. 97, 103 (1976).

2U.S. Dep’t of Just., Criminal Resource Manual § 734 (Mar. 2012), https://www.justice.gov/jm/criminal-resource-manual-734- processing-prisoner-transfer-requests.

3Estelle, 429 U.S. at 104.

4Fed. Bureau of Prisons, Patient Care 9 ( June 13, 2014), www. bop.gov/policy/progstat/6031_004.pdf.

5Id. at 13-14.

6Id. at 5-7.

7Id. at 5.

8Id. at 6.

9Id.

10Id.

11Id.

12Id.

13Id.

14Id. at 7-8.

15Id. at 8.

16Id.

17Id. at 6-7.

18Id. at 8.

19Fed. Bureau of Prisons, Form BP-A0331, Authorization to Receive Package or Property ( June 2010), https://www.bop. gov/PublicInfo/execute/forms?todo=query.

20Fed. Bureau of Prisons Health Servs., National Formulary, Part I 6 (May 16, 2019), https://www.bop.gov/ resources/pdfs/2019_winter_national_formulary_part_I.pdf. 21A list of the approved medications on the BOP Formulary, including the generic equivalents for commonly used brand-name prescriptions, is available on the BOP website at https://www.bop. gov/resources/pdfs/2019_winter_  national_formulary-part_II.pdf.

22Id.

23Fed. Bureau of Prisons Health Servs., supra note 20, at 4-6.

24Id. at 12-32.

25Id. at 2.

26Mental  Health  Am.,  Position  Statement  56:  Mental Health Treatment in Correctional Facilities (Mar. 7, 2015), https://www.mhanational.org/issues/position-statement-56-mental- health-treatment-correctional-facilities#:~:text=Position%20 Statement%2056%3A%20Mental%20Health,Correctional%20Facil- ities%20%7C%20Mental%20Health%20America&text=Mental%20 Health%20America%20understands%20that,in%20all%20that%20 we%20do.

27Allen J. Beck, Use of Restrictive Housing in U.S. Prisons and Jails, 2011-12 6, Bureau of Justice Statistics (Oct. 2015), https:// www.bjs.gov/content/pub/pdf/urhuspj1112.pdf.

28Id.

29Id.

30Fed. Bureau of Prisons, Psychology Treatment  Programs 6-1 (Apr. 26, 2016)www.bop.gov/policy/progstat/5330.11.pdf.

31Id.at 6-2.

32Id. at 6-3.

33Id.

34Federal Correctional Complex, Doctoral Psychology Internship, 2018-2019 8, https://www.bop.gov/jobs/docs/ pex_internship_201709.pdf (last visited Jan. 17, 2021); Federal Medical Center, Pre-Doctoral Psychology Internship 2019-2020 5, https://www.bop.gov/jobs/docs/rch     internship_

brochure20200904.pdf (last visited Jan. 17, 2021). 35Fed. Bureau of Prisons, supra note 30, at 6-3. 36Id. at 3-1 through 3-5.

37Fed. Bureau of Prisons, Directory of National Programs 18 (Sept. 13, 2017), https://www.bop.gov/inmates/custody_and_ care/docs20170914_BOP_National_Program_catalog.pdf.

38Id.

39Fed. Bureau of Prisons, supra note 30, at 5-1 through 5-7. 40Fed. Bureau of Prisons, Substance Abuse Treatment, http:// bop.gov/inmates/ custody_and_care/substance_abuse_treatment. jsp (last visited Dec. 15, 2020).

41Id.; 28 C.F.R. § 550.51.

42Fed. Bureau of Prisons, supra note 40.

4328 C.F.R. § 550.52.

44Fed. Bureau of Prisons, supra note 40.

4528 C.F.R. § 550.53(a)(1).

4628 C.F.R. § 550.53(b).

47Id.

48Fed. Bureau of Prisons, supra note 40.

4928 C.F.R. § 550.55.

50Id.

51U.S. Dep’t of Just., Legal Resource Guide to the Federal Bureau of Prisons 29-30 (2019), https://www.bop.gov/ resources/pdfs/legal_guide_march_2019.pdf.

52Id. at 30.

5318 U.S.C. § 4248.

54John Rhodes & Daniel Donovan, Branded for Life by the Modern Scarlet Letters: Do Convicted Sex Offenders Have Rights While on Parole, Probation, or Supervised Release?, 38 The Champion 14, 17

(2014).

55U.S. Dep’t of Just., supra note 51, at 23.

56Id.

5718 U.S.C. § 4322. Exceptions to the prohibition on use of restraints include patients who pose an immediate and credible risk of flight that cannot be prevented by other means, patients who pose an immediate and serious threat of harm to themselves or others that cannot reasonably be prevented by other means, and patients for whom the treating healthcare provider determines that restraints are appropriate for the medical safety of the prisoner.

58Departments of Health, Education, and Welfare Appropriation Act of 1977, Pub. L. 94-439, § 209, 90 Stat. 1418 (1977); see also H.R. Rep.

No. 94-1555 (1976).

59Fed. Bureau of Prisons, Birth Control, Pregnancy, Child Placement and Abortion 3 (Aug. 9, 1996), www.bop.gov/policy/ progstat/6070_005.pdf.

60Id. at 4.

 

61Fed. Bureau of Prisons, Community Corrections Center Utilization and Transfer Procedures 5 (Dec. 16, 1998), www. bop.gov/policy/progstat/7310_004.pdf.

62Id. at 10-11.

63Id. at 9; Lisa Barrett & Jamila T. Davis, How to Navigate through Federal Prison and Gain an Early Release (2015). 64Barrett & Davis, supra note 63.

65Id.; Zelma W. Henriques & Bridget P. Gladwin, Pregnancy and Motherhood Behind Bars, in Special Needs Offenders in Correctional  Institutions  (Lior  Gideon  ed.,  2012).

66Fed. Bureau of Prisons, supra note 30, at 4-1 through 4-3. 67Fed. Bureau of Prisons, Education, Training and Leisure Time Program Standards 3-4 (Feb. 18, 2002), https://www.bop. gov/policy/progstat/5300_021.pdf.

68Id. at 4.

69Id. at 6.

70Id. at 4-6.

The Presentence Report (PSR); Thoughts On Preparation – Narrative – COVID

The Presentence Report (PSR)

I) Preparation 

  • This includes an inclusive biographical history:
  • Past and Current Medical and Mental Healthcare needs
  • Medications
  • Substance abuse
  • Medical Devices needed
  • ADL (Activities of Daily Living), PADL (Prison Activities of Daily Living)

II) Your Narrative

  • Express remorse, while still understanding the victim’s pain, suffering, and how it has impacted them.
  • Agree with the court as to the seriousness of the crime, without minimizing it. Expand on this topic
  • What in your life brought you to this moment, what happened that caused you to do this?
  • What has this experience taught you? Did it bring up moments from your past?
  • Explain to the Judge that you have a plan (only if you do),
    • to start making this right with those you have victimized –
    • or if you have already started, what are they,
    • no matter how small those efforts have been?
  • If it’s been a year or so since your verdict, what have you been doing?
    • (1)Working, (2)volunteering, or watching: (3)TV (only options 1 and 2 are correct).
  • What is your plan to never re-offend? If there was a “trigger,” what was that trigger, and how do you remove it from your life?

III) COVID, unfortunately, will be with us for a long time, like the seasonal Flu.

  • Unfortunately, it is much more lethal.long covid
  • 2022/2023, We’ve gone from pandemic to endemic
  • Practically all that means is that as a society:
    • Some believe in prevention and others do not
    • The result is that while influenza has a ~ 52K deaths / per year
    • COVID and its variants may be 10 x as much
  • More importantly, new strains are more than likely to present themselves, and masks along with new technology in indoor air filtering are in our future.
  • Long-COVID, Long-Haulers, or Post-COVID; these symptoms may be mitigating factors to present before the presentence interview as no jail, or prison (state or federal) is equipped to provide the necessary care.
    • Beyond that, this would not be a qualifier for either 100% CARE LEVEL III or ADL as the symptoms could keep one between sleep, the bathroom, meals, and at best a short walk.