Serious Mental Illness In The BOP
The BOP’s Psychology Data System (Page 2) Is Filled Out For All MH Levels.
The Designation and Sentence Computation Center places inmates into Care Levels 1 and 2
CARE LEVEL 1 MH
- No Significant Need.
- No history of serious functional impairment due to mental illness
- No need for regular mental health visits
- No hospitalization in the last 5 years
- Defendant on their own has sought help
- Controlled with 2 psychotropic meds (Not MH I if taking antipsychotic)
- Psychotropic medications:
- anti-anxiety agents
- mood stabilizers
- Antipsychotic medicines,
- delusions (false, fixed beliefs) or
- hallucinations (hearing or seeing things that are not really there).
- schizophrenia, bipolar disorder, or
- very severe depression (also known as “psychotic depression”).
- Clinical visits q 6 mo
CARE LEVEL 2 MH
- He/she has a mental illness requiring:
- Routine Ongoing Outpatient visits
- Medication controlled,
- Medical visits q 1-6 months
- Group Therapy, interventions every other week
- Crisis Oriented, BRIEF MH Care, g., placement on suicide watch
- Psychiatric Hospitalizations within the last 5 yrs
- On Antipsychotic or 2 psychotropic meds
CARE LEVEL III & IV designation is made by the BOP’s Office of Medical Designations and Transportation
CARE LEVEL 3 MH
- Not In-patient
- Enhanced Outpatient (Requires outpatient contacts with a prescribing doc > than monthly [at least weekly]); or
- Housed in A Residential Treatment Program.
- 2+ Psychiatric Hospitalizations within the last 3 yrs
- 3+ anti-psychotic meds [Or > 5 meds for multiple Dx]
If you have a client with an MH CARE LEVEL of III, and a Medical CARE LEVEL of II,
The MH placement takes precedence.
Care Level 4 MH
- gravely disabled and
- cannot function in the general population, as in CARE3-MH
- medical care 24/7/365
- Tx plan reviewed every 90 days