The Presentence Report (PSR)

The Presentence Report (PSR) is the court’s intake document that the judge uses to determine the length of a sentence, then the Bureau of Prisons (BOP) uses it for prison placement. A significant percentage of the PSR placement process is based on the defendant’s medical and mental healthcare needs as evaluated by their BOP CARE LEVEL I-IV structure. A similar percentage is based on the defendant’s security risk factors.

Currently, there is no attempt to address recidivism within the PSR by recommending placement to a facility that would match with the defendant’s interest in either higher education (college) or learning a specific occupational trade, often through apprenticeship. All of this in an effort to interrupt the ‘revolving door’ incarceration paradigm.

Prescriptions should be included in the PSR, but the PSR does not identify whether the prescriptions are on formulary (available for use), or non-formulary. If the prescriptions are non-formulary, these can be brought to the court’s attention as BOP physicians are strongly discouraged from prescribing non-formulary medications through a lengthy paper request process.

The problem with the PSR