| 1 |
No |
$0 |
$0 |
Status as of July 31, 2025 |
|
The BOP should revise its policies, procedures or training to define the term "four-point restraints" and provide clearer guidance regarding 15-minute restraint checks, 2-hour lieutenant checks, medical checks, and psychological checks for inmates in restraints that are not considered four-point restraints.
|
| 2 |
No |
$0 |
$0 |
Status as of July 31, 2025 |
|
The BOP should reassess its policies, procedures, and training to identify ways to prevent prolonged placement in restraints, especially four-point restraints, that may result in serious injury. As part of this reassessment, the BOP should consider, among other things, incorporating the following into its policies, procedures, or training: Additional training for BOP staff on conducting restraint checks; Guidelines and training on the types of behaviors that evidence self-control or warrant the continued use of restraints; Guidelines and training on the length of time an inmate must exhibit self-control to warrant removal from restraints; Guidelines and training on how to handle inmate's pulling on or manipulating restraints; Guidelines on how correctional officers are to assess whether restraints are hampering circulation; Enhanced guidelines and training for creating effective behavior management plans for inmates in restraints; More frequent checks by Psychology Services staff and alternatives to long-term restraints for certain inmates who were placed in restraints due to attempting, threatening, or engaging in self-harm or experiencing other mental health challenges; Greater involvement by BOP regional staff in determining whether inmates should be placed in or remain in restraints.
|
| 3 |
No |
$0 |
$0 |
Status as of July 31, 2025 |
|
The BOP should require BOP staff to video and audio record all 2-hour lieutenant checks; ensure adequate fixed camera coverage outside of cells to capture whether staff are conducting 15-minute checks of restrained inmates as required; and assess the feasibility of video and audio recording 15 minute restraint checks.
|
| 4 |
No |
$0 |
$0 |
Status as of July 31, 2025 |
|
The BOP should revise its policies, procedures, or training to provide greater clarity on the information that should be included in restraint check documentation.
|
| 5 |
No |
$0 |
$0 |
Status as of July 31, 2025 |
|
The BOP should revise its restraint check forms to provide adequate space for BOP staff to record detailed information about the inmate's condition and behavior during restraint checks, and consider including check boxes to ensure that BOP staff make a record of key information.
|
| 6 |
No |
$0 |
$0 |
Status as of July 31, 2025 |
|
The BOP should reassess its policies, procedures, and training to provide better guidelines for medical staff conducting medical checks of inmates in restraints. As part of this reassessment, the BOP should consider, among other things, incorporating the following into its policies, procedures, or training: A requirement to video record medical checks; A requirement to photograph injuries observed during medical checks; Requiring greater detail regarding inmate injuries, toilet usage, and food and liquid consumption in the Health Services Restraint Review Form, and revising the Health Services Restraint Review Form to include larger spaces to allow for such detail to be included; A requirement to provide a detailed explanation when concurring with the continued use of restraints despite evidence of injury; Enhanced guidelines and training to medical staff on recognizing the existence of injuries that can lead to nerve and muscle damage and on when injuries resulting from restraints warrant action, such as removing restraints or seeking a higher level of medical care; and Enhanced guidelines or training to correctional staff to recognize signs of potential nerve or muscle damage that warrant seeking assistance from medical staff.
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