25-064 - Recommendation 2

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.