BOP Program Statement 5200.06 § 6

a. Medical and Mental Health Information. Medical and mental health information for

inmates with disabilities will be maintained in the current electronic recordkeeping system and

may be provided to staff in accordance with the Program Statement Health Information

Management.

In some cases the presence of mental illness may comprise a disability. The management of

inmates with mental health disabilities is directed by the Program Statement Treatment and

Care of Inmates with Mental Illness.

b. Initial Screening. The Bureau utilizes a screening process to identify inmates with

disabilities entering custody. The process begins at the Designation and Sentence Computation

Center (DSCC), where the records of inmates are reviewed and suspected disabilities are coded

in SENTRY. Upon arrival, staff identified below use these screening codes to engage in an

assessment of inmates who has been screened, as well as any inmate who self-identifies as

having a potential disability. Codes are not exclusive, and an inmate may have more than one

assignment. The CMA codes indicating possible cognitive, physical/sensory, or unspecified

disabilities entered at the DSCC are:

SCRN DIS C – This code is applied when the Pre-Sentence Report (PSR) indicates the

inmate: 1) had an Individualized Education Program (IEP); 2) received special education

services; 3) has an IQ of 70 or lower; or 4) was identified with a cognitive/intellectual or

learning disability, an autism spectrum disorder, attention deficit/hyperactivity disorder,

or traumatic brain injury; or 5) any other indication of intellectual or cognitive disability

or neurodevelopmental disorder that affects learning.

SCRN DIS P – This code is applied when the PSR indicates the inmate: 1) has a sensory

deficit such as blindness or deafness; 2) has physical limitations impacting activities of

daily living (ADL’s) or instrumental activities of daily living (IADL’s), such as but not

limited to: patient is wheelchair bound, inability to perform daily personal hygiene,

inability to feed/clothe self, inability to move without assistance or assistive devices, or

inability to walk up stairs.

SCRN DIS O – This code is applied when there is any other indication of a possible

disability (e.g., limited information to conclusively define type).

In some cases, these screen codes will be used to guide designations, such that inmates believed

to be in need of specific services may be designated to institutions with specialized services (e.g,

inmates with intellectual disabilities may be designated to an institution with a Skills Program).

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Once they arrive at the designated institution, all inmates are assessed via routine intake

procedures in Health Services and Psychology. Inmates will receive in-person screening by

Education staff in accordance with Education intake procedures. Additional assessment may be

required per guidance in each department. Such guidance will be made available on Sallyport.

Inmates in pretrial status may request accommodations to complete ADLs or in order to

participate in the programs and services offered at that facility. The agency will evaluate these

requests on a case-by-case basis and document findings. See Section 10 for procedures.

Procedures in this section apply to pretrial inmates.

Health Services staff complete all assessments pertaining to the SCRN DIS P and SCRN DIS O

assignments. Education is responsible for all SCRN DIS C assignment screenings as well as

screening for dyslexia. If either department discovers the disability referenced may exist, but is

better assessed by a psychologist or medical provider, a referral is made. Examples of this

scenario include the presence of dementia, traumatic brain injury, or autism spectrum disorders.

Upon conclusion of the assessment, the screen code is removed. If the presence of one or more

disabilities is affirmed, a permanent SENTRY assignment is applied (this may replace a

screening code or be newly added). This assignment does not disclose protected health or

sensitive information, but simply makes staff aware accommodations may be required. The

codes entered at the institution are:

DIS C – This code is applied to any inmate with a neurodevelopmental disorder, which

may include an intellectual disability, an autism spectrum disorder, attention

deficit/hyperactivity disorder, or a learning disability/disorder when this condition causes

impairment in functioning. It may also be applied to individuals who experienced

dementia, brain injuries, or other insults that produced cognitive impairment after

adulthood.

DIS P – Indicates the presence of a sensory or physical disability requiring

accommodation. While details of the specific disability cannot be disclosed, the

accommodations required within the correctional setting while incarcerated should be

known to all applicable staff.

DIS D – This code is applied when an inmate has been assessed and a determination has

been made that the inmate has dyslexia. The inmate can then be identified and tracked so

that programs and accommodations for dyslexia can be provided.

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Any inmate who arrives without a screening code but self-identifies as having a disability during

intake, or at any time during the incarceration period, is referred to the appropriate department

for evaluation via normal procedures.

Dyslexia Screening —

(1) SCREENING.—The Attorney General shall incorporate a dyslexia screening program

into the System, including by screening for dyslexia during—

(A) the intake process; and

(B) each periodic risk reassessment of a prisoner.

(2) TREATMENT.—The Attorney General shall incorporate programs designed to treat

dyslexia into the evidence-based recidivism reduction programs or productive activities

required to be implemented under this section. The Attorney General may also

incorporate programs designed to treat other learning disabilities.

Dyslexia is assessed in two phases. This occurs at intake and then biannually as part of the

reassessment process.

The first step of the two-part process begins with education staff completing the Screening

Checklist for Dyslexia (SCD) which consists of sections focusing on historical information

related to learning disorders, processing skills and perceptual problems. This checklist will be

read aloud to inmates by education staff at the time of screening. A threshold score is set that

indicates the possible presence of dyslexia. If this threshold is reached or if additional

information suggesting dyslexia is present, the inmate proceeds to the second step of the

assessment process.

For inmates who reach the threshold on the SCD, a qualified, trained staff member will

administer the necessary sections of the Woodstock-Johnson IV, or a Reentry Services Division

approved assessment tool, following the guidance provided by its authors. The results of the

screening will be forwarded to the SOE to determine if the propensity for dyslexia exists. This

information will be shared with the unit team, psychology services and all other appropriate staff

to ensure the inmate receives appropriate, individually-determined accommodations. If

necessary, staff may consult with the School Psychologist in the Reentry Services Division.