BOP Program Statement 5241.01 § 7

Intake Screening, History and Physical Assessment. Health Services staff will conduct an

intake screening and a comprehensive history and physical assessment as specified in the

Program Statement Patient Care for all newly admitted aging offenders. Staff performing these

initial assessments will refer aging offenders presenting with physiological, functional, cognitive

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or sensory problems for additional targeted assessment, intervention, and enrollment in chronic

care clinics as clinically appropriate.

Baseline Assessment/Assessment Tools. The purpose of the preventive health assessment of

aging offenders 50 years or older is to assess age-related factors, and identify the need for and

frequency of preventive health measures. Clinical decisions will include the clinical guidance

located on the Health Services Division, Health Management Resources intranet page.

Ongoing Assessment. Health Services staff (e.g. physician, physician assistant, nurse

practitioner, or registered nurse) will perform a baseline Preventive Health assessment and an

annual Preventive Health record review for aging offenders 50 years of age and older in

accordance with the most current Preventive Health Care Clinical Guidance and Patient Care

Program Statement. Health Services staff will perform a baseline Preventive Health

assessment based on the current Preventive Health Care Clinical Guidance.

Frail elderly offenders require more comprehensive and frequent assessment and monitoring.

In addition to the current Preventive Health Care Clinical Guidance, Health Services staff will

take the following actions:

■ Review the suitability of assigned age specific accommodations and determine whether

other accommodations are warranted.

■ Assign to an Aging Offender Interdisciplinary Care Team (see institution responsibilities

section above).

■ Evaluate annually for Reduction in Sentence (RIS) eligibility.

Elderly offenders have a variable profile of current and historical health problems. These

offenders may require more comprehensive and frequent assessment and monitoring. However,

a segment of elderly offenders will have self-manageable health conditions, independently

perform ADLs/IADLs, and need only minor accommodations or assistive devices to maintain

independence. Health Services staff will monitor all elderly offenders as follows:

■ Review the suitability of assigned age specific accommodations and determine whether

other accommodations are warranted.

■ Evaluate annually for Reduction in Sentence (RIS) eligibility.

Medical and Mental Health Information. Bureau staff will maintain medical and mental health

information regarding aging/elderly offenders in the current electronic recordkeeping system in

accordance with Program Statements Health Information Management and Release of

Information.

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