BOP Program Statement 5260.01 § 2

Clinical Group Psychotherapy: a cognitive behavioral process by which a group of persons is

led by a psychologist, licensed mental health professional, or qualified treatment specialist to

guide interpersonal and intrapersonal growth through an examination of the persons’ thoughts,

feelings, experiences, and skills.

Gender Dysphoria (GD): a mental health diagnosis currently defined by the Diagnostic and

Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5 TR), or its

replacement. It is a psychological disorder caused by clinically significant distress or impairment

due to the perceived discrepancy between a person’s expressed/experienced gender identity and

his or her biological sex.

Gender Identity: a fully internal and subjective sense of self, disconnected from biological

reality and sex and existing on an infinite continuum, that does not provide a meaningful basis

for identification and cannot be recognized as a replacement for sex.

Individual Therapy: a collaborative treatment based on the therapeutic relationship between the

patient and psychologist, licensed mental health professional, or qualified treatment specialist,

including, but not limited to, cognitive behavioral and dialectical behavioral therapy.

Multidisciplinary Review Team (MRT): a multidisciplinary group of staff representing

different disciplines, which has the responsibility for ensuring access to necessary assessment,

treatment, continuity of care, and services to inmates in accordance with their identified mental

health needs, and which collaboratively develops, implements, reviews, and revises the treatment

plan. Additionally, institutions may request a review by the MRT of individual inmates based on

treatment concerns or clinical consultation needs. The MRT is coordinated by the Psychology

Services Branch (PSB), which is responsible for scheduling meetings, maintaining records, and

documenting official notes. The MRT will consist of the following members (or their designee):

(1) Psychology Services Branch (PSB) Administrator; (2) PSB, Chief of Mental Health; (3)

Health Services Division (HSD) Chief Psychiatrist; (4) HSD Chief of Health Programs; (5) HSD

Chief Pharmacist; (6) HSD Chief Social Worker; and (7) Women and Special Populations

Branch (WASP) Administrator.

Psychoeducational Group Intervention: a didactic form of group therapeutic services designed

to teach patients about their disorder and help them learn how to manage the related symptoms,

behaviors, and consequences. These services may include workbook or homework activities,

medication management, stress/anger management, prosocial skills training, coping skills

exercises, and managing activities of daily living in a carceral setting.

Sex Trait Modification Surgeries: surgical procedures that seek to modify the person’s physical

characteristics to appear to align with the person’s “gender identity” rather than the person’s sex.

5260.01 02/19/2026 PROPERTY OF US GOVERNMENT 2

Examples of these surgeries include vaginoplasty, phalloplasty, orchiectomy, vulvoplasty,

hysterectomy, oophorectomy, mastectomy, metoidioplasty, chest reconstruction, breast

augmentation, hair removal, facial feminization surgery, and voice modification. These surgeries

are also called “cross-sex,” “sex reassignment,” or “sex rejection” surgeries.

Social Accommodations: items, including cosmetics and clothing, used to alter the person’s

appearance to align with the person’s “gender identity.” Examples of “social accommodations”

include buttock padding, breast padding, binders, undergarments, makeup, and wigs.

Social Transition: the process by which a person begins to try to live and present in a way that

aligns with their “gender identity” rather than the person’s sex. This typically involves various

non-medical actions, such as the use of “social accommodations” to alter the person’s

appearance to align with the person’s “gender identity.”