BOP Program Statement 5566.07 § 9

(a) In immediate use of force situations, staff shall seek the assistance of mental health or

qualified health personnel upon gaining physical control of the inmate. When possible, staff shall

seek such assistance at the onset of the violent behavior. In calculated use of force situations, the

use of force team leader shall seek the guidance of qualified health personnel (based upon a

review of the inmate’s medical record) to identify physical or mental problems. When mental

health staff or qualified health personnel determine that an inmate requires continuing care, and

particularly when the inmate to be restrained is pregnant, the deciding staff shall assume

responsibility for the inmate’s care, to include possible admission to the institution hospital, or,

in the case of a pregnant inmate, restraining her in other than face down four-point restraints.

In instances of calculated use of force, special consideration will be given to inmates with health

conditions, infectious disease concerns, pregnant or postpartum inmates, inmates identified as

mentally ill, intellectually disabled, and/or physically disabled. The decision to use force on

inmates who meet these criteria must be individually assessed. The Clinical Director or designee

must be consulted to determine if the proposed use of force on inmates with health conditions,

infectious disease concerns, pregnant or postpartum inmates, and/or inmates who are physically

disabled is clinically appropriate. The Chief Psychologist or designee must be consulted to

determine if the proposed use of force on inmates identified as mentally ill and/or intellectually

disabled is clinically appropriate. The Warden or designee makes the final decision for the

approval of a calculated use of force. For guidance regarding the rare use of restraints on

pregnant or postpartum inmates, see the Program Statement Female Offender Manual.

Aggressive inmates with open cuts or wounds who have attempted to harm themselves or others

should be carefully approached by employees in the prescribed protective clothing/gear. A full

body shield should also be used during these encounters to protect employees. Aggressive

inmates, after placement in restraints, should be placed in administrative detention or separated

from other inmates.

(b) After any use of force or forcible application of restraints, the inmate shall be examined by

qualified health personnel, and any injuries noted, immediately treated.

If an employee involved in a use of force reports an injury, qualified Health Services employees

shall provide an immediate medical assessment and initial emergency treatment as required.

P5566.07 7/17/2024 Federal Regulations from 28 CFR: this type. Implementing instructions: this type. 17

Employees may also seek treatment from their personal physician.

As soon as practicable, an employee who sustains a work-related injury or exposure should

report the injury to their supervisor and complete the appropriate Office of Workers’

Compensation Programs (OWCP) form(s).