BOP Program Statement 6031.06 § 23

Bureau-staffed Rehabilitation Services are ordinarily limited to medically designated inmates at

MRCs or institutions with advanced medical missions. The HSA or designee will implement

standard procedures outlining at least the following topics:

 Scope of services

 Referral process to and from health care providers

 Use of inmate workers in the department

 Quality improvement components under HSU’s Quality Improvement Program

 Preventive maintenance of equipment

 Infection control

 Procurement and issuance of DME and supplies

 Safety and security

Inmates at institutions without Speech, Occupational, and/or Physical Therapy services onsite

occasionally require assessment and treatment by a Rehabilitation Specialist. Speech,

Occupational, or Physical Therapists in the local community may be used in clinically

appropriate cases. The CD, through URC, determines if rehabilitative services are clinically

indicated. The Regional Physical Therapy Clinical Team will review the request and determine

the best modality for treatment delivery (e.g., home exercise, Bureau provider, telehealth, referral

to community, etc.). Depending on the needs of the inmate population at the institution, these

services may be part of the comprehensive medical services contract. Management options for

difficult cases should focus on self-management plans and provision of services on-site

whenever possible.

The CD will refer inmates requiring extended speech, occupational, or physical therapy for

redesignation to a facility with those services in consultation with the Regional Physical Therapy

Clinical Team.

The CD will discuss the inmate’s diagnosis and current condition with a Bureau therapist prior to

submitting the BP-A0770, Medical/Surgical and Psychiatric Referral Request form (770)

requesting redesignation to determine if the transfer is appropriate, or if there are alternative

local options to exhaust.