BOP Program Statement 7310.04 § 15

retained at the institution consistent with provisions

established in the Program Statement on Inmate Central File,

Privacy Folder, and Parole Mini-files.

/s/

Kathleen Hawk Sawyer

Director

PS 7310.04

12/16/98

Attachment A

Sample letter for Wardens to send to Chief USPOs

John Jones, Chief USPO

Judicial District

Street Address

City, State Zip Code

Re: Doe, John

Reg. No.: 12345-678

Dear Mr. Jones:

The above-noted inmate will complete his/her sentence on

________________ and is being considered for referral to a

Community Corrections Center (CCC) on or about _______________

for prerelease services. Because of certain factors in this

offender's case, we are closely reviewing his/her appropriateness

for CCC placement. Therefore, I am soliciting your view in this

matter recognizing that your office will soon be responsible for

supervising this offender in the community.

Please indicate below whether or not you favor release

through a CCC for this offender. Feel free to attach additional

comments. If you favor release through a CCC, I ask that you

consider providing some assistance in initiating the supervision

process while the offender resides in the CCC. Please return

this letter as soon as possible so that release planning can be

finalized.

Thank you for your assistance in this matter of mutual

concern.

Sincerely,

Warden

____________ Yes, I favor referral to a CCC for

prerelease services.

____________ No, I do not favor referral to a CCC.

Comments:________________________________________________________

_________________________________________________________________

_______________________

Chief USPO

District

_______________________

Date

PS 7310.04

12/16/98

Attachment B, Page 1

Please refer to the latest issuance of BOPDOCS for a copy of BP-S210.073,

INSTITUTIONAL REFERRAL FOR CCC PLACEMENT.

PS 7310.04

12/16/98

Attachment B, Page 2

INSTRUCTIONS FOR COMPLETION OF INSTITUTIONAL REFERRAL FOR CCC

PLACEMENT

All federal institutions shall use the standard form

"Institutional Referral for CCC Placement", BP-210, when

referring inmates for community corrections placement in any type

of community program.

The following instructions will be followed when completing the

form:

GENERAL INFORMATION:

Ë Use the current EMS Community Corrections Directory (BOP

COMM CORR DIR) or BOPDOCS Community Corrections Directory to

determine the appropriate CCM.

Ë All referrals shall be signed by the Warden.

Ë Provide the inmate's full committed name and register

number. The inmate's unit should also be included.

Ë Identification of Unit Manager and GroupWise mailbox

codes will expedite notification.

Ë Institution name and mailing address allows CCC staff to

send materials directly to the unit manager.

SPECIFIC INFORMATION:

1. Indicate the inmate's city of residence upon release. A

complete address should be included in current progress report.

Indicate the federal district of supervision.

2. The ISM shall insure the anticipated release date provided on

the referral includes all eligible good time earnings. The date

should be an accurate estimate of the date the inmate is to be

released from custody. If release is by parole, only the parole

date needs to be indicated. At the time of this review, the ISM

will insure there are no detainers that would prevent CCC

transfer.

3. Staff specifying a recommended placement date shall further

indicate that the CCM should not adjust that date. (Include this

information in Item 12.) CCMs shall adhere to the recommended

date, with any adjustment only being downward due to budget or

bedspace constraints as a factor.

PS 7310.04

12/16/98

Attachment B, Page 3

For MINT referrals, staff should provide a specific date of

placement, which is normally two months prior to the requested

delivery date. Planned periods of longer than six months require

the Regional Director's approval and the Chief U.S. Probation

Officer in the inmate's sentencing district to determine whether

the judge concurs with the placement. (Include this information

in Item 12.)

4. Indicate the date the report was submitted and attach a copy

of any transmittal memo to the USPC.

5. An inmate who has been scheduled for a statutory interim

hearing may not be transferred to a CCC until after the hearing

or unless the inmate waives the hearing. If neither is the case,

the CCM will hold the referral in abeyance until the matter is

resolved. This information should be included in item 11.

6. Offenders sentenced under the Sentencing Reform Act or the

Anti-Drug Abuse Act may have a term of supervised release

following confinement. Offenders convicted of drug offenses may

have a Special Parole Term.

7. Indicate if the inmate has "aftercare" requirements (must be

imposed as a supervision condition by the U.S. Parole Commission,

or the sentencing court). This helps the CCM select the most

appropriate facility.

8. If the inmate is a Central Inmate Monitoring case, the Warden

has clearance authority on all CIM cases with the exception of

WITSEC cases. The Inmate Monitoring Section, Central Office will

provide CIM clearance for WITSEC cases.

9. If the area of referral is not the sentencing district, staff

will forward release planning materials to the probation office

in the proposed district of supervision. Institution staff

should refer to the Operations Memorandum on Release Planning,

Inmate - Memorandum of Understanding (MOU) Between the BOP and

the Administrative Office of the U.S. Courts for further

instructions. At the time of the unit team's recommendation for

CCC placement, the case manager should submit release plans to

the USPO if other than the sentencing district. A relocation

acceptance letter should be included in the CCC referral packet.

Additionally, for inmates releasing in their sentencing district,

a copy of the proposed supervised release plan with the final

progress report shall be forwarded to the probation office in the

sentencing district for verification of residence and employment.

PS 7310.04

12/16/98

Attachment B, Page 4

10. The Program Statement on Fines and Costs describes

institution responsibilities for CCC transfers for inmates who

have fines. If the inmate has a committed fine, include this

information in item 11.

11. It is extremely important to include any information that

might have a bearing on the facility's decision to accept the

inmate for placement. Information on outstanding detainers or

pending charges must be included. Indicate if there is a

substance abuse history. Also, indicate if the inmate has

successfully completed the institutional phase of the

comprehensive drug treatment program. If more space is needed,

attach an additional page.

12. Information on special needs of the individual and/or

unusual circumstances is very important for staff in deciding on

acceptance and setting up an individual program plan once the

inmate is accepted. If staff wish to recommend a specific

facility or program, they may include that information here. The

CCM, in managing the CCC population, will consider the referenced

special needs when establishing an acceptance date. Therefore,

detailed and specific comments in this section are very helpful.

If more space is needed, attach an additional page. Prenatal

care needs should be addressed also.

Inmates who are released from institutions with a condition of

parole, mandatory release, or supervised release that requires

they reside in a CCC must be referred for CCC placement prior to

their release. CCMs will notify institutions of acceptance or

rejection.

13. For MINT referrals, indicate the expected date of delivery.

and the projected date of the inmate's return to the parent

institution.

! INFORMATION TO BE INCLUDED IN THE CCC REFERRAL PACKET TO CCM:

A checklist is provided on the referral form to insure that all

necessary material is included. CCMs who receive referrals

without the required information or documents are instructed to

hold the referral in abeyance until they are able to obtain the

information from the institution.

Referral Form

All items shall be completed. Do not indicate "See progress

report".

PS 7310.04

12/16/98

Attachment B, Page 5

Current Progress Report

A current progress report (less than 180 days old at time of

referral), including any significant new information that is

available since the report was written, must be included with the

referral. Especially important is specific information regarding

proposed residence and employment (including telephone numbers),

availability of other community resources, and any other

information regarding release plans.

Presentence Investigation/Violation Report

Two copies of all relevant presentence investigation/violation

report(s).

Community Based Program Agreement

This form allows facility staff to discuss the referral with

family, potential employers, and other community resources and

notifies the inmate of any special conditions of CCC residence

such as financial responsibility and urinalysis. This form also

acknowledges the inmate's agreement to comply with the rules and

regulations of the Home Confinement program and stipulates that

participation in home confinement may be an alternative to

placement in a Community Corrections Center. Additionally, for

MINT referrals, it notifies the inmate or the guardian/foster

care provider of their responsibility for medical care and

subsistence of the child while in a community based program.

BP-339 CIM Case Information Summary

This document is required for all CIM assignments except for

"pure" separation cases.

USPO Acceptance Letter

If an inmate is releasing to a district other than the sentencing

district, a relocation acceptance letter from the appropriate

USPO must be included in the referral packet.

Copy of Latest Parole Commission Notice of Action

Provide the most current copy which includes specific action,

such as the presumptive parole date, effective parole date,

continue to expiration, etc.

BP-351 Medical Evaluation for Transfer of Inmates to CCC Type

Facility

Must be completed prior to the referral in order to advise the

facility of potential problems or special medical needs.

PS 7310.04

12/16/98

Attachment B, Page 6

Judgment and Commitment Order

Serves as documentation of authority to maintain custody and

identifies special commitment conditions. If necessary, this

document can be provided to the U.S. Marshals Service for

purposes of apprehension or maintaining custody.

Statement of Responsibility (MINT Referrals)

For MINT referrals, this serves to notify the CCM, CCC, and

institution staff of who will assume custody and total financial

responsibility for the child.

! INFORMATION TO BE FORWARDED TO THE TRANSITIONAL SERVICES

MANAGER:

Information should be forwarded to the TSM in the region where

the inmate is releasing. Staff are to refer to the Drug Abuse

Programs Manual, Inmate for additional information for

responsibilities/documentation.

Treatment Summary and Referral Form - Drug Abuse Treatment

Programs

This form provides assessment findings, treatment progress and

other pertinent information for inmates who are graduates of

Residential Drug Abuse Programs.

Agreement to Participate in Community Transition Programming

By signing this form, the inmate acknowledges that he/she

understands and agrees to comply with program rules and

regulations of the Bureau's community-based drug programs.

Progress Report

Refer to summary provided in "Current Progress Report" for

INFORMATION TO BE INCLUDED IN THE CCC REFERRAL PACKET TO CCM.

Referral Form

Refer to summary provided in "Referral Form" for INFORMATION TO

BE INCLUDED IN THE CCC REFERRAL PACKET TO CCM.

OTHER INFORMATION

Any information or documents believed to be necessary to assist

in the pre-release planning process. A current psychological

report should be included if it is anticipated the inmate will

have mental health needs.

PS 7310.04

12/16/98

Attachment B, Page 7

Correspondence from/to family, friends, prospective employers,

probation officers, etc., that may provide specific information

about release plans and resources. A copy of the referral form

is sent to the CUSPO in the sentencing district and the district

of supervision. Other pertinent documents will have already been

sent by the institution to these offices.

Procedures

For inmates being referred to contract facilities, the CCM

will forward the referral to the appropriate facility, with

instructions for the facility director to reply to the CCM with a

copy to the referring institution. In addition to the transfer

date, the facilities letter of acceptance will usually include

documents for the inmate to sign and return prior to transfer.

Such documents should be returned to the CCC by institution staff

with the BP-385(51), transfer order and furlough papers.

The CCM maintains a copy of the referral for reference, should

any questions arise from the facility, USPO, inmate's family or

the institution.

Using institution records, unit staff will complete as much

information as they can on release paperwork. Only the

"unknowns" which must be determined while the inmate is in the

CCC will be left blank. Inmates do not sign release papers

(acknowledging they understand supervision conditions) and

institution staff do not sign "certifying release" prior to an

inmate's transfer. These certifications are done by CCC staff at

the time of an inmate's release.

The institution is responsible for typing all information on

release certificates. The line "now confined in the" shall

specify the name of the CCC from which the inmate is to be

released.

The inmate should sign the space at the bottom of the release

certificate indicating an understanding of the conditions of

release before departure from the CCC. The CCC Director is to

sign the bottom portion of the form as the Chief Executive

Officer verifying the inmate's release.

PS 7310.04

12/16/98

Attachment C

Please refer to the latest issuance of BOPDOCS for a copy of BP-S434.073

COMMUNITY BASED PROGRAM AGREEMENT.

PS 7310.04

12/16/98

Attachment D

Sample Statement of Responsibility for MINT Referral

Name

Address

City, State Zipcode

RE: DOE, Jane

12345-678

Dear:

Jane Doe, an inmate currently confined at the Federal

Correctional Institution, (city, (state), has been

accepted into the Mothers and Infants Together (MINT) Program and

is tentatively scheduled to furlough transfer to (name of

facility), (address), on. She has an

anticipated delivery date of.

Ms. Doe advises that you, the father of the baby, will

assume custody of the child, to include financial responsibility

for medical care costs upon her release from the MINT Program.

She indicated that your telephone number is.

Accordingly, by signing this letter, you agree to assume

custody of the child, including financial responsibility for

medical care costs once Ms. Doe is released from the MINT

Program.

Please return this letter to the inmate's case manager,

. If there are any questions or concerns, please do

not hesitate to contact me at (full phone number).

Sincerely,

XXXXX

Unit Manager

Signature of person assuming care and financial Date

responsibility for Ms. Doe's baby / relationship

to inmate

cc: CCM

CCC

HSA

Controller

Central File