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U.S. Marshals Service

Prisoner Health Care Standards


The following medical interventions and procedures are not authorized for payment by the USMS, unless ordered by the court:


Counseling or therapy for marital, educational, behavioral, or sexual Diagnosis or treatment of sexual dysfunction/inadequacy/impotence

Hypnotherapy problems

Mental Competency evaluation. (Mental competency evaluation
is the responsibility of the Federal Bureau of Prisons and a Court order is required.)

Orthomolecular Psychiatric Therapy

Psychoanalysis or psychotherapy credited toward earning a degree, or furtherance of education or training, regardless of diagnosis or symptoms that may be present

In-depth psychological or psychiatric testing, counseling, or psychotherapy unless ordered by the Court. (Initial and/or acute psychological or psychiatric evaluation for medical management,
or medication adjustment is covered.)

Sleep therapy or evaluation

Speech Therapy

Treatment of alcoholism or substance abuse, unless the detainee had begun a course of therapy prior to being taken into the custody of the USMS, or if necessary for acute withdrawal, or if ordered by the court

Treatment for learning disabilities and mental retardation  is an official site of the U.S. Federal Government, U.S. Department of Justice