Reports

We recommend the Acting Commissioner of U.S. Customs and Border Protection periodically assess and document requirements to review and update related policies and procedures to:1. clearly define at-risk populations;2. establish set times for frequency of welfare checks;3. ensure completion of medical assessments for all juveniles; and4 ensure rescreening of migrants after detainment exceeds guidelines.

We recommend the U.S. Customs and Border Protection Chief Medical Officer continue to collaborate with U.S. Border Patrol and Office of Field Operations to strengthen oversight and quality assurance plans through the CBP Self-Inspections Program, to review and assess medical screening, welfare checks, and the recording of supporting documentation.

We recommend the Acting Commissioner of U.S. Customs and Border Protection develop training and require U.S. Border Patrol agents and Office of Field Operations officers to attend the training, which should include:1. updates and changes to policies and procedures when revised; and2. recurrent medical training requirements to identify common signs andsymptoms of persons in a medical emergency in order to initiate lifesaving measures and activation of Emergency Medical Services.