; and (II) is necessary to protect the inmate during preparation for transfer to a general population protective custody unit or a different general population unit; and (E) shall provide any inmate in protective custody access to all of the equivalent programs, services, amenities, including access to communication, and conditions as people in the general population of the facility. (4) Vulnerable populations A covered facility may not place an inmate in solitary confinement if— (A) the inmate is 21 years of age or younger, is 60 years of age or older, has a serious mental illness or disability (as defined in section 3 of the Americans with Disabilities Act of 1990 ( 42 U.S.C. 12102 )), has been determined by a licensed mental health professional to likely be significantly adversely affected by placement in solitary confinement, is pregnant or in the first 8 weeks of the postpartum recovery period after giving birth, or is caring for a child in a facility program, unless— (i) the inmate poses a substantial and immediate threat; (ii) all other options to de-escalate the situation have been exhausted, including less restrictive techniques such as— (I) penalizing the inmate through loss of privileges; (II) speaking with the inmate in an attempt to de-escalate the situation; and (III) a licensed mental health professional providing an appropriate level of care; (iii) such confinement is limited to the briefest term and the least restrictive conditions practicable, including access to medical and mental health treatment; (iv) such confinement is reviewed by a multidisciplinary staff committee for appropriateness every 24 hours; and (v) as soon as practicable, but not later than 5 days after such confinement begins, the inmate is diverted, upon release from solitary confinement, to— (I) a general population unit; (II) a protective custody unit described in paragraph (3); or (III) a mental health treatment program as described in subsection (c)(2)