EFTA00042963

Audits 
Date 
Action 
Auditor 
Note 
2019-08-23 17:2435 EDT 
Created 
cn-Archive Agent 1-Daily Archive3 
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Page 13292 
EFTA00043803

Mail Attachment 
Epstein, Jeffrey Edward, Reg. No. 73618-054_1.docx 
Page 13293 
EFTA00043804

Suicide Timeline re: Epstein, Jeffrey Edward, Reg. No. 73618-054 
Friday, August 9, 2019 
8:00 am inmate Reyes Efrain, Reg. No. 85993-054 departs for court 
(WAB-USMS-SDNY). Reyes is Epstein's cellmate. 
8:30 am inmate Epstein arrives in Attorney Conference. He is 
visited by several attorneys throughout the day. 
6:45 pm inmate Epstein departs attorney conference and returns to 
SHU 
7:00 pm inmate Epstein provided a social call by IDO. IDO reports 
inmate Epstein was in good spirits, nothing unusual. 
7:32 am PIO notified of incident by the Warden 
***Inmate Reyes is released from court and does not return to the 
institution. 
Saturday, August 10, 2019 
6:33 am body alarm activated in SHU. Staff found inmate Epstein 
unresponsive in cell. Staff reported to bedside of inmate and 
attempted to wake him. Control announced medical emergency. CPR 
initiated 
6:35 am medical staff (on duty PA) on site, CPR already in 
progress medical staff continues CPR and AED applied on inmate. 
Control called for ambulance 
6:40 am 
, AW notified 
6:45 am EMS arrives, paramedics continue CPR. Inmate Epstein 
remains unresponsive. Inmate Epstein is intubated, given three 
rounds of Epinephrine, IV access started, IC) initiated. No pulse 
found, no shock advised, inmate prepared for transport to local 
hospital. 
7:10 am EMS departs institution enroute to Beekman Hospital. 
7:19 am USMS notified of incident. 
7:20 am SIS Lt notified. 
7:30 am 
, Warden arrives at institution. 
, AW 
notified. 
7:36 am official time of death reported by ER physician. 
7:40 am Acting Chief Psychologist notified. 
8:00 am 
and Captain arrive at institution. 
8:10 am SIS Lt arrives at institution. 
8:10 am CMC and SCSS notified. 
8:34 am FBI notified. 
9:00 am AUSA notified. 
9:00 am 
arrives at institution. 
EFTA00043805

9:00 am SIS Lt. reports to SHU. Interviews will be conducted with 
inmates assigned to tier. 
9:15 am CMC arrives at institution. 
9:30 am Acting Chief Psychologist arrived to the institution. 
9:50 am SCSS arrives at institution. 
9:55 am CMC and IDO depart institution enroute to Beekman 
Hospital. 
10:00 am CMC and IDO arrive at Beekman Hospital, fingerprints and 
photographs taken of inmate Epstein. Inmate clothing secured and 
brought back to institution. 
10:00 am Judge Berman notified. 
10:15 am CMC return to institution. 
10:45 am PIO arrived to the institution. 
11:00 am next of kin (brother) notified by Case Management 
Coordinator. 
11:12 am press release is released to media. 
11:15 am press release provided to Judge Berman. 
11:15 am CST activated. 
12:15 pm body release to Medical Examiner (ME) for autopsy 
12:19 pm FBI arrives. 
1:35 pm FBI arrives in Special Housing Unit. 
1:40 pm OIG notified by the Warden and they will be sending an 
Agent to NYM. 
2:15 pm CST debrief conducted. 
2:45 pm OIG arrived in Special Housing Unit (SHU). 
3:45 pm OIG and FBI departed from SHU. 
5:05 pm OIG/FBI departed MCC New York. 
EFTA00043806

Updated Timeline-Epstein, Jeffrey Edward, Reg. No. 73618-054_1 
From 
To 
Date 
2019/08/10 17:35 
Subject: 
Updated Timeline-Epstein, Jeffrey Edward, Reg. No. 73618-054_1 
Attachments: 
TEXT.htm, Epstein, Jeffrey Edward, Reg. No. 73618-054_1.docx 
Please see the attached. 
Thank you 
Page 13296 
EFTA00043807

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EFTA00043809

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EFTA00043810

Audits 
Date 
Action 
Auditor 
Note 
2019-08-23 172434 EDT 
Created 
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Page 13300 
EFTA00043811

Mail Attachment 
Epstein, Jeffrey Edward, Reg. No. 73618-054_1.docx 
Page 13301 
EFTA00043812

Suicide Timeline re: Epstein, Jeffrey Edward, Reg. No. 73618-054 
Friday, August 9, 2019 
8:00 am inmate Reyes Efrain, Reg. No. 85993-054 departs for court 
(WAB-USMS-SDNY). Reyes is Epstein's cellmate. 
8:30 am inmate Epstein arrives in Attorney Conference. He is 
visited by several attorneys throughout the day. 
6:45 pm inmate Epstein departs attorney conference and returns to 
SHU 
7:00 pm inmate Epstein provided a social call by IDO. IDO reports 
inmate Epstein was in good spirits, nothing unusual. 
7:32 am PIO notified of incident by the Warden 
***Inmate Reyes is released from court and does not return to the 
institution. 
Saturday, August 10, 2019 
6:33 am body alarm activated in SHU. Staff found inmate Epstein 
unresponsive in cell. Staff reported to bedside of inmate and 
attempted to wake him. Control announced medical emergency. CPR 
initiated 
6:35 am medical staff (on duty PA) on site, CPR already in 
progress medical staff continues CPR and AED applied on inmate. 
Control called for ambulance 
6:40 am 
, AW notified 
6:45 am EMS arrives, paramedics continue CPR. Inmate Epstein 
remains unresponsive. Inmate Epstein is intubated, given three 
rounds of Epinephrine, IV access started, IC) initiated. No pulse 
found, no shock advised, inmate prepared for transport to local 
hospital. 
7:10 am EMS departs institution enroute to Beekman Hospital. 
7:19 am USMS notified of incident. 
7:20 am SIS Lt notified. 
7:30 am 
, Warden arrives at institution. 
, AW 
notified. 
7:36 am official time of death reported by ER physician. 
7:40 am Acting Chief Psychologist notified. 
8:00 am 
and Captain arrive at institution. 
8:10 am SIS Lt arrives at institution. 
8:10 am CMC and SCSS notified. 
8:34 am FBI notified. 
9:00 am AUSA notified. 
9:00 am 
arrives at institution. 
EFTA00043813

9:00 am SIS Lt. reports to SHU. Interviews will be conducted with 
inmates assigned to tier. 
9:15 am CMC arrives at institution. 
9:30 am Acting Chief Psychologist arrived to the institution. 
9:50 am SCSS arrives at institution. 
9:55 am CMC and IDO depart institution enroute to Beekman 
Hospital. 
10:00 am CMC and IDO arrive at Beekman Hospital, fingerprints and 
photographs taken of inmate Epstein. Inmate clothing secured and 
brought back to institution. 
10:00 am Judge Berman notified. 
10:15 am CMC return to institution. 
10:45 am PIO arrived to the institution. 
11:00 am next of kin (brother) notified by Case Management 
Coordinator. 
11:12 am press release is released to media. 
11:15 am press release provided to Judge Berman. 
11:15 am CST activated. 
12:15 pm body release to Medical Examiner (ME) for autopsy 
12:19 pm FBI arrives. 
1:35 pm FBI arrives in Special Housing Unit. 
1:40 pm OIG notified by the Warden and they will be sending an 
Agent to NYM. 
2:15 pm CST debrief conducted. 
2:45 pm OIG arrived in Special Housing Unit (SHU). 
3:45 pm OIG and FBI departed from SHU. 
5:05 pm OIG/FBI departed MCC New York. 
EFTA00043814

Fwd: Psych Reconst Response - Epstein #76318-054.pdf 
From 
To 
Date 
Subject: 
Attachments: 
2019/12/30 09:12 
Fwd: Psych Reconst Response - Epstein #76318-054.pdf 
TEXT.htm, Psych Reconst Response - Epstein #76318-054.pdf 
■ 
please set up a meeting to go over these issues next week. 
Thank you 
> » BOP-RSD/Assistant Director- 12/27/2019 9:08 AM > » 
Please see attached. 
Page 13304 
EFTA00043815

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EFTA00043816

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EFTA00043817

Audits 
Date 
Action 
Auditor 
Note 
2020.01-14 083432 EST 
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en=Archive Agent _I-Daly Archive3 
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Page 13307 
EFTA00043818

Mail Attachment 
Psych Reconst Response - Epstein #76318-054.pdf 
Page 13308 
EFTA00043819

U.S. Department of Justice 
Federal Bureau of Prisons 
Reentry Services Division 
Washington, DC 20534 
DEC 2 7 2019 
MEMORANDUM FOR 
, REGIONAL DIRECTOR 
NORTHEAST REGION 
FROM: 
S tant Director 
Reentry Services Division 
SUBJECT: 
Institution Response 
Psychological Reconstruction 
Inmate Epstein, Jeffrey (76318-054) 
I have reviewed the Institution Response dated November 19, 2019, to 
the Psychological Reconstruction of an inmate suicide involving 
Jeffrey Epstein (76318-054). 
Some of the corrective actions and plans for implementation outlined 
in the response are unclear or insufficient. Please review the 
feedback provided and revise your response accordingly. An updated 
Institution Response is due to me within thirty (30) days of your 
receipt of this memorandum. 
If you have questions or concerns, please feel free to contact me at 
(202) 514-8585. I appreciate your assistance with this matter. 
CC: 
, Warden, MCC New York 
EFTA00043820

Institution Response Feedback 
MCC New York 
Epstein, Jeffrey (Reg. No. 76318-054) 
Issue 1: Single Calling - Corrective Measure Accepted 
The local guidelines provide a reasonable system of control to 
monitor the single-ceiling of inmates in the Special Housing Unit. 
National guidelines for single ceiling in the Special Housing Unit 
have been incorporated into national policy and will soon be 
released. Please reference these generally with a plan to 
incorporate. 
Issue 2: 30 Minute Rounds 
The substance of the two hour Captain video review and six hour IDO 
video review is unclear. Please clarify the requirement for the 
Captain and IDO. Additionally, please identify the documentation 
used to maintain accountability of the reviews. 
Issue 3: Cellmate Assignments 
Documentation exists reflecting the role of the local Psychology 
Services department in communicating the importance of Mr. Epstein's 
status as a sex offender with specific needs to the Associate 
Warden. This includes consultation with the Psychology Services 
Branch in Central Office. The communication chain and decision 
making of Executive Staff lacks transparency as there is no 
documentation of the process or staff members present when decisions 
were made about the housing of Mr. Epstein. After the fact 
explanations may not accurately reflect what occurred. 
Psychology Services was not adequately represented in the decision 
making of Executive Staff. Please establish a plan to increase the 
input of a psychologist in placement decisions for vulnerable 
inmates. 
Issue 4: Documentation Accuracy 
Professional responsibility requires taking into account multiple 
descriptions of an incident as noted in your response. However, 
when discrepancies exist these should be compiled and noted in 
documentation to decrease the likelihood of conflicting conclusions. 
As noted in the reconstruction report, an incident report must be 
written within 24 hours of having the information that an inmate 
likely violated BOP rules. An incident report was written for Mr. 
Epstein prior to a determination of whether he engaged in self-
directed violence or was assaulted on July 23, 2019. Staff had 
ample time to wait for the outcome of the SIS investigation of this 
incident. The incident report presumed self-directed violence, 
although SIS was not able to determine whether this incident was 
self-directed violence or an assault. Generating the incident 
EFTA00043821

report for self-directed violence is evidence of a local bias about 
the July 23, 2019 incident that still exists amongst some staff at 
MCC New York. Preconceived notions challenge the ability to remain 
open about alternative explanations, and subsequent systemic changes 
may be needed. 
Please develop and provide local training for all staff that at a 
minimum reviews the time frame for writing incident reports and 
offers guidance when there is not clear evidence of an infraction. 
Include an outline of the training and evidence of staff who 
attended the training. 
Typographical Errors - Corrective Measure Accepted 
Medical Intake Screening - Response Accepted 
Suicide Watch Log Book - Corrective Measure Accepted 
BP 292s - Corrective Measure Accepted 
Psychology Observation - Corrective Measure Accepted 
Issue 5: Telephone Calls 
As noted in the response, there is a lack of documentation to 
substantiate that a lieutenant facilitated two telephone calls to 
Mr. Epstein. However, this does not address the report of two 
telephone calls being provided. This response implies that the 
reporting of two staff members is inaccurate. 
The response neglects the documented telephone call to Mr. Epstein's 
deceased mother. 
Issue 6: Direct Observation 
Corrective Measure Accepted 
Issue 7: Follow-Up 
Please provide documentation for the follow up training provided to 
staff detailing the content of the training and to whom it was 
provided. 
Issue 8: Inmate Accountability and Assignment Accuracy 
Periodic and unannounced checks are now conducted in SHU to 
determine pp30 assignments and actual inmate placement match. 
Please provide an operational definition of periodic. Please do the 
same for routine, as it relates Executive Staff bed book counts in 
all units. Where will the periodic and routine reviews be 
documented and will they include the identity (e.g., name and title) 
of staff who complete them? 
EFTA00043822