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This is an FBI investigation document from the Epstein Files collection (FBI VOL00009). Text has been machine-extracted from the original PDF file. Search more documents →

FBI VOL00009

EFTA00046963

1000 pages
Pages 881–900 / 1000
Page 881 / 1000
EFTA00047843
Page 882 / 1000
MCC NEW YORK 
NEW YORK, NY 
Daily Assignment Roster 
6 07:00 - 16:00 
Sf 
9 1Z00 . 20:00 
Saturday August 10, 2019 
Page 1 
Post 
Split S Itt 2 00:00 - 08:00 
3 06:00 • 14:00 
9 08:00 - 16:00 
10 14:00 • 22:00 
12 16:00.00:00 
OPS LT 
2 
ACT LT 
SHU LT 
SIS TECH #1 
PHONE MONITOR 
SEARCH OFFICER 
LOBBY 
CONTROL It 
CONTROL *2 
INTERNAL 
INTERNAL N2 
ATTY CONF 
UNIT 2 
UNIT 3 
5 NORTH 
5 SOUTH 
7 NORTH 
7 SOUTH 
9 NORTH 
SHU #1 
SHU *2 
Slit) ID 
SHU 
10 SOUTH #1 
10 SOUTH *2 
11 NORTH 
11 SOUTH 
11 SOUTH *2 
OSP NI 
SANITATION OFF 
VISIT 01 
VISIT 02 
VISIT 03 
3110,23195:5&10 PM 
m6 
—ems 
••t0` s 
"12 Medina, D 
EFTA00047844
Page 883 / 1000
Form 583 Report of Incident 
Incident 
NYM-19- 
Submitted By: 
0076 
Date/Time Of Incident: 7/23/2019 V27 AM 
Section 1: General Information 
Staff Aware Date: 7/23/2019 1:27 AM 
FBI Notified: No 
USMS Notified: No 
Location Level 1: SHU 
Typepf Incident._ 
O Assault On Inmate 
O Assault On Staff 
O Assault, Attempted On Inmate 
O Assault, Attempted On Staff 
O Disruptive Behavior 
K Escape From Non-secure Facility 
O Escape From Secure Facility 
O Escape, Attempted From Non-secure Facility 
O Escape, Attempted From Secure Facility 
O Fight 
O Inmate Death 
O Institution Disturbance 
O Introduction Of Contraband 
O Lethal Weapons Discharge 
El Self Mutilation 
O Setting A Fire 
O Sexual Act. Non-consensual On Inmate 
O Sexual Assault On Staff 
O Sexual Contact, Abusive On Inmate 
O Sexual Harassment, Repetitive 
K Staff Homicide 
O Strike, Food 
O Strike, Work 
IZI Suicide Attempt 
O Use Of Force 
O Use Of Forte/Applications Of Restraints 
O Use of Restraints, Pregnant/Postpartum 
Method: Hanging/Asphyxiation 
Indicate Where Incident Occurred: Main Facility 
Level 2: Housing Unit, Special (SHU) 
Level 3: 9 SOUTH SHU 
Institution Locked Down: No 
Modified Operations: No 
Cause Of Incident Known? No 
Cause Of incident 
El Alcohol 
O Commissary 
O Debts 
O Disrespect Issue 
O Drugs 
O Ethnic Conflict 
D Food Issue 
O Geographical Conflict 
O Interfering with Staff duties 
O Property Issue 
O Racial Conflict 
D Recreation Equipment 
O Religious Issue 
K Security Threat Group Conflict 
• Sexual Pressure 
O Sporting Events 
O Telephone 
O Theft 
O Visiting 
O Work Issue 
Section 2 Inmates Involved 
UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE 
This document Is marked Unclassified/Limited Official Use Onty/Law Enforcement Sensitive and may be disseminated. with proper 
attribution, to active Law Enforcement DOD, or U.S. Intelligence Agencies. This document or any segment/attachment therebt may 
not be released without the approval of the Bureau of Prisons to any media sources, any non-taw enforcement entity. the general 
public or those without a *need to know' It contains information that may be exempt from public release under the provisions of the 
Privacy Act (5 U.S.C. 552). 
1 of 3 
EFTA00047845
Page 884 / 1000
Form 583 Report of Incident 
Incident #: NYM-19- 
Submitted By: 
0076 
DateMme Of Incident: 7/23/2019 1 27 AM 
Reg #: 76318054 
Name: EPSTEIN, JEFFREY 
Role: Victim 
Medical Attention Required: No 
Weapon (per inmate): No 
Use of Force (per inmate): No 
CIMS: No 
STG: Yes 
Restraints (per inmate): Escort Only 
Death (per inmate): 
No 
Reg #: 78514054 
Name: TARTAGLIONE, 
Role: Not Known 
Medical Attention Required: No 
Weapon (per Inmate): No 
Use of Force (per Inmate): No 
CIMS: Yes 
STG: Yes 
Restraints (per inmate): No 
Death (per inmate): 
No 
Injury Category: Minor Injury 
Chemical Used (per inmate): No 
Injury Category: No Injury 
Chemical Used (per inmate): No 
Section 3: Others Involved 
Name: 
Medical Attention Required: No 
Injury Category: No Injury 
Sexual Assault No 
Name: M, 
Medical Attention Required: No 
Injury Category: No Injury 
Sexual Assault No 
Name: 
M
.
 
Medical Attention Required: No 
Injury Category: No Injury 
Sexual Assault: No 
Name: 
Medical Attention Required: No 
Injury Category: No Injury 
Sexual Assault: No 
Name: 
Medical Attention Required: No 
Injury Category: No Injury 
Sexual Assault No 
Person Type: Staff 
Death: No 
Staff Injury by Inmate: No 
Person Type: Staff 
Death: No 
Staff Injury by Inmate: No 
Person Type: Staff 
Death: No 
Staff Injury by Inmate: No 
Person Type: Staff 
Death: No 
Staff Injury by Inmate: No 
Person Type: Staff 
Death: No 
Staff Injury by Inmate: No 
Name: Thomas, 
Person Typo: Staff 
Medical Attention Required: No 
Death: No 
UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE 
This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with 
per 
attribution. to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document or any segment/attachment there f. may 
not be released without the approval of the Bureau of Prisons to any media sources, any non9aw enforcement entity, the gen ral 
public or those without a 'need to know? It contains infomiation that may be exempt from public release under the provision of the 
Privacy Act (5 U.S.C. 552). 
2 of 3 
EFTA00047846
Page 885 / 1000
• 
Form 583 Report of Incident 
Incident 
NYM-19-
0076 
Submitted By: 
Date/Time Of Incident: 7/23/2019 1:27 AM 
Injury Category: No Injury 
Staff Injury by Inmate: No 
Sexual Assault: No 
Section 4: Lethal Weapon Discharge 
No data found.
Section 5: Use of Force 
No data found.
Section 6: Description of Incident 
DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the c 
rcal 
agent and/or restraints, reasons for use of hard restraints instead of soft restraints, etc.) Please be clear a 
ut 
cause(s) of the incident In your description. 
On July 23, 2019 at approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control 
Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, 205-124LAD: I 
observed inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt ando oxers. 
He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes andcontinue 
snoring. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made to get 
the inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was directed to 
retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes 
and observe staff. When staff made eye contact with him, he would huniedly shut his eyes. The inmate was taken to 
HA-Unit, dressed in the suicide smock and placed on suicide watch. 
Upon the arrival of medical staff, inmate Epstein was examined and treated by, MLP Y. Joaquin for a circular line of 
erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left knee. 
• 
— - 
No data found. 
Approved By: NOT COMPLETED 
Section 7: Attachments 
tinoria 
UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE 
This doaiment is marked Unclassifiecnimited Official Use Only/Law Enforcement Sensitive and may be disseminated. with proper 
attribution. to active Law Enforcement DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof. Inay 
not be released without the approval of the Bureau of Prisons to any media sources. any non-law enforcement entity, the genera 
public or those without a 'need to know." It contains information that may be exempt from public release under the provisions of the 
Privacy Act (5 V.S.C. 552). 
3 of 3 
EFTA00047847
Page 886 / 1000
Bureau of Prisons 
"SENSITIVE BUT UNCLASSIFIED" 
Psychology Services 
Clinical Intervention - Clinical Contact 
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Reg #: 
76318-054 
Date of Birth: 
Date 
01/20/1953 
Sex: 
07/27/2019 07:14 
Provider 
M 
- 
Facility: NYM 
PsyD 
Unit Team: 5 
Focus of Session. 
He was seen by writer while he was on Psych Observation. 
Subjective/Objective Presentation 
The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The 
Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an 
Inmate Companion, ate, and slept. 
When interviewed, he stated he still cannot remember what happened in SHU that caused the marks on his neck. He 
stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHU. He stated 
he is anxious about going back to SHU because he stated he is going back to a place where he had gotten marks on his 
neck and he does not know why it happened. 
He said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels dehydrated 
because he is not drinking enough water because he stated he feels he is not given enough bathroom breaks while with 
his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and friends are all 
emotionally supportive. 
Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and coherent, with 
no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucina ons were 
denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He dented current 
suicidal or self harm ideation. He stated "I'm a coward." He added he does not like pain and even does not fike when 
he has to give blood. He agreed to immediately tell staff and Inmate Companions :f he starts to have suici I or self 
harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied 
ghts of 
hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. 
interventionfal
Supportive and educative interventions were provided. Tuning Points handouts on stress management, sl ep, and 
building a routine in SHU were placed on his cell door to be given to him when his food slot is opened. He sled he 
wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because f the noise 
in SHU that prevents him from sleeping. 
proaress/Plan 
He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be {made on 
Monday. While on Psych Observation, he will be seen daily by Psychology. 
Completed by M, 
PsyD on 07/28/2019 09:19 
Generated 07/2812019 09"9 by linen. 
PsyD 
Buseau of Prisons NYM 
Page 1 of 1 
EFTA00047848
Page 887 / 1000
Bureau of Prisons 
"SENSITIVE BUT NCLASSIFIED" 
Psychology Services 
Clinical Intervention - Clinical Contact 
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Reg* 
76318-054 
Date of Binh: 
01/20/1953 
Sex: 
NYM 
Unit Team: 5 
Date: 
07/28/2019 08:33 
Provider: 
I 
syrO 
Focus of Session 
He was seen by writer while he was on Psych Observation. 
SUnieCtlye/Objective Presentation 
The "Eating/Shower Chart" noted that yesterday he ate breakfast. He Is not in the Psych Observation cell 
about 12 
hours per day because of being in Attorney Conference with his Attorneys, so the 'Eating/Shower Chat' M 
not reflect 
all of his meals. He stated he was served one meal in Attorney Conference yesterday. He stated he thin 
a lot water 
at night. The Psych Observation log noted he talked about life in general population and he slept. 
Earlier he had complained that his right arm was numb and hanging. Nurse 
from Medical had seen him for 
this. 
When this writer was Interviewing him, he said his right arm still feels somewhat numb 
d he cannot make a fist 
with that hand. He also said he has numbness on his neck. This writer notified Nurse 
He stated last night when he flushed the toilet it kept flushing for 45 minutes. He stated he found it so avegive and 
upsetting that he said he sat in the corner and held his ears. He said because of this he was agitated for t urs and was 
not able to sleep. The Lt. will be moving him to a different cell and he was informed of this. He stated the feeling he got 
with the noise of the toilet was similar to when he was in Still. He said he may have something on the At sm 
spectrum. lie said in the movie "Rain Man." the person with Autism had an aversion to noise. He stated 
is also 
really good with numbers. 
Current Mental Status: He exhibited a mi'dly anxious mood with a full range of affect. His speech was logi 
1 and 
coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and 'sue' 
hallucinations were denied, and delusions were not ekcited. He did not engage in any bizarre or inappropn to behavior. 
He denied current suicidal or self harm ideation and he agreed to immediately tell staff and Inmate Compa ions if he 
starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to 
self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. 
InterventlOntsi 
Supportive and educative interventions were again provided. He had not been given the Turning Point handouts 
yesterday that were on his cell door, so they were handed to him by staff today. 
Ennuis/Plan 
He will remain on Psych Observation in en abundance of caution and pending housing arrangements to 1made on 
Monday Mile on Psych Observation, he will be seen daily by Psychology. 
Completed by 
PsyD on 07/28/2019 09:24 
Generated 07/28/2019 09:24 by 
PsyD 
Bureau cl Prisons - NYM 
Page 1 of 1 
EFTA00047849
Page 888 / 1000
Bureau of Prisons 
"SENSITIVE BUT UNCLASSIFIED" 
Psychology Services 
Clinical Intervention - Clinical Contact 
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Date of Birth: 
01120/1953 
Sex: 
Date: 
07/29/2019 10.01 
Provider: 
M 
Faciity NYM 
PhD/Chief 
Reg #: 
76318-054 
Unit Team: 5 
EDlianiaft”101 
Inmate Epstein was seen while on psychological observation today in the hospital area. 
AubjectivelObjectIve Presentation 
Same presentation today, but he said he thinks his memory for the incident (Injury to his neck) may be impaired 
because of his sleep apnea. He is supposed to get his CPAP machine today. He is aware he will be returning to SHU, 
but said he is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have one good night 
of sleep with his CPAP and will return to SHU with a celknate tomorrow. He then asked if he could remain down here 
where it is "safe" for the entire week. I told him he can stay down one more night to receive his CPAP anda good 
nights sleep, but that he would be returned to SHU tomorrow. It was explained that there is no mental health issues 
precluding him from returning to SHU tomorrow and that we could not house him in the SW/Hospital area ecause he 
felt safe or more comfortable for him. It was explained to him that he would be placed in a safe situation i the SHU. 
According to his log book and eating/shower chart, he has been eating and drinking when not in his legal sits. He has 
also been writing and attending his legal visits. 
Interventionisl
Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additio I coping 
strategies. Inmate EPSTEIN was somewhat receptive to these interventions, but appears more concerned about getting 
his various needs in the prison (phone calls, recreation, housing placement concerns, etc.) 
Progress/Plan 
He will remain on psychological observation today and will transition to the SHU tomorrow. lie will be seen by 
psychology daily to assess his mental status and psychological functioning. 
Completed by M, 
PhD/Chief Psychologist on 07/29/2019 10:26 
Generated 07/29/2019 10:26 by M. 
Ellssa PhOtCtuef 
Bureau of Prisons - NYM 
Page 1 of 1 
EFTA00047850
Page 889 / 1000
Bureau of Prisons 
Psychology Services 
Clinical Intervention Clinical Contact 
"SENSITIVE BUT UNCLASSIFIED" 
Inmate Name: 
Date of Birth: 
EPSTEIN, JEFFREY EDWARD 
01/20/1953 
Sex: 
Date: 
07/30/2019 12:01 
Provider: 6 
Facility: NYM 
PsyD 
Reg #: 
Unft Team: 
78318-054 
5 
focus of Session 
He was seen by writer while he was on Psych Observation. 
Subjective/Objective Presentation 
He stated he hasn't slept well at MCC-NY because he hasn't had his cpap machine He stated it is here aid he will be 
able to start using it tonight. He discussed how he does not think he will able to sleep in SHU and how he bbbob
oes not like 
SHU because of the noise. He discussed issues on not getting some medication with Medical today. 
The "Eating/Shower Charf indicated yesterday he ate breakfast and dinner, drank liquids, and took a shower when 
offered and so far today it noted he ate breakfast and drank liquids. The Psych Observation Log noted he slept, drank 
water, went to legal, and talked to an Inmate Companion about investments. 
Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and 
herent, with 
no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucin lions were 
denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. There was no 
indication of disturbed thought process or content. Intellectual abifity appeared to be above average. Pe 
at hygiene 
was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if 
starts to 
have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate da 
to self. He 
denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. 
Interventlort(s1
Supportive and educative interventions were provided. When asked about the Turning Point handouts for coping In 
SHU, he stated he already knows these strategies before he read the handouts and had tried them when 
was in SHU 
the last time. He stated with the noise In SHU, he said the strategies will not work. He was encouraged t try them 
Progress/Plan 
The Chief Psychologist was consulted. Psych Observation will be discontinued. Mr. Epstein was educated about both 
routine and emergency procedures for contacting Psychology staff. He will be seen in follow up by Psychology 
tomorrow to monitor his mental status and to provide further intervention if needed and he was informed that he will be 
seen by Psychology tomorrow. In the meantime, he was encouraged to self-refer to Psychology if needed to which he 
agreed and seems capable of doing. If he remains in SHU, he will be seen by Psychology In SHU Round and in Shill 
Reviews. The SHU Lt. was informed that Mr. Epstein needs to be housed with an appropriate celimate. 
Completed by Imeri, 
PsyD on 07/30/2019 13:54 
Generated 07/30/2079 73 54 by 
PsyD 
Eture_au of Pnsegis NYM 
Papier 
EFTA00047851
Page 890 / 1000
Bureau of Prisons 
Psychology Services 
Institution Disciplinary Process Report 
**SENSITIVE BUT UNCLASSIFIED** 
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Reg #: 
78318-054 
Date of Birth: 
01/20/1953 
Sex: 
M 
Facility NYM 
Unit Team 5 
Date: 
07/30/2019 12:01 
Provider: 
PsyD 
Reason for Referral and identifying Informatign 
Inmate Epstein was referred by Unit Manager Proto for an evaluation of competency to proceed with the disdplinary 
process for actions resulting in an incident report. On 7/23/19, inmate Epstein was charged with code 228 (Tattooing of 
Self-Mutilation). These infractions were assigned incident report number 3282555. 
Rickground Information 
According to a Suicide Risk Assessment dated 7109119 by Dr.., 
"Inmate Epstein denied any history of ental 
health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the pas or present 
with psychotropic medication. He also denied any acute mental health symptoms at this time." 
According to a Suicide Risk Assessment dated 7/09/19 by Dr. M. 
"Inmate Epstein denied any past or prinent 
suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the 
past." 
According to this writer's Suicide Risk Assessment dated 7/23/19, 'It is unclear at this time if he had placed the string 
around his neck or if someone else did." 
glinioallaten 
Inmate Epstein still does not remember how he obtained the marks around his neck. 
Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and coherent, with 
no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hatlucina ions were 
denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. There was no 
indication of disturbed thought process or content. Intellectual ability appeared to be above average. Personal hygiene 
was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to 
have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate dang r to self. He 
denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. 
Clinical Impression 
According to his last Diagnostic and Care Level Formulation Note dated 7/09/19 by Dr. M, 
"No Diagnosi , No Dx -
Current" 
Finding" 
The determination of whether an inmate is competent to proceed with the disciplinary process is based on clinical 
assessment of the inmate's (1) ability to understand the nature of the proceedings, and (2) their ability to 
ist in their 
own defense. Depending on the outcome of the assessment, one of three findings can be made: (1) the in ate is 
COMPETENT to proceed with the disciplinary process; (2) the inmate is NOT PRESENTLY COMPETENT ut could be 
restored to competence with treatment; or (3) the inmate is NOT COMPETENT and Is unlikely to become c moetent. 
Racommandationsibmarsgogiaositoos 
In the case of inmate Epstein, after a review of available psychological and psychiatric records as well as information 
pertaining to the offense conduct, it is determined that this Inmate is: 
(X) COMPETENT to proceed with the disciplinary process. 
( ) NOT PRESENTLY COMPETENT, but could become competent with treatment; it is recommended that the inmate for 
an updated competency assessment in 30 days. 
( ) NOT COMPETENT and not likely to become competent. 
Generated 07/30/2019 12:33 by 
PsyD 
Bureau of Prisons - NYM 
Page 1 of 2 
EFTA00047852
Page 891 / 1000
Inmate Name: 
EPSTEIN: JEFFREY EDWARD 
Reg #: 
Date of Birth. 
01/20/1953 
Sex: 
M
Ity: NYM 
Unit Team:
Date. 
07/30/2019 12:01 
Provider: 
Ille'
llsyD 
Completed by 
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:
 
PsyD on 07/30/2019 12:33 
78318-054 
5 
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Page 2012 
EFTA00047853
Page 892 / 1000
Bureau of Prisons 
Psychology Services 
General Administrative Note 
**SENSITIVE BUT UNCLASSIFIED••
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Date of Birth: 
01/20/1953 
Sex: 
Date: 
07/30/2019 12:01 
Provider: 
M 
a 
Facility: NYM 
PsyD 
Reg #: 
Unit Team: 
76318.054 
5 
Comma=
Psych Observation Discontinuation Note: 
Please see "Clinical Contact" dated today. 
Completed by 
MPsyO 
on 07/30/2019 12:33 
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Page 101 1 
EFTA00047854
Page 893 / 1000
Bureau of Prisons 
Psychology Services 
Clinical Intervention -Clinical Contact 
**SENSITIVE BUT UNCLASSIFIED" 
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Reg #: 
Date of Birth: 
01/20/1953 
Sex: 
M 
Facility: NYM 
Unit Team: 
Date: 
07/31/2019 10:35 
Provider: 
PsyD/DAPC 
76318-054 
5 
Focus of Session 
Mr. EPSTEIN was seen today by this writer for a follow up appointment after he was removed from Psycho ogical 
Observation yesterday. 
Subjective/Objective Presentation 
Mr. EPSTEIN presented in a pleasant mood and reported he is generally doing well. He stated, "I could be 
court 
but 
acknowledged he is doing as well as can be expected given his circumstances. He reported he is going to eourt today 
for a status hearing. He stated he generally slept well last night and is readjusting to being placed back in SHU. He 
reported getting along well with his cell mate. lie was informed of appropriate procedures for contacting Psychology 
staff while he is in SHU, if needed. 
Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in d 
nor. He 
exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. He spoke 
normal rate, 
tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangen 
circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal 
thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal slee ng and 
eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He 
s future-
oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he e 
rience 
suicidal ideation or psychological distress. He also denied thoughts of harming others. 
Interventionist
Supportive interventions and cognitive behavioral therapeutic techniques were utilized. Mr. EPSTEIN was receptive to 
all interventions. 
Progress/Plan
Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. There appears to 
be no need for follow-up at this time and he expressed willingness to self refer to psychology staff if needed. He will 
continue to be seen during routine SHU rounds and SHU reviews while he is housed in SHU. He was encouraged to 
reach out for PRN services should he experience any psychological distress. 
Completed by 
PsyD/DAPC on 07/31/2019 10:56 
Generated 07131201810:53 by Averts. Jotie PsyDAMPC 
Bureau of Prisons • NYM 
Pepe 1 et 1 
EFTA00047855
Page 894 / 1000
Bureau of Prisons 
Psychology Services 
Suicide Risk Assessment 
"SENSITIVE BUT NCLASSIFIED" 
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Date of Birth: 
01/20/1953 
Sex: M 
Facili 
NYM 
Date: 
08/01/2019 13:29 
Provider. 
PsyD 
Reg #: 
76318.054 
Unit Team: 
5 
Type of Housing: 
Administrative Segregation 
Cell Accommodation: Double-Cell 
FINDINGS 
This assessment and the resulting recommendations are based on the following sources of information: 
Clinical Interview, Medical Record, Psychology Data System, Sentry 
Reason for Referral.
R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was 
brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies." Mr. 
Epstein was seen for a Suicide Risk Assessment at about 1:00 PM on 8/01/19 in Attorney Conference. 
This note is being entered at about 4:20 PM on 8/01/19. 
Mental Health History 
According to a Suicide Risk Assessment dated 7/09/19 by Dr. M, 
"Inmate Epstein denied any history (If mental 
health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present 
with psychotropic medication. He also denied any acute mental health symptoms at this time." 
Se_talarm History 
According to a Suicide Risk Assessment dated 7/09/19 by Dr. 
M
,
 
"Inmate Epstein denied any past or resent 
suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious beh vicir in the 
past." 
1 
According to this writers Suicide Risk Assessment dated 7/23/19, "It is unclear at this time if he had placed the string 
around his neck or if someone else did." 
Current Problem 
R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was 
brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies" 
This is likely due to the incident on 7/23/19. but as a precaution another Suicide Risk Assessment was conducted. 
Mr. Epstein seemed surprsed that there was a form noting suicidal tendencies. He denied stating he was suicidal. 
He said he saw the DHO today and he said his incident report for the marks on his neck was expunged. He stated even 
though he has his cpap machine now, he said his cellmate talks at night and he stated this keeps him up{ This writer 
offered to talk to the SHU Lt. to have him housed with a different cellmate, but he stated he wants to give it 3 to 4 days 
to see if he wants a different cellmate. He complained about the noise in SHU. 
Current Mental Staten 
Level of Consciousness. 
Alert and Oriented 
Psychomotor Activity: 
Normal 
General Appearance: Normal 
Behavior: Cooperative 
Mood: Appropriate to Content 
Thought Process. 
Thought Content: 
Goal Directed 
Normal 
Current Mental Status: He exhibited a neutral mood with a mildly restricted range of affect. His speech was logical and 
Generated 08101/2019 1621 by-,_ 
PsyD 
Bureau of Prisons NYM 
Page 1 of 3 
EFTA00047856
Page 895 / 1000
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Date of Birth: 
01/20/1953 
Sex: M 
FaciliNYM 
Date: 
08/01/201913:29 
Provider: 
PsyD 
Reg #: 
76318-054 i 
Unit Team: 
5 
coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and vi 
hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriat 
denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicid 
thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thought 
others and he agreed to tell staff if he has these thoughts. 
RISK AND PROTECTIVE FACTORS ASSESSED' 
This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for 
suicide. 
The foNowing STATIC risk factors were assessed to be present and increase the inmates risk for engaging in 
behaviors: High Profile Crime, Lack of family connections, Sex offender status 
The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging 
behaviors: Current physical pain, Sleep problems 
The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of sui 
reasons to live, Denial of suicidal ideation/intention/plans, Future orientation, Religious beliefs against suicide, 
relationships, View of death as negative, Willingness to engage in treatment 
Risk Factors: He was found by staff in his cell in SHU on 7123119 with a string loosely tied around his neck, wh 
stated he did not remember anything about. It is still unclear at this time if Mr. Epstein had placed the string ar 
neck or if someone else did. He has a high profile sex offense case. He stated his lower back hurts and hest 
aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate 
sua! 
i
behavior. He 
I or self harm 
of hurting 
elf-harm and 
dde related 
n suicide related 
e:Able to identify 
Supportive family 
ch Mr. Epstein 
and his own 
ted Medical is 
ks at night. 
Protective Factors: He denied current suicidal or self harm thoughts and agreed to teN staff if he starts to have these thoughts. 
He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self h a 
attempts. He 
had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of chit hood abuse. He 
denied fearing for his safety at this time. lie denied feeling like a burden to anyone. He stated he lives for and plans to finish this 
case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said I is Jewish and 
he said in his religion suicide is against the religion. 
Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied 
feeling hopeless. lie Is reporting positive future plans and reasons to live for. He said he has social supports in the community 
and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not 
indicated at this time. 
DIAGNOSIS*
No Diagnosis, No Dx - Current 
CONCLUSIONS 
The Overall Acute Suicide Risk for this Inmate is: 
Low 
Overall Chronic Suicide Risk for this Inmate is: 
Absent 
RECOMMENDATIONS 
1. Suicide Watch is not indicated at this time. 
2. Supportive and educative interventions were provided. 
3. He was educated about both routine and emergency procedures for contacting Psychology staff. 
4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further 
intervention if needed. 
5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing. 
6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews. 
Suicide Watch: 
A suicide watch Is not warranted at this time 
Generated 08/01/2019 16:21 by 
PsyD 
Bureau of Prisons - NMI 
PLOP 2 of 3 
EFTA00047857
Page 896 / 1000
Inmate Name: 
EPSTEIN, JEFFREY EDWARD 
Date of Birth: 
01/20/1953 
Sex: M 
FfiliNYM 
Date: 
08/01/2019 13:29 
Provider: M, 
PsyD 
Reg #: 
76318-054 
Unit Team: 5 
Completed by [men, 
PsyD on 08/0112019 16:21 
Generated 08/01/2019 16,21 by bred. 
PsyD 
&so of Prisons - NYM 
Pies a of 3 
EFTA00047858
Page 897 / 1000
Bureau of Prisons 
Psychology Services 
Clinical Intervention - Clinical Contact 
"SENSITIVE BUT UNCLASSIFIED" 
Inmate Name: 
EPSTEIN. JEFFREY EDWARD 
Reg #: 
76318-054 
Date of Birth: 
01/20/1953 
Sex: 
Facility: NYM 
Unit Team: 5 
Date: 
08/08/2019 10:02 
Provider: 
PhD/Chief 
Focus 9f Session 
Inmate Epstein was seen today for a follow-up session in SHU. 
Subjective/ObjeCtae Presentation
Inmate Epstein stated he is feeling okay and has been eating his meals. He reported his sleep as lair en would like 
to go the general population. He denied any mental health symptoms at this time and denied any feelings of depression 
and/or anxiety. Inmate Epstein denied any suicidal ideation, intention, or plan. He currently has a cellmate nd appears 
to interact with him. Inmate Epstein continues to spend his days and evening with his attorney's in the at 
y 
i i
conference room. He told this writer he received his PAC number to make phone calls. Inmate Epstein end cated he 
has only had a couple of phone calls over the speaker phone and wondered if that counted" as his month) phone 
contact. He also reported he his missing some books he was reading in the suicide watch area prior to retu ing to the 
Shill. 
Other than complaints about the prison and concerns regarding his housing, he had no mental health concerns today. 
He did not appear to be in any distress and the SHU Staff have not reported any unusual behaviors on his pal. 
intervention(s1
Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional 
strategies. Inmate EPSTEIN was receptive to these interventions. 
Er09feSSiPlan 
Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was 
reminded of the self-help books and audiotapes available through the Psychology department. There appears to be no 
need for follow up at this time. He will be seen in weekly rounds and monthly for SHU reviews. 
Completed by M. 
PhD/Chief Psychologist on 08/08/2019 10:09 
COON 
Generaw 08108/201910:09 by M ier. 
PhD/Otef 
Bureau of Prisons - NYM 
Pont of 
EFTA00047859
Page 898 / 1000
NYMAQ 530.03 • 
BUREAU OF PRISONS COUNT SHEET 
• 
08-12-2019 
• PAGE .001 
• 
NEW YORK MCC 
• 
21:24:49 
QTRG EQ **** 
OCTG EQ **** 
OUTCOUNT SECTION 
A
F
F
F
F I
M
R
S
TRV OC 
T
N
N
N
S
O
S
&
A
N
I 
U0 
T J 
Y 
Y 
S 
D 
N 
W 
S TU 
COUNT 
Y 
E 
S 
P 
I
D
I
NVERIFY 
COUNT 
AREA CENSUS 
V 
T 
T COUNT COUNT AREA 
B-A 
26 
C-A 
10 
E-N 
63 
E-S 
83 
G-N 
78 
G-S 
88 
B-A 
3 
I-N 
86 
K-N 
89 
K-S 
139 
R-A 
0 
Z-A 
75 
Z-B 
5 
TOTAL 
765 
COUNT 
VERIFY 
 
1 
1 
1 
2 
26 8-A 
10 C-A 
82 E-N 
82 E-S 
78 G-N 
88 G-S 
3B-A 
86 I-N 
89 K-N 
139 K-S 
0 R-A 
75 2-A 
S Z-B 
763 
OFFICIAL PREPARING COUNT: 
OFFICIAL TAKING COUNT: 
COUNT CLEARED TIME: 
G.-c.) 6.
1 
EFTA00047860
Page 899 / 1000
METROPOLITAN CORRECTIONAL CENTER 
NEW YORK, NY 
DATE: 
FROM: 
APPROVED: 
OK-/2 -/9 
OFFICIAL OUT COUNT 
COUNT TIME: 
topes
(Staff Mpplier Preparing Out ount) 
(Options Lieutenant) 
LOCATION: 
"Jot 
4 5,
REG # 
NAME 
UNIT 
5. 
17. 
6. 
7. 
8. 
9. 
10. 
11. 
12. 
REG # 
NAME 
UNIT 
18. 
19. 
20. 
21. 
22. 
23. 
24. 
OUT-COUNT BY UNIT 
B-A  
 C-A 
E-N  
I 
 ES  
/ 
 G-N 
G-S 
I-N 
K-N 
K-S 
Ft-A 
Z-B 
Total Out-Counted: 
42, 
FA 
This form must be submitted to the Counts and Assignments Officer FORTY-FIVE MINUTES PRIOR to the affected count. 
Prepare this form in ink. Group the inmates according to their respective housing units. This form is to be used only as an 
Out-Count. No other form will be accepted In lieu of the Out-Count Form. 
EFTA00047861
Page 900 / 1000
NYMAQ 530*05 * 
INMATE ROSTER 
• PAGE 001 OF 001 
CATEGORY: OCT 
ASSIGNMENT: HOSP 
ea\ 
OPER CATG ASSIGNMENT 
OPER CATG ASSIGNMENT 
NUM ASSIGNMENT REG NO 
NAME 
0001 HOSP 
78107-054 
0002 
89673-053 
G0000 
TRANSACTION SUCCESSFULLY COMPLETED 
ta•\ 
* 
08-12-2019 
21:22:47 
GROUP CODE: 
FACILITY: NYM 
OPER CATG ASSIGNMENT 
OCT DATE 
QTR 
08-12-2019 E05-539L 
08-12-2019 E12-592U 
WRK 
SUICIDE OR 
UNASSG 
FS PM 
SUICIDE OR 
EFTA00047862
Pages 881–900 / 1000