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
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EFTA00047843
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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
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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
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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
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• 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
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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
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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
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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
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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
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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
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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 M : PsyD on 07/30/2019 12:33 78318-054 5 Generated 02/30201012:33 by-,_ PsyD Bursae of Pelson; -NYM Page 2012 EFTA00047853
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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 Generated 07/30!20191233 by fl ed, Pays Bureau of Prttona • NYM Page 101 1 EFTA00047854
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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
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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
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EFTA00047856
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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
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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
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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
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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
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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
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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