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Sleep a39ryS.C k. 4 asmt 3 &34,oO I3 re5-Pcs‘c,AAL•N Ccs (A‘irsc\a±A 15-QP.kt‘ ...AVa:riC6 c.;th__wveneN0 _ 5 - knn,e.ei-vr\ L5siaaahe. sk‘dcw3.4.ose.c. usne- _ :r•rv\ wnc-Xe arL)93\ea-v----)-5 vs tin tae ggsaein 5\expy.6 (1?Th ww, e s ty_8 ;sfra vvytNePte b±5ieeen sigiona_ EFTA00055990 1 ! 456n. X63. 5M- - ..i -.713_°-..rz7c-:-.C---:S.:1\dfrkAeieca\ricri. .),, :3 ns- _. -. -. -- - ,. • -- 4 , .., 5t Cialyn_!1.0)..neM n_o_ ces.!‘bife_54khis_ofx et.c1-3C !:-.-.Lsria\ li‘c\t-tkirc...903_ty,. >.. 4. ,,,_c: 1)..... 1 . . v_ A _A__.. . _ .._ _ , , 3 I 3f -3...sien-A .1\ncnc)%c.: ..a?sc_yv.4 15_6.5 n5_ ..: --Sf-tl j‘rvri.so,\:e_ losXesc\_ . S_ .- - 6 :.-.. 1\ re: .04)51,eArN. . _.\ec9)_4:s2_-:=7-L-7-2--t3 4-14"4":-HtiVole.like: eQ5\t\vs. `r•8 .---r-t--.:--_ :a i - . - e!......6±rn_.ple4e_.Q.10.5_\ eyil ._k_..Cft.txxil-e.c -5.c .....:frm.c,A_ L.Inrs,s15.1. itrAeiri O..-AA.V6iiia:No-r'ii- labia( -- .. k Iltr6\_ VCt. _. _ - - .- - - - - - - ..- -- .00 , ._...__-7,t.rt, . _ _ lira _.0c.. .5\s,c)r. _ _. __ _ _. ,..12/Fir. — Sttf4166:4 ta4it? ._12(LitateLacifirthiulli.iffl [ ..I.-. A4 62Sthei kk? 41.114Vrafr AA&at ajoildhr - 'NS' AKf.. riAt?.. :..i ..:4 er7 1--L12:2 7" kaiddr.01- kv_45t_ekk zaettorp low pi_ _ 7-•_37,_,Le2c P-n-r&- kr. 4. 9./f4.---A* dijetp----•vg_ EFTA00055991 Name of Inmate On Suicide Watch or Psych Observation: Registration #: 1741/ar C)r—le EATING/SHOWER CHART BREAKFAST LUNCH DINNER LIQUIDS OFFERED SHOWER RECEIVED SHOWER (.7 Please check the appropriate box if the person on Suicide Watch/Psych Observation actually eats his meal. Do not check the box if he just received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. EFTA00055992 ront4G+ 5 )t) dicti5 Preds14 -7/7,3-77,6 7.6.19- Epstein Arrives and is placed in GP (on a Saturday) 7.8.19- Dr. Schlessingerr Intake Screening — Monday (No endorsements on PSIQ and had just returned from court) — clear mental status, no hx of mental health treatment or symptoms, no suicide history, nothing significant noted, CC1-MH assignment. 7.8.19- Dr. Miller Consults with Central Office regarding Epstein and Risk Factors and R&D was instructed to place him on psychological observation when he returns from court pending a SRA. He is placed on psychological observation at 6:00 p.m. Log book reflects he was asking VC about how life is in GP and the crazy things he has seen as an I/C., about prison life, sleeping, pacing 7.9.19- Dr. Miller —Suicide Risk Assessment (placement on Psych 0bs after court proceeding as a precaution/precautionary SRA) — No mental health history, no substance abuse history, no suicide history, no suicidal thoughts. Clear mental status. Denies suicidality, future oriented, wants to make phone calls and speak with his lawyer, enjoys life, learning and teaching, has a business in the community, spoke about being a mathematician and about his post graduate studies, good sense of humor, no acute sxs, Was eating when I arrived (cereal) and his log book was not significant for any . symptoms. Recommended that he remain on psychological observation pending a suitable housing arrangement. (This writer spend 45 minutes interviewing him) — Log Book: he reeves for his legal visit at 8:20 am, returns at 2:00 pm and eats as well as goes to medical... leaves again around 3 pm and returns to cell around 8 pm from attorney visit. Talks to companion about the escort business, how to handle prison, about celebrities he knows, about prison food • 7.10.19 — Dr. Miller— Psychological Observation Contact (remained on psy obs pending suitable chousing placement with a cellmate) — indicated he did not like SHU because he is not comfortable there and said he wanted to be single celled. He expressed numerous needs: Colace instead of Ducolax, being able to walk around, no orange uniform, phone call, shower and towel, placement on the cadre unit, ipperpen, and property. Log book indicated he has been eating, sleeping and interacting with companions, went to his legal v' it. Looking forward to bail hearing, realizes he will be here for a couple of weeks even if he gets baiWmate Epstein is to return to SHU with a cellmate (this is documented). • 7.11.19- Dr. Miller —Psychological Observation Follow-up —Saw him in Attorney Conference area- he listed numerous concerns related to his confinement including receiving his property, feeling cold in his ye.. cell, not getting Colace, not having enough water in the attorney conference area and desire for more recreation, dislike of orange jumper and wanted brown one. This writer told him she would address in the SHU meeting. (I did not put in clinical note but It is worth noting he was kind of mocking me in the atty conference area about being placed on watch...he was smirking and said, "why would you ever think I would be suicidal, I am not suicidal arid I would never be." — he said it in front of his attorney (palm beach one)...) V 7.18.19- Dr. Miller- Attempted SHU Review but he was in legal visit. 7. 19 —Dr. Imeri —Suicide Risk Assessment— Epstein placed on SW after a string was found loosely cA?.8. anging from around his neck. He said he does not remember what occurred that he had a drink of water, went back to bed, and then just remembers hearing himself snore. Epstein told the staff membetwattiing him early this morning that his cellmate tried to kill him, but did not tell this to Dr. elmerk He denied any mental health sym-ptorni or suicidality, denied feeir@cifecss, reported future EFTA00055993 plans including having fun, enjoying life and to learn. He wants to fight his case and go back to his normal life. At this time, it was not clear if he placed the string around his neck or whether someone else did. Remaining on SW for further observation and safekeeping. 7.24.19- Dr. DiMisa — Post Suicide Watch Report — Nature of incident unclear. Said he is fearful of returning to the cell with his previous cellmate. Recently, was denied bail. He said his cellmate was agitated and called him a pedophile and he had read a newspaper article about him. His cellmate threw away the newspaper photograph of him by crumbling it up and flushing it down the toilet. He thought it was strange he even had the article. He said he remembers his cellmate was "playing with a bed sheer and he does not remember the events thereafter. "maybe he put it there as a joke" He just remembers eating and drinking and that waking up to hear himself snore up on a stretcher. r Epstein adamantly denied suicidality, "lots to do for legal case, wonderful life, interesting people and projects in life, it would be crazy to take my life, I would not do that to myself." He did report feeling depressed and unhappy with his situation. He reported he slept well last night and was future oriented. Talked to companions about having taught math and physics and has been eating, sleeping, drinking. He wanted hygiene products and to shower. Log book: talking about jail to I/C, sleeping, brushes teeth, drinking. Goes to legal visit all morning. Discussing investment strategies, inmate safety, and prison adjustment with the I/C. He washes his face, rests, and sleeps. cte.1.25.19 — Dr. Miller — Psychological Observation Contact — Smiled "welcome back"; good spirits. He says he still does not remember how he got markings on his neck. "maybe you can give me cues." He remembers going for a drink of water and the next thing he knew he woke up to the sound of his own snoring. Reported being unhappy with SHU due to the restrictions and noise and he said his requests have not been granted for phone calls and recreation. He is unhappy that he is not taken to the bathroom enough during attorney/conference visits. Denied suicidality, stated he is too vested in case to fight it and I have a life and I want to go back living my life: No acute mental health symptoms were noted. Log Book: He had been eating, drinking, and sleeping. Also showers, brushes teeth, and goes to legal visit. Talks to I/C about business and investing, life•lessons, and tells I/C he does not want to go to SHU in lieu of GP and wants to know about the conditions of various housing units. 7.26.19 — Dr. Miller- Psychological Observation Contact- Smiling and cracking some jokes. Disappointed in writer that his various requests in the prison have not been adhered to. "I have to trust you if you want to trust me" He elucidated many complaints with legal visiting procedures, his constipation edication, and conditions of SHU confinement and prison restrictions. He stated he still does not know how he got the marks on his neck, that he did not remember if he did something or his cellmate did. He denied any symptoms of psychosis, depression, or anxiety. Denied suicidality; He stated he would never harm himself as he wants to be alive to fight his legal case and go back to live his life. He remarked he is "a coward... I am Jewish." He said he does not like pain and never attempt to harm himself. EFTA00055994 Log Book: sleeping, talks to I/C about BOP policy including phone visits and usage, Talks to I/C about business and investing, life lessons, and tells I/C he does not want to go to SHU in lieu of GP and wants to know about the conditions of various housing units. 7.27.19- Dr. Imeri — Psychological Observation Contact — reports no memory of events that caused marks on his neck; did report difficulty sleeping in SHU due to noise; anxious about returning to the SHU because he does not know how he got the marks or why it happened. He ate, drank, went to legal visit, and interacted with the inmate companions talking about business and investing topics. Reported good support from friends and lawyers, denied mental health sxs or suicidality, said he felt dehydrated and medical was notified. Provided with self-help handouts. Log boot eating, sleeping, sitting on bed, legal visit, asking for toilet tissue, talking about life in GP 7,28.19- Dr. Imeri —Psychological Observation Contact— noted he is in attorney visits 12 hours a day, logs indicate he speaks about life in general population; reported his right arm felt numb and he had been seen by medical. Flushing of the toilet in his cell was aversive; told writer maybe he has Autism because sounds/noise are aversive to him like "the Rain Man." Mildly anxious mood; provided with P' Turning point handouts and supportive interventions. Eating when in the cell, but otherwise, eating in Attorney conference. Log Book: Upset about non-stop flushing of toilet, goes to legal visit most of day, talks to I/C later about who is best cook on 11N, investments, driving a taxi in NY, sleeping. 7.29.19- Dr. Miller- Psychological Observation Contact — continues to report no memory of the event which lead up to him being placed on SW/Psych Obs. He requested to stay on psychological observation another day so that he could get a good night's sleep. NO mental health sxs or suicidality was reported or noted, he ate and has been attending legal visits. Wanted to remain on psychological observation Vbecause it is more comfortable and not noisy like SHU. It was explained that psychological observation cannot be continued long-term for the purposes of being more comfortable and that the purpose of • psych obs is to stabilize mental health problems. His only concerns are getting his various needs met in ) the prison including more phone calls, recreation, and being placed in a comfortable and safe place. He was informed he would be housed in a safe situation in the SHU. Log Book: showers, eats, writes in note pad, drinks water, legal visit, talks to I/C about investment options, his jail appeal, sleeps. 7.30.19.- Dr. Imerl - Psychological Observation Contact and Discontinuation — waiting to go to SHU to get.cee.machine as he did not sleep well without it. Said SHU is noisy and he is concerned about sleeping well there and he said he did not get one of i i edications yet that day. He ate meals, drank liquids, showered, no mental health sxs, no suicida ty. SHU L formed inmate Epstein needs to be housed with an appropriate cellmate while in SHU. •wed up with an e-mail). Inmate remained on observation until brought to his attorney conference visit. Log book: Sleeping, eats breakfast, talks about jail life, taken off of psych obs status at 8:15 a.m., goes to his legal visit, and later to SHU. 7.31.19- Dr. Avena- Psychological Observation Follow-up Session—denied suicidality, no mental health sxs, slelpt well and was getting reading for court hearing. Reported getting along with cellmate in SKIS EFTA00055995 8.1.19- Dr. Imeri- SRA was conducted— court sent a form "suicidal tendencies" Denied any suicidality; friends and lawyers supportive; Jewish-against his religion; still denies knowing what happened to him on 7/23/19 when he was discovered with a string loosely tied around his neck. Said his incident report for self-mutilation was expunged. His cellmate is talkative but he will give it a chance. Noisy in SHU. He lives for fighting this case and going back to his normal life. 8.8.19- Dr. Miller - for a follow-up session to assess adjustment in SHU .a,cute symptoms, distress or mental health concerns; denied suicidality, some concerns with slee .Cthppy he received his PAC # to make phone calls and requested to speak with someone without it being o alPeakerphone. Wanting his books he left in the suicide watch area. Interacting and getting along with his cellmate. Getting ready of this attorney visit. 8.10.19 - Found Unresponsive and Hanging in SHU at 6:30 a.m. (10 days after his removal from a constant observation) EFTA00055996 7.6.19- Epstein Arrives and is placed in GP (on a Saturday) 7.8.19- Dr. Schlessinger — Intake Screening — Monday (No endorsements on p51O and had just returned from court) — clear mental status, no hx of mental health treatment or symptoms, no suicide history, nothing significant noted, CC1-MH assignment. 7.8.19- Dr. Miller Consults with Central Office regarding Epstein and Risk Factors and R&D was instructed to place him on psychological observation when he returns from court pending a SRA. He is placed on psychological observation at 6:00 p.m. Log book reflects he was asking I/C about how life is in GP and the crazy things he has seen as an I/C., about prison life, sleeping, pacing 7.9.19- Dr. Miller — Suicide Risk Assessment (placement on Psych Obs after court proceeding as a precaution/precautionary SRA) — No mental health history, no substance abuse history, no suicide history, no suicidal thoughts. Clear mental status. Denies suicidality, future oriented, wants to make phone calls and speak with his lawyer, enjoys life, learning and teaching, has a business in the community, spoke about being a mathematician and about his post graduate studies, good sense of humor, no acute sxs, Was eating when I arrived (cereal) and his log book was not significant for any symptoms. Recommended that he remain on psychological observation pending a suitable housing arrangement. (This writer spend 45 minutes interviewing him) — Log Book: he leaves for his legal visit at 8:20 am, returns at 2:00 pm and eats as well as goes to medical... leaves again around 3 pm and returns to cell around 8 pm from attorney visit. Talks to companion about the escort business, how to handle prison, about celebrities he knows, about prison food 7.10.19 — Dr. Miller — Psychological Observation Contact (remained on psy obs pending suitable housing placement with a cellmate) — indicated he did not like SHU because he is not comfortable there and said he wanted to be single celled. He expressed numerous needs: Colace instead of Ducolax, being able to walk around, no orange uniform, phone call, shower and towel, placement on the cadre unit, paper, pen, and property. Log book indicated he has been eating, sleeping and interacting with companions, went to his legal visit. Looking forward to bail hearing, realizes he will be here for a couple of weeks even if he gets bail. Inmate Epstein is to return to SHU with a cellmate (this is documented). 7.11.19- Dr. Miller — Psychological Observation Follow-up—Saw him in Attorney Conference area- he listed numerous concerns related to his confinement including receiving his property, feeling cold in his cell, not getting Colace, not having enough water in the attorney conference area and desire for more recreation, dislike of orange jumper and wanted brown one. This writer told him she would address in the SHU meeting. (I did not put in clinical note but It is worth noting he was kind of mocking me in the any conference area about being placed on watch...he was smirking and said, "why would you ever think I would be suicidal, I am not suicidal and I would never be." — he said it in front of his attorney (palm beach one)...) 7.18.19- Dr. Miller- Attempted SHU Review but he was in legal visit. 7.23.19 — Dr. Imeri — Suldde Risk Assessment — Epstein placed on SW after a string was found loosely hanging from around his neck. He said he does not remember what occurred that he had a drink of water, went back to bed, and then just remembers hearing himself snore. Epstein told the staff member watching him early this morning that his cellmate tried to kill him, but did not tell this to Dr. Imeri. He denied any mental health symptoms or suicidality, denied feeling hopeless, reported future EFTA00055997 plans including having fun, enjoying life and to learn. He wants to fight his case and go back to his normal life. At this time, it was not clear if he placed the string around his neck or whether someone else did. Remaining on SW for further observation and safekeeping. 7.24.19- Dr. DiMisa — Post Suicide Watch Report-Nature of incident unclear. Said he is fearful of returning to the cell with his previous cellmate. Recently, was denied bail. lie said his cellmate was agitated and called him a pedophile and he had read a newspaper article about him. His cellmate threw away the newspaper photograph of him by crumbling it up and flushing it down the toilet. He thought it was strange he even had the article. He said he remembers his cellmate was "playing with a bed sheet" and he does not remember the events thereafter. "maybe he put it there as a joke" He just remembers eating and drinking and that waking up to hear himself snore up on a stretcher. Epstein adamantly denied suicidality, "lots to do for legal case, wonderful life, interesting people and projects in life, it would be crazy to take my life, I would not do that to myself." He did report feeling depressed and unhappy with his situation. He reported he slept well last night and was future oriented. Talked to companions about having taught math and physics and has been eating, sleeping, drinking. He wanted hygiene products and to shower. Log book: talking about jail to I/C, sleeping, brushes teeth, drinking. Goes to legal visit all morning. Discussing investment strategies, inmate safety, and prison adjustment with the I/C. He washes his face, rests, and sleeps. 7.25.19 - Dr. Miller Psychological Observation Contact -Smiled "welcome back"; good spirits. He says he still does not remember how he got markings on his neck. "maybe you can give me cues." He remembers going for a drink of water and the next thing he knew he woke up to the sound of his own snoring. Reported being unhappy with SHU due to the restrictions and noise and he said his requests have not been granted for phone calls and recreation. He is unhappy that he is not taken to the bathroom enough during attorney/conference visits. Denied suicidality, stated he is too vested in case to fight it and 1 have a life and I want to go back living my life." No acute mental health symptoms were noted. Log Book: He had been eating, drinking, and sleeping. Also showers, brushes teeth, and goes to legal visit. Talks to I/C about business and investing, life lessons, and tells I/C he does not want to go to SHU in lieu of GP and wants to know about the conditions of various housing units. 7.26.19 - Dr. Miller- Psychological Observation Contact- Smiling and cracking some jokes. Disappointed in writer that his various requests in the prison have not been adhered to. "I have to trust you if you want to trust me" He elucidated many complaints with legal visiting procedures, his constipation medication, and conditions of SHU confinement and prison restrictions. He stated he still does not know how he got the marks on his neck, that he did not remember if he did something or his cellmate did. He denied any symptoms of psychosis, depression, or anxiety. Denied suicidality; He stated he would never harm himself as he wants to be alive to fight his legal case and go back to live his life. lie remarked he is "a coward... I am Jewish." lie said he does not like pain and never attempt to harm himself. EFTA00055998 Log Book: sleeping, talks to I/C about BOP policy including phone visits and usage, Talks to I/C about business and investing, life lessons, and tells I/C he does not want to go to SHU in lieu of GP and wants to know about the conditions of various housing units. 7.27.19- Dr. lined —Psychological Observation Contact— reports no memory of events that caused marks on his neck; did report difficulty sleeping in SHU due to noise; anxious about returning to the SHU because he does not know how he got the marks or why it happened. He ate, drank, went to legal visit, and interacted with the inmate companions talking about business and investing topics. Reported good support from friends and lawyers, denied mental health sxs or suicidality, said he felt dehydrated and medical was notified. Provided with self-help handouts. Log book: eating, sleeping, sitting on bed, legal visit, asking for toilet tissue, talking about life in GP 7,28.19- Dr. lined—Psychological Observation Contact— noted he is in attorney visits 12 hours a day, logs indicate he speaks about life in general population; reported his right arm felt numb and he had been seen by medical. Flushing of the toilet in his cell was aversive; told writer maybe he has Autism because sounds/noise are aversive to him like "the Rain Man." Mildly anxious mood; provided with Turning point handouts and supportive interventions. Eating when in the cell, but otherwise, eating in Attorney conference. Log Book: Upset about non-stop flushing of toilet, goes to legal visit most of day, talks to I/C later about who is best cook on UN, investments, driving a taxi in NY, sleeping. 7.29.19- Dr. Miller- Psychological Observation Contact—continues to report no memory of the event which lead up to him being placed on SW/Psych Obs. He requested to stay on psychological observation another day so that he could get a good night's sleep. NO mental health sxs or suicidality was reported or noted, he ate and has been attending legal visits. Wanted to remain on psychological observation because it is more comfortable and not noisy like SHU. It was explained that psychological observation cannot be continued long-term for the purposes of being more comfortable and that the purpose of psych obs is to stabilize mental health problems. His only concerns are getting his various needs met in the prison including more phone calls, recreation, and being placed in a comfortable and safe place. He was informed he would be housed in a safe situation in the SHU. Log Book: showers, eats, writes in note pad, drinks water, legal visit, talks to I/C about investment options, his jail appeal, sleeps. 7.30.19- Dr. lined - Psychological Observation Contact and Discontinuation — waiting to go to SHU to get CPAP machine as he did not sleep well without it. Said SHU is noisy and he is concerned about sleeping well there and he said he did not get one of his medications yet that day. He ate meals, drank liquids, showered, no mental health sxs, no suicidality. SHU Lt. informed inmate Epstein needs to be housed with an appropriate cellmate while in SHU. (Dr. Imeri followed up with an e-mail). Inmate remained on observation until brought to his attorney conference visit. Log book: Sleeping, eats breakfast, talks about jail life, taken off of psych obs status at 8:15 a.m., goes to his legal visit, and later to SHU. 7.31.19- Dr. Avena- Psychological Observation Follow-up Session— denied suicidality, no mental health sxs, slelpt well and was getting reading for court hearing. Reported getting along with cellmate in SHU. EFTA00055999 8.1.19- Dr. Imeri- SRA was conducted- Court sent a form "suicidal tendencies" Denied any suicidality; friends and lawyers supportive; Jewish-against his religion; still denies knowing what happened to him on 7/23/19 when he was discovered with a string loosely tied around his neck. Said his incident report for self-mutilation was expunged. His cellmate is talkative but he will give it a chance. Noisy in SHU. He lives for fighting this case and going back to his normal life. 8.8.19- Dr. Miller - for a follow-up session to assess adjustment in SHU. No acute symptoms, distress or mental health concerns; denied suicidality, some concerns with sleep. Happy he received his MC 4$ to make phone calls and requested to speak with someone without it being on a speakerphone. Wanting his books he left in the suicide watch area. Interacting and getting along with his cellmate. Getting ready of this attorney visit. 8.10.19 - Found Unresponsive and Hanging in SHU at 6:30 a.m. (10 days after his removal from a constant observation) EFTA00056000 Bureau of Prisons Psychology Services Intake Screening **SENSITIVE BU UNCLASSIFIED•• Inmate Name: EPSTEIN. JEFFREY EDWARD Date of Birth: 01/20/1953 Sex M Facility: NYM Date: 07/08/2019 09:24 Provider: Schlessinger, K. PsyD/PhD Reg #: 76318-054 Unit Team: MO Limits of Confidentiality Limits of confidentiality were reviewed with inmate EPSTEIN. He expressed an understanding of the limits of confidentiality and consented to be interviewed accordingly. Data Source(s) The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SENTRY, Staff Observation. Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arriving at MCC-NY. He denied a history of mental health treatment on his Psychology Services Intake Questionnaire. Mental Health History and Current Symptoms No history of mental health issues was noted. No history of prior menta: health treatment was noted. No current mental health symptoms were noted. No suicidal ideation, attempts. or self-harm were noted. Substance Abuse No history of substance abuse was noted. No history of substance abuse treatment was noted. Sex Offenses No sexual offense convictions were noted. No history of sexual predation in a correctional setting was noted. Relevant Psychosocial History Noteworthy psychosocial issues: Other. Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously incarcerated three months for prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was liFing in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarcer ion. Adjustment to Incarceration Adjustment to incarceration concerns were identified: Other. SEXUAL ABUSE HISTORY Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex fficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as w as the Bureau of Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported e was not currently interested in any treatment programs. MENTAL STATUS: Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He was fully cooperative, maintained good eye-contact, and related in an interpersonally appropriate manner with interviewer. Speech and thought processes were organized, coherent, logical, and goal-directed. Based on informal assessment during this interview, this inmate's cognitive functioning appeared within normal limits, as reflected by adequate long and shod-term memory, good attention, and appropriate concentration during interview, as well as adequate receptive and expressive language skills. Inmate denied any current sleep disturbances and described his appetite as adequate. This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent or plan and contracted for safety. This inmate's verbalizations were optimistic, future oriented, and without indications of helpless or hopeless thinking. Inmate Brown denied any familial history of suicide behaviors cr attempts. This inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping skills and facilitate adjustment to incarceration. Findings Care Level: CARE1-MH Gencrairm 07/08/2019 09:30 by Sch!essrnger. K Psyn/Pal) Bureau of Prisons • NYM Pago 1 of 2 EFTA00056001 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/08/2019 09:24 Provider: Schlessinger, K. PsyD/PhD Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current rnenta) health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Care Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated aboct both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychology services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed by Schlessinger, K. PsyD/PhD on 07/08/2019 09:30 Generated 07/08/2019 09:30 by Si:Messinger, K. PsyO/Pf10 Bureau of P0Soas - NYM Paso 2 of 2 EFTA00056002 Oa\ Bureau of Prisons Psychology Services Risk of Sexual Abusiveness "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team MO Date: 07/08/2019 09:35 Provider: Schlessinger, K PsyD/PhD CottMUM Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X ) Having a history of prior sexual abuse perpetration in the community (X ) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and include: ( ) History of prior sexual victimizatbn in prison ( X ) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermascutinity () Other: Based on this clinical assessment, the inmate is considered to be at: (X ) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of xual abusiveness, an unforeseen change in risk (actors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recomm inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Ps chology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for xual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations Include )OOO(X. Inmate =inmateLastName is agreeable to! declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to 'keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for general population at this facility. This inmate should not be housed with any inmates judged to be at an increased risk for sexual victimization. Programming recommendations Include XXXXX. Inmate =inmateLastName is agreeable to/ declined programming recommendations. Generated 07/08/2019 09:41 by Schlessinger. K. PsyD/PhD Bureau of Prison • NYM Page 1 of 2 EFTA00056003 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 11: Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team Date: 07/08/2019 09:35 Provider Schlessinger, K. PsyD/PhD 76318-054 A&O Completed by Schlessinger, K. PsyD/PhO on 07/08/2019 09:41 Generated 07/08/2019 09:41 by Schlessinger. K PsyD/PhD Bureau of Prison - NYM Pogo 2 of 2 EFTA00056004 Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUTILINCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ale: Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: Date: 07/08/2019 10:41 Provider: Miller, Elissa PhD/Chief 76318.054 MO Comments This writer consulted with Dr. Robert Nagle, Central Office, regarding inmate Epstein. Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense charges, pre-trial status and a court proceeding today which could potentially be giving