Bureau of Prisons

Bureau of Prisons Psychology Services Intake Screening *SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Facili : NYM Unit Team: A&O Date: 07/08/2019 09:24 Provider: PsyD/PhD 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 mental 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 living in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarceration. 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 trafficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as well as the Bureau of Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported he 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 short-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 or 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 Generated 07/08/2019 09:30 by PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 SDN7_00006302 EFTA_00000387 EFTA00134806 Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Facili : NYM Unit Team: A&O Date: 07/08/2019 09:24 Provider: . PsyD/PhD Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current mental 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 about 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 . PsyD/PhD on 07/08/2019 09:30 Generated 0710812019 09:30 by PsyD/PhO Bureau of Prisons - NYM Page 2 of 2 SDNY_00006303 EFTA_00000388 EFTA00134807 Bureau of Prisons Psychology Services Risk of Sexual Abusiveness **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/08/2019 09:35 Provider: PsyD/PhD Reg #: 76318.054 Unit Team: A&O Comments 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 victimization 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) ( ) Hypermasculinity ( ) 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 sexual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recommendations.The 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 Psychology staffs recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations include XXXXX. 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 07108/2019 09:41 by . PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 SDNY_00006304 EFTA_00000389 EFTA00134808 Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/08/2019 09:35 Provider: PsyD/PhD Completed by il l. PsyD/PhD on 07/08/2019 09:41 Reg #: 76318-054 Unit Team: A&O Generated 07108/2019 09:41 by PsyD1PhD Bureau of Prisons - NYM Page 2 of 2 SDNY_0000630S EFTA_00000390 EFTA00134809 Bureau of Prisons Psychology Services General Administrative Note ••SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/08/2019 10:41 Provider. PhD/Chief Reg #: 76318.054 Unit Team: A&O Comments This writer consulted with Dr. 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 him bad news regarding his legal situation. As such, when inmate Epstein returns from court, R&D staff as well as Lieutenants have been informed to immediately notify the psychology department. If he returns after duty hours, the aforementioned staff were instructed to notify the on-call psychologist and to place inmate Epstein on a watch status until psychology can conduct a thorough suicide risk assessment. Completed by PhD/Chief Psychologist on 07/08/2019 10:49 Generated 07/08/201910:49 by PhD/Chief Bureau of Prisons - NYM Page 1 of 1 SDNY_00006306 EFTA_0000039 1 EFTA00134810 Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPS I EFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: hD/Chief Psychologist " • Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of Information: Medical Record, Clinical Interview Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psychological observation contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed some at-risk factors for suicidality. Reason for Referral Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this time including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately notify the psychology department when he returned from court. Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse. Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the area of mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History Inmate Epstein denied any history of 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. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Cnntinn‘ Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current_Problern Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Generated 07110/2019 09:20 by PhD/Chief Bureau of Prisons • NYM Page 1 of 3 SDNY_00006307 EFTA_00000392 EFTA00134811 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: CMMI Sex: M Facifi : NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, 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 sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED• This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the Inmate's risk for engaging in suicide related behaviors: Sex offender status, Lack of family connections, High Profile Crime Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suiddeMfillingness to engage in treatment, View of death as negative, Future orientation, Denial of suicidal ideation/intention/plans, Adequate problem solving skills, Able to identify reasons to live As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive Is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, Inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, Inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS• No Diagnosis, No Dx - Current Generated 07/10/2019 09:20 by PhD/Chief Bureau of Prisons - NYM Page 2 of 3 SDNY_00006308 EFTA_00000393 EFTA00134812 Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M NYM Unit Team: MO Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. 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. Suicide Watch: A suicide watch is not warranted at this time Completed by PhD/Chief Psychologist on 07/10/2019 09:20 Generated 07/10/2019 09:20 by PhD/Chief Bureau of Prisons • NYM Page 3 of 3 SDNY_00006309 EFTA_00000394 EFTA00134813 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318.054 Date of Birth: Sex: M Race: WHITE Encounter Date: 07/09/2019 08:41 Facility: NYM Amendment made to this note by PhD/Chief Psychologist on 07/10/2019 09:20. Bureau of Prisons - NYM SDNY_00006310 EFTA_00000395 EFTA00134814 Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M • NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. 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. Suicide Watch: A suicide watch Is not warranted at this time Completed by PhD/Chief Psychologist on 07/09/2019 10:36 Generated 07/09/2019 10:36 by PhD/Chlef Bureau of Prisons - NYM Page 3 of 3 SON r_00006311 EFTA_00000396 EFTA00134815 Bureau of Prisons Psychology Services Suicide Risk Assessment **SENSITIVE BUT UNCLASSIFIED" Inmate Name: EP STEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Date: 07/09/2019 08:41 Sex: M NYM Unit Team: A&O Provider. PhD/Chief Psychologist " • Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on s chological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is1 a suicide watch at this time. Reason for Referral Inmate Epstein is being seen de risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instruc &D staff s well as the Lieutenants Office, to immediately notify the psychology department when he returned fr . Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho terview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim etrator of physical or sexual abuse. Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diploma !iced some graduate classes in the area of mathematics. Arrest History and Experience of incarceration Inmate Epstein reported he has served time in Palm Beach County jail nse charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History Inmate Epstein denied any history of mental health treatment, either on an inpati dent basis. inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d 0 cute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, Intention or plan. He denied ever e ging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concern Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Level of Consciousness: Alert and Oriented Generated 07/09201910:36 by PhD/Chlef Bureau of Prisons - NYM Page 1 of 3 SDNY_00006312 EFTA_00000397 EFTA00134816 Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M acili : NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist Psychomotor Activity: Normal General Appearance: Normal Behavior Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EP IN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with approp a e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts r nized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or Ma e behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and curve eation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agree tact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS AS SSED. This writer screened the inmate for a variety of y validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed teve t and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connecti s, ender status Of the DYNAMIC risk factors assessed, none were bun o r nt. The following PROTECTIVE factors were assessed to be pres reasons to live, Adequate problem solving skills, Denial of suid negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He including a high profile case with extensive media attention, sex offense/tr proceeding yesterday which may have given him bad news regarding his leg writer that his only family at this time is his brother, with whom he does not hav may decrease the inmate's risk of suicide:Able to identify ntention/plans, Future orientation, View of death as k factors for suicidality at this time arges, pre-trial status, and he had a court Inmate Epstein also informed this ationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors a Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and request n call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is go t sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei un." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as petent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suiddality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. 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 Generated 07n79/2019 10:36 by PhD/Chief Bureau of Prisons - NYM Page 2 of 3 S ON Y_00006313 EFTA_00000398 EFTA00134817 Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M " • NYM Unit Team: MO Date: 07/09/2019 08:41 Provider: hD/Chief Psychologist RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. 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. Suicide Watch: A suicide watch Is not warranted at this time Completed by ehD/Chief Psychologist on 07/09/2019 10:36 Generated 07/09/2019 10:36 by PhD/Chief Bureau of Prisons - NYM Page 3 of 3 SDNY_00006314 EFTA_00000399 EFTA00134818 Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Facifit : NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EP IN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with approp a e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts r r nized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or ina e behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and cure eation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agree' tact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS SSED: This writer screened the inmate for a variety o validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed t and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connecti s, ender status Of the DYNAMIC risk factors assessed, none were foun o r nt. The following PROTECTIVE factors were assessed to be pres may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suici 'ntentiorVplans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He Nt factors for suicidality at this time including a high profile case with extensive media attention, sex offense/t arges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his leg Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not hav ci ationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors a Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and request call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he Is go t sed from Jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei n." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as' mpetent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes In this area of study. Inmate Epstein stated he has a support system in the community, Including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS . No Diagnosis, No Dx - Current CONCLUSION.S The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07109/2019 10:36 by PhD/Chief Bureau of Prisons • NYM Page 2 of 3 SONY 00006335 EFTA_00000400 EFTA00134819 Bureau of Prisons Psychology Services Suicide Risk Assessment **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M • NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on chological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He ist a suicide watch at this time. Reason for Referral. Inmate Epstein is being seen fde risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instruc &D staff =s well as the Lieutenant's Office, to immediately notify the psychology department when he returned fr•qi Inmate Epstein returned from court after duty hours and denied sulcidality. The aforementioned staff notifi7C -TM 4-call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psychol. • terview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school dipiom mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail nse charges (soliciting prostitution) in rator of physical or sexual abuse. Oed some graduate classes in the area of the past. He is now being charged with sex trafficking, on a federal level. Mental Health History 0 Inmate Epstein denied any history of mental health treatment, either on an inpati tient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d ' cute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever e ging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. current Mental Status Level of Consciousness: Alert and Oriented Generated 07/09/201910:30 by Ph0/Chief Bureau of Prisons - NYM Page 1 of 3 SDNC00006316 EFTA_0000040 1 EFTA00134820 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/09/2019 10:13 Provider: PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Informant:ill Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of 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. Inmate Epstein denied any past or present suicidal ideation, Intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/SymDtorn Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautionary reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not exhibit any acute psychopathology, Is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation 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. Diagnosis: No Diagnosis, No Dx - Current Completed by PhD/Chief Psychologist on 07/09/2019 10:40 Generated 07/09/2019 10:40 by PhD/Chlef Bureau of Prisons - NYM Page 1 of 1 SDNY_00006317 EFTA_00000402 EFTA00134821 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: MI= Sex: M Race: WHITE Encounter Date: 071091201910:13 Facility: NYM Amendment made to this note by PhD/Chief Psychologist on 07/09/2019 10:40. Bureau of Prisons - NYM SDNY_00006318 EFTA_00000403 EFTA00134822 Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED"" Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/09/2019 10:13 Provider. PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of 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. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the QQast. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink Inmate Epstein was seen sk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on h ology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors y including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein return om court er duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on onary psychological observation status until psychology could interview him this morning to conduct a fo a risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health proble s not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologic- nd is in no psychological distress. As such, he is being classified as a CC1-MH Inmate at this time. CARE1-M e of an inmate who either has no Identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires c nivention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of illness and demonstrates no need (or regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by PhD/Chief Psychologist on 07/09/2019 10:32 airment air associated with a mental 0400)e Generated 07/09/2019 10:32 by PhD/Chief Bureau of Prisons - NYM Page 1 of 1 SDNY_00006329 EFTA_00000404 EFTA00134823 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: Date: 07/09/2019 10:13 Provider: M Facility: NYM PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of 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. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the • ast. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink -it Presenting Problem/S n n. Inmate Epstein was seen , 'sk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on h ;1;r: ology Questionnaire (PSIO) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein return = rom court er duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on ionary psychological observation status until psychology could interview him this morning to conduct a for a risk assessment to determine whether he is currently at-risk for suicidality. niagnostic Formulation Inmate Epstein has no history of mental health proble s not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychology nd is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-M se of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or Is mildly ill and requires ni ention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by PhD/Chief Psychologist on 07/09/2019 10:32 Oairment ai associated with a mental Generated 07/09/2019 10:32 by PhD/Chief Bureau of Prisons - NYM Page 1 of 1 SDNY_00006320 EFTA_00000405 EFTA00134824 Bureau of Prisons -SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/10/2019 08:38 Provider: PhD/Chief Reg #: 76318-054 Unit Team: A&O Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. Subjective/Objective Presentation Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been eating his meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this writer with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not comfortable there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolex he received from medical yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange uniform to his legal visits because he is treated "like a punished inmate: he wants a phone call before he leaves the psychological observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discussed with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this morning. 1ntervention(01 Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was receptive to interventions and was able to elucidate his various needs. He did not present with any acute psychopathology and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Monday but stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave the Jail. progress/Plan. Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or complaints, and is denying any suicidality. He appears psychologically stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by PhD/Chief Psychologist on 07/10/2019 09:09 Generated OM or2019 09:09 by Ph0/Chlef Bureau of Prisons - NYM Page 1 of 1 SDNY_00006321 EFTA_00000406 EFTA00134825 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/11/2019 15:21 Provider: PhD/Chief Reg #: 76318-054 Unit Team: A&O focus of Session Inmate Epstein was seen for his psychological observation follow-up In attorney conference this afternoon. Subjective/Objective Presentation Inmate Epstein reported he has been consulting with his attorney most of the day. He elucidated concerns about his incarceration including not receiving his property yet in SHU, feeling cold in his cell, not receiving his Colace, not having enough water in attorney conference, and a desire to recreate in SHU." Inmate Epstein was also upset about wearing an orange jumpsuit and being treated like "a bad guy when he did not do anything wrong in the prison. Custody and security concerns were addressed with inmate Epstein including why he has to wear his orange jumpsuit (due to his being housed in SHU). He requested that he be placed in a brown uniform during his legal visits. He was told his concerns would be addressed in the SHU meeting. Inmate Epstein stated he is not having any current problems with his cellmate and indicated he Aran cereal for breakfast and took a shower yesterday. He did not sleep well last night. Inmate Epstein continues to deny any suicidal ideation, intention or plan. He did not appear to be in any distress at this time. interventionist Inmate EPSTEIN was provided with brief supportive interventions, CBT-based Interventions, and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these Interventions. Progress/Platt 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. He will be seen next week after his bail hearing to assess his mental status and psychological stability. Completed by PhD/Chief Psychologist on 07/12/2019 07:51 Generated 07/12/2019 07:51 by PhD/Chlef Bureau of Prisons - NYM Page 1 of 1 SDNY_00006322 EFTA_00000407 EFTA00134826 Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: (.= Sex: M Facility: NYM Date: 07/11/2019 14:28 Provider: PsyD Reg #: 78318-054 Unit Team: A&0 Comments This w