EFTA00104803.pdf

/01 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/10/2019 08:38 Provider Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. SubjectiveJObjectIve Presentation Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been e ting his meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this 'ter with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not fortable there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolex he received fro medical yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange un form 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 disco d with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this ming. interventionist Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was recep ive to interventions and was able to elucidate his various needs. He did not present with any acute psychopatho gy and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Mon ay 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 he jail. progress/Plan Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or omplaints, and is denying any suicidality. He appears psychologically stable at this time and can be released from th psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be n again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by on 07/10/2019 09:09 Generated 07/10/2019 09:09 by Bureau of Prisons - NYM Page 1 of 1 EFTA00104803 Bureau of Prisons Psychology Services General Administrative Note "'SENSITIVE BUT NCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01120/1953 Sex: M Facili : NYM Unit Team: A&O Date: 07/11/2019 14:28 Provider. Comments This writer attempted to see Mr. Epstein in the morning and then again in the afternoon for a Psych Obsery lion Follow Up, but he was in Attorney Conference. Completed by on 07/11/201915:51 Generated 07/11/2019 15:51 by Bureau of Prisons - NYM Page 1 of 1 EFTA00104804 Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact "SENSITIVE BUTUNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/11/2019 15:21 Provider: Reg #: Unit Team 76318-054 A&O Eocsts of Seeslort Inmate Epstein was seen for his psychological observation follow-up in attorney conference this afternoon. SubjectixeMbjes,theiresentaffon ( Inmate Epstein reported he has been consulting with his attorney most of the day. He elucidated concerns abboout his incarceration including not receiving his property yet in SHU, feeling cold in his cell, not receiving his Cola c4, not having enough water in attorney conference, and a desire to recreate in SHU." Inmate Epstein was also upset a ut wearing an orange Jumpsuit and being treated like "a bad guy" when he did not do anything wrong in the prison. C ody and security concerns were addressed with inmate Epstein including why he has to wear his orange jumpsuit ( ue to his betrighoused in SHU). He requested that he be placed in a brown uniform during his legal visits. He was Id 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 at bran cer I for breakfast and took a shower yesterday. He did not sleep well last night. Inmate Epstein continues to deny ny suicidal ideation, intention or plan. He did not appear to be in any distress at this time. Intervention(s1 Inmate EPSTEIN was provided with brief supportive interventions, CBT-based interventions, and psychoe ucation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology taff. He was reminded of the self-help books and audiotapes available through the Psychology department. He will be s en next week after his bail hearing to assess his mental status and psychological stability. Completed by on 07/12/2019 07:51 Generated 07/1212019 07:51 by Bureau of Prisons - NYM J Page 1 of 1 EFTA00104805 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/16/2019 12:48 Provider: Facility: NYM Reg #: Unit Team 76318-054 A&O Focus of Session Inmate Epstein called for this writer in attorney conference today. The officer in attorney conference notlfie this writer that he was asking to be seen. Subjective/Objective Presentation Inmate Epstein reported he has not received a spoon or soap in SHU, nor did he receive the phone calls th t were "promised to him.' He told this writer we need to have mutual trust that his needs are met In the prison. Th s writer told inmate Epstein that she would address is e rv ay-Ciiriffrlember told this writer she wi nessed inmate Epstein receive two hone calls from the Lt. Nonetheless, this writer informed the SHU lieutenant o his d he sakthnould ensure that he had soap, a spoon, and his initial SHU phone call. Inmate E stein did not have anyPsychological concerns today. He denied any mental health symptoms or suicidality. He has en eating as best as he can and has requested a Kosher diet. Intervantion(si Inmate EPSTEIN was provided with brief supportive and psychoeducation regarding additional coping strat gies. Inmate EPSTEIN was receptive to these interventions. He continued with his legal visit. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology s H. He was remirided of the self-help books and audiotapes available through the Psychology department. There appe rs to be no need for follow up at this time. He will be seen In SHU for rounds and monthly SHU reviews. Completed by Psychologist on 07/18/2019 13:05 Generated 07!181201913:05 by Bureau of Prisons - NYM I Page 1 of 1 EFTA00104806 Bureau of Prisons Psychology Services SHU Review "SENSITIVE BUT NCLASSIFIED" Inmate Name: Date of Birth: Date: Placed In SHU: Status: Basis of Review: Mental Status: Comments Monthly SHU Review Note EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: 07/18/2019 07:21 Provider: 07/10/2019 ADMIN.DETENTION Inmate was interviewed No significant mental health issues. M Facility NYM Reg IS: 763 8-054 Unit Team: A&O Type: Threat to Self: Adjustment Threat to Others: SHU Low Satisfactory, seg ation not detrimental Low Inmate Epstein was meeting with his legal team today and has a court hearing. He was not able to be seen a SHU review. Another attempt to interview him for a SHU review will be done In the near future. Completed by Psychologist on 07/18/2019 12:06 Generated 07/182019 12:00 by Bureau of Prisms-NYM Pagel of 1 EFTA00104807 Bureau of Prisons Psychology Services General Administrative Note " UNCLASSIFIED"" BUT NCLASSIFIED" Inmate Nime: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: CD/iv/1953 Sex: Unit Team: 5 Date: l 07/23/2019 07: Provider Comments This On-Call Psychologist was contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform Mr. Epst n was being placed on Suicide Watch because he was found with a stdng loosely hanging around his neck. Mr. E Lein will be seen today by the duty psychologist for a Suicide Risk Assessment. Completed b on 07/24/2019 07:59 Generated 67/24/2010 07:60 by Bureau of Prisons - GYM I Paschal 1 EFTA00104808 Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/23/2019 10:09 Provider: Reg #: 76318-054 Unit Team: 5 Type of Housing: SHU- 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 The On Call Psychologist, a, had been contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform her that fit. Epstein was being placed on Suicide Watch because he was found with a string around his neck. r. Epstein was seen by this writer for a Suicide Risk Assessment at about 9:10 AM on 7123/19. This note is being entered at about 3:35 PM on 7/23/19. Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by a, "Inmate Epstein denied any history of ental health treatment, either on an Inpatient or outpatient basis. Inmate Epstein denied any treatment in the pastor present with psychotropic medication. He also denied any acute mental health symptoms at this time." Self-Halm History According to a Suicide Risk Assessment dated 7/09/19 by a ., "Inmate Epstein denied any past or pr sent suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavi I in the past" Substance Abuse History According to a Suicide Risk Assessment dated 7/09/19 by En, "Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol." Current Problem Earlier this morning Mr. Epstein was found by SHU staff in his cell with a string loosely tied around his neck! It is unclear at this time if Mr. Epstein had placed the string around his own neck. When Mr. Epstein was asked by this writer how he ended up on Suicide Watch, he denied remembering. he got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is he self snore. He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was fond in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had rule out of self Inflicted injuries. When this writer reviewed the Staff Suicide Watch Log, it noted that Mr. Epstein told the staff watching him at his cellmate tried to kill him, which Mr. Epstein did not tell this writer when this writer had interviewed Mr. Epstei . This writerwas not able to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was notified about this notation and the Captain stated they were already aware of this statement. Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior. Cooperative Mood: 4ppropriate to Content Generated Cl7/23/2019 15:38 by Bureau of Prisons NYM Page 1 of 3 EFTA00104809 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facili NYM Date: : 07/23/2019 10:09 Provider: Reg #: 76318-054 Unit Team: 5 Thought Process: Goal Directed Thought Content: Normal 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 hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. 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 danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED' This writ* screened the inmate for a variety of empirically validated factors commonly associated with risk for suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in 4uicide related 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 ih suicide related behaviors: Current physical pain The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suidd :Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideationfintention/plans, Future orientation, rew of death as negative,, VVillingness to engage in treatment Risk Factors: He was found by staff in his cell in SHU with a string loosely tied around his neck, which Mr. Eps eln stated he did not remember anything about. It Is unclear at this time if Mr. Epstein had placed the string around his own n or if someone else did. According to Medical, he had a circular line around the base of his neck, which he denied knowing h he obtained. He stated his throat hurts which was reported to Medical. He has a high profile sex offense case and recently s denied bail. When asked if he has any friends or family that are emotionally supportive, he stated he does not know what th t means. When emotional supports were explained to him and then again asked if he as any family or friends that are emotion ly supportive, he was vague and said he has a lot of people. Protective Factors: He denied current suicidal or self harm thoughts or ever having these thoughts. He denied a history of self harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having a y chronic medical conditions. He denied feeling hopeless. He denied a history of childhood abuse. He denied fearing fo his safety. He denied feeling like a burden to anyone. He reported he is sleeping adequately. He stated he lives to have fun, to enjoy life, and to learn. He said his future plans include fighting his case and going back to his normal life. Whereas, he is denying suicidal and self harm thoughts and has a lot of protective factors, he is denying that h remembers how he ended up on Suicide Watch and has maths encircling his neck. It is unclear at this time if he had pl the string around hiS neck or if someone else did. He will remain on Suicide Watch for further observation and safekeeping. DIAGNOSIS* No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Moderate Overall Chronic Suicide Risk for this Inmate Is: Absent ITCOMMFNDATIONS 1. Mr. Epstein will remain on Suicide Watch for further observation and safekeeping. 2. While on Suicide Watch, he will be continuously observed by Inmate Companions. 3. While en Suicide Watch, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Medical was informed that he reported his throat hurts. Suicide Watch: A suicide watch was Initiated by non-clinical staff and continues to be warranted Suicide Iratch was initiated on: 07/23/2019 01:40 Generates, 971231201e 15:39 by Bureau of Prisons - NYM elf-harm and Page 2 of 3 EFTA00104810 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Fac IYM Date: 07/23/2019 10:09 Provider. Reg #: 76318-054 Unit Team: 5 Completed by on 07/23/201915:38 GeneMW4712M01915:36by &seweNwm-MM Page 3 of 3 EFTA00104811 Bureau of Prisons Psychology Services Post Suicide Watch Report "SENSITIVE BUT UNCLASSIFIED" Inmate Name: Date of Birth: Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: 07/24/2019 09:23 Provider: Watch Start Date: 07/23/2019 01:40 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior:I Cooperative Mood: Appropriate to Content Thought If rocess: Goal Directed Thought Content: Normal Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeano . He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with no and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, dram irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought di not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. E explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expres commitment to life and safety, agreeing to contact staff immediately should he experience suicidal Ideation or p distress. He also denied thoughts of harming others. Reg #: 76318-054 M Faciiityi NYM Unit Team: Watch Stop Date: 07/24/2019 08:45 Transfered to Medical Center: No Mak Factors Assessed• This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for sel The following STATIC risk factors were assessed to be present and Increase the inmate's risk for engaging in su 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 in behaviors: Current physical pain, Fear for own safety The folloining PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide: reasons to five, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, Vi negative, Willingness to engage in treatment Risk Facto,: Mr. EPSTEIN has a significant scar around his neck, which is now scabbing over. He reported sw but denied experiencing any related pain. Mr. EPSTEIN continues to claim a lack of memory for the incident res The story h6 provided was vague, such that this writer challenged him a couple of times, but he insisted he was his lapse to memory. The nature of the Incident remain unclear. Mr. EPSTEIN is incarcerated for a very high pr media attention. He was recently denied bail. He also reported difficulty managing his time in the SHU. He repo for his safety if he is to return to the cell with his previous cell mate. Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide atte have no Interest in killing myself? He explained, although his situation is "not perfect" due to his being incarcerat has "lots to do for ]his] legal case." He described having a "wonderful life," to include interactions with interestIn projects? He said "it would be crazy' to take his life. He furthered, "I would not do that to myself." He denied fe hopelessness, although did report being "depressed" and "unhappy" about his current legal situation. He previou history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He appe as he endorsed an interest in being housed in general population. WeighIng of Risk and Protective Factors: Mr. EPSTEIN adamantly denied sucidality. However, in light of his vag regarding the Incident which precipitated his placement on Suicide Watch, combined with his fear for his own safe Generated 070412019 12:09 by Bureau of Prisons - NYM al rate, tone, tantial, or er. He did STEIN a ychological harm. ide related uicide related ble to identify of death as fling in this area Ring in this scar. ng honest about ile crime with ed being fearful pts. He stated, "I d, he noted he people and ings of ly denied a future-oriented e self-report ty, reported Page 1 of 3 EFTA00104812 Om\ Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/.1953 Sex: M Facility: NYM Unit Team: .5 Date: 07/2LL 10:L IIIIIMMMEIE 1201 23 Provider: . difficulty managing his time in the SHU, and the high profile nature of his alleged offense, Mr. EPSTEIN will be stepped down from Suicide Watch to Psychological Observation. chansmalaRlskfactorsAnassest Upon a review of the log book, it was indicated Mr. EPSTEIN has been speaking to the inmate companions bout having, previously taught mathematics and physics. He has been observed pacing the cell as well as sieepi g, eating, and drinking within normal limits. Upon interview today, Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. His reque ts were made known to the lieutenants and he was provided a shower prior to attending his legal visit. This writer also provided him a toothbrush, toothpaste, and hygiene products. Asked about the alleged Incident which transpired yesterday resulting in his placement on Suicide Watch, Mr. EPSTEIN said he is frustrated he has been placed in a "punishment cell for no reason? Specifically, Mr. EPSTEIN wa referring to his placement in the SHU. Asked to recall the events surrounding the alleged incident, Mr. EPSTEIN sal his cell mate was "playing with a bed sheet" and he claimed he does not recall the events thereafter. He said he r Iled eating meat and drinking water and claimed the next event for which he has memory is his hearing himself snore a d waking up on a stretcher. Mr. EFiSTEIN claimed he does not recall himself or his cell mate tying a string or rope around his neck. He aid he has "been trying to remember' and "wracking his mind." Asked if he experienced any interpersonal issues with is cell mate, Mr. EPSTEIN described his cell mate as "agitated" and claimed his cell mate called him a "pedophile" or the first time yesterday. His cell mate was also reportedly reading a newspaper article about Mr. EPSTEIN, which thered him and it was something he believed to be "strange" for their to be an article about him in his cell. Mr. EPSTEI recalled throwing away the newspaper photograph of himself by crumpling it and flushing it down the toilet. Asked if is cell mate ever threatened to harm him, he denied this to be the case. Asked why he told the inmate companion yesterday his cell mate tried to kill him, while also claiming no memory of the incident, Mr. EPSTEIN again said he did i ot recall the incident and further stated, "I don't know if he put it there as a joke." Mr. EPSTEIN explained he had bedn experiencing difficulty sleeping in his SHU cell due to his inmate peers banging on the cell door and window, but has not been experiencing any other acute Issues other than this. Reason kor Removal from Watch Mr. STEIN stated, "I have no interest In killing myself." He explained although his situation is "not pert due to his being/ncarcerated, he noted he has "lots to do for (his] legal case." He described having a "wonderful life," Include interactions with Interesting people and projects." He said "it would be crazy" to take his life. He furthered, 'I would not do tha1 to myself." Mr. EPSTEIN did express a feeling of safety being housed on Psychological Observation rather than in the SHU. He asked if he could remain on this status for a couple of days, he was advised his housing sit floe will be re-evaluated on a day-to-day basis. He expressed a desire to be housed in general population rather than i the SHU and asked if there were a "safer unit for him to be housed in comparison to the one where he was initially pl ced. Mr. EPSTEIN claimed there were many MS-13 gang members on the initial unit. He was advised he will be mai tained on Psychological Observation in the near future, but his long-term housing situation will be revisited, as it Is not deal for one to remain in Isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN a edged this infonffation and thanked this writer for her explanation and time. Diagnosis- No Diagnosis, No Dx - Current Conclusinnq The Overall Acute Suicide Risk for this Inmate Is: Overall Chronic Suicide Risk for this Inmate Is: RecommenentInna. 1. Mr. EPSTEIN will be removed from Suicide Watch and stepped down to Psychological Observation. 2. While on Psychological Observation, he will be continuously observed by Inmate Companions. 3. While on Psychological Observation, he will be seen daily by Psychology. 4. Suppoitive and educative interventions were provided. 5. Mr. EPSTEIN was provided novels and a request was made for his legal paperwork to be provided to him on Psychological Generated 0124/2019 12:09 by Bureau of Prisons - NYM Page 2 of 3 Low Absent EFTA00104813 ea\ Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7631 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: Date: 07/24/2019 09:23 Provider =1 ;) Eit Observation. 6. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to a constipation. 7. Mr. EPSTEIN attended a legal visit today, after having been provided a shower. 8. Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. 9. The inmate was encouraged to reach out for PRN services should he experience any psychological distress. Completed by n. on 07/24/201912:09 -054 5 Bureau of "Woos - NYM Generated 07/24/2019 12:09 eviate his Page 3 of 3 EFTA00104814 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: 07/25/2019 10:14 Provider: Reg #: Unit Team 76318-054 5 focus of Session Inmate Epstein was seen by this writer this morning while on psychological observation in the hospital area of the prison. Subjective/Objective Presentation Inmate Epstein was in good spirits today and engaged in reciprocal conversation with this writer this morniTg. He smiled and remarked, "welcome back' when this writer arrived. He continues to assert he does not rem ber how he received marks around his neck, remarking "I do not remember anything, maybe you can give me some es." He stated he Just remembers going for a drink of water and the next thing he knew he woke up to the sound 0000ff his own snoring. When this writer attempted to get a more detailed account from him, indicating that it would be rae to have such impairments in memory as he does not suffer from an acute cognitive disorder, he smiled and said h4 understood my position. Inmate Epstein did reveal he is unhappy with his current confinement in Special Housing (SHU) as he considers it "a punishment cell." He said he finds the restrictions up there unfair as he has not done anything wrong. Innate Epstein stated he feels it is dangerous in the SHU, he cannot sleep well up there due to noise from the other inmates, it smells, and it is difficult for him to work on his legal case up there. He stated he has not received the phone calls e was promised nor has he been able to receive recreation. It was explained to him that he spends the entire d In the attorney conference room and it is likely that he has missed the times when staff members have attempte to give him phone calls and recreation. Inmate Epstein also reported complaints about the attorney conference room, stating they do not take him to the bathroom frequently enough. Inmate Epstein adamantly denied any suicidality at this time, stating "I am too vested In my case to fight it I have a life and I want to go back to living my life." He denied any acute symptoms at this time. According to his log book, he has been eating, drinking, sleeping, and interacting with the inmate compan s. He has also been attending his daily legal visits. Interventional). Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additio I coping strategies. Inmate EPSTEIN was mostly receptive to these Interventions. He requested to be housed in general population rather than the SHU and stated he wanted to remain on psychological observation due to his concerns with being in the SHU. Progress/Plan In an abundance of caution, inmate Epstein will remain on psychological observation. He has yet to give 1311 account of how he sustained the marks around his neck, is not revealing much about his mental status, and there ar concerns about his adjustment at this time to being housed in the SHU. Inmate Epstein will be seen daily by psychology while on psychological observation. Completed b on 07/25/2019 10:43 Generated 071251201910:43 by Bureau of Prisons - NYM Page 1 of 1 EFTA00104815 Bureau of Prisons Psychology Services Clinical intervention - Clinical Contact "SENSITIVE BUT UNCLASSIFIED" Inmate Nfme: EPSTEIN, JEFFREY EDWARD : NYM Unit Team: 5 Date: 07/26/2019 09:09 Provider: Date of Birth: 01/20/1953 Sex: Reg #: 76318-054 Focus of Session Inmate Epstein was seen while on psychological observation In our hospital area. Subjective/Objective Presentation Prior to this writer's contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested ing disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhap y with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak dder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated a d needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his m ication. This writer Immediately notified medical and his pills were being processed during the interview. Inmate Ep tein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and strictions). With regard to the events which lead to his initial placement on suicide watch, inmate Epstein stated he ha no memory of the, event. He asked to speak with his old cellmate "Nick" to see if he can tell him what happened or see his memory could be triggered. He remarked, "I am still trying to figure out how I got this (pointing to the scab round his neck)," Inmate Epstein denies remembering harming himself and/or being harmed by his cellmate. He doe not exhibit symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this lime or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal Case and go back and live life. He referred to himself as l'a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. VVhiloon psychological observation, inmate Epstein has been eating his meals, sleeping and interacting with the inmate companions. He is in legal visiting the majority of the day and In the evenings. His log book and eating/sho er chart reflect the same. He has been speaking to inmate companions about investment strategies and about pus n adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, lau hing, and joking. Interventionist Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wantec this writer to address them. progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing a rangements to be made on Monday. He continues to be vague and reports memory deficits regarding the events which ead to a piece of sheet being placed loosely around his neck and marks with scabs around his neck. Completid by f Psychologist on 07/26/2019 10:05 Geneteled ¢71261[01910:05 by Bureau of Prisons - NYM Papier 1 EFTA00104816 Bureau of Prisons **SENSITIVE BUT;UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: NYM Unit Team: 5 Date: 07/27/2019 07:14 Provider: 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, an When 'interviewed, he staG aAs II cannot remember what happened in SHU that caused the marks on his neck. He statedithat for the 5 days b e had only slept about 30 minutes each night because of noise in SHU. He stated he is anxious about going back because he stated he is going back to a place where he had gotten marks on his neck and he does not know why He said he has an appetite and is eats . He said is waking up every 1 1/2 hours. He stated he feels dehydrated becaube he is not drinking enough water be stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood ly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential Fuel or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. n t engage In any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated " " He added he does not like pain and even does riot like when he has to give blood. He agreed to immedia to aff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He do be an immediate dangerlto self. He denied thoughts of hurting others and he agreed to tell staff and Inmate i k ions if he has these thoughts. intervention/2j Supportive and educative interventions were provided. He was given Turnin ndouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart th e a given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him ng progress/Plan He wil remain on Psych Observation in an abundance of caution and pending housing a be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed by on 07/27/2019 08:16 Generated /27/2019 08:16 by =. MIS Bureau of Prisons - NYM Page 1 of 1 EFTA00104817 Bureau of Prisons Health Services See Amendment Inmate. Name: EPSTEIN, JEFFREY EDWARD Reg #: 763 8-054 Dale of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/27/2019 07:14 Facility: NNW Amendment made to this note by on 07/28/2019 09:19. Bureau of Prisons - NYM EFTA00104818