EFTA00135324.pdf

lYi 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: tit Facility: NYM Unit Team: I A&O Date: 07/10/2019 08:38 Provider: I=MIPhD/Chief Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. SubjectiveLObjective 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 writer with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not _omfortable there; he wants to be single-celled if he gces 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 un form to his legal visits because he is treated "like a punished inmate;" he wants a phone call before he ;eaves the psychological observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and wou d 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 Co:ace. Inmate Epstein was provided a shower this morning. Intertenttanfil I Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was recepive to 1:, interventions and was able to elucidate his various needs. He did not present with any acute psychopathol gy 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 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 een again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by a PhD/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2019 09.09 by PMD/ChIcf Bureau of Prisons - NYM Page 1 of 1 SDNY_00007817 EFFA_00000941 EFTA00135324 Bureau of Prisons Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01120/1953 Sex: M Facility: NYM Date: 07/11/2019 14:28 Provider. PsyD "'SENSITIVE BUT NCLASSIFIED" Reg #: 76318-054 Unit Team: A&O Comments This writer attempted to see Mr. Epstein in the morning and then again in the afternoon for a Psych Obsery ion Follow Up, but he was in Attorney Conference. Completed by PsyD on 07111/201915:51 PsyD Bureau of Prisons - NYM Page loft NY_00007818 EFTA_00000942 EFTA00135325 Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact "SENSITIVE BUTUNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg tr: 76318-054 Date of Birth: 01/20/1953 Sex: Pd Fac:ity: NYM Unit Team A&O Date: 07/11/2019 15:21 Provider: PhD/Chief Eoclts of Session Inmate Epstein was seen for his psychological observation follow-up in attorney conference this afternoon. SubjactiveMbjesificheftentalion J 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 Cola , 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 stody and security concerns were addressed with inmate Epstein including why he has to wear his orange jumpsuit ( ue to his being'housed 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 psychos ucatlon 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 PhD/Chief Psychologist on 07/12/2019 07:51 Generated 07/12/2019 07:51 by PhDIChlef Bureau of Prisons - NYM j Page 1 01 1 NY_00007819 EFTA_00000943 EFTA00135326 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: O1/20/1953 Sex: M Facility: NYM Unit Team Date: O7/16/2019 12:48 Provider: PhD/Chief 76318-054 A&O Focus of Session Inmate Epstein called for this writer in attorney conference today. The officer in attorney conference notifi 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 addraeiFfilrafittiffirtgl e rv ay-Ciirairrriember 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 saktlfaiould 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. Intervention(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 Progreas/Plart Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology s H. He was renerrded 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 PhD/Chief Psychologist on 07/18/2019 13:05 Generated 071181201813:05 by PhD/Chief Bureau of Prisons - NYM I Panto, 1 SD 7_00007820 EFTA_00000944 EFTA00135327 Bureau of Prisons Psychology Services SHU Review **SENSITIVE BUT UNCLASSIFIED•' Inmate Name: Date of Birth: Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: 07/18/2019 07:21 Provider: M Facility NYM PhD/Chief Reg ft: 763 Unit Team: 8-054 A&O Placed In SHU: Status: Basis of Review: Mental Status: Comments Monthly SHU Review Note 07/10/2019 ADMIN.DETENTION Inmate was interviewed No significant mental health issues. Type: Threat to Self: Adjustment Threat to Others: SHU Low Satisfactory, segregation not detrimental Low Inmate Epstein was meeting with his legal team today and has a court hearing. He was not able to be seen f review; Another attempt to interview him for a SHU review will be done In the near future. Completed by PhD/Chief Psychologist on 07/18/201912:06 Generated (07/18/2019 12:00 by PhD/ChM( Bureau of Prisms - NYM r a SHU Page 1 of 1 St NY_00007821 EFTA_00000945 EFTA00135328 Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of 8 rth: (itzy/1953 Sex: M Facility: NYM Unit Team: 5 Date: 07/23/2019 07: Provider. PhD/Chief 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 in will be seen oday by the duty psychologist for a Suicide Risk Assessment. Completed by PhD/Chief Psychologist on 07/24/2019 07:59 Generaled /24/201907S by PhOIC10M Bureau of Prisons-NYM i Page 1 oft SDIllY 00007822 EFTA_00000946 EFTA00135329 Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED— Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facili : NYM Date: 07/23/2019 10:09 Provider. PsyD Reg #: 76318-054 I Unit Team: 5 Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Celt FIBMNO 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, had been contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform her that Mr. Epstein was being placed on Suicide Watch because he was found with a string around his neck. Mr. Epstein was seen by this writer for a Suicide Risk Assessment at about 9:10 AM on 7/23/19. 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 "Inmate Epstein denied any history of ental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the pas or present with psychotropic medication. He also denied any acute mental health symptoms at this time." Self-Harm HiatotY According to a Suicide Risk Assessment dated 7/09/19 by "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 r in the past." 5sthatanceStutse History According to a Suicide Risk Assessment dated 7/09/19 by 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. Wnen Mr. Epstein was asked by this writer how he ended up on Suicide Watch, he denied remembering. Fe stated he got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is hearing himself snore. He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was fodnd in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had a 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 htat his cellmate tried to kill him, which Mr. Epstein did not tell this writer when this writer had interviewed Mr. Epstein. This writer was not able to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was not Tied about this notation and the Captain stated they were already aware of this statement. CeurrentMental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Generated 97/23/2019 15:38 by PsyO Bureau or Fasces - NYM Page 1 of 3 S NY_00007823 EFTA 00000947 EFTA00135330 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M a: NYM Date: ' 07/23/2019 10:09 Provider: PsyD Thought Process: Goal Directed Thought Content: Normal Reg #: 76318-054 Unit Team: 5 Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and co erent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations ere denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied curre t suicidal or self harm ideation and he agreed to Immediately tell staff if he starts to have suicidal or self harm thoughts. He w s future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he =greed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED' This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging i behaviors: Current physical pain The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicid reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, 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 not remember anything about. It Is unclear at this time if Mr. Epstein had placed the string around his own n else did. According to Medical, he had a circular line around the base of his neck, which he denied knowing h • He stated his throat hurts which was reported to Medical. He has a high profile sex offense case and recently When asked if he has any friends or family that are emotionally supportive, he stated he does not know what th emotional supports were explained to him and then again asked If he as any family or friends that are emotion 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 harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having a medical conditions. He denied feeling hopeless. He denied a history of childhood abuse. He denied fearing fo denied feeling like a burden to anyone. He reported he is sleeping adequately. He stated he lives to have fun, to learn. He said his future plans include fighting his case and going back to his normal life. =If--harm and uicide related suicide related :Able to identify ew of death as eln stated he did or if someone he obtained. s denied bail. t means. When ly supportive, he a history of self y chronic his safety. He to enjoy life, and Whereas, he is denying suicidal and self harm thoughts and has a lot of protective factors, he is denying that h remembers how he ehded up on Suicide Watch and has marks 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 RECOMBilFNDATIONS 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 on 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 *fetch was initiated on: 07/23/2019 01:40 Generated 97/2312010 15:39 by PsyD Bureau of Prisons - NYM Pepe 2ot 3 NY_00007824 EFTA_00000948 EFTA00135331 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facili : NYM Date: 07/23/2019 10:09 Provider. PsyD Completed by PsyD on 07/23/201915:38 Generated 0 712 3 201 9 1 5:38 a PsyD Reg #: 76318-054 Unit Team: 5 Bureau of Mons • NYM Page 3 of 3 Nc00007823 EFTA_00000949 EFTA00135332 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: Facility: NYM Ph.D. Reg #: 76318-054 Unit Team: 5 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. Watch Stop Date: 07/24/2019 08:45 Transfered to Medical Center: No RIM 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 follovAng 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 'ling in this area Ring in this scar. ng honest about ile crime with ed being fearful al rate, tone, tantial, or er. He did STEIN a ychological but dented 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 inImemory. 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, "t 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 sat Generated 070412019 12:09 by Ph.D. Bureau of Prisons. NYM harm. ide related uicide related ble to identify of death as pts. He stated, "I d, he noted he people and ings of ly denied a r future-oriented e self-report ty, reported Page 1 of 3 NY_00007826 EFTA_00000950 EFTA00135333 re\ Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01202953 Sec Date: I 07/24/2'0190923 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. Reg #: 76318-054 M Facility: NYM Unit Team: .5 Ph.D. chansmalaRlskfactorsAnassell 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 sleepl 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 lied 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 , 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 i Mr. STEIN stated, "I have no interest in killing myself." He explained although his situation is "not pert due to his beingincarcerated, 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 that 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 pi 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-tern 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 information and thanked this writer for her explanation and time. illagnnsh: No Diagnosis, No Dx - Current Conduct:1-mq The Overall Acute Suicide Risk for this Inmate Is: Overall Chronic Suicide Risk for this Inmate Is: RecommerniatInncr 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. Supportive 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 Generated 4712472010 12:09 by Ph.D. Bureau of Prisons - NYM I i Low Absent SYCh01091Cal Page 2of 3 NY_00007827 EFTA_0000095 I EFTA00135334 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7631$-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: 5 Date: 07/24/2019 09:23 Provider. Ph.D. 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 Ph.D. on 07/24/201912:09 Generated 07/24/2019 12:09 by Mi. Ph.D. Bureau of Prisons - NYM eviate his Pan 3 of 3 SDN 00007828 EFTA 00000952 EFTA00135335 Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/25/2019 10:14 Provider: Facility: NYM PhD/Chief 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 mornipg. He smiled and remarked, "welcome back' when this writer arrived. He continues to assert he does not remere r how he received marks around his neck, remarking "I do not remember anything, maybe you can give me some ctes." He stated he Just remembers going for a drink of water and the next thing he knew he woke up to the sound of his own snoring. When this writer attempted to get a more detailed account from him, indicating that it would be ra ce 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. InrOte 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 tight 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 qn 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 by PhD/Chief Psychologist on 07/25/2019 10:43 Generated 07/25/201910:43 by Ph0/Chief Bureau of Prisons - NYM Pewit:4 1 SDNY_00007829 EFTA_00000953 EFTA00135336 Bureau of Prisons Psychology Services Clinical intervention - Clinical Contact "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/26/2019 09:09 Provider: PhD/Chief Reg #: 76318-054 Unit Team: 5 Focus of Session Inmate Epstein was seen while on psychological observation In our hospital area. 5ubjective/Objective Presentation Prior to this writer's contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was 1 3 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 unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." 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 me ication. This writer Immediately notified medical and his pills were being processed during the interview. Inmate Ep teln also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells. noise, and r 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 "a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. White; on 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 pris 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 a de on Monday. He continues to be vague and reports memory deficits regarding the events which ead to a h piece of sheet being placed loosely around his neck and marks with scabs around his neck. Completed by PhD/Chief Psychologist on 07/26/2019 10:05 Generated 0726201910:05 by PhD/Chief Bureau of Prisons- NYM Page 1 d1 NY_00007830 EFTA_00000954 EFTA00135337 Bureau of Prisons **SENSITIVE BUT;UNCLASSIFIED** Psychology Services Clinical Intervention - Clinical Contact i Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team:i 5 Date: ' 07/27/2019 07:14 Provider. PsyD Focus of Session He was seen by writer while he was on Psych Observation. Subjective/ObjectIve Presentation i 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, ands nt 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 becauSe 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 nfial 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 "I " 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 dangerfio self. He denied thoughts of hurting others and he agreed to tell staff and Inmate i a 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 wig remain on Psych Observation in an abundance of caution and pending housing a r t be made on Monday. While on Psych Observation, he will be seen daily by Psychology. I Completed by PsyD on 07/27/2019 08:16 Generated 27/20100816 by =. PsyD Bureau of Prisons - NYM Page 1 of SONY 00007831 EFTA_00000955 EFTA00135338 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/27/2019 07:14 Facility: NYM Amendment made to this note by PsyD on 07128/2019 09:19. Bureau of Prisons - NYM _00007832 EFTA_00000956 EFTA00135339