EFTA00141701.pdf
PDF Source (No Download)
Extracted Text (OCR)
Appendix A: The Federal Bureau of Prison's Response
EFTA00141701
Appendix B: Office of Inspector General Analysis of the Federal Bureau
of Prison's Response
The Office of the Inspector General (OIG) provided a draft of this report to the Federal Bureau of
Prisons (BOP), and the BOP's response is incorporated as Appendix A. The BOP indicated in its response
that it agreed with all eight recommendations.
The following provides the OIG's analysis of the BOP's response and a summary of the actions
necessary to close the recommendations. The OIG requests that the BOP provide an update on the status
of its response to the recommendations within 90 days of the issuance of this report.
Recommendation 1: The BOP should implement a process for assigning a cellmate following suicide
watch or psychological observation, with criteria for exceptions based on the particular individual or
security considerations.
Status: Resolved.
BOP Response: The BOP reported the following:
The BOP recognizes the importance of careful monitoring of adults in custody who face mental
health challenges and therefore concurs with this recommendation. Our practice is to
carefully consider both the well-being and safety of the individual involved and overarching
safety and security concerns. In the years since Mr. Epstein's death, the BOP has updated its
process related to suicide watch and psychological observation. Under BOP's revised process,
upon removal from suicide watch or psychological observation, psychologists make
individualized care recommendations about clinical follow-up and other custodial concerns,
including housing and cellmates. Mental health, custody, and unit team employees work
collaboratively to ensure that each individual removed from suicide watch is housed
appropriately.
OIG Analysis: The BOP's response is responsive to this recommendation. The OIG will consider whether to
close this recommendation after the BOP (1) provides for the OIG's review a proposed process for assigning
a cellmate following suicide watch or psychological observation, with criteria for exceptions based on the
particular individual or security considerations, that addresses issues identified in the OIG's report; and (2)
implements the process.
Recommendation_2: The BOP should establish procedures to ensure inmates at high risk for suicide
and for whom a cellmate is recommended will continue to have a cellmate until the
recommendation is changed or rescinded, including establishing a contingency plan for cellmate re-
assignment, with criteria for exceptions based on the particular individual or security
considerations.
Status: Resolved.
BOP Response: The BOP reported the following:
The BOP concurs with this recommendation. As described in its response to Recommendation
1. BOP's current process related to suicide watch and psychological observation applies an
individualized approach to the care and custody of adults in custody. Upon removal from
suicide watch or psychological observation, individualized care recommendations are made
2
EFTA00141702
by psychologists, custody, and unit team for each individual. BOP thoroughly evaluates each
ceiling assignment on an individual basis for persons deemed to be at moderate to high risk
for suicide.
OIG Analysis: The BOP's response is not fully responsive to this recommendation. Recommendation 1
focuses on the process for assigning a cellmate following suicide watch and psychological observation.
Recommendation 2, on the other hand, focuses on procedures to ensure that inmates at high risk for
suicide and for whom a cellmate is recommended continue to have a cellmate until the recommendation is
changed or rescinded. Our investigation and review determined that BOP employees did not take steps to
ensure that Jeffrey Epstein continuously had a cellmate in response to Psychology Department personnel
having determined that he needed to have an appropriate cellmate, and absent any indication that security
or other considerations relating to Epstein warranted his not having a cellmate.
The OIG will consider whether to close this recommendation after the BOP (1) develops the recommended
procedures; (2) provides the procedures to the OIG; and (3) implements the procedures.
Recommendation 3: The BOP should evaluate its current process for obtaining and documenting
approval for social or legal visits while an inmate is on suicide watch or psychological observation,
which allows for institution-specific variations in the process, and provide guidance on standard
components that each institution should include in its process to mitigate security issues that can
arise when an inmate is on suicide watch or psychological observation.
Status: Resolved.
BOP Response: The BOP reported the following:
The BOP concurs with this recommendation.
OIG Analysis: The BOP concurred with this recommendation but did not provide any additional
information. The OIG will consider whether to close this recommendation after the BOP (1) evaluates the
current process for obtaining and documenting approval for social or legal visits while an inmate is on
suicide watch or psychological observation; (2) provides guidance on standard components that each
institution should include it is process; and (3) provides to the OIG documentation of the evaluation and the
guidance forwarded to institutions for inclusion in their institution-specific processes.
Recommendation 4: The BOP should evaluate its methods of accounting for inmate whereabouts
and wellbeing and make changes as may be appropriate to improve those methods through policy,
training, or other measures.
Status: Resolved.
BOP Response: The BOP reported the following:
The BOP concurs with this recommendation.
OIG Analysis: The BOP concurred with this recommendation but did not provide any additional
information. The OIG will consider whether to close this recommendation after the BOP (1) evaluates its
methods of accounting for inmate whereabouts and wellbeing; (2) makes any appropriate changes to
improve those methods through policy, training, or other measures; and (3) provides documentation of
evaluation and any appropriate changes to the OIG.
3
EFTA00141703
Recommendation 5: BOP policy should clarify what is required of a Lieutenant when conducting a
round.
Status: Resolved.
BOP Response: The BOP reported the following:
The BOP concurs with this recommendation.
OIG Analysis: The BOP concurred with this recommendation but did not provide any additional
information. The OIG will consider whether to close this recommendation after the BOP (1) updates its
policy to clarify what is required of a Lieutenant when conducting a round; (2) communicates the policy
update to all relevant BOP employees; and (3) provides documentation of the policy update and
communication to the OIG.
Recommendation 6: The BOP should continue to develop and implement plans to address staffing
shortages at its prisons.
Status: Resolved.
BOP Response: The BOP reported the following:
The BOP concurs with this recommendation. Hiring and retaining qualified personnel is a key
priority and BOP has developed and implemented a multi-pronged approach that involves
enhanced recruitment efforts and appropriate incentives. While the issues raised in the OIG's
report were the result of employees failing to adhere to their duties, as opposed to a staffing
shortage, the BOP welcomes the opportunity to continue the significant work that has already
been undertaken and that is ongoing regarding staffing.
OIG Analysis: The BOP's response is responsive to the recommendation. The OIG will consider whether to
close this recommendation after the BOP (1) develops and implements plans to address staffing shortages
at its prisons and (2) provides documentation of such efforts to the OIG.
Recommendation 7: The BOP should evaluate its cell search procedures and make changes as may
be appropriate to improve those procedures through policy, training, or other measures.
Status: Resolved.
BOP Response: The BOP reported the following:
The BOP concurs with this recommendation.
OIG Analysis: The BOP concurred with this recommendation but did not provide any additional
information. The OIG will consider whether to close this recommendation after the BOP (1) evaluates its cell
search procedures; (2) makes any appropriate changes to those procedures through policy, training, or
other measures; and (3) provides documentation of evaluation and any appropriate changes to the OIG.
Recommendation 8: The BOP should enhance existing policies regarding institutional security
camera systems to ensure they specifically state that such systems must have the capacity to record
video and that BOP institutions must conduct regular security camera system functionality checks.
Status: Resolved.
4
EFTA00141704
BOP Response: The BOP reported the following:
The BOP concurs with this recommendation.
OIG Analysis: The BOP concurred with this recommendation but did not provide any additional
information. The OIG will consider whether to close this recommendation after the BOP (1) enhances
existing policies regarding institutional camera systems to include the recommended language update; (2)
communicates the policy update to all relevant BOP employees; and (3) provides documentation of the
policy update and communication to the OIG.
5
EFTA00141705
Document Preview
PDF source document
This document was extracted from a PDF. No image preview is available. The OCR text is shown on the left.
This document was extracted from a PDF. No image preview is available. The OCR text is shown on the left.
Extracted Information
People Mentioned
Document Details
| Filename | EFTA00141701.pdf |
| File Size | 270.3 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 9,483 characters |
| Indexed | 2026-02-11T10:49:10.981433 |
Related Documents
Documents connected by shared names, same document type, or nearby in the archive.