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Psychology Services | "SENSITIVE BUT UNCLASSIFIED" | # Clinical Intervention - Clinical Contact | Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | | Reg # | 76318-054 | | |----------------|-------------------------|-----------|---|--------------|-------|--------------|--| | Date of Birth: | 01/20/1953 | Sex: | M | Facili : NYM | | Unit Team: 5 | | | Date: | 07/27/2019 07:14 | Provider: | | | | | | # focus of Se_s_sion He was seen by writer while he was on Psych Observation. # Bitbie_clive/Ottiective Presentation The 'EatEng/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 investinP 6 to an Inmate Companion, ate, and slept. When interviewed, he stated he still cannot remember what happened in SHU that caused the marks on his neck He stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHU. He stated he is anxious about going back to SHU because he stated he is going back to a place where he had gotten marks on his neck and he does not know why it happened. He said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels de ydrated because he is not drinking enough water because he stated he feels he is not given enough bathroom brea s while with his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and frien s are all emotionally supportive. Current Mental Status: He exhibited a neutral mood with a kill 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. He stated "I'm a coward." He added he does not like pain and even does not like when he has to give blood. He agreed to immediately tell staff and Inmate Companions 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 tLughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. ### Intervention(s1 Supportive and educative interventions were provided. Turning Points handouts on stress management, sleep, and building a routine in SHU were placed on his cell door to be given to him when his food slot is opened. He stated he wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him from sleeping. ### Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be grade on Monday. While on Psych Observation, he will be seen daily by Psychology. | Completed by
on 07/28/2019 09:19 | | |--------------------------------------------------------|-------------| | | | | | | | | | | | | | | | | Bureau of Pnsons - NYM
Generated 07/28O019 09 19 by | Page 1 of 1 | | | | | Bureau of Prisons
Psychology Services
Clinical Intervention - Clinical Contact | | **SENSITIVE BUT UNCLASSIFIED'. | | |-----------------------------------------|-----------------------------------------------------------|-------------------|--------------------------------------------------------------------------------------|-----|--------------------------------|-----------| | Inmate Name:
Date of Birth:
Date: | EPSTEIN, JEFFREY EDWARD
01/20/1953
07/28/2019 08:33 | Sex:
Provider: | | NYM | Reg #:
Unit Team: 5 | 76318-054 | # Eons of Session He was seen by writer while he was on Psych Observation. # Subjective/Objective Presentation The "Eating/Shower Chart" noted that yesterday he ate breakfast. He is not in the Psych Observation cell for about 12 hours per day because of being in Attorney Conference with his Attorneys, so the "Eating/Shower Chart" may not reflect all of his meals. He stated he was served one meal in Attorney Conference yesterday. He stated he drinks a lot water at night. The Psych Observation log noted he talked about life in general population and he slept. Earlier he had complained that his right arm was numb and hanging. Nurse Columbo from Medical had se n him for this. When this writer was interviewing him, he said his right arm still feels somewhat numb and he said he cann t make a fist with that hand. He also said he has numbness on his neck. This writer notified Nurse He stated last night when he flushed the toilet it kept flushing for 45 minutes. He stated he found it so aversive and upsetting that he said he sat in the corner and held his ears. He said because of this he was agitated for hours and was not able to sleep. The Lt. will be moving him to a different cell and he was informed of this. He stated the eling he got with the noise of the toilet was similar to when he was In SHU. He said he may have something on the Au sm spectrum. He said in the movie "Rain Man," the person with Autism had an aversion to noise. He stated h is also really good with numbers. Current Mental Status: He exhibited a mildly anxious 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 inappropri ate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immedi ate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. # fILLIDfflatatfal Supportive and educative interventions were again provided. He had not been given the Turning Point handouts yesterday that were on his cell door, so they were handed to him by staff today. ### Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to b6 made on Monday. While on Psych Observation, he will be seen daily by Psychology. | Completed by | on 07/28/2019 09:24 | | |--------------|---------------------------------------------------------|------------| | | | | | | | | | | | | | | | | | | | | | | | | | | Bureau of Prisons - NYM
Generated 0728/2019 09:24 by | Pagel of 1 | | | | | # Focus of Session Inmate Epstein was seen while on psychological observation today in the hospital area. ### SubJectivelObjectIve Presentation Same; presentation today, but he said he thinks his memory for the incident (injury to his neck) may be imp Iced because of his sleep apnea. He is supposed to get his CPAP machine today. He is aware he will be retu ing to SHU, but said he Is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have 0 e good night of sleep with his CPAP and will return to SHU with a cellmate tomorrow. He then asked if he could remain down here where it is "safe" for the entire week. I told him he can stay down one more night to receive his CPAP and a good night's sleep, but that he would be returned to SHU tomorrow. It was explained that there is no mental health issues precluding him from returning to SHU tomorrow and that we could not house him in the SW/Hospital area because he felt safe or more comfortable for him. It was explained to him that he would be placed In a safe situation i the SW. According to his log book and eating/shower chart, he has been eating and drinking when not in his legal sits. He has also been writing and attending his legal visits. # InterventinnIt Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additio coping strategies. Inmate EPSTEIN was somewhat receptive to these interventions, but appears more concerned about getting his various needs in the prison (phone calls, recreation, housing placement concerns, etc.) ### Progress/Plan He will remain on psychological observation today and will transition to the SHU tomorrow. He will be see psychology daily to assess his mental status and psychological functioning. by | Completed by | | on 07/29/2019 10:26 | | |--------------|-------------------------------|------------------------|-------------| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Generated 07/29/2019 10:26 by | Bureau or Prisons- NYM | Page 1 or 1 | | | | | | # Focus of Session He was seen by writer while he was on Psych Observation. ### Subjective/Objective Presentation He stated he hasn't slept well at MCC-NY because he hasn't had his cpap machine. He stated it is here a he will be able to start using it tonight. He discussed how he does not think he will able to sleep in SHU and how he oes not like SHU because of the noise. He discussed issues on not getting some medication with Medical today. The "Eating/Shower Chart" indicated yesterday he ate breakfast and dinner, drank liquids, and took a shover when offered and so far today it noted he ate breakfast and drank liquids. The Psych Observation Log noted he lept, drank water, went to legal, and talked to an Inmate Companion about investments. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and herent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucin lions were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. There was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Pers nal hygiene was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if h starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an Immediate dang to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. ### InterventIonls). SuppOrtive and educative interventions were provided. When asked about the Turning Point handouts for coping in SHU, he stated he already knows these strategies before he read the handouts and had tried them when e was in SHU the laSt time. He stated with the noise in SHU, he said the strategies will not work. He was encouraged t by them. ### progress/Plan The Chief Psychologist was consulted. Psych Observation will be discontinued. Mr. Epstein was educat about both routine and emergency procedures for contacting Psychology staff. He will be seen In follow up by Psych logy tomorrow to monitor his mental status and to provide further Intervention if needed and he was informed t at he will be seen by Psychology tomorrow. In the meantime, he was encouraged to self-refer to Psychology if need to which he agreed and seems capable of doing. If he remains in SHU, he will be seen by Psychology in SHU Round and in SHU Reviews. The SHU Lt. was informed that Mr. Epstein needs to be housed with an appropriate cellmate. | Complete0 by | on 07/30/201913:54 | | |-----------------------------|-------------------------|-------------| | | | | | | | | | | | | | | | | | | | | | Generated Q7401201913:64 by | Bureau of Prisons - NYM | Page I of I | | | | | | | | | # Clinical Interview and Mental Status Exam Inmate Epstein still does not remember how he obtained the marks around his neck. Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and herent, with no lodsening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual halludna 'ons were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. Ther was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Pe al hygiene was adequate. 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 dang r to self. He denied thoughts of hurting others and he agreed to tell staff If he has these thoughts. # Clinical Impression According to his last Diagnostic and Care Level Formulation Note dated 7/09/19 by "No Diagnosi , No Dx - Current." aids The determination of whether an Inmate is competent to proceed with the disciplinary process is based on clinical assessment of the Inmate's (1) ability to understand the nature of the proceedings, and (2) their ability to a ist in their own defense. Depending on the outcome of the assessment, one of three findings can be made: (1) the in ate is COMPETENT to proceed with the disciplinary process; (2) the inmate is NOT PRESENTLY COMPETENT ut could be restored to competence with treatment; or (3) the inmate Is NOT COMPETENT and is unlikely to become mpetent. # Recommendations Regarding Sanctions In the case of inmate Epstein, after a review of available psychological and psychiatric records as well as In ormation pertaining to the offense conduct, It is determined that this Inmate Is: (X) COMPETENT to proceed with the disciplinary process. Notr PRESENTLY COMPETENT, but could become competent with treatment; it is recommended that the inmate for an updated competency assessment in 30 days. ( ) NOff COMPETENT and not likely to become competent. Generated 07/30/2019 12:33 by Bureau of Prisons - NYM Page 1 of 2 | Inmate Name:
Date of Birth:
Date: | EPSTEIN, JEFFREY EDWARD
01/20/1953
07/30/2019 12:01 | Sex:
Provider | | NYM | Reg #:
Unit Team | 76318-054
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