EFTA00032168 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" # Psychology Services Clinical Intervention - Clinical Contact | Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | | Reg #: | 76318-054 | |----------------|-------------------------|-----------|-----|---------------|------------|-----------| | Date of Stith: | 01/20/1953 | Sex: | tit | Facility: NYM | Unit Team: | 5 | | Date: | 07/31/2019 10:35 | Provider: | | | | | # focus of Session Mr. EPSTEIN was seen today by this writer for a follow up appointment after he was removed from Psycho ogical Observation yesterday. # SubJectIvelObJective Presentation Mr. EPSTEIN presented in a pleasant mood and reported he is generally doing well. He stated, 'I could be ter,' but acknowledged he is doing as well as can be expected given his circumstances. He reported he is going to rt today for a status hearing. He stated he generally slept well last night and is readjusting to being placed back in HU. He reported getting along well with his cell mate. He was informed of appropriate procedures for contacting Ps chology staff while he is in SHU, if needed. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in dem nor. He exhibffed a neutral affect with appropriate range. Eye contact and hygiene were appropriate. He spoke wit normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangen al, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sle ing and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal Ideation, planning, and intent. He Was futureoriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or psychological distress. He also denied thoughts of harming others. # interventIontal • Supportive interventions and cognitive behavioral therapeutic techniques were utilized. Mr. EPSTEIN was receptive to all Interventions. # frogresi/Plau Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. Th e appears to be no need for follow-up at this time and he expressed willingness to self refer to psychology staff if neede . He will continue to be seen during routine SHU rounds and SHU reviews while he is housed in SHU. He was en raged to reach out for PRN services should he experience any psychological distress. | Completed by | on 07/31/201910:56 | | |--------------|---------------------------------------------------------|-------------| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Bureau of Prisons - NYM
Generated 07/31/201910:56 by | Page 1 of 1 | | | Bureau of Prisons
Psychology Services
Suicide Risk Assessment | "SENSITIVE BUT UNCLASSIFIED" | | |--------------|---------------------------------------------------------------------|------------------------------|--| | Inmate Name: | EPSTEIN, JEFFREY EDWARD | Reg ff:
76318-054 | | | Date of Birth:
Date: | | 01/20/1953
08/01/2019 13:29 | M
Sex:
Provider | Facility: NYM | Unit Team:
5 | | |-------------------------|-------------------|--------------------------------------------------------------------|---------------------------------|---------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--| | Type of Housing: | | Cell Accommodation: Double-Cell | SHU- Administrative Segregation | | | | | .EINDING.S | | Clinical Interview, Medical Record, Psychology Data System, Sentry | | | This assessment and the resulting recommendations are based on the following sources of information: | | | Beason foLlieferral. | | | | | | | | | | | | | R & D staff reported to this writer this mornIng at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was
brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies." Mr.
Epstein was seen for a Suicide Risk Assessment at about 1:00 PM on 8/01/19 in Attorney Conference. | | | Mentablealth | | This note is being entered at about 4:20 PM on 8/01/19.
History | | | | | | | Self-Harm History | According to a Suicide Risk Assessment dated 7/09/19 by En, | | | "Inmate Epstein denied any history 9f mental
health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present
with psychotropic medication. He also denied any acute mental health symptoms at this time." | | | past." | | According to a Suicide Risk Assessment dated 7/09/19 by | | | "Inmate Epstein denied any past or present
suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious beh Vior in the | | | | | | | | | | According to this writers Suicide Risk Assessment dated 7/23/19, "It is unclear at this time if he had placed the string around his neck or if someone else did." # Current Problem R & D staff reported to this writer this morning at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals asked him to sign a form that noted Mr. Epstein has "suicidal tendencies." This is likely due to the incident on 7/23/19, but as a precaution another Suicide Risk Assessment was c 1 nducted. Mr. Epstein seemed surprised that there was a form noting suicidal tendencies. He denied stating he wa suicidal. He said he saw the DHO today and he said his incident report for the marks on his neck was expunged. He stated even though he has his cpap machine now, he said his cellmate talks at night and he stated this keeps him upl This writer offered to talk to the SHU Lt. to have him housed with a different cellmate, but he stated he wants to give it 3 to 4 days to see if he wants a different cellmate. He complained about the noise in SHU. # ClIttentikatcatatttS Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a mildly restricted range of affect. His speech was logical and Generated 08/01/2019 16:21 by Bureau of Prisons - NYM Page 1 of 3 | Inmate Name: | EPSTEIN, JEFFREY EDWARD
M
Sex: | Facili : NYM | Reg #:
76318-054
Unit Team:
5 | | |------------------------------|--------------------------------------------|--------------|----------------------------------------|--| | Date of Birth:
Date:
' | 01/20/1953
08/01/201913:29
Provider. | | | | coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and vie hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriat denied Current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicid thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thought others and he agreed to tell staff if he has these thoughts. ual behavior. He I or self harm of hurting # RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for suicide. elf-harm and 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 suicide related The following DYNAMIC risk factors were assessed to be present and increase the Inmate's risk for engaging behaviors: Current physical pain, Sleep problems n suicide related The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicic reasons to live, Denial of suicidal Ideation/intention/plans, Future orientation, Religious beliefs against suicide, relationships, View of death as negative, Willingness to engage in treatment e:Able to Identify Supportive family Risk Factors: He was found by staff in his cell in SHU on 7/23/19 with a string loosely tied around his neck, wh stated he did not remember anything about. It is still unclear at this time If Mr. Epstein had placed the string ark neck or if someone else did. He has a high profile sex offense case. He stated his lower back hurts and he st aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate h Mr. Epstein and his own ted Medical is elks at night. Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have hese thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self rrn attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of chit ood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish thls case andto go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said Ire his religion suicide is against the religion. Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time. # planNosis• No Diagnosis, No Dx - Current # CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent # RECOMMENDATIONS 1. Suicide Watch is not indicated at this time. - 2. Supportive and educative Interventions were provided. 3. He was educated about both routine and emergency procedures for contacting Psychology staff. - 4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed. - 5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing. - 6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews. Suicide Watch: A suicide watch Is not warranted at this time Generated 06/01201916:21 by Bureau of Prisons - NYM Page 2 of 3 | | | | | | Reg #:
76318-054 | | |----------------|-------------------------|---------------------|----------------|-------|---------------------|-------------| | Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | : NYM | | | | Date of Birth: | 01/20/1953 | M
Sex: | Fact | | Unit Team:
5 | | | Date: | 08101/201913:29 | Provider. | | | | | | Completed by | | on 08/0112019 16:21 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Owns | | | | | | | | | /20191621 by | | BurstuorPdborm | | | Page 3 of 3 | | | | | | | | | | | | | | | | | | | | | | | | | Inmate Epstein was seen today for a follow-up session in SHU. ### SubJective/ObjectIve Presentation Inmate Epstein stated he is feeling okay and has been eating his meals. He reported his sleep as lair an would like to go the general population. He denied any mental health symptoms at this time and denied any feelings f depression and/or anxiety. Inmate Epstein denied any suicidal ideation, intention, or plan. He currently has a cellmate nd appears to Interact with him. Inmate Epstein continues to spend his days and evening with his attorney's in the atto ey conference room. He told this writer he received his PAC number to make phone calls. Inmate Epstein incficated he has only had a couple of phone calls over the speaker phone and wondered "if that counted" as his monthly' phone contact. He also reported he his missing some books he was reading in the suicide watch area prior to returning to the SHU. Other than complaints about the prison and concerns regarding his housing, he had no mental health concerns today. He did not appear to be in any distress and the SHU Staff have not reported any unusual behaviors on his ### Interventionist Inmate EPSTEIN was provided with brief supportive Interventions and psychoeducation regarding additlo coping ,. strategies. Inmate EPSTEIN was receptive to these interventions. ### EgigreSSLElan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was remi ed of the self-help books and audiotapes available through the Psychology department. There appears to be no need follow up at this time. He will be seen in weekly rounds and monthly for SHU reviews. | Comple | by | on 08/08/2019 10:09 | | |-----------|--------|-------------------------|-------------| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Generalsd | 910:09 | Bureau of Prisons - NYM | Page 1 of 1 | | | | | |