EFTA00032180¶
Bureau of Prisons -SENSITIVE BUT UNCLASSIFIEDӦ
Psychology Services Diagnostic and Care Level Formulation¶
| Inmate Haire: | EPSTEIN, JEFFREY EDWARD | Reg #: | 76318-054 | ||||
|---|---|---|---|---|---|---|---|
| Date of Birth: | 01/20/1953 | Sex: | Unit Team: h&O | ||||
| Date: | 07/09/2019 10:13 | Provider: | |||||
Relevant Historical Information¶
Inmate, Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history, of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any trea men/ in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the Past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink ol.¶
presenting Problem/Sym as¶
Inmate Epstein was seen ‘sk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on hi ology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein return om court er duty hours yesterday evening and staff notified the on-call psychdlogist. Inmate Epstein was placed on ionary psychological observation status until psychology could interview him this morning to conduct a form. 17,t;e risk assessment to determine whether he is currently at-risk for suicidality.¶
Diagnostic Formulation¶
Inmate Epstein has no history of mental health proble received inpatient or outpatient mental health treatment exhibieany acute psychopathology, is currently psychologic being classified as a CC1-MH inmate at this time. CARE1-M mental Illness (Axis I “No Diagnosis”) or is mildly ill and requires s not exhibit suicidality at this time. He ha?; never any history of suicidality. Currently, he does not nd is in no psychological distress. As such, he is of an Inmate who either has no identifiable ention on an as-needed basis.¶
Care Level Formulation¶
CARE1-MH is indicative of an inmate who shows no significant level of illness and demonstrates no need for regular mental health intervention. s airment associated with a mental¶
Diagnosis;¶
No Diagnosis, No Dx - Current¶
| Bureau of Prisons | |||||||||
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| See Amendment | |||||||||
| Inmate Name: Date of Birth: | EPSTEIN, JEFFREY EDWARD 01/20/1953 Encounter Date: 07/09/2019 10:13 | Sex: | M | Reg #: Race: Facility: | 76318-054 WH;E NY | ||||
| Amendment made to this note by a | on 07/09/2019 10:40. | ||||||||
| Bureau of Prisons - NYM | |||||||||
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | Reg #: | 76318-054 | ||
|---|---|---|---|---|---|
| Date of Birth: | 01/20/1953 | Sex: | Facility: NYM | Unit Team: A&O | |
| Date: | 07/09/2019 10:13 | Provider: | |||
Relevant Historical Information¶
Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of 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. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any sui e attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is i-known that he does not even drink alcohol.¶
EresentingProblemlaymatom¶
Inmate Epstein was seen by this writer for suicidelisk assessment today, 7/9/19 at 7:30 a.m. for precautlona reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Ps chology Questionnaire (PSIO) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors f f r suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, nd he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Ep tein returned from court after duty hours yesterday evening and staff notified the on-call psychologist Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this momin to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality.¶
Diagnostic Formulation¶
Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he d es not exhibit any acute psychopathology, is currently psychologically stable and Is in no psychological distress. A such. he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no i entifiable mental illness (Axis I “No Diagnosis”) or is mildly ill and requires clinical intervention on an as-needed basis.¶
Care Level Formulation¶
CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated wi a mental illness and demonstrates no need for regular mental health intervention.¶
Diagnosis:¶
No Diagnosis. No Dx - Current¶