Jail record, 2019-07

APRIL 1994¶

BP-A295.052 SPECIAL HOUSING UNIT REVIEW¶

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶

wave Name			Register Number Unit			Institution
EPSTEIN, JEFFREY EDWARD			76318-054		5		NEW YORK MCC
Date Entered Special Housing:			Reason for Placement
07-10-2019			PENDING CAPTIANS REVIEW
1. Subject: (2 or 3 Days)			Date Reviewed
3 Day Review			07-15-2019
	Action Taken on the Above Date:
	Continue in Special Housing Unit
Printed Name/Signature:
II. RECORD REVIEW. review.)	(To to done weekly in the inmates absence, beginning after the in-person 7 day review, and cord nuing every week between each in-person 30 day
DATE	ACTION TAKEN		REMARKS			SIGNATURE
	07-19-2019 Continue in Special Housing Unit
III. Subject (7 or 30 Days)			Review By (SRO):			Reviewing Authority:
7 Day Review
	Date inmate appeared for a Speoal Housing Review:				Or Date inmate waived right to appear
07.19.2019				01-01-111
	Has been seen daily by Medical Staff	El No Yes:
	Has been seen daily by responsible officer designated by Warden			❑No
			Yes;
	Has received prescribed weekly exercise:	ICI No RI Yes:
	Proper documentation and jusecation In the Central File (Incident Report. OHO Report copies of Special Housing Review Form):						g ❑ No Yes;
if no, why not?
	Is there a written psychiatric a psychologal assessment on the inmate who has spent 30 days in a special housing status?						D yes; g No
	Is there an additional assessment for every one month interval thereafter?			CI No 7’ 4 1 Yet
if no, why not?
	Action taken on the above date by the Segregation Review Official or the Reviewing Authority:
❑	Released from Special Housng;	WI Continue in Special Hoeing
	Did inmate In Administrative Deletion receive a written copy of Staffs decision and the basis for the finding at each 30 day review?						Yes; ❑ No
	if no, why not (Should be given provided institutional security not compromised)?
form):	Remarks: (My change in the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this
Date of Next Review
07-26-2019
	PrEntPa Marne’ and Sin nature of Segregation Review Official or the Reviewing Authority and Date Signed:
Record Copy Central Fie
	This form replaces BP-295(52) dated January 1988

BP-A295.052 SPECIAL HOUSING UNIT REVIEW¶

APRIL 1994¶

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶

Inmate Name:
			Register Number				Institution:
EPSTEIN, JEFFREY EDWARD			76318-064				NEW YORK MCC
Date Entered Special Housing:			Reason for Placement:
07-29-2019			PENDING DHO FOR CODE 228 SELF-MUTILATION
I. Sutract (2 Cr 3 Days)			Date Reviewed
3 Day Review			08-01-2019
	Action Taken on the Above Date:
	Continue in Special Housing Unit
Printed Name/Signature:
H. RECORD REVIEW. review.)	(To be done weekly in the ornate’s absence, beginning after the unperson 7 day review, and continuing every week between each in-person 30 day
DATE	ACTION TAKEN		REMARKS			SIGNATURE
	08-05-2019 Continue in Special Housing Unit
it Subsea: (7 or 30 Days)			Review 8y (SRO):		Reviewing Authority:
7 Day Review
	Date inmate appeared for a Special Housing Review.				Or Date inmate waived right to appear:
			01-01-111
	P1 Has been seen daily by Medical Staff.	El No Yes:
	HAS been seen daily by responsible officer designated by Warden		Yes: ❑ g	No
	Has received prescribed weekly exercise:	E WI Yet	Na
	Proper documentation and justification in the Central File (Incident Report OHO Report, Copies of Special Housing Review Form)						Yes: ❑ g
	Is there a written psychiatric or psychological assessment on the inmate who has Spent 30 days in a special housing status?						No 1_.] Yes: ❑ No
			Yes:	E NO
	Is there an additional assessment for every one month interval thereafter?		P1
	Action taken on the above date by the Segregation Review Official or the Reviewing Authority:
	iJ Released from Special Housing;	I;s71COntinbe in Special Housing
	Did inmate in Administrative Detention receive a written copy of stairs decision and the basis for the finding at each 30 day review?						g Yes; ❑
	if no. why not (Should be given provided institutional woody not compromised)?
	Remarks: (Any change in the reason for placement is bo be noted in this section. If the reason for placement changes the inmate must receive a copy of this						No
08-05-2019 if no, why not? if no. why not? form): Date of Next Resew: 08-12-2019
	PriAtti Name and Signature of Segregation Renew Maud or the Reviewing Authority and Cobs Sigred.