EFTA00073927
**SENSITIVE BUT UNCLASSIFIED**
Bureau of Prisons
Psychology Services
Institution Disciplinary Process Report
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | | Reg #: | 76318-054 |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| Date of Birth: | 01/20/1953 | Sex: | M | Facility: NYM | Unit Team: | 5 | |
| Date: | 07/30/2019 12:01 | Provider: | PsyD | | | | |
## Reason for Referral and Identifying Information
Inmate Epstein was referred by Unit Manager for an evaluation of competency to proceed with the disciplinary process for actions resulting in an incident report. On 7/23/19, inmate Epstein was charged with code 228 (Tattooing or Self-Mutilation). These infractions were assigned incident report number 3282555.
## Background Information
According to a Suicide Risk Assessment dated 7/09/19 by Dr. , "Inmate Epstein 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."
According to a Suicide Risk Assessment dated 7/09/19 by Dr. , "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."
According to this writer's 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."
## Clinical Interview and Mental Status Exam
Inmate Epstein still does not remember how he obtained the marks around his neck.
## Page 097 of 148
Current Mental Status: He exhibited a neutral 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 haziness inappropriate behavior. There was no indication of disturbed thought process or content. Intellectual ability appeared to be above average. Personal hygiene was adequate. He denied current suicidal ideation of the Freedom of Information and Privacy. 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 danger 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 Dr. , "No Diagnosis, No Dx - Current."
## Findings
The determination of whether an inmate is competent to proceed with the disciplinary process is based on a clinical assessment of the inmate's (1) ability to understand the nature of the proceedings, and (2) their ability to assist in their own defense. Depending on the outcome of the assessment, one of three findings can be made: (1) the inmate is COMPETENT to proceed with the disciplinary process; (2) the inmate is NOT PRESENTLY COMPETENT but could be restored to competence with treatment; or (3) the inmate is NOT COMPETENT and is unlikely to become competent.
## Recommendations Regarding Sanctions
In the case of inmate Epstein, after a review of available psychological and psychiatric records as well as information pertaining to the offense conduct, it is determined that this inmate is:
(X) COMPETENT to proceed with the disciplinary process.
( ) NOT PRESENTLY COMPETENT, but could become competent with treatment; it is recommended that the inmate for an updated competency assessment in 30 days.
( ) NOT COMPETENT and not likely to become competent.
Generated 07/30/2019 12:33 by
PsyD
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Bureau of Prisons - NYM
EFTA00073928
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 | Sex: | M | Facility: NYM |
| Date: | 07/30/2019 12:01 | Provider: | Imeri, Darlene PsyD |
| Reg #: | 76318-054 |
| Unit Team: | 5 |
Completed by
PsyD on 07/30/2019 12:33
Page 098 of 148
Withheld pursuant to exemption
(b)(6) ; (b)(7)(A) ; (b)(7)(C)
freedom of Information and Privacy Act
Generated 07/30/2019 12:33 by
PsyD
Bureau of Prisons - NYM
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EFTA00073929
**SENSITIVE BUT UNCLASSIFIED**
# Bureau of Prisons Psychology Services General Administrative Note
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Date: | 07/30/2019 12:01 |
| | Provider: | Facility: NYM | Unit Team: 5 |
| :--- | :--- | :--- | :--- |
| | | PsyD | |
Comments
Psych Observation Discontinuation Note:
Please see "Clinical Contact" dated today.
Completed by
PsyD on 07/30/2019 12:33
## Page 099 of 148
Withheld pursuant to exemption
(b)(6) ; (b)(7)(A) ; (b)(7)(C)
of the Freedom of Information and Privacy Act
Generated 07/30/2019 12:33 by
PsyD
Bureau of Prisons - NYM
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