SENSITIVE BUT UNCLASSIFIED¶
Bureau of Prisons¶
Psychology Services Clinical Intervention - Clinical Contact¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
|---|---|
| Date of Birth: | Sex: M Facility: NYM |
| Date: 07/27/2019 07:14 Provider: PsyD |
Reg #: 76318-054 Unit Team: 5¶
Focus of Session¶
He was seen by writer while he was on Psych Observation.¶
The “Eating/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 investing 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 dehydrated because he is not drinking enough water because he stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive.¶
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 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 thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts.¶
Intervention(s)¶
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 made on Monday. While on Psych Observation, he will be seen daily by Psychology.¶
Completed by¶
PsyD on 07/28/2019 09:19¶
Generated 07/28/2019 09:19 by¶
PsyD¶
Page 1 of 1¶
Bureau of Prisons - NYM¶
SDNY_00006278¶
EFTA_00000363¶
EFTA00134786¶
SENSITIVE BUT UNCLASSIFIED¶
Bureau of Prisons¶
Psychology Services Clinical Intervention - Clinical Contact¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | Reg #: | 76318-054 | ||||
| Date of Birth: | 0 | Sex: | M | Facility: | NYM | Unit Team: | 5 |
| Date: | 07/28/2019 08:33 | Provider: | I | PsyD | |||
Focus 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 from Medical had seen him for this.¶
When this writer was interviewing him, he said his right arm still feels somewhat numb and he said he cannot 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 feeling he got with the noise of the toilet was similar to when he was in SHU. He said he may have something on the Autism spectrum. He said in the movie “Rain Man,” the person with Autism had an aversion to noise. He stated he 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 inappropriate 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 immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts.¶
Intervention(s)¶
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 be made on Monday. While on Psych Observation, he will be seen daily by Psychology.¶
Completed by¶
PsyD on 07/28/2019 09:24¶
Generated 07/28/2019 09:24 by¶
Page 1 of 1¶
PsyD¶
Bureau of Prisons - NYM¶
SDNY_00006279¶
EFTA_00000364¶