**SENSITIVE BUT UNCLASSIFIED** # Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact | Inmate Name: | EPSTEIN, JEFFREY EDWARD | | :--- | :--- | | Date of Birth: | 01/20/1953 | | Date: | 08/08/2019 10:02 | | | Provider: | PhD/Chief | | :--- | :--- | :--- | Reg #: 76318-054 Unit Team: 5 ## Focus of Session 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 "fair" and would like to go the general population. He denied any mental health symptoms at this time and denied any feelings of depression and/or anxiety. Inmate Epstein denied any suicidal ideation, intention, or plan. He currently has a cellmate and appears to interact with him. Inmate Epstein continues to spend his days and evening with his attorney's in the attorney conference room. He told this writer he received his PAC number to make phone calls. Inmate Epstein indicated 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 part. ## Intervention(s) Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. ## Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audiotapes available through the Psychology department. There appears to be no need for follow up at this time. He will be seen in weekly rounds and monthly for SHU reviews. PhD/Chief Psychologist on 08/08/2019 10:09 Generated 08/08/2019 10:09 by PhD/Chief Page 1 of 1 Bureau of Prisons - NYM EFTA00142934 **SENSITIVE BUT UNCLASSIFIED** Bureau of Prisons Psychology Services Suicide Risk Assessment | Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | | Reg #: 76318-054 | | :--- | :--- | :--- | :--- | :--- | :--- | | Date of Birth: | 01/20/1953 | Sex: M | Facility: NYM | | Unit Team: 5 | | Date: | 08/01/2019 13:29 | Provider: | PsyD | | | Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell ## FINDINGS This assessment and the resulting recommendations are based on the following sources of information: ## Reason for Referral Clinical Interview, Medical Record, Psychology Data System, Sentry 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. This note is being entered at about 4:20 PM on 8/01/19. ## Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by , "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." ## Self-Harm History 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 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." ## 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 conducted. Mr. Epstein seemed surprised that there was a form noting suicidal tendencies. He denied stating he was 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 up. 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. ## Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal Behavior: Cooperative General Appearance: Normal 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 PsyD Page 1 of 3 Bureau of Prisons - NYM