< div>From: "Shirley V. Skipper-Scott Subject kw': Epstein
Date 7/23,
Page 591
| Re: Fwd: F | pstein |
|------------|--------------------------|
| From | Shirley V. Skipper-Scott |
| То | Ray Ormond |
| Date | 2019/07/23 13:41 |
| Subject: | Re: Fwd: Epstein |
| Attachmen | ts: TEXT.htm |
# (b)(7)(A)
(b)(7)(A (b)(7)(A)
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-83 (b)(8): Black Berry: 646-42 (b)(6): Black Berry: 646-42 (b)(7)(C) Bbop.gov
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836 (D)(6): Black Berry: 646-42 (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(6): (D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C) D)(7)(C)(C) D)(7)(C) D)(7)(C) D)(7)(
Sent from my Verizon, Samsung Galaxy smartphone
------ Original message ------From: Ray Ormond (b)(6): Date: 7/23/19 11:46 AM (GMT-05:00) To: Lamine N'Diay(b)(6): (b)(7)(C) Subject: Re: Epstein
>>> "Ray Ormond" 07/23/2019 11:46 >>>
Lamine - The memo is very confusing. Please draft an email of his actions and current status. Also include what plans were in motion to move him to a GP unit. It will nee
------ Original message ------
From: Lamine N'Diaye bop.gov>
Original message ------------------------------------
>>> "Lamine N'Diaye"(2)(6): @bop.gov> 07/23/2019 11:12 >>> Sent from my Verizon, Samsung Galaxy smartphone
< div>From: "Shirley V. Skipper-Scott Date 7/23,
Page 600
| Fwd: Re: Epstein | |
|------------------|-----------------------------------------------------|
| From | :bx6)(boxe) |
| | ILamine N'DiayeShirley V. Skipper
( DM6).(0X7XC) |
| To | Scott |
| Date | 2019/07/25 14:14 |
| subject: | Fwd: Re: Epstein |
| Attachments: | TEXT.htm |
Re: Epstein From To Date Subject: Attachments: TEXT.htrn, Ray Ormond.vcf Ray Ormond Shirley V. Skipper-Scott 2019/07/24 12:17 Re: Epstein
Thanks Shirley.
J. Ray Ormond Regional Director Northeast R ion 215-521
>> > Shirley V. Skipper-Scott 7/24/2019 12:14 PM >> > Hello,
Epstein is pending a Code 228, Tattooing or Self-Mutilation and I spoke with most likely he will be found competent because he is not mentally ill. who indicated that
| Therefore, he will be pending a UDC hearing. Should he return to SHU, he will be housed with inmate |
|---------------------------------------------------------------------------------------------------------|
| s a 54-year-old
Male. He is a Pretrial inmate on |
| a Supervised Release Violation for Failure to Register as Sex Offender. He is refusing to go to general |
| population. |
The other inmates in SHU were reviewed for a possible cell mate, however, inmate': were determined the appropriate candidates as cell mates. However releases on July 26, 2019. He is also the current cell mate of inmate
We are still reviewing cases in the general population for a possible cell mate.
If I haven't addressed your questions, please call me and let me know. Thanks.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836 Black Berry: 646-423 Obop.gov >>> Ray Ormond 7/24/2019 10:53 AM >>> Thanks!! t
J. Ray Ormond Regional Director
# >>> Shirley V. Skipper-Scott 7/24/201910:49 AM >> >
Below is the definition of Psychological Observation provided b hief Psychologist. He will remain on Psychological Observation until tomorrow, where he wt reassessed.
DEFINITION: A Psychological Observation occurs when an inmate who suffers from a mental illness, a serious personality disorder, a medical problem (impairing their mental status), or drug intoxication and/or withdrawal symptoms begins to deteriorate. The inmate is no longer mentally stable and therefore, it is inappropriate for s/he to remain in general population or the Special Housing Unit (SHU). Inmates placed on psychological observation differ from inmates placed on suicide watch as they are not imminently suicidal (e.g., have not expressed self-harm or engaged in self-harming behavior), but rather, due to his/her impainnent in mental status or functioning (e.g., not eating, not sleeping, disorganized/unusual thinking, poor self-care), his/her behavior can be unpredictable. Psychological Observation status is intended as a temporary designation to be utilized until such time as the inmate becomes sufficiently stable (e.g., able to function independently in general population) to be returned to his/her housing assignment or transferred to an inpatient psychiatric facility such as a Federal Medical Center.
He has a pending incident report for Self-Mutilatioei aid therefore he will return to the Snecial Housing Unit (SHU) and will be celled with inmat bmiox iim
| b;(61.11,X7
His case has been highly publicized and he is in SHU because | DA61. tbOXC: | |
|-----------------------------------------------------------------------------|--------------|--|
| | | |
| | | |
| | | |
b;(61.11,X7 he requested Protective Custody. His case has been highly publicized and he is in SHU because
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836-6452 Black Berry: 646-423-0777 cskippere.cott(thbop gov
>>> Ray Ormond 7/24/2019 9:42 AM >>> Thanks. Where and with who will he be housed after his Attorney visit? Also, what does "Psychology Observation" status mean?
J. Ray Ormond Regional Director Northeast Region 215-521-7310
> » Shirley V. Skipper-Scott 7/24/2019 9:39 AM > > >
Wolin
Inmate Epstein #76318-054 was removed from Suicide Watch and stepped down to Psychological Observation. He was just escorted to Health Services for a follow-up assessment/evaluation. Once completed, he will be escorted to Attorney Conference to meet with his Attorney. I will provide you with information concerning the medical assessment, once I receive it. Thanks.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New Office: 646-83 Black Berry: 646-423 vbop.gov
> » Ray Ormond 7/24/2019 8:45 AM » > Shirley - Please provide me with a daily update on this inmate, including his status and any changes/activities I should be aware of. Thanks!
J. Ray Ormond Regional Director Northeast Region 215-521
Re: EpsteinFromShirley V. Skipper-ScottToRay OrmondDate2019/07/24 12:14Subject:Re: EpsteinAttachments:TEXT.htm
Hello,
Epstein is pending a Code 228, Tattooing or Self-Mutilation and I spoke with b(6); (b)(7)(C) who indicated that most likely he will be found competent because he is not mentally ill b(7)(A)
Therefore, he will be pending a UDC hearing. Should he return to SHU, he will be housed with inmate is a 54-year-old Male. He is a Pretrial inmate on a Supervised Release Violation for Failure to Register as Sex Offender. He is refusing to go to general population.
The other inmates in SHU were reviewed for a possible cell mate, however, inmate[b)(6); (b)(7)(C) were determined the appropriate candidates as cell mates. However[b)(6); releases on July 26, 2019. He is also the current cell mate of inmate[b)(6); (b)(7)(C)
We are still reviewing cases in the general population for a possible cell mate.
If I haven't addressed your questions, please call me and let me know. Thanks.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836
J. Ray Ormond Regional Director Northeast Region 215-521
>>> Shirley V. Skipper-Scott 7/24/2019 10:49 AM >>> Below is the definition of Psychological Observation provided by b)(6)(b)(7)(C) Psychologist. He will remain on Psychological Observation until tomorrow, where he will be reassessed.
DEFINITION: A Psychological Observation occurs when an inmate who suffers from a mental illness, a serious personality disorder a medical problem (impairing their mental status) or drug Page 626
schous personancy disorder, a medical problem (imparing them mental status), or drug intoxication and/or withdrawal symptoms begins to deteriorate. The inmate is no longer mentally stable and therefore, it is inappropriate for s/he to remain in general population or the Special Housing Unit (SHU). Inmates placed on psychological observation differ from inmates placed on suicide watch as they are not imminently suicidal (e.g., have not expressed self-harm or engaged in self-harming behavior), but rather, due to his/her impairment in mental status or functioning (e.g., not eating, not sleeping, disorganized/unusual thinking, poor self-care), his/her behavior can be unpredictable. Psychological Observation status is intended as a temporary designation to be utilized until such time as the inmate becomes sufficiently stable (e.g., able to function independently in general population) to be returned to his/her housing assignment or transferred to an inpatient psychiatric facility such as a Federal Medical Center.
He has a pending incident report for Self-Mutilation and therefore, he will return to the Special Housing Unit (SHU) and will be celled with inmate[b)(6); (b)(7)(C)
| (b)(6); (b)(7)(C) | |
|----------------------------------|--------------------------------------------------------------|
| | |
| | |
| (b)(6); (b)(7)(C) | His case has been highly publicized and he is in SHU because |
| he requested Protective Custody. | |
| | |
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836[b](6]: (b)(7)(C) Black Berry: 646-423[b](6]: (b)(7)(C) Dbop.gov
>>> Ray Ormond 7/24/2019 9:42 AM >>> Thanks. Where and with who will he be housed after his Attorney visit? Also, what does "Psychology Observation" status mean?
J. Ray Ormond Regional Director Northeast Region 215-521-7310
>>> Shirley V. Skipper-Scott 7/24/2019 9:39 AM >>>
Hello,
Inmate Epstein #76318-054 was removed from Suicide Watch and stepped down to Psychological Observation. He was just escorted to Health Services for a follow-up assessment/evaluation. Once completed, he will be escorted to Attorney Conference to meet with his Attorney. I will provide you with information concerning the medical assessment, once I receive it. Thanks.
Shirley Skipper-Scott Associate Warden
MCC New York 150 Park Row New York, New York 10007 Office: 646-836 Black Berry: 646-42 f. abop.gov
> » Ray Ormond 7/24/2019 8:45 AM > »
Shirley - Please provide me with a daily update on this inmate, including his status and any changes/activities I should be aware of. Thanks!
J. Ray Ormond Regional Director Northeast Region 215-521
Page 628
U.S. Department of Justice Federal Bureau of Prisons
Reentry Services Division
Washington, DC 20534 SEP 1 72019
MEMORANDUM FOR J. RAY ORMOND, REGIONAL DIRECTOR NORTJIEAST REGION
FROM: h J. itz, Assistant Director Reent Services Division
SUBJECT: Psychological Reconstruction Inmate Epstein, Jeffrey (76318-054)
Inmate Jeffrey Epstein (76318-054) died by suicide on August 10, 2019, while housed at the Metropolitan Correctional Center (MCC) in New York. The attached psychological reconstruction was completed by Drs.'"'"c 'National Suicide Prevention Coordinatorru"nc- Sex Offender Treatment Programs Coordinator,(ca6 tnc. Mental Health Treatment Coordinator and mr1O60"7,.. Correctional Services Administrator, Northeast Regional Office. A summary review of these and other recent reconstruction findings is forthcoming. Distribution of this report is limited to staff named in this memorandum.
Recommendations at the conclusion of the report should prove beneficial to staff at the facility and will be used to inform our national suicide prevention program. Within sixty days of receipt of this memorandum and report, please provide me with a written response which outlines corrective actions as well as a plan for implementation, based on recommendations contained within. The institution response should be routed by the Warden through the Regional Director to the Assistant Director, Reentry Services Division.
If you have questions or concerns regarding this request, please contact me at (202) 51
- cc: M. D. Carvajal, Assistant Director, CPD
- D. Shinn, Assistant Director, PRD
- N. C. English, Assistant Director, HSD
- J. Petrucci, Acting Warden, MCC New York
# PSYCHOLOGICAL RECONSTRUCTION OF INMATE DEATH
Name: Register Number:
Jeffrey Epstein 76318-054
Date of Death:
08-10-2019
Prepared by:
National Suicide Prevention Coordinator, Psychology Services Branch, Central Office
# BACKGROUND INFORMATION
Mr. Jeffrey Epstein was a 66-year-old, male who died on August 10, 2019, while housed at the Metropolitan Correctional Complex (MCC), in New York, New York. James C. Wills, former Acting Assistant Director, Reentry Services Division, appointed a team to conduct a psychological reconstruction. The team consisted of the team consisted of the team to conduct a Coordinator, Central Office; (D(R)(C)) Mental Health Treatment Coordinator, Central Office; and D(B)(B)(B)(B)(B)(B)(B)(B)(B)(B)(B)(B)(B)(
**Social History:** Mr. Epstein did not have a Pre-Sentence Report (PSR) available at the time of the reconstruction; therefore, no official information regarding social history was accessible. The following was gathered from publicly available documents. Mr. Epstein was born in 1953 and grew up in a middle-class family in the neighborhood of Sea Gate on Coney Island, Brooklyn, New York, with one brother. After early promotion in two grades, Mr. Epstein graduated from Lafayette High School in 1969, at the age of 16. He attended Union and New York University but did not graduate from either. Mr. Epstein taught at the Dalton School, a private school on the Upper East Side of Manhattan from September 1974 until he was
dismissed in June 1976 for inadequate development as a teacher. Following that, he held a number of positions in the financial industry to include a position as a limited partner at Bear Stearns until he was dismissed for unknown policy violations in 1981. He also worked as a financial consultant and founded at least two separate companies.
Mr. Epstein had two significant periods of employment. The first of these was his position as a consultant with [b](6], (b)(7)(C) in the late 1980s. [b](6], (b)(7)(C) was described as his first mentor. [b](6], (b)(7)(C) was later convicted and incarcerated for running a large Ponzi scheme. He implicated Mr. Epstein in fraudulently diverting company funds for his own personal use. Years later [b](6), (b)(7)(C) Mr. Epstein's sole client at J. Epstein and Company, granted him power of attorney over his affairs. Despite also being identified as [b)(6), (b)(7)(C) mentee, Mr. Epstein was again accused of misappropriating funds—more than 46 million dollars. These large sums are believed to be the seed money Mr. Epstein used to establish his considerable fortune. These events are indicative of Mr. Epstein's highly-regarded intelligence and charismatic personality.
**Legal History:** Mr. Epstein had a history of adult criminal charges and convictions. In June 2008, he entered into a non-prosecution agreement and pleaded guilty to one count Solicitation of Prostitution and one count Procuring a Person Under the Age of 18 for Prostitution in the state of Florida. He was sentenced to 30 months: 18 months of incarceration and 12 months of probation. He was also mandated to register as a sex offender under the National Sex Offender Registration and Notification Act. Mr. Epstein served 13 of his 18-month incarceration and then successfully completed 12 months of probation. It is unclear whether he followed the sex offender registration guidelines in each place he owned a residence.
In regard to pending charges, Mr. Epstein was formally charged with Sex Trafficking Conspiracy in violation of 18 U.S.C. § 371 and Sex Trafficking in violation of 18 U.S.C. § 1591(a), (b) (2), 2 on July 2, 2019. Specifically, he was accused of sexually exploiting and abusing minor females over the course of several years. Charging documents allege Mr. Epstein enticed and recruited minor females to engage in sexual activity. The minor females were reportedly compensated with cash following the sexual encounters and some were encouraged to find other minor females to accompany them to Mr. Epstein's residences in New York or Florida. He pleaded not guilty to these charges and was in pretrial status at the time of his death.
In a 37-page Decision & Order Remanding the Defendant, signed by Judge Richard M. Berman on July 18, 2019, 18 pages were dedicated to detailing the danger Mr. Epstein posed to others and the community. The document also alleged he was a flight risk. As a result, Mr. Epstein's proposed bail package was determined to be inadequate. He was denied pretrial release and held on remand.
Institutional History: On July 6, 2019, Mr. Epstein was arrested at Teterboro Airport in New Jersey upon his return from Paris, France. It is unknown whether he was anticipating this arrest. He was transported to MCC New York and keyed into SENTRY at 9:24 p.m. that evening. Mr. Epstein was placed in a general population housing unit for approximately 22 hours. On July 7, 2019, at approximately 7:20 p.m. he was moved to the Special Housing Unit (SHU) pending reclassification due to the significant increase in media coverage and awareness of his notoriety among the inmate population.
| ,A
0 | |
|---------|----------------------------------------------------------------------------------------|
| | |
| | |
| | |
| | |
| | Also, a review of financial transactions associated with Mr. Epstein's |
| " | account revealed one of his attorneys was depositing funds into his celhnate's (inmate |
| | |
| | commissary account for unknown reasons. |
| | |
# HEALTH CARE AND PERSONALITY DESCRIPTION
BOP Electronic Medical Records (BEMR) indicate Mr. Epstein was diagnosed with hyperlipidemia, sleep apnea, hypertension, constipation, prediabetes, neuralgia, and neuritis unspecified. He was prescribed the following mediations: docusate sodium, milk of magnesia, omega 3, methylprednisone, and bisacodyl. Mr. Epstein was also prescribed insulin, and the prescription required him to go to the institution pharmacy for administration of this medication. However, the dates for which it was prescribed have a notation indicating "dose not indicated," thus it does not appear insulin was routinely medically necessary. The rest of the medications prescribed were self-carry. lie also had a continuous positive airway pressure (CPAP) machine which is typically used to treat sleep apnea. Mr. Epstein was provided with his personal CPAP machine on July 30, 2019, per BEMR.
(b)(7)(A) He reported frequent complaints of difficulty sleeping. He did not have access to his CPAP machine until it was reportedly provided to him on July 30, 2019. Mr. Epstein also reported he was bothered by noise in the SHU. At times, he noted concerns related to his safety in SHU or on a general population housing unit. On two occasions, July 26, 2019, and July 27, 2019, he described himself as a coward and as someone who does not like pain. On July 28, 2019, he tolc the toilet in his cell would not stop flushing for an extended period of time, and he then took to sitting in the corner with his hands over his ears. Mr. Epstein indicated he was agitated following this incident and was unable to sleep that night.
# ANTECEDENT CIRCUMSTANCES
Mr. Epstein entered BOP custody on July 6, 2019, with a history of convictions for sexual offenses and allegations comprised of more serious charges. The current indictment alleged sexual crimes against minors, and he was facing up to 45 years in prison. On July 18, 2019, Mr. Epstein's request for bail and pretrial release was denied.
b)(7)(A)
On August 9, 2019, a federal court unsealed approximately 2,000 pages of documents into the public domain. These included graphic allegations against Mr. Epstein. Included was a book order receipt for titles such as SM 101: A Realistic Introduction; SlaveCraft: Roadmaps for Erotic Servitude; and Training with Miss Abernathy: A Workbook for Erotic Slaves and Their Owners. Additional high profile public figures were also named in the released documents. The documents were part of a defamation lawsuit filed by , a woman who alleged Mr. Epstein had victimized her, against a British socialite, Ghislaine Maxwell, who was Mr. Epstein's ex-girlfriend, associate, and alleged to have assisted with his criminal activities. According to staff report, Mr. Epstein was afforded telephone calls on two different days although it is unknown whether they were legal or social calls. No recording of the calls exist and it is not known with whom he was speaking. One occurred on or around July 16, 2019, and the other on August 9, 2019. Legal calls are not monitored, and would not be recorded. A social call would be recorded; given the limited information known about Mr. Epstein, knowledge of the content of any social calls would have been crucial to helping staff work with him.
(b)(7)(A)
Inmate movement and assignments are not accurately reflected in SENTRY as required by P5500.14, Correctional Service Procedures Manual.
9. Attorney Log Books: Four log books were not secured following Mr. Epstein's death. Specifically, three Attorney Log Books located in the Attorney Visiting and Front Lobby areas and an Inmate Search Log Book located in the Attorney Visiting area were not secured. All four books were still in use at the outset of the reconstruction and after the reconstruction team advised staff to secure them. P5324.08 states, "In the event of a suicide, institution staff, particularly Correctional Services staff, and other law enforcement personnel, will handle the site with the same level of protection as any crime scene in which a death has occurred." This policy further states, "All possible evidence and documentation will be preserved to provide data and support for subsequent investigators doing a psychological reconstruction."
Further, a review of the attorney log books identified many errors and signify a systemic concern. For example, there were two concurrently open attorney log books in the Attorney Visiting area. Further, the different purposes of the two attorney log books, one in the Attorney Visit area and one in the Front Lobby, could not be explained. BOP staff were unable to articulate a system of control for the log books, and during the reconstruction, some of the log books could not be accounted for. Within the log books, entries were made out of chronological order, attorneys did not consistently sign in and out, significant information was illegible or missing, columns were not consistently labeled, log book opening and closing dates were inconsistent, and the cover had been torn off of several books. At the current time, these log books are not functioning as an adequate system of control and monitoring.
- Automatic External Defibrillators: A review of available AEDs in the institution revealed that the list used for accountability and inspection purposes was inaccurate and incomplete.
- Post Orders & SHU Training: SHU Post Orders Sign-In Sheets were reviewed for the 3rd Quarter, spanning June 9, 2019, to September 7, 2019. Office failed to sign post orders for SHU #3 post.
Quarterly SHU Training Sign-In Sheets were reviewed. The 2019 3rd Quarter SHU Training was conducted on June 6, 2019. Three staff assigned to the 3rd Quarter SHU Roster in SHU did not attend or receive the SHU Training: Officer(b)(6); (b)(7)(C) Officer(b)(6); (b)(7)(C) and Officer(b)(6); (b)(7)(C)
Staffing: The Drug Abuse Program Coordinator positon at MCC New York was abolished during Phase I of the staff realignment during fiscal year 2018. Re-establishing the Drug Abuse Program Coordinator position would provide the institution with an additional supervisory psychologist to provide critical clinical services.
Staffing in the Correctional Services department is relevant to the reconstruction. However, the details about this topic arc provided in an After Action Review completed separately from this report.
13. Sex Offense Risk Factors: A broad understanding of risk factors associated with sex offenders, by staff at MCC New York, did not appear to be present in all staff but was vital to his adjustment and safety in prison.
o.
Re: EpsteinFromShirley V. Skipper-ScottToRay OrmondDate2019/07/24 12:14Subject:Re: EpsteinAttachments: TEXT.htm
Hello,
Epstein is pending a Code 228, Tattooing or Self-Mutilation and I spoke with who indicated that most likely he will be found competent because he is not mentally ill.
Therefore, he will be pending a UDC hearing. Should he return to SHU, he will be housed with inmate is a 54-year-old Male. He is a Pretrial inmate on a Supervised Release Violation for Failure to Register as Sex Offender. He is refusing to go to general population.
The other inmates in SHU were reviewed for a possible cell mate, however, inmate[b)(6); (b)(7)(C) were determined the appropriate candidates as cell mates. However, inmate[b)(6); (b)(7)(C) on July 26, 2019. He is also the current cell mate of inmate[b)(6); (b)(7)(C)
We are still reviewing cases in the general population for a possible cell mate.
If I haven't addressed your questions, please call me and let me know. Thanks.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836[b](6]; (b](7)(C) Black Berry: 646-423-[b](6]; (b)(7)(C) Black Berry: 646-423-[b](6]; (b)(7)(C) @bop.gov >>> Ray Ormond 7/24/2019 10:53 AM >>> Thanks!!
J. Ray Ormond Regional Director Northeast Region 215-521
>>> Shirley V. Skipper-Scott 7/24/2019 10:49 AM >>> Below is the definition of Psychological Observation provided by D(6): (b)(7)(C) Chief Psychologist. He will remain on Psychological Observation until tomorrow, where he will be reassessed.
DEFINITION: A Psychological Observation occurs when an inmate who suffers from a mental illness, a serious personality disorder a medical problem (impairing their mental status) or drug Page 716
schous personancy disorder, a medical problem (imparing them mental status), or drug intoxication and/or withdrawal symptoms begins to deteriorate. The inmate is no longer mentally stable and therefore, it is inappropriate for s/he to remain in general population or the Special Housing Unit (SHU). Inmates placed on psychological observation differ from inmates placed on suicide watch as they are not imminently suicidal (e.g., have not expressed self-harm or engaged in self-harming behavior), but rather, due to his/her impairment in mental status or functioning (e.g., not eating, not sleeping, disorganized/unusual thinking, poor self-care), his/her behavior can be unpredictable. Psychological Observation status is intended as a temporary designation to be utilized until such time as the inmate becomes sufficiently stable (e.g., able to function independently in general population) to be returned to his/her housing assignment or transferred to an inpatient psychiatric facility such as a Federal Medical Center.
He has a pending incident report for Self-Mutilation and therefore, he will return to the Special Housing Unit (SHU) and will be celled with inmate10(6): (b)(7)(C)
| (b)(6); (b)(7)(C) | |
|------------------------------------------|--------------------------------------------------------------|
| | |
| | |
| | |
| (b)(6); (b)(7)(C) | His case has been highly publicized and he is in SHU because |
| he requested Protective Custody. | |
| . , | |
| Shirley Skipper-Scott | |
| Associate Warden | |
| MCC New York | |
| 150 Park Row | |
| New York, New York 10007 | |
| Office: 646-836 (b)(6); (b)(7)(C) | |
| Black Berry: 646-423 (10)(6); (10)(7)(C) | |
>>> Ray Ormond 7/24/2019 9:42 AM >>> Thanks. Where and with who will he be housed after his Attorney visit? Also, what does "Psychology Observation" status mean?
J. Ray Ormond Regional Director Northeast Region 215-521
>>> Shirley V. Skipper-Scott 7/24/2019 9:39 AM >>>
Hello,
)(6); (b)(7)(C)
@bop.gov
Inmate Epstein #76318-054 was removed from Suicide Watch and stepped down to Psychological Observation. He was just escorted to Health Services for a follow-up assessment/evaluation. Once completed, he will be escorted to Attorney Conference to meet with his Attorney. I will provide you with information concerning the medical assessment, once I receive it. Thanks.
Shirley Skipper-Scott Associate Warden
MCC New York 150 Park Row New York, New York 10007 Office: 646-836 Black Berry: 646-423c" 1°' ' bop.gov
> » Ray Ormond 7/24/2019 8:45 AM > »
Shirley - Please provide me with a daily update on this inmate, including his status and any changes/activities I should be aware of. Thanks!
J. Ray Ormond Regional Director Northeast Region 215-521
Page 718
Re: EpsteinFromRay OrmondToShirley V. Skipper-ScottDate2019/07/24 12:16Subject:Re: EpsteinAttachments:TEXT.htm, Ray Ormond.vcf
Thanks Shirley.
J. Ray Ormond Regional Director Northeast Region 215-521(b)(6): (b)(7)(C)
>>> Shirley V. Skipper-Scott 7/24/2019 12:14 PM >>> Hello,
Epstein is pending a Code 228, Tattooing or Self-Mutilation and I spoke with who indicated that most likely he will be found competent because he is not mentally ill. [b(7)(A)
| (b)(7)(A) | |
|----------------|-------------------------------------------------------------------------------------------------------------------|
| (b)(7)(A) | Therefore, he will be pending a UDC hearing. Should he return to SHU, he will be housed with inmate |
| (b)(6); (b)(7) | is a 54-year-old Male. He is a Pretrial inmate on |
| | upervised Release Violation for Failure to Register as Sex Offender. He is refusing to go to general
pulation. |
The other inmates in SHU were reviewed for a possible cell mate, however, inmateb)(6); (b)(7)(C) were determined the appropriate candidates as cell mates. However, b)(7)(C) on July 26, 2019. He is also the current cell mate of inmateb)(6); (b)(7)(C)
We are still reviewing cases in the general population for a possible cell mate.
If I haven't addressed your questions, please call me and let me know. Thanks.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836(b)(6); (b)(7)(C) Black Berry: 646-423(b)(6); (b)(7)(C) @bop.gov >>> Ray Ormond 7/24/2019 10:53 AM >>> Thanks!!
J. Ray Ormond Regional Director
# >>> Shirley V. Skipper-Scott 7/24/201910:49 AM >> >
Below is the definition of Psychological Observation provided by hief Psychologist. He will remain on Psychological Observation until tomorrow, where he wi reassessed.
DEFINITION: A Psychological Observation occurs when an inmate who suffers from a mental illness, a serious personality disorder, a medical problem (impairing their mental status), or drug intoxication and/or withdrawal symptoms begins to deteriorate. The inmate is no longer mentally stable and therefore, it is inappropriate for s/he to remain in general population or the Special Housing Unit (SHU). Inmates placed on psychological observation differ from inmates placed on suicide watch as they are not imminently suicidal (e.g., have not expressed self-harm or engaged in self-harming behavior), but rather, due to his/her impainnent in mental status or functioning (e.g., not eating, not sleeping, disorganized/unusual thinking, poor self-care), his/her behavior can be unpredictable. Psychological Observation status is intended as a temporary designation to be utilized until such time as the inmate becomes sufficiently stable (e.g., able to function independently in general population) to be returned to his/her housing assignment or transferred to an inpatient psychiatric facility such as a Federal Medical Center.
He has a pending incident report for Self-Mutilation and therefore, he will return to the S cial Housi Unit S and will be celled with inmate • )(6). (b)(7:IC:
| °AO1 (0)(1,11,1 | |
|-----------------|--------------------------------------------------------------|
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
| OX6):(13:(7)(C: | His case has been highly publicized and he is in SHU because |
| | |
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| | |
he requested Protective Custody.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York New York 10007 Office: 646-836 Black Berry: 646-423 riot moxe ra.s. rubop.gov
> » Ray Ormond 7/24/2019 9:42 AM > » Thanks. Where and with who will he be housed after his Attorney visit? Also, what does "Psychology Observation" status mean?
J. Ray Ormond Regional Director Northeast Region 215-5211 I
>> > Shirley V. Skipper-Scott 7/24/2019 9:39 AM >> >
Inmate Epstein #76318-054 was removed from Suicide Watch and stepped down to Psychological Observation. He was just escorted to Health Services for a follow-up assessment/evaluation. Once completed, he will be escorted to Attorney Conference to meet with his Attorney. I will provide you with information concerning the medical assessment, once I receive it. Thanks.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-83 Black Berry: Pbop.gov
> » Ray Ormond 7/24/2019 8:45 AM » > Shirley - Please provide me with a daily update on this inmate, including his status and any changes/activities I should be aware of. Thanks!
J. Ray Ormond Regional Director Northeast Region 215-521.
Page 724
# Fwd: Re: Epstein investigation
| From | |
|----------|------------------------------------|
| To | Charisma Edge |
| Date | 2019/08/10 16:20 |
| Subject: | Fwd: Re: Epstein investigation |
| | Attachments: TEXT.htm, mItC634.pdf |
No problem. Please see attached.
7XA)
Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)8363€' f (646)836-7665
>>> Charisma Edge 8/10/2019 3:53 PM >>> Can you send me a copy of the death notification letter to the judge.
Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 exi: ' ' Dbop.gov NYM/AW-Programs-Pbop.gov
> IbX6).(waxc 18/10/2019 3:05 PM > »
New York, New York 10007 Office: 646-836(b)(6); Black Berry: 646-423 bit b)(6); (b)(7)(C) 2bop.gov Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836 Black Berry: 646-423 (b)(6); (b)(7)(C) @bop.gov >>> Lamine N'Diaye 2/bop.gov> 7/23/2019 12:30 PM >>> Can you get this for me.
Sent from my Verizon, Samsung Galaxy smartphone
------ Original message ------From: Ray Ormond D(6): @bop.gov> Date: 7/23/19 11:46 AM (GMT-05:00) To: Lamine N'Diaye (D(6): Di7)(C) @bop.gov> Subject: Re: Epstein
.......................................
>>> "Ray Ormond" 07/23/2019 11:46 >>>
Lamine - The memo is very confusing. Please draft an email of his actions and current status. Also include what plans were in motion to move him to a
----- Original message -----From: Lamine N\*Diaye
>>> "Lamine N"Diaye"(b)(6): 2bop.gov> 07/23/2019 11:12 >>>
Sent from my Verizon, Samsung Galaxy smartphone
->------------------------------------
Page 769
Dogma' message From: Ray Ormond I, tahopoov> Date 7/23/19 11.46 AM (GMT.05'00) To (amine N'Day boR90v> Subject. Re. Epstei
> > > "Ray Ormond' 07/23/2019 11:46 > »
tilfT11110 The memo is very confusing. Please draft an email of his actions and current status. Also include what plans were in motion to move him to a GP unit. It %mil net
Original message
From. Lam ne NE D ayF - 11>bop gov >
Date 7/23/19 11:12 AM
>> > "Lama N'Diayel :top gov> 07/23/201911:12 >,
Sent from my Vernon Samsung Galaxy smartphone
Original message /dry>
From: "Sholty V. Skipper-Scotl 4190v>
Date 7/2::
Page 863
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836[b](6); Black Berry: 646-42[b)(6); Black Berry: 646-42[b)(6); b)(6); (b)(7)(0) @bop.gov >>> Lamine N'Diay (0)(6); b)(0); (b)(7)(0) @bop.gov >>> Lamine N'Diay (0)(6); Can you get this for me.
Sent from my Verizon, Samsung Galaxy smartphone
From: Ray Ormond (2016) Prom: Ray Ormond (2016) Date: 7/23/19 11:46 AM (GMT-05:00) To: Lamine N'Diay (2016) Subject: Re: Epstein
>>> "Ray Ormond" 07/23/2019 11:46 >>>
Lamine - The memo is very confusing. Please draft an email of his actions and current status. Also include what plans were in motion to move him to a GP unit. It will nee
------ Original message ------
From: Lamine N'Diaye b)(0): b)(7)(0) @bop.gov>
div>Date: 7/23/19 11:12 AM
>>> "Lamine N'Diaye" [b](6); pbop.gov> 07/23/2019 11:12 >>>
Sent from my Verizon, Samsung Galaxy smartphone < div>
------ Original message ------
From: "Shirley V. Skipper-Scott" (D)(6); (D)(7)(C) @bop.gov>
Date: 7/2:
Page 930
| Fwd: Re: Epstei | in |
|-----------------|-----------------------------------|
| From | (b)(6); (b)(7)(C) |
| То | Lamine N'DiayeShirley V. Skipper- |
| То | Scott |
| Date | 2019/07/25 14:14 |
| Subject: | Fwd: Re: Epstein |
| Attachments: | TEXT.htm |
# Fwd: Re: Epstein investigation
From To Date Subject: Attachments: TEXT.htm, Charisma Edge.vcf Charisma Edge 2019/08/10 15:53 Fwd: Re: Epstein investigation
Can you send me a copy of the death notification letter to the judge.
Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 exf I' 1@bop.gov NYM/AW-Programs-@bop,gov
| | 8/10/2019 3:05 PM > » | | |
|--------------------------------------------------|-----------------------|--|--|
| | | | |
| | | | |
| Supervisory Staff Attorney | | | |
| CLC New York
Metropolitan Correctional Center | | | |
| 150 Park Row | | | |
| New York, New York | 10007 | | |
| p: (646)836 | | | |
| | | | |
Fwd: Epstein Update
From Shirley V. Skipper-Scott To Charisma Edge Date 2019/07/29 10:30 Subject: Fwd: Epstein Update Attachments: TEXT.htm
Check this out.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836- Black Berry: 646-4231° '"'" yabop.gov ,G
> > /29/201910:02 AM »>
Good morning: Same presentation today, but he said he thinks his memory for the incident (injury to his neck) may be impaired because of his sleep apnea. He is supposed to get his CPAP machine today. He is aware he will be returning to SHU, but said he is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have one good night of sleep with his CPAP and will return to SHU with a cellmate tomorrow!' I told him he can stay down one more night to receive his CPAP and a good night's sleep, but that he would be returned to SHU tomorrow. It was explained that there is no mental health issues precluding him from returning to SHU tomorrow and that we could not house him in the SW/Hospital area because !or more comfortable for him He will
remain on psychological observation today and will transition to the SHU tomorrow. Thank you
D ,
0Psy.D.
Chief Psychologist U.S. Department of Justice/ Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York, New York 10007 Office: (646) 836 Fax: (646) 836-7712 E-mail robopgov
»: AW Skipper-Scott, bx6.(W)t '/28/2019 7:49 AM > »
Inmate Epstein seems psychologically stable.
He complained that his right arm was numb and hanging earlier. Nurse w him.
He again 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. I informed Nurse
He stated the toilet in his cell was running for 45 minutes last night and he could not take the noise. He is going to try the toilet before going to legal today and if it does not shut off, he will be moved to another cell.
Thanks,
| (b)(6); (b)(7)(C) | | |
|---------------------------------|-----------------------|--|
| >>
(b)(6); (b)(7)(C) | 7/28/2019 7:36 AM >>> | |
| (b)(6); (b)(7)(C) | | |
Suicide Watch
None
# Psych Observation
1. Epstein #76318-054
# Pending Bedspace for SHU
Thank you,
(b)(6); (b)(7)(C)
| Epstein Update | | |
|----------------|--------------------------|-----------------|
| From | | |
| To | | Lamine N'Diaye, |
| | Shirley V. Skipper-Scott | |
| Date | 2019/07/29 10:02 | |
| Subject: | Epstein Update | |
| Attachments: | TEXT.htm | |
Good morning: Same presentation today, but he said he thinks his memory for the incident (injury to his neck) may be impaired because of his sleep apnea. He is supposed to get his CPAP machine today. He is aware he will be returning to SHU, but said he is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have one good night of sleep with his CPAP and will return to SHU with a cellmate tomorrow. told him he can stay down one more night to receive his CPAP and a good night's sleep, but that he would be returned to SHU tomorrow. It was explained that there is no mental health issues precluding him from returning to SHU tomorrow and that we could not house him in the SW/Hospital area becausel`' ) or more comfortable for him. L.7 IA He will
remain on psychological observation today and will transition to the SHU tomorrow. Thank you
Chief Psychologist U.S. Department of Justice/ Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York, New York 10007 Office: (646) 836 Fax: (646) 836- E-mail:(` tobop.gov
Psy.D.
>> t!: 7/28/2019 7:49 AM > » AW Skipper-Scott,
Inmate Epstein seems psychologically stable.
He complained that his right arm was numb and hanging earlier. Nurse saw him.
He again 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. I informed Nurse
He stated the toilet in his cell was running for 45 minutes last night and he could not take the noise. He is going to try the toilet before going to legal today and if it does not shut off, he will be moved to another cell.
Thanks,
t 6
# Suicide Watch
None
# Psych Observation
1. Epstein #76318-054
# Pending Bedspace for SHE!
Thank you,
# Fwd: Re: Epstein investigation
From To Date Subject: Attachments: TEXT.htm, m1tC634.pdf Charisma Edge 2019/08/10 16:20 Fwd: Re: Epstein investigation
No problem. Please see attached.
Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p:(646)836 f (646)836-7665
>>> Charisma Edge 8/10/2019 3:53 PM >>> Can you send me a copy of the death notification letter to the judge.
Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext fl bop.gov NYWAW-Programs-Pbop.gov C.6 't.
7 4 :.
C.6' b >>> 8/10/2019 3:05 PM >>>
# Bureau of Prisons Psychology Services Suicide Risk Assessment
| Inmate Name: | EPSTEIN. JEFFREY EDWARD | | | | Reg #:
76318.054 |
|-------------------------|--------------------------------|------------------------|-----------|------------------|---------------------|
| Date of Birth:
Date: | 01/20/1953
08/01/2019 13:29 | M
Sex:
Provider: | Facility: | NYM
PsyD
1 | Unit Team:
5 |
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: Clinical Interview, Medical Record, Psychology Data System. Sentry
# Reason for Referral
R & D staff reported to this writer this morning at about 8:30 AM on 8101/19 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."
# 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.
# currenthiental Status
Level of Consciousness: Alert and Oriented
Psychomotor Activity: Normal
General Appearance: Normal
Behavior: Cooperative
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
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | Reg #:
76318-054 |
|-------------------------|--------------------------------|-----------------------|------------------|---------------------|
| Date of Birth:
Date: | 01/20/1953
08/01/2019 13:29 | Sex:
M
Provider | Facility.
NYM | Unit Team:
5 |
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 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.
# RISK AND PROTECTIVE FACTORS ASSESSED•
This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide.
The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections. Sex offender status
The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain. Sleep problems
The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Denial of suicidal ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative, Willingness to engage in treatment
| Risk Factors | |
|--------------|-------------------------------------------------------------------------------------------------------------------------------|
| | |
| | He has a high profile sex offense case. He stated his lower back hurts and he stated Medical is |
| | aware of this. He stated he las difficulty sleeping even with his cpap machine because he stated his cellmate talks at night. |
Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have these thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self harm attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of childhood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion.
Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time.
# DIAGNOSIS-
No Diagnosis. No Dx - Current
# CONCLUSIONS
The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent
# RECOMMENDATIONS
- 1. Suicide Watch is not indicated at this time.
- 2. Supportive and educative interventions were provided.
- 3. He was educated about both routine and emergency procedures for contacting Psychology staff.
- 4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed.
- 5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing.
- 6. If he remains in SHU. he will be seen by Psychology in SHU Rounds and in SHU Reviews.
# Suicide Watch: A suicide watch is not warranted at this time
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | | Reg #:
76318-054 | |
|----------------|-------------------------|---------------------------|-----------|---------------|---------------------|-----------------|
| Date of Birth: | 01/20/1953 | | M
Sex: | Facility: NYM | | Unit Team:
5 |
| Date: | 08/01/2019 13:29 | | Provider: | | PsyD | |
| Completed by | | )'syD on 08/01/2019 16:21 | | | | |
Generated 08/01,2019 16:21 q- psyD Bureau of Prisons NYM Page 3 of 3
# Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact
| Inmate Name: | EPSTEIN. JEFFREY EDWARD | | | | Reg #: | 76318-054 |
|----------------|-------------------------|-----------|---|---------------|--------------|-----------|
| Date of Birth: | 01/2011953 | Sex: | M | Facility: NYM | Unit Team: 5 | |
| Date: | 07127'2019 07:14 | Provider: | | PsyD | | |
# Focus of Session
He was seen by writer while he was on Psych Observation.
# SuWeckveLOWectime2tesentalion
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.
| | He |
|---------------------------------------------------------------------------------------------------------------|----|
| stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHU. | |
| | |
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 t0 self. He denied thoughts of hurling 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 b PsyD on 07/28/2019 09:19
# 9. Attorney Log Books
Please provide a copy of the log book audit.
Institution Response:
The audit revealed the Random Visitor Log Book did not reflect visitor pat searches after May 19, 2019. In addition, the log book does not offer a column to annotate a staff witness. The ContractorNolunteer Log Book was not always filled in properly. The Law Enforcement Log Book was up to date; however, the time of departure was not always documented. The Attorney Log was missing inmate register numbers and more often than not was legible. There was no Visitor Denial Log created. The audit conducted on September 25, 2019, is attached for your review.
Additional corrective measures will now include the Activities Lieutenant checking all Front Lobby log books. The Captain will ensure these checks are included in the Lieutenant's Daily Log for Day Watch and Evening Watch. In addition, the Activities Lieutenant will address any discrepancies immediately through on the spot training and/or performance log entries.
# 13. Sex Offense Risk Factors
Psychologists are subject matter experts in sex offender risk factors and they play a crucial role in sharing this knowledge through traditional settings such as ICT, AT, and institutional meetings. However, Executive Staff play a pivotal role in establishing and addressing institutional culture and promoting and participating in training. A lack of a broad understanding of sex offender specific risk factors requires an intentional training approach led by Executive Staff. They must be out front talking about inmates with a sex offense, expressing an understanding of sex offender dynamics, modeling agency condoned expectations for the understanding and treatment of inmates with a sex offenses, and assisting with institutional trainings. These practices encourage a broader acceptance by line staff.
Institution Response:
The MCC New York Executive Staff are out front talking about inmates with sex offenses, and expressing an understanding of sex offender dynamics, modeling agency expectations for the understanding and treatment of inmates with sex offenses. This is done through departmental meetings, trainings, staff recalls and walking and talking throughout the institution.
b)(7)(A)
# (b)(7)(A)
# (b)(7)(A)
(b)(7)(A)
# (b)(7)(A)
# (b)(7)(A) .
9. Attorney Log Books: Four log books were not secured following Mr. Epstein's death. Specifically, three Attorney Log Books located in the Attorney Visiting and Front Lobby areas and an Inmate Search Log Book located in the Attorney Visiting area were not secured. All four books were still in use at the outset of the reconstruction and after the reconstruction team advised staff to secure them. P5324.08 states, "In the event of a suicide, institution staff, particularly Correctional Services staff, and other law enforcement personnel, will handle the site with the same level of protection as any crime scene in which a death has occurred." This policy further states, "All possible
evidence and documentation will be preserved to provide data and support for subsequent investigators doing a psychological reconstruction."
Further, a review of the attorney log books identified many errors and signify a systemic concern. For example, there were two concurrently open attorney log books in the Attorney Visiting area. Further, the different purposes of the two attorney log books, one in the Attorney Visit area and one in the Front Lobby, could not be explained. BOP staff were unable to articulate a system of control for the log books, and during the reconstruction, some of the log books could not be accounted for. Within the log books, entries were made out of chronological order, attorneys did not consistently sign in and out, significant information was illegible or missing, columns were not consistently labeled, log book opening and closing dates were inconsistent, and the cover had been tom off of several books. At the current time, these log books are not functioning as an adequate system of control and monitoring.
# Institution Response: 9. Attorney Log Books:
On August 10, 2019, log books deemed relevant to the investigation were removed from various locations throughout the facility. The Reconstruction Team did identify pertinent logbooks that had not been secured. At this time, all relevant logbooks have been removed and replaced. In addition, a logbook audit was conducted to ensure accuracy of the documentation and compliance with policy. Measures are being taken to ensure in the future that all relevant logbooks are identified, secured immediately and replaced with new ones to ensure the institution can continue to run efficiently.
10. Automatic External Defibrillators: A review of available AEDs in the institution revealed that the list used for accountability and inspection purposes was inaccurate and incomplete.
# Institution Response: 10: Automatic External Defibrillators:
A review of the Automatic External Defibrillators (AED) report presented by Great Lakes Biomedical Services dated July 22, 2019, revealed that all AEDS were accounted for and were placed in the correct respective areas. The report was accurate and complete. New AEDs have been purchased and will be inspected Great Lakes Biomedical Services upon their arrival. The list reviewed by the reconstruction team was an old and outdated list from January 8, 2018.
Medical staff provides training and conducts monthly inspections of all AEDs in the institution. Great Lakes Biomedical Services, an outside contractor, conducts a bi-annual inspection and provides a report. Procedures on inspecting all AEDS in the institution have been prepared and are awaiting approval. These procedures are attached hereto.
11. Post Orders & SHU Training: SHU Post Orders Sign-In Sheets were reviewed for the 3rd Quarter, spanning June 9, 2019, to September 7, 2019. Office failed to sign post orders for SHU #3 post.
Quarterly SHU Training Sign-In Sheets were reviewed. The 2019 3rd Quarter SHU Training was conducted on June 6, 2019. Three staff assigned to the 3rd Quarter SHU Roster in SHU did not attend or receive the SHU Training: Officer D(6)(6)(0)(7)(C) Officer D(6)(6)(7)(C) and Officer D(6)(6)(7)(C)
# Institution Response: 11. Post Orders & SHU Training:
The Suicide Watch Post Orders are located in the Lieutenant's Office and SHU with a quarterly sign-in sheet. A copy of the Suicide Watch Post Orders will also be placed in a secure container outside of the suicide watch cells on Tier H in SHU. This container will also hold signature sheets and additional Staff Suicide Watch Log Books.
All staff members assigned to a suicide watch post are responsible for signing the post orders prior to performing the staff suicide watch. Attached please find a copy of the NERO Waiver permitting staff monitored suicide watches in SHU.
With regard to SHU Suicide Prevention training, this continues to be conducted on a quarterly basis. However, the sign-in sheets for this training are now be examined by the SHU Lieutenant for accuracy. If a staff member who is assigned to SHU misses the training, the sign-in sheet will be routed to the Captain, who will coordinate with the Chief Psychologist and schedule a time to receive a make-up session for the SHU Suicide Prevention Training.
SHU training is conducted quarterly two weeks from the beginning of the new quarter. A representative from Psychology will provide the required suicide prevention training. In addition, the SHU training on BOPLEARN will be completed by all staff assigned to SHU that day of training. SHU staff will be allotted time during that day to complete all prescribed web-based training as identified on the agenda. Staff who are assigned to SHU but have not received the mandatory training before assuming the post will be roster-adjusted to attend another training day as assigned by the Captain.
Staff assigned to suicide watch shall maintain a chronological log of the inmate's behavior. Blank log books will be maintained in the Lieutenants office and on the 2
nd Floor. A chronological record of events will commence immediately upon the initiation of watch. It is the responsibility of the staff member initiating the watch to obtain a blank log book prior to initiating the watch. Different log books will be used for each inmate on suicide watch; each log book will contain entries for one suicide watch only. The name and register number of the inmate on watch shall be clearly printed on the front cover of the log book and at the top of each page in the log book in which entries are made.
During some suicide watches, staff observers may cover some shifts and inmate companions may cover others. In this instance, two separate log books must be used: one for the shifts during which staff are maintaining constant visual observation (blue) and another for shifts during which inmate companions are providing constant visual observation (yellow). When separate inmate companion log books are used, staff must sign the inmate companion log book every 60 minutes.
Lights will remain on inside the cell 24 hours day to ensure the inmate on watch can be seen. A Lieutenant will make rounds every shift and remove the inmate from the cell and perform a cursory search. No food items, trays, eating utensils, milk cartons, toilet paper, plastic bags, reading materials, pens, pencils, or anything else not prescribed by Psychology staff should be in the cell.
The inmate will be outfitted in a suicide preventive smock, suicide preventive blanket, suicide preventive mattress and if necessary a suicide preventive helmet. Inmate Companions will be searched prior to assuming duties. Inmate Companions are not allowed to have radios, mp3 players, magazines, books or anything that would distract them from maintaining constant supervision. Inmate Companions will not have direct or physical contact with inmates on suicide watch.
12. Staffing: The Drug Abuse Program Coordinator positon at MCC New York was abolished during Phase I of the staff realignment during fiscal year 2018. Re-establishing
the Drug Abuse Program Coordinator position would provide the institution with an additional supervisory psychologist to provide critical clinical services.
Staffing in the Correctional Services department is relevant to the reconstruction. However, the details about this topic are provided in an After Action Review completed separately from this report.
# Institution Response: 12. Stalling:
oN1:
The Drug Abuse Coordinator position is currently a shared position. The Warden has re-established the Drug Abuse Coordinator position as a full-time position to provide the Psychology Department with an additional supervisory psychologist to perform critical clinical services. At the current time. the position is pending selection.
We are currently in the process of requesting to hire a Staff Psychologist position to provide additional psychological services to inmates in the SITU, including therapy sessions with PSY ALERT, CC2-MH and CC3-MH inmates who arc currently housed there. An additional psychologist could also monitor Hot List inmates arriving to the SI W and ensure they are housed with appropriate cellmates. This psychologist could conduct daily rounds to look for signs of psychological distress and address the concerns of our Long Term SITU inmates. Finally, an additional Staff Psychologist could assist with our daily crisis interventions and suicide risk assessments.
13. Sex Offense Risk Factors: A broad understanding of risk factors associated with sex offenders, by staff at MCC New York did not aonear to be present in all staff but was vital to his adiustment and safety in prison. A more
# Institution Response: 13. Sex Offense Risk Factors:
The Chief Psychologist is a member of the Executive Staff. The Chief Psychologist or her designee continues to be present at all Executive Staff meetings, Department Head meetings, and SI IU meetings. During these meetings, the Chief Psychologist offers feedback regarding the treatment and management of sex offender inmates. Additionally, the Chief Psychologist continues to educate all staff during Introduction to Correctional Techniques (ICT) and Annual Training (AT) about the sex offender specific risk factors and suicidality.
| (A) | | |
|-----|--|--|
| | | |
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| | | |
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| | | |
| | | |
Date/Time Of Incident: 7/23/2019 1:27 AM
Submitted By: Skipper-Sott, S.
Incident #: NYM-19-
| Section 1: General Inform | mation |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Staff Aware Date: 7/23/2019 1:27 AM FBI Notified: No USMS Notified: No Indicate Where Incident Location Level 1: SHU Level 2: Housing Unit, Spe Type Of Incident | t Occurred: Main Facility
cial (SHU) Level 3: 9 SOUTH SHU
Institution Locked Down: No
Modified Operations: No
Cause Of Incident Known? No
Cause Of Incident Known? No
Cause Of Incident
Alcohol
Commissary
Debts
Disrespect Issue
Disrespect Issue
Drugs
Ethnic Conflict
Food Issue
Geographical Conflict
Interfering with Staff duties
Property Issue
Racial Conflict
Recreation Equipment |
|
- ✓ Self Mutilation Method: Laceration
- Setting A Fire
- Sexual Act, Non-consensual On Inmate
- Sexual Assault On Staff
- Sexual Contact, Abusive On Inmate
- Sexual Harassment, Repetitive
- Staff Homicide
- Strike, Food
- Strike, Work
- ✓ Suicide Attempt Method: Hanging/Asphyxiation
- Use Of Force
- Use Of Force/Applications Of Restraints
- Use of Restraints, Pregnant/Postpartum
|
- Religious Issue
- Security Threat Group Conflict
- Sexual Pressure
- Sporting Events
- Telephone
- Theft
- Visiting
- Work Issue
|
# UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE
| 0076 | Incident #: NYM-19- | Submitted By: Skipper-Sott, S. | Date/Time Of Incident: 7/23/2019 1:27 AM | | |
|------|---------------------|--------------------------------|------------------------------------------|--|--|
|------|---------------------|--------------------------------|------------------------------------------|--|--|
DX7XA:
# Section 3: Others Involved
| Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No | Person Type: Staff
Death: No
Staff Injury by Inmate: No | |
|---------------------------------------------------------------------------------------------|---------------------------------------------------------------|--|
| Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No | Person Type: Staff
Death: No
Staff Injury by Inmate: No | |
| Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No | Person Type: Staff
Death: No
Staff Injury by Inmate: No | |
| Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No | Person Type: Staff
Death: No
Staff Injury by Inmate: No | |
| Name:
Medical Attention Required: No
Injury Category: No Injury
Sexual Assault: No | Person Type: Staff
Death: No
Staff Injury by Inmate: No | |
| Name:
Medical Attention Required: No | Person Type: Staff
Death: No | |
| | | |
# UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE
Incident #: NYM-19- 0076 Submitted By: Skipper-Sod, S. Date/Time Of Incident: 7/23/2019 1:27 AM
Sexual Assault: No
Injury Category: No Injury Staff Injury by Inmate: No
# Section 4: Lethal Weapon Discharge
No data found.
Section 5: Use of Force
# No data found.
Section 6: Description of Incident
DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the chemical agent and/or restraints, reasons for use of hard restraints instead of soft restraints, etc.) Please be clear about cause(s) of the incident in your description.
# Section 7: Attachments
| File Date | File Name | Original Entered By | Original Loc. Code |
|-----------|---------------------------|---------------------|--------------------|
| 7/24/2019 | STAFF ROSTER.pdf | | NYM |
| 7/24/2019 | | | NYM |
| 7/24/2019 | | | NYM |
| 7/24/2019 | | | NYM |
| 7/24/2019 | | | NYM |
| 7/24/2019 | | | NYM |
| 7/24/2019 | | | NYM |
| 7/24/2019 | | | NYM |
| 7/24/2019 | L:7 CI
t: C | | NYM |
| 7/24/2019 | INMATE EPSTEIN PHOTOS.pdf | | NYM |
| 7/24/2019 | INMATE EPSTEIN IR.pdf | | NYM |
| 7/24/2019 | ADO.pdf | | NYM |
# UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE
Incident #: NYM-19- Submitted By: Skipper-Soft, S. 0076 Date/Time Of Incident: 7/23/2019 1:27 AM
Approved By: SUBMITTED
Skipper-Son. S.
UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE
| Fwd: Re: Epstein | | | | |
|--------------------------|------------------------------|-----------------------------------|--|--|
| From | bx6, ibfOke; | | | |
| To | b WSJ ibM7AC;
I
Scott | ILamine N'DiayeShirley V. Skipper | | |
| Date | 2019/07/25 14:14 | | | |
| Subject:
Attachments: | Fwd: Re: Epstein
TEXT.htm | | | |
| | | | | |
Fwd: Epstein Update
From Shirley V. Skipper-Scott To Charisma Edge Date 2019/07/29 10:30 Subject: Fwd: Epstein Update Attachments: TEXT.htm
Check this out.
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-83 Black Berry: 646-42 bop.gov
r 7/29/201910:02 AM > »
Good morning: Same presentation today, but he said he thinks his memory for the incident (injury to his neck) may be impaired because of his sleep apnea. He is supposed to get his CPAP machine today. He is aware he will be returning to SHU, but said he is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have one good night of sleep with his CPAP and will retum to SHU with a cellmate tomorrow. I told him he can stay down one more night to receive his CPAP and a good night's sleep, but that he wou d be returned to SHU tomorrow. It was explained that there is no mental health issues precluding him from returning to SHU tomorrow and that we could not house him in the SW/Hospital area becausti' A or more
comfortable for him. He will
remain on psychological observation today and will transition to the SHU tomorrow. Thank you,
Chief Psychologist U.S. Department of Justice/ Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York, New York 10007 Office: (646) 836 Fax: (646) 836-7712 E-mail fr bop gov
Psy.D.
» ' P/28/2019 7A9 AM > »
AW Skipper-Scott,
Inmate Epstein seems psychologically stable.
He complained that his right arm was numb and hanging earlier. NursE • w him.
He again 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. I informed Nurse oh8).(0)0Xel
He stated the toilet in his cell was running for 45 minutes last night and he could not take the noise. He is going to try the toilet before going to legal today and if it does not shut off, he will be moved to another cell.
Thanks,
DY6) m:0NC)
b:(6, ib:i7 17/28/2019 7:36 AM > »
Suicide Watch
None
# Psych Observation
1. Epstein #76318-054
# Pending Bedspace for SHU
Thank you,
D)6):(DX7XC)
Page 1563
Original message From: Ray Ormond l..
r th09.90v> Date 7/23/19 11.46 AM (GMT.0500) To: famine N'Olaye I Pbopgov> Subject: Re: Epstein
> > > "Ray Ormond' 07/23/201911:46 > »
Lamm - The rnenxii is very confusing. Please draft an email of his actions and current status. Also include what plans were in motion to move him to a GP unit. It %sill nee
Original message From: Lam ne fir Day
0b0P gov> Date 7/23/19 11:12 AM
> » 'Latrine Nplaye' . Sop gov> 07/23/201911:12 >,»
Sent from my Vernon Samsung Galaxy smartphone
Original MeSSIgt /dw >
From: "Shirley V. Skipper-Scot bop.gov>
Date. 7/2:'
Page 1604
| From | bX41:1DX711C) |
|--------------|-------------------------------------------|
| To | Dx6).(b)(7XCI |
| Date | 2019/07/23 13:07 |
| Subject: | Inmate Epstein #76318-054 (Suicide Watch) |
| Attachments: | TEXT.htm |
| Epstein #76318-054
From | |
|----------------------------------|----------------------------------------------------|
| To | |
| Date
Subject:
Attachments: | 2019/07/24 11:41
Epstein #76318-054
TEXT.htm |
| SIS, | |
| | |
"This message is intended for official use and may contain SENSITIVE information. If this message contains SENSITIVE information, it should be properly delivered, labeled, stored, and disposed of according to policy."
Ph.D.
Forensic Psychologist
150 Park Row
Office: 646.83 Fax: 646.836.7712
LT, U.S. Public Health Service U.S. Department of Justice Federal Bureau of Prisons
New York, New York 10007
E-mail ' abop.gov
Metropolitan Correctional Center
| (b)(7)(A) | |
|-----------|----------|
| (b)(7)(A) | b)(7)(A) |
| | |
| | |
| | |
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836[b)(5): Black Berry: 646-42[b)(6): Black Berry: 646-42[b)(6): b)(6): (b)(7)(C) @bop.gov
Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-83( b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646-42 b)(0); Black Berry: 646
Sent from my Verizon, Samsung Galaxy smartphone
------ Original message ------From: Ray Ormono (b)(6). @bop.gov> Date: 7/23/19 11:46 AM (GMT-05:00) To: Lamine N'Diay(b)(6): @bop.gov> Subject: Re: Epstein
Lamine - The memo is very confusing. Please draft an email of his actions and current status. Also include what plans were in motion to move him to a
------ Original message ------From: "Shirley V. Skipper-Scott" (D)(6): (D)(7)(C) ibop.gov>
Page 2054
>>> "Ray Ormond" 07/23/2019 11:46 >>>
| | Media inquiry - Washington Post - re: health status of Jeffrey' Epstein |
|--------------|---------------------------------------------------------------------------|
| From | |
| To | M/Exec Assistant— NYM/Exec Assistant |
| Date | 2019/07/23 18:05 |
| Subject: | Media inquiry - Washington Post - re: health status of Jeffrey
Epstein |
| Attachments: | TEXT.httn |
If you happen to get this tonight, maybe you can call me on my cell at 202-32t My boss may want to answer this reporter tonight, but before we send an answer perhaps like the one below we wanted to see for our own internal awareness what you may know about this if any of it is true in regard to Epstein.
My mobile Samsung is not always receiving emails and leaving work now, so my personal cell by calling the number above is best if you get this.
| Thanks so
much, |
|--------------------------------------------------------------------|
| Public Information Office
Federal Bureau of Prisons
(202) 35 |
| >>:
7/23/2019 5:57 PM >>> |
While I will probably reply to this reporter with something like my draft below which doesn't reveal much if anything, nonetheless we want to be sure we understand from you or the institution what if anything may have happened with inmate Epstein. Could you see if the institution can look into this and provide us with what they may know for our internal purposes (not for release to media)? We will reply to media inquiries about Epstein (not the institution) since stories about him are national news (unless we finalize an answer that we could give to the institution to use as well if media ask about this tomorrow).
Thanks,
| Public Information Office
Federal Bureau of Prisons
(202) 353- | | |
|----------------------------------------------------------------------|-----------------|-----------|
| | innin C.AJ ni A | Page 2103 |
| >>> (b)(6); (b)(7)(C) | WWASHUUSTCOTH> 1/25/2013 3.45 PWI >> |
|-----------------------|--------------------------------------------------------------------------|
| Hi, | |
| (b)(7)(A) | |
| | |
| | |
| | ormation and comment you can offer on this subject. My number is 202 617 |
| (b)(6); (b)(7)(C) | |
| Thanks, | |
| (b)(6); (b)(7)(C) | |
| Washington Post | |
>
- >(b)(6); (b)(7)(C)
- > Supervisory Staff Attorney
- > CLC New York
- > Metropolitan Correctional Center
- > 150 Park Row
- > New York, New York 10007
> p: (646)836-[b](6]:(b)(7)(C)
> f: (646)836-7665
>
>
Page 2145
| Re: Epstein | | |
|-------------|---------------------|--|
| From | tAiNCI | |
| To | | |
| Date | 2019/07/25
15:17 | |
| Subject: | Epstein
Re: | |
| | | |
.kttachinents: TEXT.htm, EPphotos.pdf, EP.staffmemos.pdf
Page 2152
| | Re: Epstein #70318-054 |
|----------|------------------------|
| From | Do*. (bNIAC) |
| To | l
ex6) Mx7XCI |
| Date | 2019/07/24 12:00 |
| Subject: | Re: Epstein #76318-054 |
| | Attachments: TEXT.htm |
AW SS just called regarding his competency.... I said yes, do you agree?
| Psy.D.
Chief Psychologist
U.S. Department of Justice/
Federal Bureau of Prisons
Metropolitan Correctional Center
150 Park Row
New York, New York 10007
Office: (646) 836 |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| (646) 836-7712
Fax:
E-mail
bop.gov |
| |
| t
-t:11
/24/201911:41 AM > » |
| |
| |
| |
| |
| |
| |
| Very respectfully, |
| |
| Ph.D.
Forensic Psychologist |
| LT, U.S. Public Health Service |
| U.S. Department of Justice |
| Federal Bureau of Prisons |
| Metropolitan Correctional Center |
| 150 Park Row
New York, New York 10007 |
| Office: 646.83 |
| Fax: 646.836.7
pbop.gov
E-mail |
"This message is intended for official use and may contain SENSITIVE information. If this message contains SENSITIVE information, it should be properly delivered, labeled, stored, and disposed of according to policy?
| From | OW; ibthiCi | |
|--------------|-------------------------------------------|--|
| To | 13)(61.1bX7NO) | |
| Date | 2019/07/23 13:07 | |
| Subject: | Inmate Epstein #76318-054 (Suicide Watch) | |
| Attachments: | TEXT.htm | |
| .S. DEPARTMENT OF JUSTICE | INCIDENT REP | ORT | |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------|
| | | FED | ERAL BUREAU OF PRISONS |
| Institution | Part I – Incident Re | | |
| Institution: MCC New York | | Incident Report Number: | |
| Inmate's Name: | 3. Register Number: | 4. Date of Incident: | 5. Time: |
| pstein, Jeffery | 76318-054 | 07/23/2019 | 1:27am |
| Place of Incident: | 7. Assignment: | | 8. Unit: |
| HU M-Tier Cell 124 | Unassigned | | ZA |
| Incident: Self-Mutilation | 10. Pro | hibited Act Code (s): 228 | |
| . Description of Incident (Date: 07/23/2019 | Time: 1:27AM Staff | became aware of incident): | |
| (7)(A) | | (D)(6);
(D)(6);
(D)(7)(C) | |
| | | | |
| St. (b)(7)(A): | | 19 3:30am | |
| 14. Incident Repi
(Type Name/Signature): (b)(6); (b)(7)(C) | ro. Date molecul repor | rt Delivered: 16. Time Incid | ent Report Delivered: |
| | 7-30-7 | 9 12:4 | opm |
| | Part II – Committee | Action | |
| 17. Comments of Inmate to Committee Regard | | 5 stated (b)(7)(A) | |
| Tim was read r | his rights and | 2 Sabeon | |
| 18. A. It is the finding of the committee that you
Committee the Prohibited Act as committee that you
Did not Commit a Prohibited Act.
Committee Prohibited Act Code (s | u:
harged:
to file an | The Committee is referring t | the Charge(s) to the DHO for further
inmate of its finding and of the right |
| 8. A. It is the finding of the committee that you
Committed the Prohibited Act as c
Did not Commit a Prohibited Act.
Committed Prohibited Act Code (s | u:
tharged:
b).
b).
b).
b).
b).
b).
b).
b). | The Committee is referring to
The Committee advised the | inmate of its finding and of the right |
| 18. A. It is the finding of the committee that you Committed the Prohibited Act as children of the Committee Prohibited Act. Committee Prohibited Act Code (s Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specific Ex Committee Decision is Based on Specifi | u:
harged:
b)
b)
vidence as Follows:
C
to file an
vidence to DHO (Contingent upon
C
to file an
computed | The Committee is referring to
The Committee advised the
appeal within 20 calendar days | prohibited act): |
INSTRUCTIONS: All items outside of heavy rule are for staff use only. Begin entries with the number 1 and work up. Entries not completed will be volded by staff.
Distribute: Original-Central File Record; COPY-1-DHO: COPY-2-Inmate after UDC Action; COPY 3-Inmate within 24 hours of Part I Preparation
1
٠
Replaces BP-A0288 of AUG 11
| 1 / / | |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------|
| Part III - Investigation | 22. Date And Time Investigation Began 7/30/2019 12:40PM |
| | |
| Silent At All Stages Of The Disciplinary | |
| 24. Inmate Statement And Attitude: Inmate | Epstein, Jeffery #76318-054 was advised of
ead. Inmate Epstein stated "I no comment at
itude. Inmate Epstein was furnished a copy of |
| 25. Other Facts About The Incident, State
Disposition Of Evidence, Etc. No witness
memorandum, photograph and medical assess
to inmate on suicide watch. | ments Of Those Persons Present At Scene,
les requested. Please see attached staff
ment. This incident report was served late due |
| 26. Investigator's Comments And Conclusio
incident in block #11, of the incident re
to be accurate as written and the charge | ons: Based on the writer's description of the port, This investigator concludes the report warranted. |
| 27. Action Taken: Inmate Epstein is in hi referred to UDC for further disposition. | s special housing unit status, this report |
| Date and Time Investigation | Completed 7/30/2019 1 | 2:45PM |
|-----------------------------|---------------------------------------------|--------|
| Printed Name/signature Of I | nvestigator (b)(6); (b)(7)(A);
(b)(7)(C) | |
| Signature | Title Lieutenant | |
Re: Epstein #76318-054
| From | DX61.10XMCI | | |
|----------|------------------------|--|--|
| To | tx6).(exixe) | | |
| Date | 2019/07/24 12:01 | | |
| Subject: | Re: Epstein #76318-054 | | |
| | kttaclunents: TEXT.htm | | |
Page 2640
Yes
» , 7/24/2019 12:00 PM »> AW SS just called regarding his competency.... I said yes, do you agree?
tHi Psy.D.
Fax: 646.836.7712
E-mail • ' obop.gov
Chief Psychologist U.S. Department of Justice/ Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York, New York 10007 Office: (646) 836 Fax: (646) 836-7712 E-mail • • - rbop.gov
SIS, 7/24/201911:41 AM > »
| Very respectfully,
ti6 tir | |
|-------------------------------------------------------------------------------|--|
| Ph.D.
Forensic Psychologist | |
| LT, U.S. Public Health Service
U.S. Department of Justice | |
| Federal Bureau of Prisons
Metropolitan Correctional Center
150 Park Row | |
| New York, New York 10007
Office: 646.83 | |
"This message is intended for official use and may contain SENSITIVE information. If this message contains SENSITIVE information, it should be properly delivered, labeled, stored, and disposed of according to policy."
| BP-A0563
JUN 10 | MULTI-LEVEL MORTALITY REVIEW | U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS |
|--------------------|-----------------------------------------------------------------------------------|---------------------------------------------------------|
| Date: | 09/09/2019 | |
| To: | Office of Quality Management | |
| From: | MCC New York Health Services | |
| Subject: | Mortality Review for Inmate Epstein #76318-054 | |
| Inst: | MCC-NY | 5 |
| Name: | Epstein, Jeffrey Reg. #: 76318- | |
| DOD: | 08/10/2019 DOB: 01/20/1953 Age: 66 Sex | Male Race: |
| Place of D | Death: Inst. 🖌 Community Hospital OTHER | |
| Name of o | community hospital: New York Presbyterian Lower Manhattan Hospital | |
| Nature of | Death: Natural (chronic) Natural (Acute)
Accidental: | |
| | Homicide | |
| Cause(s) | ✓ Suicide (Method) Hanging | |
| Axphyxiatio | | |
| | | |
| NARRAT | IVE SUMMARY: (Should include components below) | |
| Date of a | dmission to the 07/06/2019 | |
| New | commitTransfer from | Holdover |
| Status: | Inpatient at: Inst Community Hospital | Outpatient |
| Admitting | | |
| 1. 5 | Sleep Apnea | |
| 2. H | Hypertriglyceridemia | |
| 3. 1 | L4 - L5 Lumbar Stenosis | |
| 4. | | |
| | s. continue on supplementary page if necessary) | |
| Past diag | inosis: | |
| | Sleep Apnea | |
| 2. 1 | Hypertriglyceridemia | |
| 3. 1 | L4 - L5 Lumbar Stenosis | |
| | | |
| | s. continue on supplementary page if necessary) | |
| | | |
| Incl | ant mental health(Yes)(No)(NA)
lude specific information as relevant to death: | |
| _ | | |
| | | |
BP-A0563
| Name: | Epstein, Jeffrey | Reg. #: | 76318-054 | DOB: | 01/20/1953 |
|-------|------------------|---------|-----------|------|------------|
| | | | | | |
Admitting diagnosis:(continue)
Past diagnosis: (Continue)
Description of course of illness (past and present) and cause of the death in sufficient detail to indicate circumstances of death, including treatment, medications, diagnostic testing, etc. Give findings of diagnostic exams. Insert pages in this section as required.
| Intake Screening History and Physical present? | vi Yes | _No | _NA |
|-----------------------------------------------------------------------------|-----------------|---------|--------------|
| Date of most recent History and Physical | 07/09/2019 | | |
| Timeliness of Diagnostic and Treatment regimes? | | _No | _NA |
| Discharge summary from Attending M.D. on chart | | | |
| Institution | Yes | | NA |
| Community Hospital | _Yes | | _NA |
| Autopsy | Yes | .1 No | _NA |
| Toxicology | Yes | 2No | NA |
| Death Certificate Available | Yes | .2No | _NA |
| INSTITUTION MEDICAL CARE REVIEW: | | | |
| Severity of illness at time of admission to hospital / Health Services Unit | Critical ✓
— | Stable | Unknown |
| Prognosis on admission to hospital / health Services Unit | Poor | Good | NA |
| Were diagnostic procedures appropriate and timely | j_Yes | No | |
| Was treatment appropriate to diagnosis and instituted timely | /
Yes | No | |
| Prognosis with treatment | Poor | 1— Good | Unknown |
| Any complications adversely affecting outcome: | Yes | | |
| Describe briefly
Asphyxiation Secondary to Hanging. | | | |
| | | | |
| | | | |
| Was treatment appropriate to complication | /
Yes | No | |
| Surgical Procedures (list) | Yes | No | /
NA |
| | | | |
| | | | |
| Appropriate pre-operative evaluation completed, | Yes | No | ✓ NA |
| including lab, physical exam, updated history | | | |
| Complications related to surgical procedures | Yes | No | ✓ NA |
| (describe) | | | |
| | | | |
| | | | |
| Prognosis following surgical procedure | —
Poor | Good | /
Unknown |
| Patient compliant with treatment / medications | Yes | No | ✓ NA |
| | | | 3 |
| | | | |
| Discussion with patient or patients family regarding prognosis | ULNA
No |
|--------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------|
| DNR order | _Yes
I
No
Date |
| Advance Directive / Living VMII | _No
_Yes
/
NA |
| LOCAL COMMUNITY HOSPITALIZATIONS ONLY: | |
| Type of admission | _i_Emergent
Other
Routine
_ |
| Method of transportation appropriate to patient condition | —N
_i_Yes
NA
— |
| Severity of condition at time of admission to local hospital | —Stabo
Unknown
Critical
Stable
/ |
| Prognosis on admission to local hospital | —
Unknown
—/— Poor
—
Good |
| Were diagnostic procedures appropriate and timely | _No
Yes |
| Was treatment appropriate to diagnosis and instituted timely
Prognosis with treatment |
✓1
Yes
—Good
Unknown
I
Poor |
| Any complications adversely affecting outcome:
(describe briefly)
jaisnhwiation Sccondary to Hanging. | No
_
/
Yes |
| Was treatment appropriate to complication
Surgical Procedures (list) | No
/
Yes
No
Yes |
| Appropriate pre-operative evaluation completed.
including lab, physical exam, updated history
Complications related to surgical procedures | Yes
_No
Yes |
| Describe | |
| Prognosis following surgical procedure | f_
Unknown
—
Good
Poor
— |
| Patient compliant with treatment / medications | _Yes
_No
_iNA |
| Discussion with patient or patient's family regarding
patient prognosis | _Yes
, ./_(.1A
No |
| DNR order | Yes | Date | |
|-------------------------------------------------------------------------------------------------------------------------|---------------------|------------------|-------------------|
| Advance Directive / Living Will | Yes | Date | |
| REVIEW OF EMERGENCY MEDICAL CARE: | | | |
| Was death related to a medical emergency
Response to medical emergency | _lYes | No | |
| notification timely
Physician
Physician Assistant | _lYes
d
Yes | _No
No
_No | NA
_NA
_iNA |
| Nurse Practitioner
Nurse(s) | /
Yes | _No
No | _CNA
NA |
| Emergency Medical Techs
Others | Yes
_Yes
_Yes | No | ANA |
| CPR | ✓1
Yes | No | NA |
| ACLS List protocol (s) used (if appropriate)
By EMS. | _iYes | _No | _NA |
| Problems encountered during medical emergency, e.g.,
equipment, communications, transportation.
Describe briefly: | Yes | —1No | _NA |
| Providers responding maintain current certification / credentials in
BCLS, ACLS (if required)
SUMMARY REVIEW: | 2_Yes | _No | _NA |
| | | | |
| DX7XA | | | |
| Documentation in medical record reviewed by Mortality Review
Committee and found to be within acceptable limits. If no,
describe | mil! Yes | No | _NA |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------|----|-----|
| Did patient receive appropriate and adequate health care, consistent
with community standards, during his incarceration in the Federal
Bureau of Prisons? If no, explain | | No | _NA |
| | | | |
State any strengths and weaknesses that existed.
I The Mortality Review Committee reviewed the Medical Record. The patient ITCCIN ed timely and appropnate medical and psychological care.
27. Recommendation(s) if any.
The Mortality Review Committee reviewed the Medical Record. No recommendations at this time
# 28. Attachments
|
1. | Medical | Reco |
|--------|---------|------|
| | | |
I. Medical Record \_3. Death Certificate
2. Narrative Summary \_4. Autopsy Report
5. Other Documents as appropriate (list)
# ALL INFORMATION CONTAINED IN THIS REPORT IS EXEMPT AND TO BE CONSIDERED FOR REVIEWNIEWING ON A NEED TO KNOW BASIS ONLY.
# REVIEW COMMITTEE:
| | A | |
|----------|---|----|
| A-W, (M) | | D |
| , HSA | | AC |
| D of N | | PA |
| | | |
# OFFICE OF THE REGIONAL DIRECTOR
Comments: — Agree with Institution MRC
\_ Disagree with Inst. MRC
Recommendations or Action taken:
Regional HSA Date
Regional Director Date
# OFFICE OF QUALITY MANAGEMENT
Comments:
Signature of Review Committee Member
# Suicide Watch Chronological Log
# Inmate Companions Log
| Name of inmate on watch:
Epstem
Register #:
76318.cs4
Institution: | LOWED: | eal | Suicide Smock/Slippers | Sleeping Bag | Mattress | Cup | | ns or | initary Ralt/Nankin |
|--------------------------------------------------------------------------------|---------|--------|------------------------|--------------|----------|---------|-------|--------|---------------------|
| Date Watch Began / Ended | UNLY IT | Sack M | Suicide | Suicide | Suicide | Paper ( | -Soap | Tampon | C men |
| To be completed by Chief Psychologist at conclusion. | ÷ | | | | | | | | |
SWCL - INMATE
STAPLE LOCAL PROCEDURES HERE
Check one of the following:
❑ This is the initial log book for this suicide watch.
Enter date and time watch began:
❑ This is a continuation log book for this watch.
Enter date and time this watch book was initiated:
Instructions to Observer: Document your observations every minutes. Legibly print and sign your name at the beginning of your shift.
| | Suicide Watch Observation Log | | |
|-----------------------------|--------------------------------------------------------------------|----------------|----|
| Name of Inmate
on watch: | Epstein Reg #: 74318.054 Date: 7 | 23 | 19 |
| Time | Observations: Briefly note your observations. Initial all entries. | Initi | |
| 1:40 AN | I'm Brought Dawn to Suicibe Cell #4 | b)(6); (b)(7)( | C) |
| 1:45,00 | i'm Mying on BEID - | | |
| 2 "AM | 1/m Silling 61 Bed Lalking - | | |
| 2'15m | (b)(7)(A) | | |
| | | | |
| 2.30 mm | I'm Sitting on Ged trying to remainder | | |
| | what Happen | | |
| 2:45 | 1/m Sitting on Beis | | |
| 5.º m | 1/m Sitting on BED | | |
| 3:15 | (7 bxe): (bx7)(c) + takes pictures c?, m | | |
| 3:30 m | Im Sitting in BED | | |
| 345 | Im Sitting on Bed | | |
| U:com | Vm Sitting on Bei | | |
| Ti | 1/m Silling a Bod | | |
| 1:30 | 1/m Standing at Door talking | | |
| 4:45 | "I'm Stan hig of Dor falling | | |
| 5°m | I'm Sithing ou bed | | |
| 5 Am | 1/m Stanling it Deer | | |
| SAM | Ym Strading ist Dar | | |
| | | | |
| 60m | 1/m Strudilg n= Dar | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
# Suicide Watch Chronological Log
# Staff Suicide Watch Observers Only
Name of inmate on watch:
Epstein, J.
Register #:
Institution:
MCC. New York
Date Watch Began / Ended
July 23,2019 - July 24, 2019
To be completed by Chief Psychologist at conclusion of watch:
Booklet \_\_\_\_ of \_\_\_\_
SWCL - STAFF
# STAPLE LOCAL PROCEDURES HERE
# Check one of the following:
V This is the initial log book for this suicide watch..
Enter date and time watch began:
# Juki 23,2olq 0+ 1..404,,A
This a continuation log book for this watch.
Enter date and time this watch book was initiated:
Instructions to Observer:
Document your obserVations every 15 minutes.
Legibly print and sign your name at the beginning of your shift.
| Easteir | C Suicide Watch Observation Log | | ٦ |
|-----------------------------|--------------------------------------------------------------------|-------------------|---|
| Name of Inmate
on watch: | Reg #: 76318-054 Date: 7 | 231 | 9 |
| Time | Observations: Briefly note your observations. Initial all entries. | Initials | |
| 1:40AM | Inmate brought down to suicide cell+4 | (b)(6); (b)(7)(C) | |
| 1:45 AM | linmate lying on bed | | |
| 2:00AM | Inmate sitting on bed talking | | |
| 2:15AM | b)(7)(A) | | |
| 2:30AM | Inmote sitting on bed trying to remember | | |
| | what happened | | |
| 2:45 AM | Inmate sitting on bed | | |
| 3:00 AM | Inmate sitting on bed | | |
| 3.15AM | Lt. DX6: (DX7)CC) takes pictures of inmate | | |
| | Inmate Sitting on bed | | |
| 3.45 AM | Inmate sitting on bed | | |
| 4:00AM | Inmate sitting on bed | | |
| 4:1 | Inmate Sitting on bed | | |
| 4:30AM | Inmate Standing at door talking | | |
| 4.45AM | Inmate Standing at door talking | | |
| 5:00AM | Inmate sitting on bed | | |
| 5:15AM | Inmate Standing at door | | |
| 5:30AM | Inmate Standing at door | | |
| | Inmate standing at door . | | |
| | Inmate Standing at door | | |
| | Inmate standing at door | | |
| | Inmate standing at door | | |
| | Inmate Standing at door | | |
| 7:00 AM | In mate standing at door | | |
| | | | |
÷. \*
Note to all observers: Legibly print and sign your name at the beginning of your shift.
.
# Bureau of Prisons Health Services Clinical Encounter
| EPSTEIN, JEFFREY EDWARD
Inmate Name:
Date of Birth:
01/20/1953
Encounter Date: 07/24/2019 13:08 | M
Sex:
Race:
Provider: | poiLP | Reg #:
Facility: NYM
Unit: | 76318-054
H01 |
|-------------------------------------------------------------------------------------------------------------|---------------------------------|---------------------------|----------------------------------|------------------|
| Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge.
SUBJECTIVE: | | | | |
| COMPLAINT 1
Provider:
Chief Complaint: Other Problem | MLP | | | |
| Subjective: | | | | |
| Pain:
No | | | | |
| OBJECTIVE:
Temperature: | | | | |
| Fahrenheit
pate
Time
13:12 NYM
07/24/2019
97.8 | Celsius Location
36.6 Oral | Provider | MLP | |
| Pulse: | | | | |
| Rate Per Minute
Time
83
07/24/2019 13:12 | Ls cation
Via Machine | Rhythm
Regular | provider | imLP |
| Blood Pressure: | | | | |
| Location
Time
Value
Data
07/24/2019 13:12 NYM 132/89
Right Arm | Position
Sitting | Cuff Size
Adult-regula | Provider | MLP |
| SaO2: | | | | |
| Alt
Time
Valuel%j
Delft
96 Room Air
07/24/2019
13:12 NYM | provider | MLP | | |
| Exam:
General
Affect | | | | |
| Yes: Cooperative | | | | |
| Appearance
Yes: Appears Well, Alert and Oriented x 3 | | | | |
| No: Appears Distressed, Appears in Pain | | | | |
| Exam Comments | | | | |
| Follow up evaluation done for inmate Epstein.
He does not look in any pain or distress. | | | | |
# ASSESSMENT:
Injury, unspecified, T1490 - Current
PLAN:
# Disposition:
Generated 07/24/2019 13:24 by{'
Inmate Name: EPSTEIN. JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/24/2019 13:08 Provider
M Race: Facility: NYM
Reg #: 76318-054 IMLP Unit: 1-101
Follow-up at Sick Call as Needed
# Patient Education Topics:
| Date Initiated
Format
Counseling
07/24/2019 | Handout/Topic
Access to Care | Provider | Outcome
Verbalizes
Understanding |
|------------------------------------------------------|---------------------------------|----------|----------------------------------------|
| 07/24/2019
Counseling | Preventive Health | | Verbalizes
Understanding |
| Copay Required: No | Cosign Required: Yes | | |
TelephoneNerbal Order: No
Completed by MLP on 07/24/2019 13:24 Requested to be cosigned by MD.
Cosign documentation will be displayed on the following page.
# Bureau of Prisons Health Services Cosign/Review
| MD on 07/24/2019 16:10.
Cosigned with New Encounter Note by | | | | | | |
|----------------------------------------------------------------|----------------------------------|-----------|--|-----|-----------|-----------|
| | Encounter Date: 07/24/2019 13:08 | Provider: | | MLP | Facility: | NYM |
| Date of Birth: | 01/20/1953 | Sex: | | | Race: | |
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | | Reg #: | 76318.054 |
# Bureau of Prisons Health Services Clinical Encounter
| EPSTEIN, JEFFREY EDWARD
Inmate Name:
M
Sex:
Race:
Date of Birth:
01/20/1953
Encounter Date: 07/23/2019 06:20
Unit:
Provider:
MLP | Reg #:
76318-054
Facility: NYM
H01 |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------|
| Injury Assessment - Non-work related encounter performed at Health Services.
SUBJECTIVE: | |
| 1
Provider:
INJURY
}ALP | |
| Date Reported for Treatment:
Date of Injury:
07/23/2019 01:27 | 07/23/2019 08:25 |
| Work Related:
Work Assignment:
No
UNASSG | |
| Pain Location: | |
| 0
Pain Scale: | |
| Pain Qualities: | |
| Where Did Injury Happen (Be specific as to location): | |
| Special Housing Unit Z05-Cell 124 L | |
| Cause of Injury (Inmate's Statement of how injury occurred): | |
| Symptoms (as reported by inmate): | |
| None | |
| | |
| OBJECTIVE: | |
| Temperature: | |
| Rat
Fahrenheit
Provider
Time
Celsius Location
06:30 NYM
07/23/2019
97.5
36.4 Oral
MLP | |
| Pulse: | |
| Time
Provider
Date
Rate Per Minute
Location
Rhythm | |
| 07/23/2019 06:30
92
Via Machine
Regular
I | MLP |
| Respirations: | |
| Time
Rate Per Minute
Provider
Date | |
| 07/23/2019
06:30 NYM
MLP
16 | |
| Blood Pressure: | |
| Location
Pid
Value
Cuff Size
Time
Position
Pate_ | |
| 07/23/2019 06:30 NYM
Right Arm
Adult-regular
140/85
Sitting | MLP |
| SaO2: | |
| Date
Air
Valuer/0j
Time
Provider | |
| 06:30 NYM
07/23/2019
96 Room Air
kALP | |
| Exam: | |
| General | |
| Affect | |
| Yes: Cooperative | |
| Appearance | |
| Yes: Appears Well, Alert and Oriented x 3 | |
| No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, | |
| MIP
Generated 07/23/2019 09.05 by
Bureau or Prisons • NYM | Page 1 of 2 |
# Exam:
Acutely III
# Pulmonary
# Auscultation
Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing
# Pram Comments
# ASSESSMENT:
Injury, unspecified, T1490 - Current - R/O self inflicted injuries.
# PLAN:
# Disposition:
Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours
# Other:
For follow up with psychology service.
# Patient Education Topics:
| Pate Initiated
07/23/2019 | Format
Counseling | Nandout/Tooic
Access to Care |
|------------------------------|----------------------|---------------------------------|
| 07/23/2019 | Counseling | Plan of Care |
| Copay Required:No | | Cosign Required: Yes |
TelephoneNerbal Order: No Completed by MLP on 07/23/2019 09:05 Requested to be cosigned by MD.
Cosign documentation will be displayed on the following page.
Verbalizes Understanding Verbalizes Understanding
# Bureau of Prisons Health Services Cosign/Review
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | | Reg #: | 76318-054 |
|----------------|----------------------------------|-----------|---|-----|-----------|-----------|
| Date of Birth: | 01/20/1953 | Sex: | M | | Race: | |
| | Encounter Date: 07/23/2019 06:20 | Provider: | | MLP | Facility: | NYM |
Cosigned by OD on 07/23/201915:44.
# Bureau of Prisons Health Services Clinical Encounter - Administrative Note
| Inmate Name:
Date of Birth:
Note Date: | EPSTEIN, JEFFREY EDWARD
01/20/1953
07/26/2019 08:57 | Sex:
Provider: | tra,
Race• WHITF
MD | Reg #:
Facility:
Unit: | 76318.054
NYM
H01 | | |
|----------------------------------------------|---------------------------------------------------------------------------------|---------------------|--------------------------------|------------------------------|----------------------------------------------------------------------------------|--|--|
| Administrative Notes: | Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. | | | | | | |
| | ADMINISTRATIVE NOTE 1 | Provider: | OD | | | | |
| New Medication Orders: | | | | | | | |
| fixtt | Medication
Docusate Sodium Capsule | | Order Date
07/26/2019 08:57 | | Prescriber Order
TAKE ONE 100 MG CAP Orally
- Two Times a Day x 180 day(s) | | |
| | Indication:
Constipation, unspecified | | | | | | |
| Copay Required:No | TelephoneNerbal Order: No | Cosign Required: No | | | | | |
| Completed by | c ' .
MD on 07/26/2019 08:58 | | | | | | |
# Bureau of Prisons Health Services Clinical Encounter - Administrative Note
| Inmate Name:
Date of Birth:
Note Date: | EPSTEIN, JEFFREY EDWARD
01/20/1953
07/24/2019 16:10 | Sex:
Provider: | Race:WHIT)
M
MD | Reg #:
Facility:
Unit: | 76318-054
NYM
H01 |
|----------------------------------------------|---------------------------------------------------------------------------------|---------------------|-----------------------|------------------------------|-------------------------|
| | Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. | | | | |
| Administrative Notes: | ADMINISTRATIVE NOTE 1 | Provider: | | | |
| | | | MD | | |
| | 1 | | | | |
| Copay Required:No | | Cosign Required: No | | | |
| Telephone/Verbal Order: | o | | | | |
| Completed by | | 16:12
019 | | | |
| | 024/2 | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
# Bureau of Prisons Health Services See Amendment
| Inmate Name:
Date of Birth: | EPSTEIN, JEFFREY EDWARD
01/20/1953
Encounter Date: 07/26/2019 08:57 | Sex: | M | Reg #:
Race:
Facility: | 76318-054
NYM |
|--------------------------------|---------------------------------------------------------------------------|------|---|------------------------------|------------------|
| | | | | | |
Amendment made to this note by 1 MD on 07 26 2019 08:58.
# Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Institution Disciplinary Process Report
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | Reg #: | 76318-054 | |
|----------------|-------------------------|-----------|---|---------------|--------------|--|
| Date of Birth: | 01/201953 | Sex: | M | Facility: NYM | Unit Team: 5 | |
| Date: | 07/302019 12:01 | Provider: | I | PsyD | | |
# Reason for Referral and Identifying Information
Inmate Epstein was referred by Unit Managen7for 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 "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 b' "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."
# Clinical Interview and Mental Status Exam
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. 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 or self harm ideation and he agreed to 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 '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.
| Inmate Name:
EPSTEIN, JEFFREY EDWARD | | | | | Reg #: | 76318-054 |
|-----------------------------------------|--------------------------------|---------------------|--------|----------------------|--------------|-----------|
| Date of Birth:
Date: | 01/20/1953
07/30/2019 12:01 | Sex:
Provider: | M
t | Facility: NYM
syD | Unit Team: 5 | |
| Completed by Ime | | on 07/30/2019 12:33 | | | | |
# Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact
| Inmate Name: | EPSTEIN. JEFFREY EDWARD | | Reg #: | 76318-054 | | |
|----------------|-------------------------|-----------|---------------|--------------|--|--|
| Date of Birth: | 01/201953 | M | Facility: NYM | Unit Team: 5 | | |
| Date: | 07/292019 10:01 | Provider: | | lPhD/Chief | | |
# Focus of Session
Inmate Epstein was seen while on psychological observation today in the hospital area.
# Subjective/Objective Presentation
Same presentation today. but he said he thinks his memory for the incident (injury to his neck) may be impaired because of his sleep apnea. He is supposed to get his CPAP machine today. He is aware he will be returning to SHU. but said he is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have one good night of sleep with his CPAP and will return to SHU with a cellmate tomorrow. n
I told him he can stay down one more night to receive his CPAP and a good night's sleep, but that he would be returned to SHU tomorrow. It was explained that there is no mental health issues precluding him from returning to SHU tomorrow and that we could not house him in the SW/Hospital area because or more comfortable for him.
According to his log book and eating/shower chart, he has been eating and drinking when not in his legal visits. He has also been writing and attending his legal visits.
# lntervention(s1
Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was somewhat receptive to these interventions. but appears more concerned about getting his various needs in the prison (phone calls. recreation, housing placement concerns. etc.)
# Progress/Plan
He will remain on psychological observation today and will transition to the SHU tomorrow. He will be seen by psychology daily to assess his mental status and psychological functioning.
Completed bsi PhD/Chief Psychologist on 07/29/2019 10:26
Generated 07 29 2019 10 26 byli lPhD Chet Bureau of Prisons NYM Page 1 of 1
He
# Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact
| Inmate Name | EPSTEIN. JEFFREY EDWARD | | | Reg #: | 76318-054 | |
|----------------|-------------------------|-----------|--|---------------|--------------|--|
| Date of Birth: | 01/201953 | Sex: | | Facility: NYM | Unit Team: 5 | |
| Date: | 07127/2019 07:14 | Provider: | | PsyD | | |
# Focus of Session
He was seen by writer while he was on Psych Observation.
# StMeethreLQWeetilte Presentation
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, ann
Oated that for the 5 days e had only sleot about 30 minutes each niaht because of noise in SHU.Ir
He said he has an appetite and is eat t He said is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water be tated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his t of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive.
Current Mental Status: He exhibited a neutral mood ly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential ntial or irrelevant speech. Auditory and visual hallucinations were denied. and delusions were not elicited. e n engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated ." He added he does not like pain and even does not like when he has to give blood. He agreed to immedia t aft and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He do be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and lnmat s if he has these thoughts.
# Intervention(s)
Supportive and educative interventions were provided. He was given Turnin sleep, and building a routine in SHU. He stated he wants it noted in his chart th sleep. but that is not going to help because of the noise in SHU that prevents him douts on stress management, given a pamphlet on g
# Progress/Plan
He will remain on Psych Observation in an abundance of caution and pending housing arr Monday. While on Psych Observation, he will be seen daily by Psychology. be made on
Completed by PsyD on 07/27/2019 08:16
# Bureau of Prisons Health Services See Amendment
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | Reg #: | 76318-054 |
|----------------|----------------------------------|------|---|-----------|-----------|
| Date of Birth: | 01/20/1953 | Sex: | M | Race: | |
| | Encounter Date: 07/27/2019 07:14 | | | Facility: | NYM |
Amendment made to this note by PsyD on 07/28/2019 09:19.
# Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact
| Inmate Name: | EPSTEIN. JEFFREY EDWARD | | | | Reg #: | 76318-054 |
|-------------------------|-------------------------------|-----------|-----------------|--------------|--------|-----------|
| Date of Birth:
Date: | 01/20:1953
07/262019 09:09 | M
I | NYM
Facility | Unit Team: 5 | | |
| | | Provider: | | 'PhD/Chief | | |
# Focus of Session
Inmate Epstein was seen while on psychological observation in our hospital area.
# Subjective/Objective Presentation
Prior to this writer's contact with him. Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with this writer as he wants "to trust me and for me to trust hint" He stated he remains unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his medication. This writer immediately notified medical and his pills were being processed during the interview. Inmate Epstein also continues to complain about the conditions of SHU confinement (i.e.. feeling punished. smells. noise. and restrictions).
He does not exhibit
symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this time or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as "a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself.
While on psychological observation, inmate Epstein has been eating his meals, sleeping and interacting with the inmate companions. He is in legal visiting the majority of the day and in the evenings. His log book and eating/shower chart reflect the same. He has been speaking to inmate companions about investment strategies and about prison adjustment. Correctional Staff report during his legal visits. he is interacting with his attorney. animated. laughing. and joking.
# Intervention(s)
Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them. but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this writer to address them.
# Progress/Plan
Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing arrangements to be made on Monday.
| Completed b | ThD/Chief Psychologist on 07/26/2019 10:05 | |
|-------------|--------------------------------------------|--|
|-------------|--------------------------------------------|--|
# Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact
| Inmate Name: | EPSTEIN. JEFFREY EDWARD | | | | Reg #: | 76318-054 |
|----------------|-------------------------|-----------|---|----------------|--------------|-----------|
| Date of Birth: | 01/20/1953 | Sex: | M | NYM
acility | Unit Team: 5 | |
| Date: | 07/25(2019 10:14 | Provider: | | 1PhDIChief | | |
# Focus of Session
Inmate Epstein was seen by this writer this morning while on psychological observation in the hospital area of the prison.
# Subjective/Objective Presentation
Inmate Epstein was in good spirits today and engaged in reciprocal conversation with this writer this morning. He smiled and remarked. "welcome back" when this writer arrived.
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wnen inis writer attempted to get a more dewed account from mm, indicating mat it would be rare to nave such impairments in memory as he does not suffer from an acute cognitive disorder, he smiled and said he understood my position.
Inmate Epstein did reveal he is unhappy with his current confinement in Special Housing (SHU) as he considers it "a punishment cell." He said he finds the restrictions up there unfair as he has not done anything wrong. Inmate Epstein stated he feels it is dangerous in the SHU. he cannot sleep well up there due to noise from the other inmates. it smells, and it is difficult for him to work on his legal case up there. He stated he has not received the phone calls he was promised nor has he been able to receive recreation. It was explained to him that he spends the entire day in the attorney conference room and it is likely that he has missed the times when staff members have attempted to give him phone calls and recreation. Inmate Epstein also reported complaints about the attorney conference room. stating they do not take him to the bathroom frequently enough.
Inmate Epstein adamantly denied any suicidality at this time, stating 1 am too vested in my case to fight it. I have a life and I want to go back to living my life." He denied any acute symptoms at this time.
According to his log book, he has been eating. drinking. sleeping. and interacting with the inmate companions. He has also been attending his daily legal visits.
# lnterventionfs)
Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was mostly receptive to these interventions. He requested to be housed in general population rather than the SHU and stated he wanted to remain on psychological observation due to his concerns with being in the SHU.
# Progress/Plan
| | In an abundance of caution, inmate Epstein will remain on psychological observation. |
|----------------------------|--------------------------------------------------------------------------------------|
| Fri | |
| | Inmate Epstein will be seen daily by psychology while on |
| psychological observation. | |
| | |
Completed by, PhD/Chief Psychologist on 07/25/2019 10:43
# Bureau of Prisons Psychology Services Post Suicide Watch Report
| Inmate Name:
Date of Birth:
Date: | EPSTEIN. JEFFREY EDWARD
01/20/1953
07/24/2019 09:23 | M
Sex:
Provider: Jox6 | Facility: NYM
Ph.D. | Reg #:
76318-054
Unit Team:
5 | |
|-------------------------------------------|-----------------------------------------------------------|-----------------------------|-------------------------------|----------------------------------------|--|
| Watch Start Date:
Total Time on Watch: | 07/23/2019 01:40
31 hrs 5 minutes | | Watch Stop Date: | 07 242019 08:45 | |
| Watch Conducted By:
CUrrent | Both inmates and staff
SIMI | | Transfered to Medical Center: | No | |
| Level of Consciousness: | Alert and Oriented | | | | |
| Psychomotor Activity: | Normal | | | | |
| | General Appearance: Normal | | | | |
| Behavior: Cooperative | | | | | |
| | Mood: Appropriate to Content | | | | |
| Thought Process: | Goal Directed | | | | |
| Thought Content: | Normal | | | | |
| | | | | | |
Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm. and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate. tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential. circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety. agreeing to contact staff immediately should he experience suicidal ideation or psychological distress. He also denied thoughts of harming others.
# Eilskfaclialtsenest;
This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self harm.
The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime. Lack of family connections. Sex offender status
The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain. Fear for own safety
The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills. Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative. Willingness to engage in treatment
| Risk Factors: | |
|---------------|--|
| | |
| | |
| | |
Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide attempts. He stated, "I have no interest in killing myself." He explained, although his situation is "not perfect" due to his being incarcerated, he noted he has "lots to do for [his) legal case." He described having a "wonderful life," to include interactions with "interesting people and projects." He said "it would be crazy" to take his life. He furthered. "I would not do that to myself." He denied feelings of hopelessness. although did report being "depressed" and "unhappy" about his current legal situation. He previously denied a history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He appear future-oriented as he endorsed an interest in being housed in general population.
Weighing of Risk and Protective Factors: Mr. EPSTEIN adamantly denied sucidality. However
| Inmate Name: | EPSTEIN. JEFFREY EDWARD | | | Reg #: | 76318.054 |
|----------------|-------------------------|-----------|------------------|------------|-----------|
| Date of Birth: | 01/20/1953 | Sex: | Facility:
NYM | Unit Team: | 5 |
| Date: | 07/24/2019 09:23 | Provider: | Ph.D. | | |
| | | | | | |
LS Observation. and the high profile nature of his alleged offense, Mr. EPSTEIN will be stepped down from uicide Watch to Psychological
# Changes in Risk Factors Assessed
Upon a review of the log book. it was indicated Mr. EPSTEIN has been speaking to the inmate companions about having previously taught mathematics and physics. He has been observed pacing the cell as well as sleeping. eating. and drinking within normal limits.
Upon interview today. Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. His requests were made known to the lieutenants and he was provided a shower prior to attending his legal visit. This writer also provided him a toothbrush, toothpaste, and hygiene products.
# Reason for Removal from Watch
Mr. EPSTEIN stated, "I have no interest in killing myself." He explained although his situation is "not perfect" due to his being incarcerated, he noted he has "lots to do for this] legal case." He described having a "wonderful life." to include interactions with "interesting people and projects." He said "it would be crazy" to take his life. He furthered. "I would not do that to myself." Mr. EPSTEIN did express a feeling of safety being housed on Psychological Observation rather than in the SHU. He asked if he could remain on this status for a couple of days. he was advised his housing situation will be re-evaluated on a day-to-day basis. He expressed a desire to be housed in general population rather than in the SHU and asked if there were a "safer" unit for him to be housed in comparison to the one where he was initially placed. Mr. EPSTEIN claimed there were many MS-13 gang members on the initial unit. He was advised he will be maintained on Psychological Observation in the near future. but his long-term housing situation will be revisited, as it is not ideal for one to remain in isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN acknowledged this information and thanked this writer for her explanation and time.
# Diagnosis.
No Diagnosis, No Dx - Current
# Conclusions
The Overall Acute Suicide Risk for this Inmate is: Overall Chronic Suicide Risk for this Inmate is: Low Absent
# Recommendations
- 1. Mr. EPSTEIN will be removed from Suicide Watch and stepped down to Psychological Observation.
- 2. While on Psychological Observation, he will be continuously observed by Inmate Companions.
- 3. While on Psychological Observation. he will be seen daily by Psychology.
- 4. Supportive and educative interventions were provided.
- 5. Mr. EPSTEIN was provided novels and a request was made for his legal paperwork to be provided to him on Psychological Generated 07/24/2019 12:091) Ph.0. Bureau of Prisons NYM Page 2 of 3
| Inmate Name: | EPSTEIN, JEFFREY EDWARD | | | | Reg #:
76318-054 |
|----------------|-------------------------|-----------|---|------------------|---------------------|
| Date of Birth: | 01/20/1953 | Sex: | M | Facility:
NYM | Unit Team:
5 |
| Date: | 07/24/2019 09:23 | Provider: | | Ph.D. | |
Observation.
6. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to alleviate his constipation.
7. Mr. EPSTEIN attended a legal visit today, after having been provided a shower.
8. Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology.
9. The inmate was encouraged to reach out for PRN services should he experience any psychological distress.
Completed bsr Ph.D. on 07/24/2019 12:09
# Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Clinical Intervention - Clinical Contact
| Inmate Name: | EPSTEIN. JEFFREY EDWARD | | | | Reg #: | 76318-054 |
|----------------|-------------------------|-----------|---|---------------|----------------|-----------|
| Date of Birth: | 01/201953 | Sex: | M | Facility: NYM | Unit Team: A&O | |
| Date: | 07;11;2019 15:21 | Provider: | | DiChief | | |
# Focus of Session
Inmate Epstein was seen for his psychological observation follow-up in attorney conference this afternoon.
# SubjecaveLOgiesate\_Presetntallon
Inmate Epstein reported he has been consulting with his attorney most of the day. He elucidated concerns about his incarceration including not receiving his property yet in SHU, feeling cold in his cell, not receiving his Colace, not having enough water in attorney conference, and a desire to recreate in SHU." Inmate Epstein was also upset about wearing an orange jumpsuit and being treated like "a bad guy" when he did not do anything wrong in the prison. Custody and security concerns were addressed with inmate Epstein inoludairhy he has to wear his orange jumpsuit (due to his being housed in SHU). He requested that he be placed in a uniform during his legal visits. He was told his concerns would be addressed in the SHU meeting.
# He did not sleep well last night. Inmate Epstein continues to deny any suicidal
ideation, intention or plan. He did not appear to be in any distress at this time.
# lntervention(s1
Inmate EPSTEIN was provided with brief supportive interventions, CBT-based 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. He will be seen next week after his bail hearing to assess his mental status and psychological stability.
Completed b Phathief Psychologist on 07/12'2019 07:51
# UNITED STATES GOVERNMENT MEMORANDUM
# Metropolitan Correctional Center, New York, New York
| DATE: | August 10, 2019 | 9 | |
|-------|-------------------|--------------------------------------|--------|
| TO: | Charisma Edge, | , Associate Warden Programs | |
| FROM: | (b)(6); (b)(7)(C) | Psy.D., Ph.D., Forensic Psychologist | Phpplb |
# SUBJECT: Epstein #76301-054
This memo summarizes the psychology contacts with Mr. Epstein.
Mr. Epstein arrived on July 8, 2019, and was seen by psychology services for an intake screening in SHU. He denied any psychology history or symptoms. The Chief Psychologist spoke with Central Office on July 8, 2019, and it was determined he should be placed on suicide watch and seen for a suicide risk assessment after he returns from court due to his increased suicide risk factors. Mr. Epstein was seen on July 9, 2019, for a suicide risk assessment where he denied any suicide ideation, intention, or plan. Despite his risk factors of his sex offence charge, high profile case with media attention, and pretrial status housed in SHU, his protective factors outweighed his risk factors. He was future oriented, wanted to fight his case, and denied any mental health history or suicidality. He was removed from suicide watch and placed on psychology observation. He was seen the following day at which time he requested to be celled alone if housed in SHU and was told he could not. Mr. Epstein was released from psychology observation and seen on July 11, 2019, in attorney conference. He expressed concerns such as wearing an orange jumpsuit, not receiving medication, and not having enough water during attorney visits. Mr. Epstein was seen one week later, July 16, 2019, for follow up and because he was asking to be seen. He did not express any psychological concerns, rather correctional issues such as not getting a phone call and needing a spoon. An attempt at a SHU review was made on, July 18, 2019; however, Mr. Epstein was with his legal team.
(b)(7)(A)
(b)(6); (b)(7)(C)
Mr. Epstein was seen daily while on psychology observation, each day denying he was suicidal. During one interview, he claimed he could not remember what happened because of his "sleep apnea." On July 30, 2019, Mr. Epstein was removed from psychology observation and returned to SHU. He reported he did not think he could sleep in SHU because of the noise. He denied any psychological concerns. It was noted he would be placed with a cellmate. • On July 31, 2019, Mr. Epstein was seen for a psychology observation follow up. He stated he was doing as well as can be expected given his circumstances and reported he was going to court for a status hearing. He also reported he slept well. Mr. Epstein was seen for another suicide risk assessment on August 1, 2019, at approximately 1pm, as he returned from court with a note from the court indicating "suicidal tendencies." Mr. Epstein denied he was suicidal.
He complained about the noise in SHU. Mr. Epstein's protective factors outweighed his risk factors and he was not placed on suicide watch. He denied suicidal ideation, reported fighting his case, stated he has emotional support, and stated suicide is against his religion.
On August 8, 2019, Mr. Epstein was seen for a follow up session. He stated he was feeling ok and his sleep was fair. He again requested to go to general population. He denied any mental health symptoms. He denied any suicide ideation, intention or plan. He had a cellmate. He spends his days with his attorney. It was noted he would continue to be seen for weekly rounds.
r044,05 M pvio4m 7 a his
7/2 3 773 6
7.6.19- Epstein Arrives and is placed in GP (on a Saturday)
7.8.19- take Screening — Monday (No endorsements on PSIQ and had just returned from court) — clear mental status, no hx of mental health treatment or symptoms, no suicide history, nothing significant noted, CC1-MH assignment.
7.8.19 ' iConsults with Central Office regarding Epstein and Risk Factors and R&D was instructed to place him on psychological observation when he returns from court pending a SRA. He is placed on psychological observation at 6:00 p.m. Log book reflects he was asking I/C about how life is in GP and the crazy things he has seen as an I/C., about prison life, sleeping, pacing
7.9.19- Suicide Risk Assessment (placement on Psych Obs after court proceeding as a precaution/precautionary SRA) — No mental health history, no substance abuse history, no suicide history, no suicidal thoughts. Clear mental status. Denies suicidality, future oriented, wants to make phone calls and speak with his lawyer, enjoys life, learning and teaching, has a business in the community, spoke about being a mathematician and about his post graduate studies, good sense of humor, no acute sxs, Was eating when I arrived (cereal) and his log book was not significant for any symptoms. Recommended that he remain on psychological observation pending a suitable housing arrangement. (This writer spend 45 minutes interviewing him) — Log Book: he leaves for his legal visit at 8:20 am, returns at 2:00 pm and eats as well as goes to medical... leaves again around 3 pm and returns to cell around 8 pm from attorney visit. Talks to companion about the escort business, how to handle prison, about celebrities he knows, about prison food
7.10.19 IL' Psychological Observation Contact (remained on psy obs pending suitable housing placement with a cellmate) — indicated he did not like SHU because he is not comfortable there and said he wanted to be single celled. He expressed numerous needs: Colace instead of Ducolax, being able to walk around, no orange uniform, phone call, shower and towel, placement on the cadre unit, Lipper:pen, and property. Log book indicated he has been eating, sleeping and interacting with companions, went to his legal v' Looking forward to bail hearing, realizes he will be here for a couple of weeks even if he gets baifririmate Epstein is to return to SW with a cellmate (this is documented).
• 7.11.15 ' ' ' ' c- . Psychological Observation Follow-up — Saw him in Attorney Conference area- he listed numerous concerns related to his confinement including receiving his property, feeling cold in his cell, not getting Colace, not having enough water in the attorney conference area and desire for more recreation, dislike of orange jumper and wanted one. This writer told him she would address in the SHU meeting. (I did not put in clinical note but It is worth noting he was kind of mocking me in the any conference area about being placed on watch...he was smirking and said, "why would you ever think I would be suicidal, I am not suicidal and I would never be." — he said it in front of his attorney (palm beach one)...)
7.18.19f I Attempted SHU Review but he was in legal visit.
| 7.24.19 (b)(6); (b)(7)(C) | Post Suicide Watch Report |
|--------------------------------------|--------------------------------------|
| 7)(A) | Recently, was denied bail. (b)(7)(A) |
eating and drinking and that waking up to hear himself snore up on a stretcher.
1 Epstein adamantly denied suicidality, "lots to do for legal case, wonderful life, interesting people and projects in life, it would be crazy to take my life, I would not do that to myself." He did report feeling depressed and unhappy with his situation. He reported he slept well last night and was future oriented. Talked to companions about having taught math and physics and has been eating, sleeping, drinking. He wanted hygiene products and to shower.
Log book: talking about jail to I/C, sleeping, brushes teeth, drinking. Goes to legal visit all morning. Discussing investment strategies, inmate safety, and prison adjustment with the I/C. He washes his face, rests, and sleeps.
7.25.15(b)(6); (b)(7)(C) Psychological Observation Contact – Smiled "welcome back"; good spirits. (b)(7)(A)
# (b)(7)(A)
Reported being unhappy with SHU due to the restrictions and noise and he said his requests have not been granted for phone calls and recreation. He is unhappy that he is not taken to the bathroom enough during attorney/conference visits. Denied suicidality, stated he is too vested in case to fight it and I have a life and I want to go back living my life." No acute mental health symptoms were noted.
**Log Book:** He had been eating, drinking, and sleeping. Also showers, brushes teeth, and goes to legal visit. Talks to I/C about business and investing, life-lessons, and tells I/C he does not want to go to SHU in lieu of GP and wants to know about the conditions of various housing units.
**7.26.19**(b)(6), (b)(7)(C) **Psychological Observation Contact-** Smiling and cracking some jokes. Disappointed in writer that his various requests in the prison have not been adhered to. "I have to trust you if you want to trust me" He elucidated many complaints with legal visiting procedures, his constipation medication, and conditions of SHU confinement and prison restrictions. (b)(7)(A)
denied any symptoms of psychosis, depression, or anxiety. Denied suicidality; He stated he would never harm himself as he wants to be alive to fight his legal case and go back to live his life. He remarked he is "a coward... I am Jewish." He said he does not like pain and never attempt to harm himself.
He
Log Book: sleeping, talks to I/C about BOP policy including phone visits and usage, Talks to I/C about business and investing, life lessons, and tells I/C he does not want to go to SHU in lieu of GP and wants to know about the conditions of various housing units.
# Psychological Observation Contact
He ate, aranK, went to regal and interacted with the inmate companions talking about business and investing topics. Reported good support from friends and lawyers, denied mental health sxs or suicidality, said he felt dehydrated and medical was notified. Provided with self-help handouts.
Log book. eating, sleeping, sitting on bed, legal visit, asking for toilet tissue, talking about life in GP
7,28.0b:,6' irEthe Psychological Observation Contact —noted he is in attorney visits 12 hours a day, logs indicate he speaks about life in general population; reported his right arm felt numb and he had been seen by medical. Flushing of the toilet in his cell was aversive; told writer maybe he has Autism because sounds/noise are aversive to him like "the Rain Man." Mildly anxious mood; provided with P"<" Turning point handouts and supportive interventions. Eating when in the cell, but otherwise, eating in
Attorney conference.
4 C .
Log Book: Upset about non-stop flushing of toilet, goes to legal visit most of day, talks to I/C later about who is bestM on 11N, investments, driving a taxi in NY, sleeping.
7.29.19L Psychological Observation Contact — continues to report no memory of the event which lead up to him being placed on SW/Psych Obs. He requested to stay on psychological observation another day so that he could get a good night's sleep. NO mental health sxs or suicidality was reported or noted, he ate and has been attending legal visits. Wanted to remain on psychological observation because it is more comfortable and not noisy like SHU. It was explained that psychological observation cannot be continued long-term for the purposes of being more comfortable and that the purpose of psych obs is to stabilize mental health problems. His only concerns are getting his various needs met in the prison including more phone calls, recreation, and being placed in a comfortable and safe place. He was informed he would be housed in a safe situation in the SHU.
Log Book: showers, eats, writes in note pad, drinks water, legal visit, talks to I/C about investment options, his jail appeal, sleeps.
7.30.19 Psychological Observation Contact and Discontinuation — waiting to go to SHU to getgAamachine as he did not sleep well without it. sleeping well there and he said he did not get one of liquids, showered, no mental health sxs, no suicida housed with an appropriate cellmate while in SHU remained on observation until brought to his attorney conference visit. Said SHU is noisy and he is concerned about edications yet that day. He ate meals, drank formed inmate Epstein needs to be wed up with an e-mail). Inmate
Log book: Sleeping, eats breakfast, talks about jail life, taken off of psych obs status at 8:15 a.m., goes to his legal visit, and later to SHU.
7.31.19f- - Psychological Observation Follow-up Session — denied suicidality, no mental health sxs, slelpt well and was getting reading for court hearing. Reported getting along with cellmate in SHU.
8.1.19 )SRA was conducted— Court sent a form "suicidal tendencies" Denied any suicidality; friends and lawyers supportive; Jewish-against his religion,'
His cellmate is talkative but he will give it a chance. Noisy in SHu. ne lives for fighting this case and going back to his normal life.
8.8.19 for a follow-up session to assess adjustment in SHU. \_acute symptoms, distress or mental health concerns; denied suicidality, some concerns with slee .' Happy he received his PAC # to make phone calls and requested to speak with someone without it being on aspeakerphone. Wanting his books he left in the suicide watch area. Interacting and getting along with his cellmate. Getting ready of this attorney visit.
8.10.19 — Found Unresponsive and Hanging in SHU at 6:30 a.m. (10 days after his removal from a constant observation)
AFTER HOURS.