EFTA00173295.pdf

0 Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED" Psychology Services Post Suicide Watch Report Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: Reg #. 76318-054 01/20/1953 Sex: Frilibt• MYM Date: 07/24/2019 09:23 Unit Team: 5 Provider: Watch Start Date: 07/23/2019 01:40 Watch Stop Date: 07/24/2019 08:45 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Transfered to Medical Center: No Current Mental Statue 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 oriente d. He was polite, calm, and cooperative in demeano a neutral affect with appropriate range. Eye contact and He exhibited hygiene were appropriate. The inmate spoke with no and volume. His thoughts were organized and cohere al rate, tone, nt, with no loosening of associations or tangential, irrelevant content. There was no evidence of percep circum tantial, or tual disturbance, delusional ideation, or a formal though not engage in any bizarre or inappropriate behavi t di rder. He did or. He noted having normal sleeping and eating habits explicitly denied recent and current suicidal ideation, . Mr. E STEIN planning, and intent. He was future-oriented and expres commitment to life and safety, agreeing to contact sep a staff immediately should he experience suicidal ideation or psycho distress. He also denied thoughts of harming others. logical Risk Factors Assessed• This writer screened the Inmate for a variety of empiric ally validated factors commonly associated with risk for harm. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in behaviors: High Profile Crime, Lack of family connections, su cide related Sex offender status The following DYNAMIC risk factors were assess ed to be present and increase the inmate's risk for engaging in behaviors: Current physical pain, Fear for own safety uicide rated The following PROTECTIVE factors were assess ed to be present and may decrease the inmate's risk of reasons to live, Adequate problem solving skills, Denial suicide: le to identify of suicidal ideation/intentiorVplans, Future orientation, V negative, Willingness to engage in treatment of death as Risk Factors: con nues o aim a lack of memory for the incident resiftin he story he provided was vague, such that this writer challen g In this scar. ged him a couple of times, but he insisted he was "ng lapse in memory. The nature of the incident remain unclea honest about r. Mr. EPSTEIN is incarcerated for a very high pro Ile crime media attention. He was recently denied bail. He also with reported difficulty managing his time in the SHU. He repo being for his safety if he is to return to the cell with his previou fearful s cell mate. Protective Factors: Mr. EPSTEIN adamantly denied curren t suicidal ideation or intent or a history of suicide attempts. have no interest in killing myself." He explained, althoug He stated, "I h his situation is "not perfect" due to his being incarceratt4d, has "lots to do for this; legal case." He described having he noted he a "wonderful life," to include interactions with "interesti people projects." He said' t would be crazy' to take his life. and He furthered, "I would not do that to myself." He denied ) lings hopelessness, although did report being "depressed" and fe of "unhappy' about his current legal situation. He previou ly denied history of childhood abuse. He reported he is sleeping adequately a now that he is no longer in the SHU. He apps r future- as he endorsed an interest in being housed in general oriented population. Weighing of Risk and Protective Factors: Mr. EPSTEIN adama ntly denied sucidality. However, in light of his vag e self-re regarding the incident which precipitated his placement on port Suicide Watch, combined with his fear for his own sa ty, reporte Generaled 07/20201912:09 bl d Bureau of Pnsons NYM Page 1of 3 EFTA00173295 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 01/20/1953 Sex: Facili NYM Unit Team: Date of Birth: Date: 07/24/2019 09:23 Provider: from difficulty managing his time in the SHU, and the high profile nature of his alleged offense, Mr. EPSTEIN will be stepped down Suicide Watch to Psychological Observation. Changes in Risk Factors Assessed bout Upon a review of the log book, it was indicated Mr. EPSTEIN has been speaking to the inmate companions observed pacing the cell as well as sleepi g, eating, having previously taught mathematics and physics. He has been and drinking within normal limits. His reque is were Upon interview today, Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. and he was provided a shower prior to attending his legal visit. This writer also provided made known to the lieutenants him a toothbrush, toothpaste, and hygiene products. Watch, M . EPSTEIN Asked about the alleged incident which transpired yesterday resulting in his placement an Suicide reason." Specifically, Mr. EPSTEIN wa referring said he is frustrated he has been placed In a 'punishment cell for no the events surrounding the alleged Incident, Mr. EPSTEIN said his cell to his placement in the SHU. Asked to recall and he claimed he does not recall the events thereafter. He said he re ailed eating mate was "playing with a bed sheet" a d waking meat and drinking water and claimed the next event for which he has memory is his hearing himself snore up on a stretcher. Id he has Mr. EPSTEIN claimed he does not recall himself or his cell mate tying a string or rope around his neck. He if he experienced any interpersona l issues with is cell "been trying to remember" and 'wracking his mind." Asked and claimed his cell mate called him a "pedophile" or the first mate, Mr. EPSTEIN described his cell mate as "agitated" was also reportedly reading a newspaper article about Mr. EPSTEIN, which thered him time yesterday. His cell mate and it was something he believed to be "strange" for their to be an article about him in his cell. Mr. EPSTEI recalled if is cell throwing away the newspaper photograph of himself by crumpling it and flushing it down the toilet. Asked why he told the inmate companion yesterday mate ever threatened to harm him, he denied this to be the case. Asked of the incident, Mr. EPSTEIN again said he did of recall his cell mate tried to kill him, while also claiming no memory the incident and further stated, "I don't know if he put it there as a joke." Mr. EPSTEIN explained he had be but has not experiencing difficulty sleeping in his SHU cell due to his inmate peers banging on the cell door and window, been experiencing any other acute Issues other than this. Reason for Removal from Watch. due to his Mr. EPSTEIN stated, "I have no interest In killing myself." He explained although his situation is "not perfect to do for [his] legal case." He described having a "wonderful life," include being incarcerated, he noted he has `lots people and projects." He said 'it would be crazy" to take his life. He furthered, 'I would not interactions with "interesting l Observe rather than do that to myself." Mr. EPSTEIN did express a feeling of safety being housed on Psychologica he was advised his housing sit lion will be in the SHU. He asked if he could remain on this status for a couple of days, housed in general population rather than i the SHU re-evaluated on a day-to-day basis. He expressed a desire to be initially pl ced. Mr. and asked if there were a "safer unit for him to be housed in comparison to the one where he was EPSTEIN claimed there were many MS-13 gang members on the initial unit. He was advised he will be mai tained on as it is not deal for Psychological Observation in the near future, but his long-term housing situation will be revisited, a edged this one to remain in Isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN 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: Low Overall Chronic Suicide Risk for this Inmate Is: 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. provided to him on Psychological 5. Mr. EPSTEIN was provided novels and a request was made for his legal paperwork to be Bureau of Prisons-NYM Page 2 of 3 Generated 07/24/2019 12:09 to EFTA00173296  rte. Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7631 054 Date of Birth: 01/20/1953 Sex. YM Unit Team: 5 Date: 07124/2019 09:23 Provider. Observation. his 6. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to a leviate 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. psychological distress. 9. The inmate was encouraged to reach out for PRN services should he experience any Completed b 07/241201912:09 Bureau of Minns • NYM Page 3of Generated 07/24/2019 12:09 b1=. EFTA00173297