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EFTA00043963
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Page 13453
EFTA00043964
Mail Attachment
Epstein, Jeffrey Edward, Reg. No. 73618-054_1.docx
Page 13454
EFTA00043965
Suicide Timeline re: Epstein, Jeffrey Edward, Reg. No. 73618-054
Friday, August 9, 2019
8:00 am inmate Reyes Efrain, Reg. No. 85993-054 departs for court
(WAB-USMS-SDNY). Reyes is Epstein's cellmate.
8:30 am inmate Epstein arrives in Attorney Conference. He is
visited by several attorneys throughout the day.
6:45 pm inmate Epstein departs attorney conference and returns to
SHU
7:00 pm inmate Epstein provided a social call by IDO. IDO reports
inmate Epstein was in good spirits, nothing unusual.
7:32 am PIO notified of incident by the Warden
***Inmate Reyes is released from court and does not return to the
institution.
Saturday, August 10, 2019
6:33 am body alarm activated in SHU. Staff found inmate Epstein
unresponsive in cell. Staff reported to bedside of inmate and
attempted to wake him. Control announced medical emergency. CPR
initiated
6:35 am medical staff (on duty PA) on site, CPR already in
progress medical staff continues CPR and AED applied on inmate.
Control called for ambulance
6:40 am , AW notified
6:45 am EMS arrives, paramedics continue CPR. Inmate Epstein
remains unresponsive. Inmate Epstein is intubated, given three
rounds of Epinephrine, IV access started, IC) initiated. No pulse
found, no shock advised, inmate prepared for transport to local
hospital.
7:10 am EMS departs institution enroute to Beekman Hospital.
7:19 am USMS notified of incident.
7:20 am SIS Lt notified.
7:30 am , Warden arrives at institution. , AW
notified.
7:36 am official time of death reported by ER physician.
7:40 am Acting Chief Psychologist notified.
8:00 am and Captain arrive at institution.
8:10 am SIS Lt arrives at institution.
8:10 am CMC and SCSS notified.
8:34 am FBI notified.
9:00 am AUSA notified.
9:00 am C. arrives at institution.
EFTA00043966
9:00 am SIS Lt. reports to SHU. Interviews will be conducted with
inmates assigned to tier.
9:15 am CMC arrives at institution.
9:30 am Acting Chief Psychologist arrived to the institution.
9:50 am SCSS arrives at institution.
9:55 am CMC and IDO depart institution enroute to Beekman
Hospital.
10:00 am CMC and IDO arrive at Beekman Hospital, fingerprints and
photographs taken of inmate Epstein. Inmate clothing secured and
brought back to institution.
10:00 am Judge Berman notified.
10:15 am CMC return to institution.
10:45 am PIO arrived to the institution.
11:00 am next of kin (brother) notified by Case Management
Coordinator.
11:12 am press release is released to media.
11:15 am press release provided to Judge Berman.
11:15 am CST activated.
12:15 pm body release to Medical Examiner (ME) for autopsy
12:19 pm FBI arrives.
1:35 pm FBI arrives in Special Housing Unit.
1:40 pm OIG notified by the Warden and they will be sending an
Agent to NYM.
2:15 pm CST debrief conducted.
2:45 pm OIG arrived in Special Housing Unit (SHU).
3:45 pm OIG and FBI departed from SHU.
5:05 pm OIG/FBI departed MCC New York.
EFTA00043967
Fwd: Psych Reconst Response - Epstein #76318-054.pdf
From
To
Date 2019/12/30 09:12
Subject: Fwd: Psych Reconst Response - Epstein #76318-054.pdf
Attachments: TEXT.htm, Psych Reconst Response - Epstein #76318-054.pdf
please set up a meeting to go over these issues next week.
Thank you
> » BOP-RSD/Assistant Director- 12/27/2019 9:08 AM > »
Please see attached.
Page 13457
EFTA00043968
Properties
Property Value
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Subject Fwd: Psych Recant Response - Epstcii H76318-054.pdf
Scheduled date 2019-12-3009:1253
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EFTA00043969
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EFTA00043970
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Page 13460
EFTA00043971
Mail Attachment
Psych Reconst Response - Epstein #76318-054.pdf
Page 13461
EFTA00043972
U.S. Department of Justice
Federal Bureau of Prisons
Reentry Services Division
Washington, DC 20534
DEC 2 7 2019
MEMORANDUM FOR J. , REGIONAL DIRECTOR
NORTHEAST REGION
FROM: gFi J. , s tant Director
Reentry Services Division
SUBJECT: Institution Response
Psychological Reconstruction
Inmate Epstein, Jeffrey (76318-054)
I have reviewed the Institution Response dated November 19, 2019, to
the Psychological Reconstruction of an inmate suicide involving
Jeffrey Epstein (76318-054).
Some of the corrective actions and plans for implementation outlined
in the response are unclear or insufficient. Please review the
feedback provided and revise your response accordingly. An updated
Institution Response is due to me within thirty (30) days of your
receipt of this memorandum.
If you have questions or concerns, please feel free to contact me at
I appreciate your assistance with this matter.
CC: J. Petrucci, Warden, MCC New York
EFTA00043973
Institution Response Feedback
MCC New York
Epstein, Jeffrey (Reg. No. 76318-054)
Issue 1: Single Calling - Corrective Measure Accepted
The local guidelines provide a reasonable system of control to
monitor the single-ceiling of inmates in the Special Housing Unit.
National guidelines for single ceiling in the Special Housing Unit
have been incorporated into national policy and will soon be
released. Please reference these generally with a plan to
incorporate.
Issue 2: 30 Minute Rounds
The substance of the two hour Captain video review and six hour IDO
video review is unclear. Please clarify the requirement for the
Captain and IDO. Additionally, please identify the documentation
used to maintain accountability of the reviews.
Issue 3: Cellmate Assignments
Documentation exists reflecting the role of the local Psychology
Services department in communicating the importance of Mr. Epstein's
status as a sex offender with specific needs to the Associate
Warden. This includes consultation with the Psychology Services
Branch in Central Office. The communication chain and decision
making of Executive Staff lacks transparency as there is no
documentation of the process or staff members present when decisions
were made about the housing of Mr. Epstein. After the fact
explanations may not accurately reflect what occurred.
Psychology Services was not adequately represented in the decision
making of Executive Staff. Please establish a plan to increase the
input of a psychologist in placement decisions for vulnerable
inmates.
Issue 4: Documentation Accuracy
Professional responsibility requires taking into account multiple
descriptions of an incident as noted in your response. However,
when discrepancies exist these should be compiled and noted in
documentation to decrease the likelihood of conflicting conclusions.
As noted in the reconstruction report, an incident report must be
written within 24 hours of having the information that an inmate
likely violated BOP rules. An incident report was written for Mr.
Epstein prior to a determination of whether he engaged in self-
directed violence or was assaulted on July 23, 2019. Staff had
ample time to wait for the outcome of the SIS investigation of this
incident. The incident report presumed self-directed violence,
although SIS was not able to determine whether this incident was
self-directed violence or an assault. Generating the incident
EFTA00043974
report for self-directed violence is evidence of a local bias about
the July 23, 2019 incident that still exists amongst some staff at
MCC New York. Preconceived notions challenge the ability to remain
open about alternative explanations, and subsequent systemic changes
may be needed.
Please develop and provide local training for all staff that at a
minimum reviews the time frame for writing incident reports and
offers guidance when there is not clear evidence of an infraction.
Include an outline of the training and evidence of staff who
attended the training.
Typographical Errors - Corrective Measure Accepted
Medical Intake Screening - Response Accepted
Suicide Watch Log Book - Corrective Measure Accepted
BP 292s - Corrective Measure Accepted
Psychology Observation - Corrective Measure Accepted
Issue 5: Telephone Calls
As noted in the response, there is a lack of documentation to
substantiate that a lieutenant facilitated two telephone calls to
Mr. Epstein. However, this does not address the report of two
telephone calls being provided. This response implies that the
reporting of two staff members is inaccurate.
The response neglects the documented telephone call to Mr. Epstein's
deceased mother.
Issue 6: Direct Observation
Corrective Measure Accepted
Issue 7: Follow-Up
Please provide documentation for the follow up training provided to
staff detailing the content of the training and to whom it was
provided.
Issue 8: Inmate Accountability and Assignment Accuracy
Periodic and unannounced checks are now conducted in SHU to
determine pp30 assignments and actual inmate placement match.
Please provide an operational definition of periodic. Please do the
same for routine, as it relates Executive Staff bed book counts in
all units. Where will the periodic and routine reviews be
documented and will they include the identity (e.g., name and title)
of staff who complete them?
EFTA00043975
Issue 9: Attorney Log Books
Please provide a copy of the log book audit.
Issue 10: Automatic External Defibrillators
The response states the reconstruction team reviewed an old and
outdated list from January 8, 2018. It is important to note this
list was provided to the reconstruction team by institution staff.
Provision of inaccurate documentation may reflect systemic issues
related to collecting, maintaining, and sharing relevant
documentation.
Corrective Measure Accepted
Issue 11: Post Orders & SIM Training
Corrective Measure Accepted
Issue 12: Staffing
Corrective Measure Accepted
Issue 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.
EFTA00043976
Updated Timeline-Epstein, Jeffrey Edward, Reg. No. 73618-054_1
From
To
Date 2019/08/10 17:35
Subject: Updated Timeline-Epstein, Jeffrey Edward, Reg. No. 73618-054_1
Attachments: TEXT.htm, Epstein, Jeffrey Edward, Reg. No. 73618-054_1.docx
Please see the attached.
Thank you
Page 13466
EFTA00043977
Properties
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Subject Updated Trnetine-Epstein. Jeffrey Edward. Reg. No. 73618-054_1
Scheduled date 2019-08-10173534
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EFTA00043978
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Page 13468
EFTA00043979
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Page 13469
EFTA00043980
Mail Attachment
Epstein, Jeffrey Edward, Reg. No. 73618-054_1.docx
Page 13470
EFTA00043981
Suicide Timeline re: Epstein, Jeffrey Edward, Reg. No. 73618-054
Friday, August 9, 2019
8:00 am inmate Reyes Efrain, Reg. No. 85993-054 departs for court
(WAB-USMS-SDNY). Reyes is Epstein's cellmate.
8:30 am inmate Epstein arrives in Attorney Conference. He is
visited by several attorneys throughout the day.
6:45 pm inmate Epstein departs attorney conference and returns to
SHU
7:00 pm inmate Epstein provided a social call by IDO. IDO reports
inmate Epstein was in good spirits, nothing unusual.
7:32 am PIO notified of incident by the Warden
***Inmate Reyes is released from court and does not return to the
institution.
Saturday, August 10, 2019
6:33 am body alarm activated in SHU. Staff found inmate Epstein
unresponsive in cell. Staff reported to bedside of inmate and
attempted to wake him. Control announced medical emergency. CPR
initiated
6:35 am medical staff (on duty PA) on site, CPR already in
progress medical staff continues CPR and AED applied on inmate.
Control called for ambulance
6:40 am , AW notified
6:45 am EMS arrives, paramedics continue CPR. Inmate Epstein
remains unresponsive. Inmate Epstein is intubated, given three
rounds of Epinephrine, IV access started, IC) initiated. No pulse
found, no shock advised, inmate prepared for transport to local
hospital.
7:10 am EMS departs institution enroute to Beekman Hospital.
7:19 am USMS notified of incident.
7:20 am SIS Lt notified.
7:30 am , Warden arrives at institution. , AW
notified.
7:36 am official time of death reported by ER physician.
7:40 am Acting Chief Psychologist notified.
8:00 am and Captain arrive at institution.
8:10 am SIS Lt arrives at institution.
8:10 am CMC and SCSS notified.
8:34 am FBI notified.
9:00 am AUSA notified.
9:00 am C. arrives at institution.
EFTA00043982
9:00 am SIS Lt. reports to SHU. Interviews will be conducted with
inmates assigned to tier.
9:15 am CMC arrives at institution.
9:30 am Acting Chief Psychologist arrived to the institution.
9:50 am SCSS arrives at institution.
9:55 am CMC and IDO depart institution enroute to Beekman
Hospital.
10:00 am CMC and IDO arrive at Beekman Hospital, fingerprints and
photographs taken of inmate Epstein. Inmate clothing secured and
brought back to institution.
10:00 am Judge Berman notified.
10:15 am CMC return to institution.
10:45 am PIO arrived to the institution.
11:00 am next of kin (brother) notified by Case Management
Coordinator.
11:12 am press release is released to media.
11:15 am press release provided to Judge Berman.
11:15 am CST activated.
12:15 pm body release to Medical Examiner (ME) for autopsy
12:19 pm FBI arrives.
1:35 pm FBI arrives in Special Housing Unit.
1:40 pm OIG notified by the Warden and they will be sending an
Agent to NYM.
2:15 pm CST debrief conducted.
2:45 pm OIG arrived in Special Housing Unit (SHU).
3:45 pm OIG and FBI departed from SHU.
5:05 pm OIG/FBI departed MCC New York.
EFTA00043983
Fwd: Psych Reconst Response - Epstein #76318-054.pdf
From
To
Date 2019/12/30 09:12
Subject: Fwd: Psych Reconst Response - Epstein #76318-054.pdf
Attachments: TEXT.htm, Psych Reconst Response - Epstein #76318-054.pdf
please set up a meeting to go over these issues next week.
Thank you
> » BOP-RSD/Assistant Director- 12/27/2019 9:08 AM > »
Please see attached.
Page 13473
EFTA00043984
Properties
Property Value
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Subject Fwd: Psych Recant Response - Epstein H763I8-054.pdf
Scheduled date 2019.12.3009:1253
Citation date 2019-12-3009:1253
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Attachment Psych Recast Response - Epstein 476318-051.pdf
Name Psych Recast Response - Epstein #76318-054.pdf
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Page 13476
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Mail Attachment
Psych Reconst Response - Epstein #76318-054.pdf
Page 13477
EFTA00043988
U.S. Department of Justice
Federal Bureau of Prisons
Reentry Services Division
Washington, DC 20534
DEC 2 7 2019
MEMORANDUM FOR J. , REGIONAL DIRECTOR
NORTHEAST REGION
FROM: gFi J. , s tant Director
Reentry Services Division
SUBJECT: Institution Response
Psychological Reconstruction
Inmate Epstein, Jeffrey (76318-054)
I have reviewed the Institution Response dated November 19, 2019, to
the Psychological Reconstruction of an inmate suicide involving
Jeffrey Epstein (76318-054).
Some of the corrective actions and plans for implementation outlined
in the response are unclear or insufficient. Please review the
feedback provided and revise your response accordingly. An updated
Institution Response is due to me within thirty (30) days of your
receipt of this memorandum.
If you have questions or concerns, please feel free to contact me at
I appreciate your assistance with this matter.
CC: J. Petrucci, Warden, MCC New York
EFTA00043989
Institution Response Feedback
MCC New York
Epstein, Jeffrey (Reg. No. 76318-054)
Issue 1: Single Calling - Corrective Measure Accepted
The local guidelines provide a reasonable system of control to
monitor the single-ceiling of inmates in the Special Housing Unit.
National guidelines for single ceiling in the Special Housing Unit
have been incorporated into national policy and will soon be
released. Please reference these generally with a plan to
incorporate.
Issue 2: 30 Minute Rounds
The substance of the two hour Captain video review and six hour IDO
video review is unclear. Please clarify the requirement for the
Captain and IDO. Additionally, please identify the documentation
used to maintain accountability of the reviews.
Issue 3: Cellmate Assignments
Documentation exists reflecting the role of the local Psychology
Services department in communicating the importance of Mr. Epstein's
status as a sex offender with specific needs to the Associate
Warden. This includes consultation with the Psychology Services
Branch in Central Office. The communication chain and decision
making of Executive Staff lacks transparency as there is no
documentation of the process or staff members present when decisions
were made about the housing of Mr. Epstein. After the fact
explanations may not accurately reflect what occurred.
Psychology Services was not adequately represented in the decision
making of Executive Staff. Please establish a plan to increase the
input of a psychologist in placement decisions for vulnerable
inmates.
Issue 4: Documentation Accuracy
Professional responsibility requires taking into account multiple
descriptions of an incident as noted in your response. However,
when discrepancies exist these should be compiled and noted in
documentation to decrease the likelihood of conflicting conclusions.
As noted in the reconstruction report, an incident report must be
written within 24 hours of having the information that an inmate
likely violated BOP rules. An incident report was written for Mr.
Epstein prior to a determination of whether he engaged in self-
directed violence or was assaulted on July 23, 2019. Staff had
ample time to wait for the outcome of the SIS investigation of this
incident. The incident report presumed self-directed violence,
although SIS was not able to determine whether this incident was
self-directed violence or an assault. Generating the incident
EFTA00043990
report for self-directed violence is evidence of a local bias about
the July 23, 2019 incident that still exists amongst some staff at
MCC New York. Preconceived notions challenge the ability to remain
open about alternative explanations, and subsequent systemic changes
may be needed.
Please develop and provide local training for all staff that at a
minimum reviews the time frame for writing incident reports and
offers guidance when there is not clear evidence of an infraction.
Include an outline of the training and evidence of staff who
attended the training.
Typographical Errors - Corrective Measure Accepted
Medical Intake Screening - Response Accepted
Suicide Watch Log Book - Corrective Measure Accepted
BP 292s - Corrective Measure Accepted
Psychology Observation - Corrective Measure Accepted
Issue 5: Telephone Calls
As noted in the response, there is a lack of documentation to
substantiate that a lieutenant facilitated two telephone calls to
Mr. Epstein. However, this does not address the report of two
telephone calls being provided. This response implies that the
reporting of two staff members is inaccurate.
The response neglects the documented telephone call to Mr. Epstein's
deceased mother.
Issue 6: Direct Observation
Corrective Measure Accepted
Issue 7: Follow-Up
Please provide documentation for the follow up training provided to
staff detailing the content of the training and to whom it was
provided.
Issue 8: Inmate Accountability and Assignment Accuracy
Periodic and unannounced checks are now conducted in SHU to
determine pp30 assignments and actual inmate placement match.
Please provide an operational definition of periodic. Please do the
same for routine, as it relates Executive Staff bed book counts in
all units. Where will the periodic and routine reviews be
documented and will they include the identity (e.g., name and title)
of staff who complete them?
EFTA00043991
Issue 9: Attorney Log Books
Please provide a copy of the log book audit.
Issue 10: Automatic External Defibrillators
The response states the reconstruction team reviewed an old and
outdated list from January 8, 2018. It is important to note this
list was provided to the reconstruction team by institution staff.
Provision of inaccurate documentation may reflect systemic issues
related to collecting, maintaining, and sharing relevant
documentation.
Corrective Measure Accepted
Issue 11: Post Orders & SIM Training
Corrective Measure Accepted
Issue 12: Staffing
Corrective Measure Accepted
Issue 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.
EFTA00043992
Google Alert - Federal Bureau of Prisons
From Google Alerts
To
Date 2019/08/28 13:1 I
Subject: Google Alert - Federal Bureau of Prisons
Attachments: TEXT.htm, Mime.822
Federal Bureau of Prisons
. j ust 28, 2019
NEWS
Democratic Women's Caucus calls on Congress to
investigate Jeffrey Epstein's death
CBS News
Barr later announced the removal of the acting director of the F
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