📄 Extracted Text (17,875 words)
Bureau of Prisons *SENSITIVE BUT UNCLASSIFIED"
Psychology Services
Intake Screening
Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M Facili : NYM Unit Team: A&O
Date: 07/08/2019 09:24 Provider: PsyD/PhD
Limits of Confidentiality
Limits of confidentiality were reviewed with inmate EPSTEIN. He expressed an understanding of the limits of confidentiality
and consented to be interviewed accordingly.
Data Source(s)
The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SENTRY, Staff
Observation.
Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arriving at MCC-NY. He
denied a history of mental health treatment on his Psychology Services Intake Questionnaire.
Mental Health History and Current Symptoms
No history of mental health issues was noted.
No history of prior mental health treatment was noted.
No current mental health symptoms were noted.
No suicidal ideation, attempts, or self-harm were noted.
Substance Abuse
No history of substance abuse was noted.
No history of substance abuse treatment was noted.
Sex Offenses
No sexual offense convictions were noted.
No history of sexual predation in a correctional setting was noted.
Relevant Psychosocial History
Noteworthy psychosocial issues: Other.
Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously incarcerated three months for
prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was living in New York.
He stated he completed high school. He stated he was employed in banking work prior to his incarceration.
Adjustment to Incarceration
Adjustment to incarceration concerns were identified: Other.
SEXUAL ABUSE HISTORY
Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex trafficking and has
previously been charged with prostitution. He was informed of the programs offered by MCC-NY as well as the Bureau of
Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported he was not currently
interested in any treatment programs.
MENTAL STATUS:
Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He was fully cooperative,
maintained good eye-contact, and related in an interpersonally appropriate manner with interviewer. Speech and thought
processes were organized, coherent, logical, and goal-directed.
Based on informal assessment during this interview, this inmate's cognitive functioning appeared within normal limits, as
reflected by adequate long and short-term memory, good attention, and appropriate concentration during interview, as well
as adequate receptive and expressive language skills. Inmate denied any current sleep disturbances and described his
appetite as adequate.
This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent or plan and contracted for
safety. This inmate's verbalizations were optimistic, future oriented, and without indications of helpless or hopeless
thinking. Inmate Brown denied any familial history of suicide behaviors or attempts.
This inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping skills and facilitate
adjustment to incarceration.
Findings
Care Level: CARE1-MH
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Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M Facili : NYM Unit Team: A&O
Date: 07/08/2019 09:24 Provider: . PsyD/PhD
Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current mental health symptoms.
He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Care Code 1.
CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental Illness
and demonstrates no need for regular mental health intervention.
Recommendations
The following psychological services are recommended: Other.
Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does
not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychology services in the
future. He meets criteria for CC1 and does not require scheduled follow up at this time.
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Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED**
Psychology Services
Risk of Sexual Abusiveness
Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318.054
Date of Birth: Sex: M Facility: NYM Unit Team: A&O
Date: 07/08/2019 09:35 Provider: PsyD/PhD
Comments
Risk of Sexual Abusiveness
During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the
screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous
perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective
criteria:
( ) Having a history of prior institutional violence or sexual abuse perpetration
(X ) Having a history of prior sexual abuse perpetration in the community
(X ) Having prior convictions of violent offenses
As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by
Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the
inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the
institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and
include:
( ) History of prior sexual victimization in prison
( X ) History of prior prison sexual predation
( ) History of head injury with loss of consciousness
( ) History of childhood psychological, physical, sexual abuse
( ) Witnessed family violence
( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness
( ) Hypersexuality (defined by eight or more orgasms a week prior to prison)
( ) Hypermasculinity
( ) Other.
Based on this clinical assessment, the inmate is considered to be at:
(X ) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual
abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming
recommendations included sex offender treatment. Inmate Epstein declined programming recommendations.The
inmate understands the procedure for contacting Psychology for routine or emergent services.
( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology
staffs recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual
victimization. Psychology also recommends a greater level of supervision regarding his work and education
assignments. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable to/ declined
programming recommendations.
( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with
P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being
sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for
general population at this facility. This inmate should not be housed with any Inmates judged to be at an Increased risk
for sexual victimization. Programming recommendations include XXXXX. Inmate =inmatelastName is agreeable to/
declined programming recommendations.
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Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M Facility: NYM Unit Team: A&O
Date: 07/08/2019 09:35 Provider: PsyD/PhD
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Bureau of Prisons ••SENSITIVE BUT UNCLASSIFIED"
Psychology Services
General Administrative Note
Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318.054
Date of Birth: Sex: M Facility: NYM Unit Team: A&O
Date: 07/08/2019 10:41 Provider. PhD/Chief
Comments
This writer consulted with Dr. Central Office, regarding inmate Epstein. Inmate Epstein has various risk
factors for suicidality including a high profile case with media attention, sex offense charges, pre-trial status, and a court
proceeding today which could potentially be giving him bad news regarding his legal situation. As such, when inmate
Epstein returns from court, R&D staff as well as Lieutenants have been informed to immediately notify the psychology
department. If he returns after duty hours, the aforementioned staff were instructed to notify the on-call psychologist
and to place inmate Epstein on a watch status until psychology can conduct a thorough suicide risk assessment.
Completed by PhD/Chief Psychologist on 07/08/2019 10:49
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Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED"
Psychology Services
Suicide Risk Assessment
Inmate Name: EPS I EFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M " • NYM Unit Team: A&O
Date: 07/09/2019 08:41 Provider: hD/Chief Psychologist
Type of Housing: Other Psychological Observation
Cell Accommodation: Single Cell
FINDINGS
This assessment and the resulting recommendations are based on the following sources of Information:
Medical Record, Clinical Interview
Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/8/19 for
precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psychological observation
contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed some at-risk
factors for suicidality.
Reason for Referral
Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstein has various
risk factors for suicidality at this time including a high profile case with media attention, sex offense/trafficking charges,
pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal
situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately notify the
psychology department when he returned from court. Inmate Epstein returned from court after duty hours and denied
suicidality. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on a precautionary
psychological observation status until psychology could interview him this morning to conduct a suicide risk assessment.
Developmental History
Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse.
Educational History/Cognitive Impairment
Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the area of
mathematics.
Arrest History and Experience of Incarceration
Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting prostitution) in
the past. He is now being charged with sex trafficking, on a federal level.
Mental Health History
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
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.
Substance Abuse History
Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol.
Medical Cnntinn‘
Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling
constipated at this time.
Current_Problern
Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with
suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a
suicide risk assessment in an abundance of caution.
Current Mental Status
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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054
Date of Birth: CMMI Sex: M Facifi : NYM Unit Team: A&O
Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist
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
Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status.
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.
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: Sex offender status, Lack of family connections, High Profile Crime
Of the DYNAMIC risk factors assessed, none were found to be present.
The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suiddeMfillingness to
engage in treatment, View of death as negative, Future orientation, Denial of suicidal ideation/intention/plans, Adequate problem
solving skills, Able to identify reasons to live
As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time
including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court
proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this
writer that his only family at this time is his brother, with whom he does not have a close relationship with.
Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly
denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his
attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper
spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail.
Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive Is fun." He also
revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate
Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental
health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate
Epstein stated he has a support system in the community, including friends and other associates. Finally, Inmate Epstein
demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted.
Overall, Inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a
positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and
verbalized a desire to be alive at this time and future orientation.
DIAGNOSIS•
No Diagnosis, No Dx - Current
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Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M NYM Unit Team: MO
Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist
CONCLUSIONS
The Overall Acute Suicide Risk for this Inmate is: Low
Overall Chronic Suicide Risk for this Inmate is: Absent
RECOMMENDATIONS
Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense
charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein
will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he
is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up.
He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level
of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention.
Suicide Watch: A suicide watch is not warranted at this time
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Bureau of Prisons
Health Services
See Amendment
Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318.054
Date of Birth: Sex: M Race: WHITE
Encounter Date: 07/09/2019 08:41 Facility: NYM
Amendment made to this note by PhD/Chief Psychologist on 07/10/2019 09:20.
Bureau of Prisons - NYM
SDNY_00006310
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Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M • NYM Unit Team: A&O
Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist
RECOMMENDATIONS
Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense
charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein
will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he
is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up.
He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level
of functional Impairment associated with a mental illness and demonstrates no need for regular mental health intervention.
Suicide Watch: A suicide watch Is not warranted at this time
Completed by PhD/Chief Psychologist on 07/09/2019 10:36
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Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED"
Psychology Services
Suicide Risk Assessment
Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M " • NYM Unit Team: A&O
Date: 07/09/2019 08:41 Provider. PhD/Chief Psychologist
Type of Housing: Other Psychological Observation
Cell Accommodation: Single Cell
FINDINGS
This assessment and the resulting recommendations are based on the following sources of information:
Clinical Interview, Medical Record
Inmate Epstein was placed on s chological observation when he returned from court yesterday evening 7/8/19 for
precautionary reasons. He is 1 a suicide watch at this time.
Reason for Referral
Inmate Epstein is being seen de risk assessment today for precautionary reasons. Inmate Epstein has various
risk factors for suicidality at this ing a high profile case with media attention, sex offense/trafficking charges,
pre-trial status, and he had a court ing yesterday which could have given him bad news regarding his legal
situation. As such, this writer instruc &D staff s well as the Lieutenants Office, to immediately notify the
psychology department when he returned fr . Inmate Epstein returned from court after duty hours and denied
suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary
psychological observation status until psycho terview him this morning to conduct a suicide risk assessment.
Developmental History
Inmate Epstein denied any history of being the victim etrator of physical or sexual abuse.
Educational History/Cognitive Impairment
Inmate Epstein reported he obtained his high school diploma !iced some graduate classes in the area of
mathematics.
Arrest History and Experience of incarceration
Inmate Epstein reported he has served time in Palm Beach County jail nse charges (soliciting prostitution) in
the past. He is now being charged with sex trafficking, on a federal level.
Mental Health History
Inmate Epstein denied any history of mental health treatment, either on an inpati dent basis. inmate Epstein
denied any treatment in the past or present with psychotropic medication. He also d cute mental health
0
symptoms at this time.
Self-Harm History
Inmate Epstein denied any past or present suicidal ideation, Intention or plan. He denied ever e ging in any suicide
attempts or self-injurious behavior in the past.
Substance Abuse History
Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol.
Medical Concern
Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling
constipated at this time.
Current Problem
Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with
suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a
suicide risk assessment in an abundance of caution.
Current Mental Status
Level of Consciousness: Alert and Oriented
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Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M acili : NYM Unit Team: A&O
Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist
Psychomotor Activity: Normal
General Appearance: Normal
Behavior Cooperative
Mood: Appropriate to Content
Thought Process: Goal Directed
Thought Content: Normal
Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status.
Current Mental Status: Mr. EP IN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited
a neutral affect with approp a e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone,
and volume. His thoughts r nized and coherent, with no loosening of associations or tangential, circumstantial, or
irrelevant content. There ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did
not engage in any bizarre or Ma e behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN
explicitly denied recent and curve eation, planning, and intent. He was future-oriented and expressed a
commitment to life and safety, agree tact staff immediately should he experience suicidal ideation.
RISK AND PROTECTIVE FACTORS AS SSED.
This writer screened the inmate for a variety of y validated factors commonly associated with risk for self-harm and
suicide.
The following STATIC risk factors were assessed teve t and increase the inmate's risk for engaging in suicide related
behaviors: High Profile Crime, Lack of family connecti s, ender status
Of the DYNAMIC risk factors assessed, none were bun o r nt.
The following PROTECTIVE factors were assessed to be pres may decrease the inmate's risk of suicide:Able to identify
reasons to live, Adequate problem solving skills, Denial of suid ntention/plans, Future orientation, View of death as
negative, Willingness to engage in treatment
As noted above, Inmate Epstein is a 66-year-old Caucasian male. He k factors for suicidality at this time
including a high profile case with extensive media attention, sex offense/tr arges, pre-trial status, and he had a court
proceeding yesterday which may have given him bad news regarding his leg Inmate Epstein also informed this
writer that his only family at this time is his brother, with whom he does not hav ationship with.
Despite these risk factors, inmate Epstein possesses a number of protective factors a Inmate Epstein adamantly
denied any suicidal ideation, intention or plan. He was very future oriented and request n call, to meet with his
attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said "I have my paper
spoon here." He reported he is going to have a bail hearing on Monday and believes he is go t sed from jail.
Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei un." He also
revealed he enjoys learning and teaching. He has confidence in his attorney and described him as petent." Inmate
Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental
health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate
Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein
demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted.
Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suiddality. He has a
positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and
verbalized a desire to be alive at this time and future orientation.
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
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Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M " • NYM Unit Team: MO
Date: 07/09/2019 08:41 Provider: hD/Chief Psychologist
RECOMMENDATIONS
Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense
charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein
will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he
is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up.
He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level
of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention.
Suicide Watch: A suicide watch Is not warranted at this time
Completed by ehD/Chief Psychologist on 07/09/2019 10:36
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Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M Facifit : NYM Unit Team: A&O
Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist
Psychomotor Activity: Normal
General Appearance: Normal
Behavior: Cooperative
Mood: Appropriate to Content
Thought Process: Goal Directed
Thought Content: Normal
Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status.
Current Mental Status: Mr. EP IN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited
a neutral affect with approp a e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone,
and volume. His thoughts r r nized and coherent, with no loosening of associations or tangential, circumstantial, or
irrelevant content. There ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did
not engage in any bizarre or ina e behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN
explicitly denied recent and cure eation, planning, and intent. He was future-oriented and expressed a
commitment to life and safety, agree' tact staff immediately should he experience suicidal ideation.
RISK AND PROTECTIVE FACTORS SSED:
This writer screened the inmate for a variety o validated factors commonly associated with risk for self-harm and
suicide.
The following STATIC risk factors were assessed t and increase the inmate's risk for engaging in suicide related
behaviors: High Profile Crime, Lack of family connecti s, ender status
Of the DYNAMIC risk factors assessed, none were foun o r nt.
The following PROTECTIVE factors were assessed to be pres may decrease the inmate's risk of suicide:Able to identify
reasons to live, Adequate problem solving skills, Denial of suici 'ntentiorVplans, Future orientation, View of death as
negative, Willingness to engage in treatment
As noted above, Inmate Epstein is a 66-year-old Caucasian male. He Nt factors for suicidality at this time
including a high profile case with extensive media attention, sex offense/t arges, pre-trial status, and he had a court
proceeding yesterday which may have given him bad news regarding his leg Inmate Epstein also informed this
writer that his only family at this time is his brother, with whom he does not hav ci ationship with.
Despite these risk factors, inmate Epstein possesses a number of protective factors a Inmate Epstein adamantly
denied any suicidal ideation, intention or plan. He was very future oriented and request call, to meet with his
attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said "I have my paper
spoon here." He reported he is going to have a bail hearing on Monday and believes he Is go t sed from Jail.
Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei n." He also
revealed he enjoys learning and teaching. He has confidence in his attorney and described him as' mpetent." Inmate
Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental
health histories. Inmate Epstein stated he is a mathematician and took post graduate classes In this area of study. Inmate
Epstein stated he has a support system in the community, Including friends and other associates. Finally, inmate Epstein
demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted.
Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a
positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and
verbalized a desire to be alive at this time and future orientation.
DIAGNOSIS.
No Diagnosis, No Dx - Current
CONCLUSION.S
The Overall Acute Suicide Risk for this Inmate is: Low
Overall Chronic Suicide Risk for this Inmate is: Absent
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EFTA00134819
Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED**
Psychology Services
Suicide Risk Assessment
Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M • NYM Unit Team: A&O
Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist
Type of Housing: Other Psychological Observation
Cell Accommodation: Single Cell
FINDINGS
This assessment and the resulting recommendations are based on the following sources of information:
Clinical Interview, Medical Record
Inmate Epstein was placed on chological observation when he returned from court yesterday evening 7/8/19 for
precautionary reasons. He is t a suicide watch at this time.
Reason for Referral.
Inmate Epstein is being seen f de risk assessment today for precautionary reasons. Inmate Epstein has various
risk factors for suicidality at this ing a high profile case with media attention, sex offense/trafficking charges,
pre-trial status, and he had a court ing yesterday which could have given him bad news regarding his legal
situation. As such, this writer instruc &D staff =s well as the Lieutenant's Office, to immediately notify the
psychology department when he returned fr•qi Inmate Epstein returned from court after duty hours and denied
sulcidality. The aforementioned staff notifi7C -TM 4-call psychologist and inmate Epstein was placed on a precautionary
psychological observation status until psychol. • terview him this morning to conduct a suicide risk assessment.
Developmental History
Inmate Epstein denied any history of being the victim rator of physical or sexual abuse.
Educational History/Cognitive Impairment
Inmate Epstein reported he obtained his high school dipiom
mathematics.
Arrest History and Experience of Incarceration
Inmate Epstein reported he has served time in Palm Beach County jail
O ed some graduate classes in the area of
nse charges (soliciting prostitution) in
the past. He is now being charged with sex trafficking, on a federal level.
Mental Health History
Inmate Epstein denied any history of mental health treatment, either on an inpati 0 tient basis. Inmate Epstein
denied any treatment in the past or present with psychotropic medication. He also d ' cute mental health
symptoms at this time.
Self-Harm History
Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever e ging in any suicide
attempts or self-injurious behavior in the past.
Substance Abuse History
Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol.
Medical Concerns
Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling
constipated at this time.
Current Problem
Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with
suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a
suicide risk assessment in an abundance of caution.
current Mental Status
Level of Consciousness: Alert and Oriented
Generated 07/09/201910:30 by Ph0/Chief Bureau of Prisons - NYM Page 1 of 3
SDNC00006316
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EFTA00134820
Bureau of Prisons "SENSITIVE BUT UNCLASSIFIED"
Psychology Services
Diagnostic and Care Level Formulation
Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054
Date of Birth: Sex: M Facility: NYM Unit Team: A&O
Date: 07/09/2019 10:13 Provider: PhD/Chief
Relevant Historical Informant:ill
Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He 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. 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. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known
that he does not even drink alcohol.
Presenting Problem/SymDtorn
Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautionary reasons.
He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology
Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for
suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had
a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein
returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was
placed on a precautionary psychological observation status until psychology could interview him this morning to conduct
a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality.
Diagnostic Formulation
Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never
received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not
exhibit any acute psychopathology, Is currently psychologically stable and is in no psychological distress. As such, he is
being cl
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