- Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED” Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: 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 ological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He i: a suicide watch at this time. Reason for Referral Inmate Epstein is being seen tg eae risk assessment today for precautionary reasons. Inmate Epstein has various tisk factors for suicidality at thi: i 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 instru: ‘&D staff_as well as the Lieutenant's Office, to immediately notify the psychology department when he returned ! Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff noti 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’ ‘or of physical or sexual abuse, Inmate Epstein reported he obtained his high school diplom some graduate classes in the area of mathematics. Inmate Epstein reported he has served time in Palm Beach County ho“ 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 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 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 07/09/2019 10:36 by NE Chief = Bureau of Prisons - NYM Page tof 3 EFTA00024366

--=PAGE_BREAK=--

_ ~. EEE ~ Inmate Name: EPSTEIN, JEFFREY EDWARD Reg# 76318-054 Date of Birth: 01/20/1953 Sex: M i Unit Team: A&O Date: 07/09/2019 08:41 Provider: 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. E IN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropri je. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts anized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There not engage in any bizarre or ina explicitly denied recent and curre' commitment to life and safety, agreei ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did ite behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN jeation, planning, and intent. He was future-oriented and expressed a ct staff immediately should he experience suicidal ideation. This writer screened the inmate for a variety validated factors commonly associated with risk for self-harm and suicide, The following STATIC risk factors were assessed t behaviors: High Profile Crime, Lack of family connecti6ris, Of the DYNAMIC risk factors assessed, none were foun The following PROTECTIVE factors were assessed to be pr: reasons to live, Adequate problem solving skills, Denial of suici negative, Willingness to engage in treatment it and increase the inmate's risk for engaging in suicide related may decrease the inmate's risk of suicide:Able to identify intention/pians, Future orientation, View of death as 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 offe! 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 hi cl lationship with, 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 said "| have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is g ed from jail Inmate Epstein reported he is a Banker and has a "big business” in the community and that "bei i " 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. Despite these risk factors, inmate Epstein possesses a number of protective factors a =leS. Inmate Epstein adamantly 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 CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by Chief Bureau of Prisons - NYM Page 2 of 3 EFTA00024367

--=PAGE_BREAK=--

~ inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility, NYM Unit Team; A&O Date: 07/09/2019 08:41 Provider: /Chief Psychologist 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 EEE Chief Psychologist on 07/09/2019 10:36 Se Generated 07/09/2019 10:36 by NME'Chief = Bureau of Prisons - NYM Page 3 of 3 EFTA00024368

--=PAGE_BREAK=--

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg# 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WH Encounter Date: 07/09/2019 08:41 Facility: NYM Amendment made to this note by EEE Chief Psychologist on 07/10/2019 09:20. Bureau of Prisons - NYM EFTA00024369

--=PAGE_BREAK=--

Lh -~ -~ Bureau of Prisons “SENSITIVE BUT \wot serio Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth; 01/20/1953 Sex: M i Unit Team: A&O Date: 07/09/2019 08:41 Provider: thief 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/ precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a p contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed 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 offen charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regardin: his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately 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 moming to conduct a suicide ri 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 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 lon) 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. ee denied any treatment in the past or present with psychotropic medication. He also denied any acute 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 alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He re} 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 Generated 07/10/2019 09:20 by Miller, Elissa PhO/Chief Bureau of Prisons - NYM Page 1 of 3 EFTA00024370

--=PAGE_BREAK=--

- -~ Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M . Unit Team: A&O Date: 07/09/2019 08:41 —_—_—Provider: ief 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 @ neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with no poras and volume. taller resent aenne prrdhasanyirs ley ter amphi a-rs serie aaned ecard ond cuneea catchdal\dentlon, planning, ond baert He was future-oriented and 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 suicide: Willingness 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 af this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, 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 E| denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to m attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or s history, and verbalized a desire to be alive at this time and future orientation DIAGNOSIS: No Diagnosis, No Dx - Current Overall, Steger ne anon oare moana hs He has a Generated 07/10/2019 09:20 by MNEChiel Bureau of Prisons - NYM Page 2 of 3 EFTA00024371

--=PAGE_BREAK=--

-~ ~ . Inmate Name; EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M : Unit Team: A&O Date: 07/09/2019 08:41 Provider: 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 charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein is released from observation. Inmate Epstein denied the need for psychological intervention, self-help , OF follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows of functional impairment associated with a mental iliness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed by [EEE Chief Psychologist on 07/10/2019 09:20 Generated 07/10/2019 09:20 by EYChiet Bureau of Prisons-NYM Page 3of 3 EFTA00024372

--=PAGE_BREAK=--

Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED” Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 10:13 Provider: hief Relevant Historical Information 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 isk assessment today for precautionary reasons. He did not mark any mental logy Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate ity including a high profile case with media attention, sex offense/trafficking proceeding yesterday which could have given him bad news regarding his court after duty hours yesterday evening and staff notified the on-call Inmate Epstein was seen health items or symptoms on hi Epstein has various risk factors charges, pre-trial status, and he had legal situation. Inmate Epstein return psychologist. Inmate Epstein was placed on ionary psychological observation status until psychology could interview him this morning to conduct a fo risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health proble! s not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment any history of suicidality. Currently, he does not ind is in no psychological distress. As such, he is of an inmate who either has no identifiable ntion on an as-needed basis. exhibit any acute psychopathology, is currently psychologi being classified as a CC1-MH inmate at this time. CARE1-MH is mental illness (Axis | "No Diagnosis") or is mildly ill and requires Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of illness and demonstrates no need for regular mental health intervention. irment associated with a mental Diagnosis: No Diagnosis, No Dx - Current Q Completed by (NY Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 by EEE Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00024373

--=PAGE_BREAK=--

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WH Encounter Date: 07/09/2019 10:13 Facility: © NYM Amendment made to this note by EEE Chief Psychologist on 07/09/2019 10:40. Bureau of Prisons - NYM EFTA00024374

--=PAGE_BREAK=--

Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD 4 6318-054 Date of Birth: 01/20/1953 Sex: Date: 07/09/2019 10:13 Provider: Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He deni history of mental health treatment, either on an inpatient or outpatient basis. Wronate Epuiein denied ary treaimert 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/Symptom Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precauti He returned from court yesterday evening. He did not mark any mental health items or symptoms on his P: Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, retumed from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate 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 not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis | "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation 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. ] Diagnosis: No Diagnosis, No Dx - Current Completed by IEEE Chief Psychologist on 07/09/2019 10:40 Generated 07/09/2019 10:40 by [Chief Bureau of Prisons - NYM Page 1 of 1 EFTA00024375