- 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 nit Team: A&O Date: 07/09/2019 08:41 Provider: Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on psychological 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 Cd. risk assessment today for precautionary reasons. Inmate Epstein has various tisk factors for suicidality at thi ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court jing 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 notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psychol interview him this moming to conduct a suicide risk assessment. Inmate Epstein denied any history of being the victim trator of physical or sexual abuse. Inmate Epstein reported he obtained his high school diplom led some graduate classes in the area of Inmate Epstein reported he has served time in Palm Beach County AM, 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 Ga: 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 = Sureau of Prisons -NYM Page 1 of 3 EFTA00032174

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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: . 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. IN was alert and oriented. He was polite, calm, and cooperative in demeanor. . He exhibited je. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, nized and coherent, with no loosening of associations or tangential, circumstantial, or idence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did fate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN i ideation, planning, and intent. He was future-oriented and expressed a Current Mental Status: Mr. EP: a neutral affect with appropri and volume. His thoughts irrelevant content. There not engage in any bizarre or inap explicitly denied recent and curreht commitment to life and safety, agree! cally validated factors commonly associated with risk for'self-harm and nt and increase the inmate's risk for engaging in|suicide related The following PROTECTIVE factors were assessed to be preseptapu reasons to live, Adequate problem solving skills, Denial of suicidaltide negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He including a high profile case with extensive media attention, sex offense/trd proceeding yesterday which may have given him bad news regarding his legal writer tal his only family at this time is his brother, with whom he does not hav isk factors for suicidality al this time arges, pre-trial status, and he had a court Inmate Epstein also informed this lationship with. Inmate Epstein adamantly e.call, to meet with his Rand said "| have my paper Despite these risk factors, Inmate Epstein possesses a number of protective factors a’ denied suicidal ideation, intention or plan. He was very future oriented and requestedja B spoon here." He reported he is going to have a bail hearing on Monday and believes he is gofrig e ed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being in,” He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "gompetent.” 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 olutlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or | history, and verbaliz Ja desire to be alive at this time and future orientation. | 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 i Bureau of Prisons - NYM Page 2 of 3 | EFTA00032175

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” inmate Name: EPSTEIN, JEFFREY EOWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: 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 raerveriion. Suicide Watch: A suicide watch is not warranted at this time | Completed b' in 07/09/2019 10:36 | | | Se Generated 07/09/2019 10:36 by I. > GF‘ Bureau of Prisons - NYM Page 3 of 3 EFTA00032176

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Bureau of Prisons | Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: Encounter Date: 07/09/2019 08:41 Facility: Amendment made to this note by EEE t on 07/10/2019 09:20. Bureau of Prisons - NYM EFTA00032177

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-_ o~ Bureau of Prisons “SENSITIVE BUT buctassinico™ 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: ———————————— 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 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 offen: ing 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 n the psychology department when he returned from court. Inmate Epstein returned from court after duty hou and denied suicidality. The aforementioned staff notified the on-call psychologist and inmate Epstein was placed on 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 mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting 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 di Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He rted 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 fora suicide risk assessment in an abundance of caution. Current Mental Status Generated 07/10/2019 09:20 iim Bureau of Prisons - NYM alcohol. Page 1 of 3 EFTA00032178

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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: a 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 explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expres commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation. 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 suicitie: Willingness to engage in treatment, View of death as negative, Future orientation, Denia! of suicidal ideation/intention/plans, [Adequate 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 proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also 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 Epste denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to me spoon here." He reported ‘he is going to have a bail hearing on Monday and believes he is going to be releasp Inmate Epstein reported he is a Banker and has a “big business” in the community and that “being alive is revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "compete! Epstein denied any mental health history or history of suicidality. He also reported none of his family membets health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of Epstein stated he has a support system in the community, including friends and other associates. Finally, demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopa Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. 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 Page 2 of 3 Generated 07/10/2019 09:20 by, Bureau of Prisons -NYM EFTA00032179

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=~ -~ 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: 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 Completed by i inEs on 07/10/2019 09:20 Generated 07/10/2019 09:20 by (NI Bureau ofPrisons-NYM Page 3 of 3 EFTA00032180

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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: ilitv. Unit Team: feo 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 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 Inmate Epstein was seen fomsuigi health jtems or symptoms on hil y Epstein has various risk factors fos charges, pre-trial status, and he had ac legal situation. Inmate Epstein retuned dality including a high profile case with media attention, sex < offenseltrafficking g& proceeding yesterday which could have given him bad news regarding his ‘om court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on jonary 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. anddoes not exhibit suicidality at this time. He has never id any history of suicidality. Currently, he does not aI; id is in no psychological distress. As such, he is of an inmate who either has no identifiable ention on an as-needed —_ + | CARE1-MH is indicative of an inmate who shows no significant level of airment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: | No Diagnosis, No Dx - Current Q Diagnostic Formulation Inmate Epstein has no history of mental health problefs received inpatient or outpatient mental health treatment dad exhibit!any acute psychopathology, is currently psychologically, being classified as a CC1-MH inmate at this time. CARE1-MH is mental illness (Axis | "No Diagnosis") or is mildly ill and requires Generated 07/09/2019 10:32 by EY Bureau of Prisons - NYM | Page tof 1 EFTA00032181

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Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Reg #: Sex: M Race: Encounter Date: 07/09/2019 10:13 Facility: Amendment made to this note by iit on 07/09/2019 10:40. Bureau of Prisons - NYM NYM EFTA00032182

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“ ~ Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED” Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/09/2019 10:13 Provider: Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any sui or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is 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 precautio! He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Ps! Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate returned 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 morni a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no i menta} 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 a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Generated 07/09/2019 10:40 by Bureau of Prisons - NYM Page 1 of 1 EFTA00032183