Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/10/2019 08:38 Provider: PhD/Chief Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. Subjective/Objective Presentation Inmate Epstein appeared welll and it was noted in his log book and eating/sleeping chart that he has been € meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this numerous concerms and requests. He stated he does not want to be housed in the SHU because he is not there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolex he received . yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange U i legal visits because he is treated "like a punished inmate;" he wants a phone call before he leaves the p: observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and d like his property, paper, and a pen. Inmate Epstein's concems were addressed by this writer and it was explained to him he will not be si gle-ce placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discusse health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this Intervention(s) Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was rece; interventions and was able to elucidate his various needs. He did not present with any acute psychopatholog continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Monda stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave t! e jail. Progress/Pian Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or ¢o ipl and is denying any suicidality. He appears psychologically stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by [EEE PhO/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2019 09:09 by IEEE PhO/Chief Bureau of Prisons - NYM Page 1 of 1 SONY_00006416 EFTA_00000501 EFTA00134915

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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: 01/20/1953 Sex: M NYM Unit Team: | A&O Date: Comments 07/11/2019 14:28 Provider: This writer attempted to see Mr. Epstein in the moming and then again in the aftemoon for a Psych Observation Follow Up, but he was in Attorney Conference. Completed by [EEE PsyD on 07/11/2019 15:51 Generated 07/11/2019 15:51 by [EE PsyD Bureau of Prisons - NYM Page 1 of 1 SONY_00006417 EFTA_00000502 EFTA00134916

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-~ -_ Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: | A&O Date: 07/11/2019 15:21 Provider: Min PhD/Chief Focus of Session Inmate Epstein was seen for his psychological observation follow-up in attorney conference this afternoon. Subjective/Objective Presentation Inmate Epstein reported he has been consulting with his attorney most of the day. He elucidated concerns his incarceration including not receiving his property yet in SHU, feeling cold in his cell, not receiving his Cola , Not having enough water in attorney conference, and a desire to recreate in SHU." inmate Epstein was also upset al wearing an orange jumpsuit and being treated like “a bad guy" when he did not do anything wrong in the prison. Custody and security concerns were addressed with inmate Epstein including why he has to wear his orange jumpsuit ( to his being housed in SHU). He requested that he be placed in a brown uniform during his legal visits. He was told his concerns would be addressed in the SHU meeting. Inmate Epstein stated he is not having any current problems with his cellmate and indicated he at bran breakfast and took a shower yesterday. He did not sleep well last night. Inmate Epstein continues to deny y suicidal ideation, intention or plan. He did not appear to be in any distress at this time. Intervention(s) Inmate EPSTEIN was provided with brief supportive interventions, CBT-based interventions, and regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology afl. He was reminded of the self-help books and audiotapes available through the Psychology department. He will be seen next week after his bail hearing to assess his mental status and psychological stability. Completed by EME PHO/Chief Psychologist on 07/12/2019 07:51 Generated 07/12/2019 07:51 by IEEE PhOvChief Bureau of Prisons - NYM Page 1 of 1 Sphy-o0m0es 18 EFTA_00000503 EFTA00134917

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Bureau of Prisons **SENSITIVE BUT pecan Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: | 76318-054 Date of Birth: 01/20/1953 Sex: M Facility; NYM Unit Team: | A&O Date: 07/16/2019 12:48 Provider: [AREER Pro/chiet Focus of Session Inmate Epstein called for this writer in attomey conference today. The officer in attorney conference noti this writer that he was asking to be seen. Subjective/Objective Presentation Inmate Epstein reported he has not received a spoon or soap in SHU, nor did he receive the phone calls were “promised to him." He told this writer we need to have mutual trust that his needs are met in the prison. writer told inmate Epstein that she would address his concerns. On the way out, a staff member told this writer she witnessed inmate Epstein receive two phone calls from the Lt. Nonetheless, this writer informed the SHU lieutenant of his concerns and he said he would ensure that he had soap, a spoon, and his initial SHU phone call. Inmate Epstein did not have any psychological concems today. He denied any mental health symptoms or suicidality. He has eating as best as he can and has requested a Kosher diet. Intervention(s) Inmate EPSTEIN was provided with brief supportive and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. He continued with his legal visit. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting recy et He was reminded of the self-help books and audiotapes available through the Psychology department. There to be no need for follow up at this time. He will be seen in SHU for rounds and monthly SHU reviews. Completed by EEE PhD/Chief Psychologist on 07/18/2019 13:05 Generated 07/18/2019 13:05 by IEEE PhOsChiet Bureau of Prisons - NYM Page 1 of 1 nn 19 EFTA_00000504 EFTA00134918

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~~ ~ Bureau of Prisons Psychology Services SHU Review **SENSITIVE BUT UNCLASSIFIED™ Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility NYM Date: 07/18/2019 07:21 Provider: [EEE PhD/Chief Placed in SHU: 07/10/2019 Type: Status: ADMIN.DETENTION Threat to Self: Basis of Review: Inmate was interviewed Adjustment: Mental Status: No significant mental health issues. Threat to Others: Comments Monthly SHU Review Note SHU Low Reg #: 7 Unit Team: Satisfactory, segregation not detrimental Low Inmate Epstein was meeting with his legal team today and has a court hearing. He was not able to be seen for a SHU review. Another attempt to interview him for a SHU review will be done in the near future. Completed by EEE Phd/Chief Psychologist on 07/18/2019 12:06 Generated 07/18/2019 12:06 by NEN PhO/Chief Bureau of Prisons - NYM Pagetof 1 SDNY_00006420 EFTA_00000505 EFTA00134919

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= o™ Bureau of Prisons “SENSITIVE BUT UNCLASSIFIED™ Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: '76318-054 Date of Birth: 01/20/1953 Sex: M 5 Date: 07/23/2019 07:56 Provider: Comments This On-Call Psychologist was contacted by the Operations Lt. at about 2 AM on 7/23/19 to inform Mr. Epstein was being placed on Suicide Watch because he was found with a string loosely hanging around his neck. Mr. ein will be seen today by the duty psychologist for a Suicide Risk Assessment. Completed by EEE PhO/Chief Psychologist on 07/24/2019 07:59 Generated 07/24/2019 07:59 by [EEN PhO/Chief Bureau of Prisons - NYM Page 1 of 1 SDN¥_00006421 EFTA_00000506 EFTA00134920

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= -~ Bureau of Prisons “SENSITIVE BUT qnOLASSIED™ Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #; 76318-054 Date of Birth: 01/20/1953 Sex: M Unit Team: 5 Date: 07/23/2019 10:09 Provider: PsyD Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical interview, Medical Record, Psychology Data System, Sentry Reason for Referral The On Call Psychologist, Dr. [I had been contacted by the Operations Lt. at about 2 AM on 7/23/19 that Mr. Epstein was being placed on Suicide Watch because he was found with a string around his neck. was seen by this writer for a Suicide Risk Assessment at about 9:10 AM on 7/23/19. This note is being entered at about 3:35 PM on 7/23/19. Mental Health History According to a Suicide Risk Assessment dated 7/09/19 by Or. [I "Inmate Epstein denied any history of health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the with psychotropic medication. He also denied any acute mental health symptoms at this time." Self-Harm History According to a Suicide Risk Assessment dated 7/09/19 by Dr. I. "inmate Epstein denied any past or suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious beh past." Substance Abuse History inform her r. Epstein ental or present in the According to a Suicide Risk Assessment dated 7/09/19 by Dr. [IIMB inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol.” Current Problem Earlier this morning Mr. Epstein was found by SHU staff in his cell with a string loosely tied around his neck. unclear at this time if Mr. Epstein had placed the string around his own neck. When Mr. Epstein was asked by this writer how he ended up on Suicide Watch, he denied remembering. got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is snore, He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was Itis stated he ring himself ind in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had @ rule out of self inflicted injuries. When this writer reviewed the Staff Suicide Watch Log, it noted that Mr. Epstein told the staff watching him celimate tried to kill him, which Mr. Epstein did not tell this writer when this writer had interviewed Mr. Epsteii writer was not able to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was this notation and the Captain stated they were already aware of this statement. Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Generated 07/23/2019 15:38 by A PsyO Bureau of Prisons - NYM jat his . This led about Page 1 of 3 SDN¥_00006422 EFTA_00000507 EFTA00134921

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth; 01/20/1953 Sex: M - NYM Unit Team: 5 Date: 07/23/2019 10:09 Provider: PsyD Thought Process: Goal Directed Thought Content: Normal Current Mental Status: He exhibited a neutral mood with a full range of affect. His speech was logical and rent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied cul suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in behaviors: High Profile Crime, Lack of family connections, Sex offender status behaviors: Current physical pain The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, of death as negative, Willingness to engage in treatment Risk Factors: He was found by staff in his cell in SHU with a string loosely tied around his neck, which Mr. Epstein stated he did not remember anything about. It is unclear at this time if Mr. Epstein had placed the string around his own neck or if someone else did. According to Medical, he had a circular line around the base of his neck, which he denied knowing he obtained He stated his throat hurts which was reported to Medical. He has a high profile sex offense case and recently denied bail. When asked if he has any friends or family that are emotionally supportive, he stated he does not know what means. When emotional supports were explained to him and then again asked if he as any family or friends that are emotior supportive, he was vague and said he has a lot of people. Protective Factors: He denied current suicidal or self harm thoughts or ever having these thoughts. He deniedja history of self harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having chronic medical conditions. He denied feeling hopeless. He denied a history of childhood abuse. He denied fearing for his safety. He denied feeling like a burden to anyone. He reported he is sleeping adequately. He stated he lives to have fun, to enjoy life, and to learn. He said his future plans include fighting his case and going back to his normal life. Whereas, he is denying suicidal and self harm thoughts and has a lot of protective factors, he is denying that he remembers how he ended up on Suicide Watch and has marks encircling his neck. It is unclear at this time if he had the string around his neck or if someone else did. He will remain on Suicide Watch for further observation and safekeeping. No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Moderate Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS . Mr. Epstein will remain on Suicide Watch for further observation and safekeeping. . While on Suicide Watch, he will be continuously observed by Inmate Companions. . While on Suicide Watch, he will be seen daily by Psychology. . Supportive and educative interventions were provided. . Medical was informed that he reported his throat hurts. Suicide Watch: A suicide watch was initiated by non-clinical staff and continues to be warranted Suicide Watch was initiated on: 07/23/2019 01:40 Qhrwn- Generated 07/23/2019 15:38 by EEN PsyO Bureau of Prisons - NYM Page 2 of 3 SDNY_00006423 EFTA_00000508 EFTA00134922

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~~ Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M - Date: 07/23/2019 10:09 Provider. PsyD Completed by PsyD on 07/23/2019 15:38 Generated 07/23/2019 15:38 by EEE PsyO Bureau of Prisons - NYM Reg#: 76318-054 | Unit Team: 5 Page 3 of 3 SDNY_00006424 EFTA_00000509 EFTA00134923

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— -~ Bureau of Prisons “*SENSITIVE BUT UNCLASSIFIED™* Psychology Services Post Suicide Watch Report Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/24/2019 09:23 Provider: Reg # 7631 Unit Team: Watch Start Date: 07/23/2019 01:40 Watch Stop Date: 07/24/2019 08:45 Total Time on Watch: 31 hrs 5 minutes Watch Conducted By: Both inmates and staff Transfered to Medical Center: No Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: Mr. EPSTEIN was alert and 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 al rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, al, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought r. 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 son or Pho logical commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or distress. He also denied thoughts of harming others. Risk Factors Assessed: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self harm. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Fear for own safety The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide: to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, of death as negative, Willingness to engage in treatment Risk Factors: Mr. EPSTEIN has a significant scar around his neck, which is now scabbing over. He reported ling in this area but denied experiencing any related pain. Mr. EPSTEIN continues to claim a lack of memory for the incident iting in this scar. The story he provided was vague, such that this writer challenged him a couple of times, but he insisted he was honest about his lapse in memory. The nature of the incident remain unclear. Mr. EPSTEIN is incarcerated for a very high lle crime with media attention. He was recently denied bail. He also reported difficulty managing his time in the SHU. He repofted being fearful for his safety if he is to return to the cell with his previous cell mate. Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide have no interest in killing myself." He explained, although his situation is “not perfect" due to his being has "lots to do for [his] legal case.” He described having a “wonderful life,” to include interactions with “int projects." He said “it would be crazy" to take his life. He furthered, “I would not do that to myself." He denied hopelessness, although did report being "depressed" and “unhappy” about his current legal situation. He history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He aj as he endorsed an interest in being housed in general population. pts. He stated, “I , he noted he people and ings of Weighing of Risk and Protective Factors: Mr. EPSTEIN adamantly denied sucidality. However, in light of his regarding the incident which precipitated his placement on Suicide Watch, combined with his fear for his own Generated 07/24/2019 12:09 by (IMME Pr.0. Bureau of Prisons - NYM SD) 00006425 EFTA_00000510 EFTA00134924

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Inmate Name: EPSTEIN, JEFFREY EOQWARD Date of Birth: 01/20/1953 Sex: Date: 07/24/2019 09:23 Provider: difficulty managing his time in the SHU, and the high profile nature of his alleged offense, Mr EPSTEIN will be down from Suicide Watch to Psychological Observation. Changes in Risk Factors Assessed Upon a review of the log book, it was indicated Mr. EPSTEIN has been speaking to the inmate companions having previously taught mathematics and physics. He has been observed pacing the cell as well as si , eating, and drinking within normal limits. Upon interview today, Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. His were made known to the lieutenants and he was provided a shower prior to attending his legal visit. This writer provided him a toothbrush, toothpaste, and hygiene products. Asked about the alleged incident which transpired yesterday resulting in his placement on Suicide Watch, Mi. EPSTEIN said he is frustrated he has been placed in a “punishment cell for no reason." Specifically, Mr. EPSTEIN wai to his placement in the SHU. Asked to recall the events surrounding the alleged incident, Mr. EPSTEIN said his cell mate was “playing with a bed sheet” and he claimed he does not recall the events thereafter. He said he rec: led eating meat and drinking water and claimed the next event for which he has memory is his hearing himself snore d waking up on a stretcher. sco tying to remember" end "wecting hie mind. Maka He copesionced ary tmerpersonal issues wih lis cell mate, Mr. EPSTEIN described his cell mate as “agitated” and claimed his cell mate called him a "pedophile" for the first time yesterday. His cell mate was also reportedly reading a newspaper article about Mr. EPSTEIN, which ered him and it was something he believed to be “strange” for their to be an article about him in his cell. Mr. EPSTE! recalled throwing away the newspaper photograph of himself by crumpling it and flushing it down the toilet. Asked if hi cell mate ever threatened to harm him, he denied this to be the case. Asked why he told the inmate companions been experiencing any other acute issues other than this. Reason for Removal from Watch Mr. EPSTEIN stated, "I have no interest in killing myself." He explained although his situation is "not perfect} due to his being incarcerated, he noted he has “lots to do for [his] legal case." He described having a "wonderful life,” interactions with “interesting people and projects." He said “it would be crazy” to take his life. He furthered, [1 would not do that to myself.” Mr. EPSTEIN did express a feeling of safety being housed on Psychological Ob ition rather than in the SHU. He asked if he could remain on this status for a couple of days, he was advised his housing 5 and asked if there were a safer" unit for him to be housed in comparison to the one where he was initially ced. Mr. EPSTEIN claimed there were many MS-13 gang members on the initial unit. He was advised he will be maintai Psychological Observation in the near future, but his long-term housing situation will be revisited, as it is not one to remain in isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN ackno information and thanked this writer for her explanation and time. Diagnosis: No Diagnosis, No Dx - Current eal for Conclusions The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Becommendations 1. Mr. EPSTEIN will be removed from Suicide Watch and stepped down to Psychological Observation. 2. While on Psychological Observation, he will be continuously observed by Inmate Companions. 3. While on Psychological Observation, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. Mr. EPSTEIN was provided novels and a request was made for his legal paperwork to be provided to him on|Psychological Generated 07/24/2019 12:09 by INEBIMY Pr.0. Bureau of Prisons - NYM Page 2 of 3 SDNY_00006426 EFTA_00000511 EFTA00134925

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~~ -_ Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Unit Team: Date: 07/24/2019 09:23 Provider: Observation. 6. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to sjeviete his constipation. 7. Mr, EPSTEIN attended a legal visit today, after having been provided a shower. 8. Mr. EPSTEIN was educated about both routine and emergency procedures for contacting psychology. 9. The inmate was encouraged to reach out for PRN services should he experience any psychological distress. Completed by (EEMMMMPn.b. on 07/24/2019 12:09 Generated 07/24/2019 12:09 by MENMINMINE Pr.0. Bureau of Prisons - NYM Page 3 of 3 SDN v_o006427 EFTA_00000512 EFTA00134926

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=~ -~ Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED™ Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M facility: NYM Unit Team: 5 Date: 07/25/2019 10:14 Provider: Eocus of Session Inmate Epstein was seen by this writer this morning while on psychological observation in the hospital area of the prison. 1 Subjective/Objective Presentation Inmate Epstein was in good spirits today and engaged in reciprocal conversation with this writer this mornit . He smiled and remarked, “welcome back" when this writer arrived. He continues to assert he does not r how he received marks around his neck, remarking "| do not remember anything, maybe you can give me some cues." He stated he just remembers going for a drink of water and the next thing he knew he woke up to the sound of his own snoring. When this writer attempted to get a more detailed account from him, indicating that it would be rare to have such impairments in memory as he does not suffer from an acute cognitive disorder, he smiled and said he understood my position. Inmate Epstein did reveal he is unhappy with his current confinement in Special Housing (SHU) as he considers it "a punishment cell." He said he finds the restrictions up there unfair as he has not done anything wrong. Inmate Epstein stated he feels it is dangerous in the SHU, he cannot sleep well up there due to noise from the other inmates, it smelis, and it is difficult for him to work on his legal case up there. He stated he has not received the phone calls he was promised nor has he been able to receive recreation. It was explained to him that he spends the entire in the attorney conference room and it is likely that he has missed the times when staff members have attempted to give him phone calls and recreation. Inmate Epstein also reported complaints about the attorney conference room,| stating they do not take him to the bathroom frequently enough. Inmate Epstein adamantly denied any suicidality at this time, stating "I am too vested in my case to fight it; | have a life and | want to go back to living my life.” He denied any acute symptoms at this time. According to his log book, he has been eating, drinking, sleeping, and interacting with the inmate companions, He has also been attending his daily legal visits. Intervention(s) Inmate EPSTEIN was provided with brief supportive interventions and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was mostly receptive to these interventions. He requested to be housed in population rather than the SHU and stated he wanted to remain on psychological observation due to his with being in the SHU. Progress/Plan In an abundance of caution, inmate Epstein will remain on psychological observation. He has yet to give an account of how he sustained the marks around his neck, is not revealing much about his mental status, and there are concerns about his adjustment at this time to being housed in the SHU. Inmate Epstein will be seen daily by psych while on psychological observation. Completed by EEE PhD/Chief Psychologist on 07/25/2019 10:43 Generated 07/25/2019 10:43 by [EEE PRO/Chiof Bureau of Prisons - NYM Page 1 of 1 SDNY_00006428 EFTA_00000513 EFTA00134927

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~ ~ Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED™* Psychology Services Clinical Intervention - Clinical Contact inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/26/2019 09:09 Provider. Focus of Session Inmate Epstein was seen while on psychological observation in our hospital area. Subjective/Objective Presentation 76318-054 smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested disappointed with this writer as he wants “to trust me and for me to trust him." He stated he remains unh with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak | Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his ication. This writer immediately notified medical and his pills were being processed during the interview. Inmate ein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and restrictions). With regard to the events which lead to his initial placement on suicide watch, inmate Epstein stated he has;no memory of the event. He asked to speak with his old cellmate to see if he can tell him what happened or see /f his memory could be triggered. He remarked, "| am still trying to figure out how | got this (pointing to the scab his neck). Inmate Epstein denies remembering harming himself and/or being harmed by his cellmate. He does not exhibit symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this time or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be ali to fight his legal case and go back and live life. He referred to himself as “a coward” and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While on psychological observation, inmate Epstein has been eating his meals, sleeping and interacting the inmate companions. He is in legal visiting the majority of the day and in the evenings. His log book and eatin chart reflect the same. He has been speaking to inmate companions about investment strategies and about pri adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, | hing, and joking. Intervention(s) Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to , but mostly wanted to express his complaints about his current prison confinement status and needs. He wan! this writer to address them. Progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing ments to be made on Monday. He continues to be vague and reports memory deficits regarding the events which toa piece of sheet being placed loosely around his neck and marks with scabs around his neck. Completed by EEE Ph0/Chief Psychologist on 07/26/2019 10:05 Generated 07/26/2019 10:05 by [I Elissa PhovChief Bureau of Prisons - NYM Page 1 of 1 SDN¥_00006429 EFTA_000005 14 EFTA00134928

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Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED” Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: 5 Date: 07/27/2019 07:14 Provide: [EE Psyo Focus of Session He was seen by writer while he was on Psych Observation. Subjective/Obiective P tati The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, an , When interviewed, he s' Stated that for the 5 days bi he is anxious about going back’ ll cannot remember what happened in SHU that caused the marks on his neck. He had only slept about 30 minutes each night because of noise in SHU. He stated because he stated he is going back to a place where he had gotten marks on his neck and he does not know why isd He said he has an appetite and is eating: He said he is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water be stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his it of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood coherent, with no loosening of associations or tangential, hallucinations were denied, and delusions were not elicited. engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated " ." He added he does not like pain and even does not like when he has to give blood. He agreed to immedi t ff and Inmate Companions if he starts to ly full range of affect. His speech was logical and intial or irrelevant speech. Auditory and visual have suicidal or self harm thoughts. He was future oriented. He do 0 be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate’ ions if he has these thoughts. Intervention(s) Supportive and educative interventions were provided. He was given Turning P: indouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart th ing given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him ing. Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing ai be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed by EEE PsyD on 07/27/2019 08:16 Generated 07/27/2019 08:16 by [EEN PsyO Bureau of Prisons - NYM Page 1 of 1 SDNY_00006430 EFTA_00000515 EFTA00134929

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~~ ~~ | Bureau of Prisons | Health Services See Amendment inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: — Date of Birth: 01/20/1953 Sex: M Race: WH Encounter Date: 07/27/2019 07:14 Facility: NY! Amendment made to this note by IEEE PsyD on 07/28/2019 09:19. Bureau of Prisons - NYM SONY 00006431 EFTA_00000516 EFTA00134930