- 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: IPhD/Chief Psychologist 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 71/19 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 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 interview him this moming to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim ator of physical or sexual abuse. Inmate Epstein reported he obtained his high school dip! led some graduate classes in the area of mathematics. 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 Ge basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also di 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 (INN PhO/Chiet Bureau of Prisons - NYM Page 1 of 3 SDNY_00007796 EFTA_00000920 EFTA00135314

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~ 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: Psychomotor Activity: Normal } General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal f 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 demedher. He exhibited je. Eye contact and hygiene were appropriate. The inmate spoke with jormal rate, tone, nized and coherent, with no loosening of associations of tangential, mstantial, or de of perceptual disturbance, delusional ideation, or a formal thought disorder, He did fate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN icidakideation, planning, and intent. He was future-oriented and ex eda 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 andi increase the inmate's risk for engaging in|suicide related present. H aftaod may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidaltide intention/pians, Future orientation, 'View of death as negative, Millingness to engage in treatment | As noted above, Inmate Epstein is a 66-year-old Caucasian male, He g including a high profile case with extensive media attention, sex offense/traffickina proc yesterday which may have given him bad news regarding his le legabsi writer tal his only family at this time is his brother, with whom he does not hav isk factors for suicidality at this time arges, pre-trial status, and he had a court Inmate Epstein also informed this lationship with. Inmate Epstein adamantly a call, to meet with his said if have my paper Despite these risk factors, inmate Epstein possesses a number of protective factors a ir denied suicidal ideation, intention or plan. He was very future oriented and requestedja B attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writéPariged 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 "belr g 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. i Overall, ate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive olitlook 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 7/09/2019 10:36 by HF. GY Phochiet Bureau of Prisons - NYM Page 2 of 3 SDNY_00007797 EFTA_00000921 EFTA00135315

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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: EE PO/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 IEEE PhD/Chief Psychologist on 07/09/2019 10:36 Q% Generated 07/09/2019 10:35 by (NNN. MENEMJPhOChief, Bureau of Prisons - NYM Page 3 of 3 SDNY_00007798 EFTA_00000922 J a . - ~ EFTA00135316

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~ o~ 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 PhD/Chief Psychologist on 07/10/2019 09:20. Bureau of Prisons - NYM SDNY_00007799 EFTA_00000923 EFTA00135317

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-_ o~ Bureau of Prisons **SENSITIVE BUT buctassin ED" Psychology Services Suicide Risk Assessment Inmate Name: EPSTEIN, JEFFREY ee Reg #: 76318-054 Date of Birth: 01/20/1953 Unit Team: A&O Date: 07/09/2019 08:41 Provider i Pnoichiet 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 7/3/19 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 ni the psychology department when he returned from court. Inmate Epstein returned from court after duty 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 I Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even alcohol. Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He ted feeling constipated at this time. Inmate Epstein is currently on psychological observation due to his having multiple risk factors associate 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 | ae Bureau of Prisons - NYM Page 1 of 3 SDNY_00007800 EFTA_00000924 EFTA00135318

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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: PhD/Chief Psychologist Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal 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 de 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, Denial 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 calll, 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 have mental Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated @ 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 olitiook 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 Gonerated 07/10/2019 09:20 by IF. HEH PhD/Chief Bureau of Prisons -NYM Page 2 of 3 SDNY_00007801 EFTA_00000925 EFTA00135319

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lal ~ 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: PhDiChief 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 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 Suicide Watch: A suicide watch is not warranted at this time Completed by J Pnd/chief Psychologist on 07/10/2019 09:20 Generated 07/10/2019 09:20 by (NN Phovchief = — Bureau of Prisons - NYM Page 3 of 3 SDNY_00007802 EFTA_00000926 EFTA00135320

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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: M Facility; NYM Unit Team: (so Date: | 07/09/2019 10:13 Provider: PhD/Chief | 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 tin 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 dleoh " Presen hg Prob m mpi { Inmate Epstein was seen for health items or symptoms on hig Epstein has various risk factors fos charges, pre-trial status, and he had legal situation. Inmate Epstein retumee Uigid@yjsk assessment today for precautionary reasons. He did not mark any imental ology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate ea including a high profile case with media attention, sex offense/trafficking um proceeding yesterday which could have given him bad news regarding his ‘om court after duty hours yesterday evening and staff notified the on-call psychdlogist. 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. | | i les not exhibit suicidality at this time. He has never id any history of suicidality. Currently, he does not is in no psychological distress. As such, he is of an inmate who either has no identifiable ention on an as-needed basis; Inmate Epstein has no history of mental health probleMs api received inpatient or outpatient mental health treatment dfid d exhibit lany acute psychopathology, is currently psycholog cally S | being classified as a CC1-MH inmate at this time. CARE1-MHis mental illness (Axis | "No Diagnosis") or is mildly ill and requires clini CARE-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 | Completed by IEEE PhD/Chief Psychologist on 07/09/2019 10:32 | | | 1 | | | | | Generated 07/09/2019 10:32 by (EES Phovchiet Bureau of Prisons - NYM Page 1 of 1 SDNY_00007803 EFTA_00000927 EFTA00135321

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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: Encounter Date: 07/09/2019 10:13 Facility: Amendment made to this note by [EEN PhD/Chief Psychologist on 07/09/2019 10:40. Bureau of Prisons - NYM SDNY_00007804 EFTA_00000928 EFTA00135322

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~ ~ Bureau of Prisons “SENSITIVE BUT eassaren” Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 6318-054 Date of Birth: 01/20/1953 oem te Facility: NYM Unit Team: A&O Date: 07/09/2019 10:13 — PhD/Chief 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. Inmate Epstein denied any treat past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He ald itis 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 precautione He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Ps! 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 Epste 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 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 {EEEEMJPhD/Chief Psychologist on 07/09/2019 10:40 Generated 07/09/2019 10:40 by EES Phoichier Bureau of Prisons - NYM Page 1 of 1 INY_00007805 ' — EFTA_00000929 EFTA00135323