~ o~ | 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: |A&O Date: 07/10/2019 08:38 Provider: [RgPh0/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 well 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 concerns 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 fro medical yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange U to his legal visits because he is treated “like a punished inmate;" he wants a phone call before he leaves the ps ical observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and wou like his property, paper, and a pen. inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-c led or placed in a housing unit for safety and security concerns. His medical concems (constipation) were discu: with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this ing. intervention(s) Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was interventions and was able to elucidate his various needs. He did not present with any acute psychopathol continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on 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 e jail. Progress/Plan Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or ints, and is denying any suicidality. He appears psychologically stable at this time and can be released from th psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by [EH PhD/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2019 09:09 by EEE Pnd/Chiet Bureau of Prisons - NYM Page 1 of 1 SDNY_00007817 EFTA_00000941 EFTA00135324

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-~ ao 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 Facility: NYM Unit Team: | A&O Date: 07/11/2019 14:28 Provider: PsyD Comments This writer attempted to see Mr. Epstein in the moming and then again in the afternoon for a Psych Observ: Up, but he was in Attorney Conference. Completed by [MY PsyD on 07/11/2019 15:51 Generated 07/11/2019 15:51 by SS PsyO Bureau of Prisons - NYM Page 1 of 1 bw soe EFTA_00000942 EFTA00135325

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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: | A&O Date: 07/11/2019 15:21 Provider: [RD Pnd/Cchief 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 concems incarceration including not receiving his property yet in SHU, feeling cold in his cell, not receiving his C enough water in attorney conference, and a desire to recreate in SHU." Inmate Epstein was also upset 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 (due to his being |housed in SHU). He requested that he be placed in a brown uniform during his legal visits. He was concems 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 pny suicidal ideation, intention or plan. He did not appear to be in any distress at this time. intervention(s) j Inmate EPSTEIN was provided with brief supportive interventions, CBT-based interventions, and ps' regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. } Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology reminded of the self-help books and audictapes available through the Psychology department. He will be week(after his bail hearing to assess his mental status and psychological stability. Completed by IEEE PhD/Chief Psychologist on 07/12/2019 07:51 | | Generated 07/12/2019 07:51 by HS Phovchiet Bureau of Prisons - NYM Page 1 of 1 INY_00007819 EFTA_00000943 EFTA00135326

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~ o~ Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED* Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: Date: 07/16/2019 12:48 Provider: Focus of Session Inmate Epstein called for this writer in attomey conference today. The officer in attorney conference notifi 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 that 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 — On a Tmember told this writer she wi d inmate Epstein receive wo phone calls from the Lt. Nonetheless, this writer informed the SHU lieutenant o his he ‘would ensure that he had soap, a spoon, and his initial SHU phone call. Inmate Epstei not have any, psychological concerns today. He denied any mental health symptoms or suicidality. He has 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 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 Psychology ff. 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. 76318-054 A&O this writer Completed by IEEE PrhD/Chief Psychologist on 07/18/2019 13:05 Generated 07/18/2019 13:05 by [EN PhO/Chief Bureau of Prisons - NYM Page 1 of 1 sDNY_00007820 EFTA_00000944 EFTA00135327

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“- ~ Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED** Psychology Services SHU Review Inmate Name: — EPSTEIN, JEFFREY EDWARD Reg #: 763/18-054 Date of Birth: 01/20/1953 Sex: M Facility NYM Unit Team: | A&O Date: 07/18/2019 07:21 Provider: (EE Pn/Chief Placed in SHU: 07/10/2019 Type: Status: | ADMIN.DETENTION Threat to Self: Basis of Review: Inmate was interviewed Adjustment: tion Mental Status: No significant mental health issues. Threat to Others: Comments Monthly SHU Review Note 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 [J PhD/Chief Psychologist on 07/18/2019 12:06 Generated 07/18/2019 12:06 by NN PrO/Chief = Bureau of Prisons - NYM Pagetof 1 SONY_00007821 EFTA_00000945 EFTA00135328

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= “- Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED Psychology Services General Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: Provider: i Comments 07/23/2019 07: being placed on Suicide Watch because he was found with a string loosely hanging around his neck. Mr. 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 EEE PhovChiet Bureau of Prisons - NYM Page 1 of 1 sly 00007822 EFTA_00000946 EFTA00135329

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-~ a 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: 5 Date: 07/23/2019 10:09 Provider: es) Type of Housing: SHU- Administrative Segregation Cell Accommodation: Double-Cell EINDINGS 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, (INNNNNNM| 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 i} Accotding to a Suicide Risk Assessment dated 7/09/19 by [IEEE “inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the pa: with psychotropic medication. He also denied any acute mental health symptoms at this time.” According to a Suicide Risk Assessment dated 7/09/19 by [EEE "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 According to a Suicide Risk Assessment dated 7/09/19 by | | "Inmate Epstein denied any alcohol orebetance abuse. He said it is well-known that he does not even drink alcohol, Earlier this morning Mr. Epstein was found by SHU staff in his cell with a string loosely tied around his neck Itis 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. stated he got a drink of water last night in his cell and went back to bed. He said the next thing he remembered is hearing himself snore. He said he wants to know why he is on Suicide Watch. He was informed that staff stated he was found in his cell with a string on his neck. According to Medical records, he had been seen by Medical for this and had a 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 was not able to ask Mr. Epstein about this, since Mr. Epstein was now in Legal. The Captain was ied about this and the Captain stated they were already aware of this statement. Levelof Consciousness: Alert and Oriented General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Generated 7/23/2019 15:38 by ES PsyD Bureau of Prisons - NYM Page 1 of 3 EFTA_00000947 EFTA00135330

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: 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 coherer loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited, He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he jagreed staff if he has these thoughts. 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 s 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 ih suicide related behaviors: Current physical pain The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons fo live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View 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. itis 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 0 He stated his throat hurts which was reported to Medical. He has a high profile sex offense case and recently wa When asked if he has any friends or family that are emotionally supportive, he stated he does not know what that means. When emotional supports were explained to him and then again asked if he as any family or friends that are emotio a| 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 denied|a history of self harm and suicide attempts. He denied a family history of suicidal and self harm attempts. He denied having any 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 hé remembers how he ended up on Suicide Watch and has marks encircling his neck. It is unclear at this time if he had placed around his neck or if someone else did. He will remain on Suicide Watch for further observation and safekeep 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 1. Mr. MEN will remain on Suicide Watch for further observation and safekeeping. 2. While on Suicide Watch, he will be continuously observed by Inmate Companions. 3. While on Suicide Watch, he will be seen daily by Psychology. 4. Supportive and educative interventions were provided. 5. 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 Generates 7/23/2019 15:38 by [I Psy Bureau of Prisons - NYM Page 2 of 3 INY_00007824 EFTA_00000948 EFTA00135331

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~ ~~ a a Inmate Name: EPSTEIN, JEFFREY EDWARD Reg# 76318-054 Date of Birth: 01/20/1953 Sex: M = NYM Unit Team: § Date: 07/23/2019 10:09 Provider: PsyD Completed by EEE PsyD on 07/23/2019 15:38 Generated 07/23/2019 15:38 by EEE PsyD Bureau of Prisons - NYM Page 3 of 3 sq 00007825 EFTA_00000949 EFTA00135332

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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 Date: | 07/24/2019 09:23 Watch Start Date: 07/23/2019 01:40 Reg #: 7631 Unit Team: 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 demeanot. He exhibited a neutral affect with appropriate range. Eye contact and ane were appropriate. The inmate sry with normal rate, tone, not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EP STEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation c or ps distress. He also denied thoughts of harming others. 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: reasons to Jive, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, oe to engage in treatment but denied Cxperiending any related pain. Mr. EPSTEIN continues to claim a lack of memory for the incident resujting in this scar. The story he provided was vague, such that this writer challenged him a couple of times, but he insisted he was be his lapse i in| ;memory. The nature of the incident remain unclear. Mr. EPSTEIN is incarcerated for a very high profile crime with media attention. He was recently denied bail. He also reported difficulty managing his time in the SHU. He reporte for his si 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 atte have no interest in killing myself." He explained, although his situation is “not perfect" due to his being incarcerated, he noted he projects." He said “it would be crazy" to take his life. He furthered, “I would not do that to myself." He denied feel hopelessness, although did report being “depressed” and “unhappy” about his current legal situation. He previous history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He appes as he endorsed an interest in being housed in general population. Weighing of Risk and Protective Factors: Mr. EPSTEIN adamantly denied sucidality. However, in light of his vague self-report regarding the incident which precipitated his placement on Suicide Watch, combined with his fear for his own safety, reported Generated orresra0i9 12:09 by SMM Ph.0. 9 Bureau of Prisons - NYM Page tof 3 DNY_00007826 EFTA_00000950 EFTA00135333

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lam ao — Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 7631 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: Date: | 07/24/2019 09:23 Provider: Ph.D. difficulty managing his time in the SHU, and the high profile nature of his alleged offense, Mr. EPSTEIN will be ped 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 and drinking within norma! limits. Upon interview today, Mr. EPSTEIN requested he be provided a toothbrush as well as a shower. His made known to the lieutenants and he was provided a shower prior to attending his legal visit. This writer him a toothbrush, toothpaste, and hygiene products. Asked |about the alleged incident which transpired yesterday resulting in his placement on Suicide Watch, Mr. EPSTEIN said he is frustrated he has been placed in a “punishment cell for no reason." Specifically, Mr. EPSTEIN was referring to his placement in the SHU. Asked to recall the events surrounding the alleged incident, Mr. EPSTEIN his cell mate was "playing with a bed sheet” and he claimed he does not recall the events thereafter. He said he meat and drinking water and claimed the next event for which he has memory is his hearing himself snore a waking up ona stretcher. Mr. EPSTEIN claimed he does not recall himself or his cell mate tying a string or rope around his neck. He “been trying to remember" and "wracking his mind." Asked if he experienced any interpersonal issues with his 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 and it was something he believed to be "strange" for their to be an article about him in his cell. Mr. EPSTEIN recalled throwing away the newspaper photograph of himself by crumpling it and flushing it down the toilet. Asked if his cell mate ever threatened to harm him, he denied this to be the case. Asked why he told the inmate companions yesterday his cell mate tried to kill him, while also claiming no memory of the incident, Mr. EPSTEIN again said he did the incident and further stated, "I don't know if he put it there as a joke." Mr. EPSTEIN explained he had be experiencing difficulty sleeping in his SHU cell due to his inmate peers banging on the cell door and window, | but has not 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 pe 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, |"! would not do that to myself." Mr. EPSTEIN did express a feeling of safety being housed on Psychological Observation| rather than re-evaluated on a day-to-day basis. He expressed a desire to be housed in general population rather than in the SHU and asked if there were a "safer" unit for him to be housed in comparison to the one where he was initially pl |. Mr. EPSTEIN claimed there were many MS-13 gang members on the initial unit. He was advised he will be maintained on Psychological Observation in the near future, but his long-term housing situation will be revisited, as it is not for one to, remain in isolation on Psychological Observation for extended periods of time. Mr. EPSTEIN a information and thanked this writer for her explanation and time. Diagnosis: No Di ! sis, No Dx - Current The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Recommendations . Mr. EPSTEIN will be removed from Suicide Watch and stepped down to Psychological Observation. 1 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 (NNN Ph.D. Bureau of Prisons - NYM Page 2 of 3 spnv_o0007827 EFTA_00000951 EFTA00135334

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Date: } 07/24/2019 09:23 Provider: Ph.D. | ~ ~ Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7631 $a Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: [5 Observation. 6. This writer contacted the Pharmacy to indicate Mr. EPSTEIN has not been receiving his medication used to a| 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 [NNN Ph.D. on 07/24/2019 12:09 levate his Generated 07/24/2019 12:09 by (IED. MENEMI Pn.0. Bureau of Prisons - NYM Page 3 of 3 SDNY _00007828 EFTA_00000952 EFTA00135335

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~~ on Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED™ Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/25/2019 10:14 Focus of Session Inmate Epstein was seen by this writer this morning while on psychological observation in the hospital prison. Subjective/Objective Presentation le Epstein was in good spirits today and engaged in reciprocal conversation with this writer this smiled and remarked, "welcome back" when this writer arrived. He continues to assert he does not received marks around his neck, remarking “I do not remember anything, maybe you can give me some stated he just remembers going for a drink of water and the next thing he knew he woke up to the sound this own snoring. When this writer attempted to get a more detailed account from him, indicating that it would be to have such impairments in memory as he does not suffer from an acute cognitive disorder, he smiled and said he understood my position. 76318-054 5 Provider: of the 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. ee re stated he feels it is dangerous in the SHU, he cannot sleep well up there due to noise from the other in it smells, 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 itis 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 no} take him to the bathroom frequently enough. Inmate Epstein adamantly denied any suicidality at this time, stating "| am too vested in my case to fight 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 compan also on attending his daily legal visits. 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 being|in the SHU. | | 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 concems about! his adjustment at this time to being housed in the SHU. Inmate Epstein will be seen daily by while on ical observation. Completed by MG Ph0/chier Psychologist on 07/25/2019 10:43 Generated 07/25/2019 10:43 by IEEE Provchiet Bureau of Prisons - NYM Page 1 of 1 | SDNY_00007829 EFTA_00000953 EFTA00135336

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~~ ro Bureau of Prisons **SENSITIVE BUT UNCLASSIFIED” Psychology Services Clinical Intervention - Clinical Contact e: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/26/2019 09:09 Provider: Inmate Epstein was seen while on psychological observation in our hospital area. Suijeeiprnithiertion Poneto smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhap| visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a “weak adder.” Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his me This writer immediately notified medical and his pills were being pager the interview. Inmate Epstein also memory could be triggered. He remarked, "I am still trying to figure out how | got this (pointing to the scab neck);" Inmate Epstein denies remembering harming himself and/or being harmed by his cellmate. He does companions. He is in legal visiting the majority of the day and in the evenings. ‘His log book and eating/sho chart reflect the same. He has been speaking to inmate companions about investment strategies and about pris adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, laughing, and joking. intervention(s) Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this writer to address them. Progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing afrangements 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 GY 0 /Chier Psychologist on 07/26/2019 10:05 Generated 0712812018 10:05 by SY Phovchiet Bureau of Prisons - NYM Page 1 of 1 she sr EFTA_00000954 EFTA00135337

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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 Provider: (§Psyo Focus of Session | He was seen by writer while he was on Psych Observation. | 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, andgfépt. When hrtardtewed, he stated F ll cannot remember what happened in SHU that caused the marks on his neck. He Stated that for the 5 days befor e had only slept about 30 minutes each night because of noise in SHU. He stated heis ‘retous about going backWo SHU because he stated he is going back to a place where he had gotten marks on his neck and he does not know why T# | id he has an appetite and is eating? He sai is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water be. tated 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 wi(f’a miljuly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential 4 tential or irrelevant speech. Auditory and visual 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 " vad." He added he does not like pain and even does ie like when he has to give blood. He agreed to immediat@ly tellista f and Inmate Companions if he dats to have suicidal or self harm thoughts. He was future oriented. He doag to 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. | Support ive and educative interventions were provided. He was given Turning” sleep, ke building a routine in SHU. He stated he wants it noted in his chart that hy sleep, that is not going to help because of the noise in SHU that prevents him S handouts on stress management, ing given a pamphlet on Bing. | i He wil remain on Psych Observation in an abundance of caution and pending housing whe be made on Monday. While on Psych Observation, he will be seen daily by Psychology. | Completed by (IEENEENNENII PsyD on 07/27/2019 08:16 Generated orra7i2019 08:16 by Sl. ME Psyo Bureau of Prisons - NYM | Page 1 of 1 SDNY_00007831 EFTA_00000955 EFTA00135338

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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: WHITE Encounter Date: 07/27/2019 07:14 Facility: NY’ Amendment made to this note by EEE PsyD on 07/28/2019 09:19. Bureau of Prisons - NYM ¥_00007832 EFTA_00000956 EFTA00135339