EPSTEIN
page 4 / 2083 . OCR, unverified
suicidal or self harm ideation. He stated "I'm a coward? He added he does not like pain and even does not like when
he has to give blood. He agreed to Immediately tell staff and Inmate Companions 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 agreed to tell staff and Inmate Companions if he has these thoughts.
intenrentionfs1
Supportive and educative interventions were provided. Turning Points handouts on stress management, sleep, and
building a routine in SHU were placed on his cell door to be given to him when his food slot is opened. He stated he
wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because of the noise
in SHU that prevents him from sleeping.
EMS
He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be made on
Monday. While on Psych Observation, he will be seen daily by Psychology.
Completed by
PsyD on 07/28/2019 09:19
Generated 07/28/2019 09 19 by
PsyD
Bureau or Pnsons - NYM
Page 1 of 1
EFTA00089117
--- PAGE 2 ---
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:
NYM
Unit Team
Date:
07/28/2019 08:33
Provider:
I
PsyD
76318-054
focus of Session
He was seen by writer while he was on Psych Observation.
Subjective/Objective Presentation
The "Eating/Shower Chart" noted that yesterday he ate breakfast. He is not in the Psych Observation cell r about 12
hours per day because of being In Attorney Conference with his Attorneys, so the "Eating/Shower Chart" may not reflect
all of his meals. He stated he was served one meal in Attorney Conference yesterday. He stated he drinks a lot water
at night. The Psych Observation log noted he talked about life in general population and he slept.
Earlier he had complained that his right arm was numb and hanging. Nurse
from Medical had seen him for
this.
When this writer was interviewing him, he said his right arm still feels somewhat numb and he said he cannot make a fist
with that hand. He also said he has numbness on his neck. This writer notified Nurse
He stated last night when he flushed the toilet it kept flushing for 45 minutes. He stated he found it so aversive and
upsetting that he said he sat in the corner and held his ears. He said because of this he was agitated for hOurs and was
not able to sleep. The Li will be moving him to a different cell and he was Informed of this. He stated the feeling he got
with the noise of the toilet was similar to when he was in SHU. He said he may have something on the Autism
spectrum. He said in the movie "Rain Man," the person with Autism had an aversion to noise. He stated hp is also
really good with numbers.
Current Mental Status: He exhibited a mildly anxious mood with a full range of affect. His speech was logical and
coherent, with no 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 and Inmate Compapions 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 agreed to tell staff and Inmate Companions if he has Mete thoughts.
Interventlnnft
Supportive and educative interventions were again provided. He had not been given the Turning Point handouts
yesterday that were on his cell door, so they were handed to him by staff today.
Progress/Plan
He will remain on Psych Observation in an abundance of caution and pending housing arrangements to b¢ made on
Monday. Mile on Psych Observation, he will be seen daily by Psychology.
Completed by
PsyD on 07/28/2019 09:24
Generated 07/28/2019 09.24 by
Psy0
Bureau of Prisons - NVM
Page i of 1
EFTA00089118
--- PAGE 3 ---
Bureau of Prisons
"SENSITIVE BUT UNCLASSIFIED**
Psychology Services
Clinical Intervention - Clinical Contact
Inmate Name:
EPSTEIN, JEFFREY EDWARD
Reg #:
76318-054
Date of Birth:
01120/1953
Sex:
aCity: NYM
Unit Team 5
Date:
07/29/2019 10:01
Provider:
PhD/Chief
focus of Session
Inmate Epstein was seen while on psychological observation today in the hospital area.
Subjective/Objective Presentation
Same presentation today, but he said he thinks his memory for the incident (injury to his neck) may be impaired
because of his sleep apnea. He Is supposed to get his CPAP machine today. He is aware he will be returbing to SHU,
but said he is feeling unwell due to his inability to sleep and numbness in his arm. He requested to have one good night
of sleep with his CPAP and will return to SHU with a cellmate tomorrow. He then asked if he could remain down here