EPSTEIN
page 6 / 2083 . OCR, unverified
Self-Mutilation). These infractions were assigned incident report number 3282555.
Background Information
According to a Suicide Risk Assessment dated 7/09/19 by Dr.
"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."
.PrInalY
atthoing or
According to a Suicide Risk Assessment dated 7/09/19 by Dr
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."
According to this writer's Suicide Risk Assessment dated 7/23/19, "It is unclear at this time if he had placedthe string
around his neck or if someone else did."
Clinical Interview and Mental Status Exam
Inmate Epstein still does not remember how he obtained the marks around his neck.
Current Mental Status: He exhibited a neutral 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. There was no
indication of disturbed thought process or content. Intellectual ability appeared to be above average. P
I hygiene
was adequate. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if h starts to
have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate dang to self. He
denied thoughts of hurting others and he agreed to tell staff if he has these thoughts.
Clinical Impression
According to his last Diagnostic and Care Level Formulation Note dated 7/09/19 by Dr=
"No Dlagnotifti, No Dx -
Current "
Findings
The determination of whether an inmate is competent to proceed with the disciplinary process is based on a clinical
assessment of the inmate's (1) ability to understand the nature of the proceedings, and (2) their ability to asSist in their
own defense. Depending on the outcome of the assessment, one of three findings can be made: (1) the inmate is
COMPETENT to proceed with the disciplinary process; (2) the inmate is NOT PRESENTLY COMPETENT but could be
restored to competence with treatment; or (3) the inmate Is NOT COMPETENT and Is unlikely to become competent.
Recommendations Regarding Samcilana
In the case of inmate Epstein, after a review of available psychological and psychiatric records as well as information
pertaining to the offense conduct, it Is determined that this inmate is:
(X) COMPETENT to proceed with the disciplinary process.
( ) NOT PRESENTLY COMPETENT, but could become competent with treatment; it is recommended that
an updated competency assessment in 30 days.
( ) NOT COMPETENT and not likely to become competent.
inmate for
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Inmate Name:
EPSTEIN, JEFFREY EDWARD
Reg #:
76318-054
Date of Birth:
01/20/1953
Sex:
M
F cility: NYM
Unit Team: 5
Date:
07/30/2019 12:01
Provider.
PsyD
Completed by
PsyD on 07/30/2019 12:33
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# 11.‘
tabs
Bureau of Prisons
Psychology Services
General Administrative Note
"SENSITIVE BUT NCLASSIFIED"
Inmate Name:
EPSTEIN, JEFFREY EDWARD
Reg #:
76318-054
Date of Birth:
01/20/1953
Sex:
M
F= cility: NYM
Unit Team: 5
Date:
07/30/2019 12:01
Provider.
PsyD
Comments
Psych Observation Discontinuation Note:
Please see "Clinical Contact" dated today.
Completed by
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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.
M
Facility: NYM
Date:
07/31/2019 10:35
Provider:
-PsyO/DAPC
Reg #.
76318-054
Unit Team- 5
Focus of Session
Mr. EPSTEIN was seen today by this writer for a follow up appointment after he was removed from Psychological
Observation yesterday.
Subjective/Objective Presentation
Mr. EPSTEIN presented in a pleasant mood and reported he is generally doing well. He stated, "I could be
tter," but
acknowledged he is doing as well as can be expected given his circumstances. He reported he is going to Court today
for a status hearing. He stated he generally slept well last night and is readjusting to being placed back in SHU. He
reported getting along well with his cell mate. He was Informed of appropriate procedures for contacting Psychology
staff while he is in SHU, if needed.
Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He