SENSITIVE BUT UNCLASSIFIED**

# Bureau of Prisons
Psychology Services
Institution Disciplinary Process Report

Inmate Name: EPSTEIN, JEFFREY EDWARD
Reg #: 76318-054

Date of Birth: 01/20/1953 
Sex: M 
Facility: NYM 
Unit Team: 5

Date: 07/30/2019 12:01 
Provider: PsyD

## Reason for Referral and Identifying Information

Inmate Epstein was referred by Unit Manager |



for an evaluation of competency to proceed with the disciplinary

process for actions resulting in an incident report. On 7/23/19, inmate Epstein was charged with code 228 (Tattooing or

Self-Mutilation). These infractions were assigned incident report number 3282555.

# Bureau of Prisons
Psychology Services
Institution Disciplinary Process Report (cont.)

## 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."

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 placed the string around his neck or if someone else did."

# Bureau of Prisons
Psychology Services
Institution Disciplinary Process Report (cont.)

## 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. Personal hygiene was adequate. 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 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 Diagnosis, No Dx - Current."

# Bureau of Prisons
Psychology Services
Institution Disciplinary Process Report (cont.)

## 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.

# Bureau of Prisons
Psychology Services
Institution Disciplinary Process Report (cont.)

## Recommendations Regarding Sanctions

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 the inmate for an updated competency assessment in 30 days.

( ) NOT COMPETENT and not likely to become competent.

Generated 07/30/2019 12:33 by PsyD

Bureau of Prisons - NYM

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CONFIDENTIAL

SDNY 00012225
EFTA00035882

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Date: 07/30/2019 12:01

Sex: M Facility: NYM
Provider: PsyD

Reg #: 76318-054
Unit Team: 5

Completed by PsyD on 07/30/2019 12:33

Generated 07/30/2019 12:33 by PsyD

Bureau of Prisons - NYM

CONFIDENTIAL

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SDNY_00012226
EFTA00035883