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BP-A295.052

APRIL 1994

# SPECIAL HOUSING UNIT REVIEW

U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

Inmate Name:
EPSTEIN, JEFFREY EDWARD

Register Number:
76318-054

Unit:
5

Institution:
NEW YORK MCC

Date Entered Special Housing:
07-10-2019

Reason for Placement:
PENDING CAPTAINS REVIEW

I. Subject: (2 or 3 Days)
3 Day Review

Date Reviewed:
07-15-2019

Action Taken on the Above Date:
Continue in Special Housing Unit

Printed Name/Signature:
<empty>

II. RECORD REVIEW. (To to done weekly in the inmates absence, beginning after the in-person 7 day review, and cordnuing every week between each in-person 30 day review.)

| DATE       | ACTION TAKEN                     | REMARKS   | SIGNATURE   |
|-|-|-|-|
| 07-19-2019 | Continue in Special Housing Unit |           |             |
|            |                                  |           |             |
|            |                                  |           |             |
|            |                                  |           |             |

III. Subject: (7 or 30 Days)
7 Day Review

Review By (SRO): <empty>

Reviewing Authority: <empty>

Date inmate appeared for a Special Housing Review:
07-19-2019

Or Date inmate waived right to appear:
01-01-111

Has been seen daily by Medical Staff:
[x] Yes;
[ ] No

Has been seen daily by responsible officer designated by Warden:
[x] Yes;
[ ] No

Has received prescribed weekly exercise:
[x] Yes;
[ ] No

Proper documentation and justification in the Central File (Incident Report, DHO Report, copies of Special Housing Review Form):
[x] Yes;
[ ] No

if no, why not?: <empty>

Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status?
[x] Yes;
[ ] No

Is there an additional assessment for every one month interval thereafter?
[x] Yes;
[ ] No

if no, why not?: <empty>

Action taken on the above date by the Segregation Review Official or the Reviewing Authority:
[ ] Released from Special Housing;
[x] Continue in Special Housing

Did inmate in Administrative Detention receive a written copy of staff's decision and the basis for the finding at each 30 day review?
[x] Yes;
[ ] No
if no, why not (Should be given provided institutional security not compromised)?
<empty>

Remarks: (Any change in the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form):
<empty>

Date of Next Review:
07-26-2019

Printed Name and Signature of Segregation Review Official or the Reviewing Authority and Date Signed:
<empty>

Record Copy - Central File
This form replaces BP-295(52) dated January 1988

file:///C:/temp/shu/Epstein-Reno76318-054_SRO_20190710-20190723.html

8/13/2019

EFTA00036572