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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>

# SPECIAL HOUSING UNIT REVIEW (cont.)

II. RECORD REVIEW.
(To be done weekly in the inmate's absence, beginning after the in-person 7 day review, and continuing every week between each in-person 30 day review.)
DATE: 07-19-2019
ACTION TAKEN: Continue in Special Housing Unit
REMARKS: <empty>
SIGNATURE: <signature>

III. Subject: (7 or 30 Days)
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

# SPECIAL HOUSING UNIT REVIEW (cont.)

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

EFTA00037697