UNITED STATES GOVERNMENT

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: Associate Warden Programs FROM: Psy.D., Ph.D., Forensic Psychologist SUBJECT:Epstein #76301-054 This memo summarizes the psychology contacts with Mr. Epstein. Mr. Epstein arrived on July 8, 2019, and was seen by psychology services for an intake screening in SHU. He denied any psychology history or symptoms. The Chief Psychologist spoke with Central Office on July 8, 2019, and it was determined he should be placed on suicide watch and seen for a suicide risk assessment after he returns from court due to his increased suicide risk factors. Mr. Epstein was seen on July 9, 2019, for a suicide risk assessment where he denied any suicide ideation, intention, or plan. Despite his risk factors of his sex offence charge, high profile case with media attention, and pretrial status housed in SHU, his protective factors outweighed his risk factors. He was future oriented, wanted to fight his case, and denied any mental health history or suicidality. He was removed from suicide watch and placed on psychology observation. He was seen the following day at which time he requested to be celled alone if housed in SHU and was told he could not. Mr. Epstein was released from psychology observation and seen on July I1, 2019, in attorney conference. He expressed concerns such as wearing an orange jumpsuit, not receiving medication, and not having enough water during attorney visits. Mr. Epstein was seen one week later, July 16, 2019, for follow up and because he was asking to be seen. lie did not express any psychological concerns, rather correctional issues such as not getting a phone call and needing a spoon. An attempt at a SHU review was made on, July 18, 2019; however, Mr. Epstein was with his legal team. On July 23, 2019, the on call psychologist was contacted at approximately 2am by the Operations Lieutenant, indicating Mr. Epstein was being placed on suicide watch as he was found with a string hanging around his neck. He was seen for a suicide risk assessment at approximately 9am. Mr. Epstein denied remembering how he was placed on suicide watch. According to the log book, he told staff watching him his cellmate tried to kill him. Despite denying any thoughts to harm himself, he remained on suicide watch. On July 24, 2019, Mr. Epstein was removed from suicide watch and placed on psychology observation. It was observed he had a scar around his neck, which was scaring over. He continued to insist he did not know what happened. He denied any suicidal ideation and stated he would not harm himself. He expressed he would prefer to be in general population. Mr. Epstein was seen daily while on psychology observation, each day denying he was suicidal. During one interview, he claimed he could not remember what happened because of his "sleep apnea." On July 30, 2019, Mr. Epstein was removed from psychology observation and returned to SHU. He reported he did not think he could sleep in SHU because of the noise. He denied any psychological concerns. It was noted he would be placed with a cellmate. SDNY_00006432 EFTA_00000517 EFTA00134931 On July 31, 2019, Mr. Epstein was seen for a psychology observation follow up. He stated he was doing as well as can be expected given his circumstances and reported he was going to court for a status hearing. He also reported he slept well. Mr. Epstein was seen for another suicide risk assessment on August 1, 2019, at approximately 1pm, as he returned from court with a note from the court indicating "suicidal tendencies." Mr. Epstein denied he was suicidal. He reported he saw the DHO for an incident report regarding his neck injuries and it was expunged. He complained about the noise in SERI Mr. Epstein's protective factors outweighed his risk factors and he was not placed on suicide watch. He denied suicidal ideation, reported fighting his case, stated he has emotional support, and stated suicide is against his religion. On August 8, 2019, Mr. Epstein was seen for a follow up session. He stated he was feeling ok and his sleep was fair. He again requested to go to general population. He denied any mental health symptoms. He denied any suicide ideation, intention or plan. He had a cellmate. He spends his days with his attorney. It was noted he would continue to be seen for weekly rounds. SDNY_00006433 EFTA_00000518 EFTA00134932