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8/21/19 SDNY
0845
[EMPLOYEE 14]
Doctorate psych - [illegible]
UCP - Brx House det - BOB 7/14/2000
Staff psych 02-present
referrals inmate crisis
follow-ups companion program
quality assurance math
Dr. Miller direct supu - CHF psych
crisis day T/Th only 1 staff
other Dr. do forensic eval for court
& fill in
8x4 crisis day 7x3 S/Mo RDO
Upon in Date - mental health
suicide - drgs
sex assault victim/perp
hear voice
Do you want to [illegible]
inmate request
→
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→ legal referral
watch - immediate threat
observ psych
inmate to inmate
Dr. goes to inmate
inmate companion
they sign-up
Criteria can't be high level
can't be [illegible] refuse - drug refuse
No [illegible] in inst
Class 3 hr - judgement/written
2 manual 1 MCC 1 Main office
training on the job
observe - 15 minute lovs
How placed: 124 risk asses 60 p/w
inmate SAUs
Suicide Att.
[illegible]
watch - smock and clothes all
paper
observation - more [illegible]
MCC 19 years 3 - total
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→
Epstein:
7/23 suicide risk assess
as result of att.
Risk factors
"No idea - can't remember"
No family - sex - high profile
off.
water - bed - snoring - why here?
Credible - IDK
Log book - my cellmate tried to kill me
"Odd" - never experienced
no recall
Notified capt. via email - log books c/m
denies - any suicide ideology
normal
Medical notified throat hurt
- many protective factor - left on
suicide watch
consult w/ Dr. Miller - IDK
No reason to
@ suicide watch cell
→
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→ why no suicide watch
not suicidal - violate rights
inmate companion big help
step down to see how
handle
Staff not exactly sure what happened
7/27 - next eval a Sat
psych observation
review logs
All normal actions
Spoke about business/investing
Still no recall - did not noise in
SHU - didn't like Anxious about
return to SHU - feels dehydrated
notified concerns w/ medical via
email
Nothing remarkable about status
pamphlets to inmate - on cell door
How to handle stress - turning Pt.
to address SHU
Demanding - wanting - unusual to
kill self
→
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→ "I am coward"
Does not like pain - authentic
Repor was easily developed w/
him - always coop
7/28:
Not in cell for 12 hrs
water @ night log book talk about
gen pop - arm numb - no fist w/
hand - notify med
toilet - flush on for 45 minutes
not noted in log book - "toilets are
loud" according to Dr.
facilities fix toilet
ensured obtained turning pt
7/30 crisis day
Dr. Miller to take off Monday asked
more days
asked for CPAP machine - noise in
SHU concern - all normal activity
Talk to inmate comp about invest
ask about turning pt - "I already knew
- doesnt work"
encourage
confer w/ [REDACTED] release if you
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→ need us come
told Lt and email "I make sure
he has cellmate" - went to all
LT's → any verbal SHU Lt. Rice
via call - not recall his reply
Do not advise as to who
8/01: R/D Epstein suicidal tend
came back w/ note from USMS
went over all factors - surprised
full assesment again - no factors
LT wrote up for self mutilation
Discp. hearing officer "DHO"
Pesto ask for comp/resp
dont know what happened
competent Avg + intelligent 7/30
Can see DHO
Happy CPAP machine cellmate talks
all night long
Advise follow-up next week
close-out meeting every friday 8/09
Adam want him single cell SHU - NO →
[REDACTED]
Hot list - psych advisory list
SHU advisory if gen pop →
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→ past suicide - behavioral issues
Gen pop → SHU
psych tracking
Every qtr/terrorist - contraband
know who we have - Epstein filled
noted in any way
Dr. Miller - noted pos suicide potential
SHU roster "posted pic file"
Protective features
Denied - agreed to tell
No history - no hopeless
No child abuse - no fear safety
No burden - plans to finish case
friends lawyers sups: religion
Jewish - against religion
Risk:
Still unsure of 7/23
[illegible] High profile
The will would be a sign - had notified
Hit would be back on watch
End 930
https://www.justice.gov/epstein/files/D ... 135253.pdf
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