← The Epstein Chronicles
The Epstein Chronicles
Mega Edition: The Reconstruction Of The Epstein Psychology Profile (7/25/26)
00:47:07
In the memorandum responding to the psychological reconstruction of inmate Jeffrey Epstein dated September 17, 2019, MCC New York Warden J. Petrucci addressed findings related to Epstein’s mental state and the events leading up to his death while...
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Download Tang Luck now and start winning real rewards. Spin at Tag Hang Luck today. What's up everyone and welcome to another episode of the Epstein Chronicles. In this episode we're going to take a look at the report that was put together by the psychiatrist and their staff about Jeffrey Epstein and the events leading up to his death. Background Information Jeffrey Epstein was 66 years old, white male who died on August 10, 2019 while housed at the Metropolitan Correctional Complex In New York, N.Y. redacted former acting assistant director, Re entry services division appointed a team to conduct a psychological reconstruction. The team consisted of National Suicide Prevention Coordinator, Central Office, Sex Offender Treatment Program Coordinator, Central Office, Mental Health Treatment Coordinator, Central Office and Redacted Correctional Services Administrator, Northeast Regional Office. The reconstruction was established in accordance with Bureau of prisons program statement 532408, suicide prevention program. Formal interviews were not conducted as part of this reconstruction at the direction of the Department of Justice. A copy of the video is normally made following a significant incident, but there was no such video in this case. Since the original video was confiscated by the Federal Bureau of Investigation prior to the beginning of this reconstruction, the absence of these two areas of inquiry severely limited the ability to establish accurate timelines, confirm subjective reports, establish converging and diverging lines of facts, or discover new areas of inquiry. As a result, the information typically gathered, reviewed and consolidated during a reconstruction to support actionable findings and recommendations is limited. Social history Mr. Epstein did not have a pre sentence report available at the time of reconstruction. Therefore, no official information regarding social history was accessible. The following was gathered from publicly available documents. Mr. Epstein was born in 1953 and grew up in a middle class family in the neighborhood of Seagate on Coney island with one brother. After early promotion in two grades, Mr. Epstein graduated from Lafayette High School in 1969 at the age of 16. He attended Cooper Union and New York University, but did not graduate from either. Mr. Epstein taught at the Dalton School, a private school on the Upper east side of Manhattan, from September 1974 until he was dismissed in June of 1976 for inadequate development as a teacher. Following that, he held a number of positions in the financial industry to include a position as a limited partner at Bear Stearns until he was dismissed for unknown policy violations in 1981. He also worked as a financial consultant and founded at least two separate companies. Mr. Epstein had two significant periods of employment. The rest of these was his position as a consultant with Stephen Jude Hoffenberg in the late 80s. Mr. Hoffenberg was described as his first mentor. Mr. Hoffenberg was later convicted and incarcerated of running a large Ponzi scheme. He implicated Mr. Epstein in fraudulently diverting company funds for his own personal use. Years later, Leslie Wexner, Mr. Epstein's sole client at J. Epstein and Company, granted him power of attorney over his affairs. Despite also being identified as Mr. Wexner's mentee, Mr. Epstein was again accused of misappropriating funds more than $46 million. These large sums are believed to be seed money Mr. Epstein used to establish his considerable fortune. These events are indicative of Mr. Epstein's highly regarded intelligence and charismatic personality. Legal history Mr. Epstein had a history of adult criminal charges and convictions. In June 2008 he entered into a non prosecution agreement and pleaded guilty to one count of solicitation of prostitution and one count of procuring a person under the age of 18 for prostitution in the State of Florida. He was sentenced to 30 months 18 months of incarceration and and 12 months of probation. He was also mandated to register as a sex offender under the National Sex Offender Registry and Notification Act. Mr. Epstein served 13 of his 18 month incarceration and then successfully completed 12 months of probation. It's unclear whether he followed the sex offender registration guidelines in each place he owned a residence. In regard to the pending charges, Mr. Epstein was formally charged with sex trafficking conspiracy in violation of US Code 18, Section 371 and sex trafficking in violation of US Code 18, Section 1591 A, B, 2 and 2 on July 2, 2019. Specifically, he was accused of sexually exploiting and abusing minor females over the course of several years. Charging documents allege Mr. Epstein enticed and recruited minor females to to engage in sexual activity. The minor females were reportedly compensated with cash following the sexual encounters and some were encouraged to find other minor females to ACcompany them to Mr. Epstein's residences in New York or Florida. He pleaded not guilty to the charges and was pretrial at the time of his death. In a 37 page decision and order remanding the defendant signed by Judge Richard M. Berman On July 18, 2019, 18 pages were dedicated to detailing the danger Mr. Epstein posed to others and the community. The document also alleged that he was a flight risk. As a result, Mr. Epstein's proposed bail package was determined to be inadequate. He was denied pre trial release and held on remand. This was likely significant to Mr. Epstein as he would lose the physical and and financial comfort to which he had become accustomed. Furthermore, his ability to mount a defense would be limited to the parameters of legal visits and legal work that could be accomplished in jail. These restrictions and the abundance of witnesses, victims and negative public attention were likely considerable burdens on Mr. Epstein. Institutional History On July 6, 2019, Mr. Epstein was arrested and at Teterboro Airport in New Jersey. Upon his return from Paris, France. It's unknown whether he was anticipating his arrest. He was transported to MCC New York and keyed into Sentry. At 9:24pm that evening. Mr. Epstein was placed in general population housing for approximately 22 hours. On July 7, 2019, at approximately 7:20pm he was moved to special housing unit pending reclassification. Due to the significant increase in media coverage and awareness of his notoriety among the inmate population with regard to his adjustment to a correctional setting, Mr. Epstein received one incident report while in BOP custody for self mutilation on July 23, 2019. As of August 15, 2019, the incident report had been expunged, but it's unclear why and whether Mr. Epstein knew this. Also, a review of financial transactions associated with Mr. Epstein's prison account revealed one of his attorneys was depositing funds into his cellmate in mate Reyes commissary account for unknown reasons. The plot thickens, doesn't it? Notice how nobody talks about that, huh? Why the hell was Epstein giving Mr. Reyes money? Healthcare and personality description BOP electronic medical records indicate Epstein was diagnosed with hyperlipidemia, sleep apnea, hypertension, constipation, prediabetes, neuralgia and neuritis. Unspecified. He was prescribed the following docusate sodium, milk of magnesia, omega 3 methylpredisone and biscadyl, whatever that is. Mr. Epstein was also prescribed insulin and the prescription required him to go to the institution pharmacy for administration of this medication. However, the dates for which it was prescribed have a notation indicating does not indicated. Thus it does not appear insulin was routinely medically necessary. The rest of the medications prescribed were self carry. He also had a continuous positive airway pressure machine which is typically used to treat sleep apnea. Mr. Epstein was provided with his personal CPAP machine on July 30, 2019. Per BEMR. In regard to mental health history and treatment, there are no known available records. Certainly there were records kept on Mr. Epstein's incarceration in Florida. However, the records were not available for review as of the date of this report. With regard to Psychology Data system records in BEMR, Dr. Carrie redacted, forensic psychologist at MCC's New York completed a routine intake screening on July 8, 2019. During the screening, Mr. Epstein denied any history of mental health problems, substance abuse and treatment. No symptoms of mental illness were observed. He was classified as mental health Care level one and was not diagnosed with with mental illness. Following a consultation with Dr. Redacted, National Suicide Prevention Coordinator on July 8, 2019, Dr. Redacted, Chief Psychologist at MCC New York determined Mr. Epstein should be preemptively evaluated for suicide risk upon his return from court. Primary consideration was given to his various risk factors for suicide such as his being a high profile case with with media attention, his pending sex offense charges, pretrial status and ongoing court proceeding. Mr. Epstein returned from court on July 8, 2019 after normal business hours. He denied suicidal thoughts at the time, but due to the potential for other risk factors listed above, the on call psychologist placed Epstein on psychological observation in one of the suicide watch cells until he could be assessed in person by a BOP psychologist. On July 9, 2019, Mr. Epstein underwent a formal in person suicide risk assessment with Dr. Redacted. She determined that while on suicide watch was not warranted at the time, Mr. Epstein should remain on psychological observation status. Out of an abundance of caution, he was removed from psychological observation on July 10, 2010. On July 23, 2019, Dr. Redacted, the on call psychologist was notified Mr. Epstein had been found in his cell with a piece of orange cloth around his neck. Reportedly, he was observed lying in the fetal position on the floor with a noose around his neck. Medical staff evaluated Mr. Epstein and found friction marks and superficial reddening of the neck and one knee. He was placed on suicide watch by the operations lieutenant at approximately 1:40am pending a formal in person suicide risk assessment. Dr. Redacted, staff psychologist at MCC New York assessed Mr. Epstein for risk of suicide. Later in the morning of July 23, 2019, he determined that he should remain on suicide watch. Mr. Epstein denied any knowledge of how he received marks on his neck and initially informed staff that he thought that his cellmate had attempted to kill him. Special Investigative Services staff opened an investigation to assess Mr. Epstein's safety and collect facts surrounding the episode. Despite the investigation, staff were unable to determine whether he was assaulted or engaged in self directed violence. Mr. Epstein was removed from suicide watch on July 24, 20, 2019 after 31 hours and 5 minutes. Thereafter he remained in the suicide watch cell and was placed on psychological observation where he remained housed until July 30, 2019. According to PDS Be Mr. Records, a discrepancy exists regarding when he was removed from psychological observation. His cell assignment per century indicates that he was transferred back to the Special housing unit on July 29, 2019, whereas PDS BEMR indicates that he was removed from psychological observation on July 30, 2019 at approximately 8:15am Mr. Epstein attended a court hearing on July 31, 2019 and upon his return the United States Marshal Services provided paperwork to receiving and discharge that noted suicidal tendencies. Dr. Redacted was notified on August 1, 2019 about the paperwork. She consulted with Dr. Redacted and then met with Epstein to conduct a suicide risk assessment. She determined suicide watch was not warranted at the time. Epstein remained classified as a mental health care level one throughout his time at MCC New York. During his contact with psychologist, Epstein routinely denied current mental health symptoms including suicidal ideation and he did not exhibit symptoms of serious mental illness. His most frequent complaint was difficulty sleeping. He did not have access to his CPAP machine until it was reportedly provided to him on July 30, 2019. Mr. Epstein also reported he was bothered by noise in the shoe. At times he noted concerns related to his safety in the shoe was or in general population housing unit. On two occasions, July 26, 2019 and July 27, 2019, he described himself as a coward and as someone who does not like pain. On July 28, 2019, he told Dr. Redacted the toilet seat in his cell would not stop flushing for an extended period of time and then he took to sitting in the corner with his hands over his ears. Mr. Epstein indicated he was agitated following this incident and was unable to sleep that night.
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All right, folks, we're gonna wrap up right here and in the next episode dealing with the topic, we're gonna pick up where we left off. All the information that goes with this episode can be found in in the Description box. What's up everyone? And welcome to another episode of the Epstein Chronicles. In this episode, we're going to pick up where we left off with the psychological report on Jeffrey Epstein's death. Antecedent circumstances Mr. Epstein entered BOP custody on July 6, 2019 with a history of convictions for sexual offenses and allegations comprised of more serious charges. The current indictment alleged sexual crimes against minors and he was facing up to 45 years in prison. On July 18, 2019, Mr. Epstein's request for bail and pre trial release was denied. On July 23, 2019, Mr. Epstein was found unresponsive in his cell. The motivation and context were never fully determined. After 31 hours and five minutes on suicide watch, he was then placed on psychological observation. On July 30, 2019, Mr. Epstein was removed from psychological observation and needed to be housed with an appropriate cellmate. This email was sent to 71 MCC New York staff and as of August 13, 2019, only 27 staff members had opened the message. On August 9, 2019 a a federal court unsealed approximately 2,000 pages of documents into the public domain. These included graphic allegations against Mr. Epstein. Included was a book order receipt for titles such as SM101, a realistic introduction, Slavecraft, Roadmaps for Erotic Servitude and training with Ms. Abernathy, a workbook for Erotic Slaves and their owners. Additional high profile public figures were also named. The documents were part of a defamation lawsuit filed by redacted a woman who alleged Mr. Epstein had victimized her against a British socialite, Ghislaine Maxwell, who was Mr. Epstein's ex girlfriend, associate and alleged madam. With the release of the information, it became increasingly clear that Mr. Epstein's chances of avoiding a lengthy period of incarceration and and a broader public understanding of his private life were inevitable. Mr. Epstein was afforded telephone calls on two different days. No records of the call exist and it's not known with whom he was speaking. One occurred on or around July 16, 2019 and the other on August 9, 2019. Given the limited information known about Mr. Epstein, knowledge of the content of the calls would have been crucial to helping staff work with him. Following his final telephone call on the evening of August 9, 2019, Mr. Epstein was moved into his shoe cell. He was single celled at the time because his cellmate, Efren Reyes, did not return from court. The need for a cellmate was communicated between day watch and evening watch shifts in the shu, but no cellmate was placed with him by the EW staff. Bop staff knew Mr. Epstein's cellmate had not returned from court as early as 1:50pm that day. A review of the 30 minute round forms indicate unit rounds were not completed for the entire MW shift on August 10, 2019. However, a memorandum from Lieutenant Stanley Jean indicates Officer Tova Noel and materiel handler Supervisor Michael Thomas made a statement after Mr. Epstein's death that they did not complete proper 30 minute rounds at 3am or 5am Description of the Scene A detailed description of the scene was unavailable because the Officers who discovered Mr. Epstein did not write memorandums and could not be interviewed. According to the report of incident On August 10, 2019, at approximately 6:33am While serving the breakfast meal in the Shoe Range 9 South, Mr. Epstein was found unresponsive in his cell. Staff reportedly called for medical assistance, activated the body alarm and began life saving measures. Arriving staff alleged they brought an automated external defibrillator and stretcher. Cardiopulmonary recitation reportedly continued while the AED was placed on Epstein. The AED reportedly indicated no shock advised and CPR was continued. Mr. Epstein was escorted to Health Services at approximately 6:39am and Emergency Medical Services arrived at 6:43am he was transported to the local hospital at approximately 7:10am Mr. Epstein was pronounced deceased at 7:36am it was not possible to confirm this timeline without reviewing video footage. Conclusions Recommendations A general appreciation of risk factors for suicide with sex offenders is necessary when reviewing Mr. Epstein's death. There are several common factors that increase risk for suicide in individuals with a history of sexual offense. These include stigma due to the nature of sexually based crimes both within society and the prison system, a disruption of the ability to utilize sex as a coping mechanism which can lead to increased levels of distress and negative effect and grief about loss experienced in regards to arrest. The grief may be secondary to the loss of former lifestyle, loss of physical items or collection related to sexual offenses and or loss of perceived relationship with victims. Other factors that may increase risk for suicide among individuals accused of sex offenses include safety concerns, potentially long sentences and lack of skills necessary to navigate social relationships in prison. Mr. Epstein was a high profile pre trial detainee awaiting trial on sex trafficking offenses. He had been successful wealthy businessman with a number of high profile acquaintances that he accumulated through a combination of charisma, charm and intelligence. Despite his many associates, he had limited significant or deep interpersonal ties. Although Mr. Epstein appeared to cultivate a large social and professional network, he was estranged from his only brother. Indeed, his identity appeared to be based on his wealth, power and association with other high profile individuals. Approximately two and a half weeks before his death, Mr. Epstein appeared to attempt suicide but ultimately denied it was a suicide attempt. He was convincing in his denial at the time. He was saved because his cellmate notified BOP staff in the weeks before his death. He made statements that he was a coward and was having difficulty adapting to his diminished circumstances. He also frequently referenced poor sleep and an inability to tolerate the noise of prison. On the day before his death, a number of documents in his case were unsealed, further eroding his previously enjoyed elevated status and potentially implicating some of his associates. Given his lack of significant interpersonal connection, coupled with the complete loss of his status in both the community and among associates, the idea of potentially spending his life in prison was likely intolerable. 1. Single celling it's recommended that all inmates be double celled unless safety concerns or an odd number of inmates precludes. This priority should be given to inmates with a history of mental illness, self directed violence, recent stressors. It's recommended that a system of control be implemented explaining who will be notified when a suicide watch or psychological observation ends and how that communication will take place. Because this is a life safety issue, the systemic control will, once approved by executive staff should be reviewed in formal meetings. Such staff recalls department head meetings and lieutenant meetings. Two rounds 30 minute rounds are required by P5514 Correctional Services Procedure Manual 3. Cellmate assignments When Mr. Epstein was placed in the shoe on July 7, 2019, executive staff decided Mr. Tartaglioni would be his cellmate. As explained by Dr. Redacted input was not sought from Psychology Services and it's not clear if or how sex offender specific needs and associated risk were incorporated. Mr. Tartaglioni was a high profile inmate, an ex police officer charged in multiple murders. However, he and Epstein did not share risk associated with being sex offender and their pairing may have aggravated Mr. Epstein's risk of for self directed violence in an effort to treat Mr. Epstein the same as other inmates. A statement repeated by multiple staff executive staff may have inadvertently overlooked the need to consider significant unique risk factors associated with individuals who have been charged with, convicted or convicted of a sex offense. On July 25, 2019, Dr. Redacted sent an email 2 redacted a associate warden explaining a consultation between Dr. Redacted and Dr. Redacted, National Suicide Prevention Coordinator. In the email, Dr. Redacted reviewed and consulted and recommended from the Psychology Services Branch Central office that Mr. Epstein be housed with another inmate who had also been accused of committing a sex offense. There is no evidence this information was considered beyond this email and and Mr. Epstein was never housed with another sex offending inmate. It's recommended executive staff and Correctional Services staff include a psychologist in decisions about cellmates as a means of incorporating expertise about suicide risk, mental health needs and interventions for psychological stability this weekend someone
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Number 4 Documentation Accuracy On July 23, 2019, Mr. Epstein was found unresponsive in his cell. He had abrasions on his neck and knee. There are Inconsistencies between documents describing the circumstances of the scene. In a general administrative note in PDS be Mr. Dr. Redacted documented information received from an operations lieutenant redacted that Mr. Epstein was found with a string loosely hanging around his neck. In contrast, Officer Wilson Silva, who responded to the emergency, wrote in a memorandum dated July 23, 2019. In the memorandum, Officer Silva wrote he saw Mr. Epstein laying down near his bunk with what appeared to be a piece of handmade orange cloth around his neck. It's critical that all descriptions of the incident accurately reflect objective evidence. Officer redacted wrote Mr. Epstein an incident report for self mutilation on July 23, 2019 after he was found unresponsive in his cell. A Special Investigative Services threat assessment was completed on August 2, 2019, but results were inconclusive as to whether Mr. Epstein engaged in self directed violence, willingly fought with his cellmate or was assaulted by his cellmate. Although the incident report was written in a timely manner, it presumed he engaged in self directed violence and neglected to consider the other options of fighting an assault. Since it was unclear what had taken place in Mr. Epstein's cell, there should have been three incident reports written. One alleging Mr. Epstein engaging in self mutilation, one alleging Mr. Epstein participated in a fight or assault without injury, and a third alleged alleging Mr. Tartaglioni participated in a fault or a fight or assault with injury. It's recommended that staff remain open to all reasonable explanations for all behavior and take appropriate action for all those possibilities until a final determination is made. Dr. Redacted entered a psychology service intake screening into PDS BEMR on July 8, 2010. The document has three typographical errors. She selected the no sexual offense conviction checkbox when in fact Epstein was previously convicted of solicitation of prostitution and procuring a person under the age of 18 for prostitution. Second, Mr. Epstein was erroneously identified as the black male in the document. Finally, there's one instance where he was mistakenly referred to as Mr. Brown. Dr. Redacted completed a risk sexual abusiveness document on July 8, 2019. She marked history of prior prison sexual predation in the affirmative. This is not accurate. Mid level practitioner completed a history and physical on July 9, 2019. An intake screening should have been conducted within 24 hours of his entry into Bureau custody. According to P6003104, Officer redacted was responsible for observing Mr. Epstein and documenting his behavior while on suicide watch on July 23, 2019. Officer redacted mistakenly used an inmate suicide watch logbook between 1:40am and 6:00am on July 23, 2019, when he should have been using the Staff Suicide watch logbook. Inexplicably, Ms. Redacted, drug treatment Specialist reportedly noticed this error and subsequently hand copied all of officer redacted's entries from 1:40am to 6am into the staff Suicide Watch logbook. She then initialed the entries and this makes it appear as if she was the one conducting the watch. This information was discovered and conveyed in an email from Ms. Redacted associate warden to Dr. Redacted with a carbon copy it award and redacted on August 12, 2019. Of note, Ms. Redacted did not make an entry explaining why she was making the logbook changes. Additionally, Ms. Redacted then wrote entries for 6:15, 6, 30, 6, 45 and 7am in the staff Suicide Watch logbook. These were not part of the original entries made by Officer redacted nor was Ms. Redacted assigned to work Suicide Watch post. It's recommended that if a staff member makes an entry error, the staff member should describe the error in the correct logbook to include indicating when they became aware of the error. The staff member should then notify the Chief Psychologist. A review of Special housing unit records BP A0292 revealed a number of incomplete entries. The document is used to monitor provision and receipt of of basic services such as recreation, medical rounds, showers, meal consumption, etc. The officer in charge signature is missing on 10 occasions and a medical provider's signature is missing in 7 instances. There are 6 instances which it's not clear if Mr. Epstein ate his meal. There are 9 instances in which it's not clear if Mr. Epstein took a shower. There are 10 in which it's not clear if Mister Epstein was offered recreation Corrective Service Manual requires accurate and complete information on the BP A0292. A review of psychology observation logbooks revealed significant discrepancies from the approved psychological Observation procedural memorandum dated April 15, 2019. A correctional officer is required to complete hourly rounds and sign the logbook. 179 out of 183 round signatures were missing. The lieutenant is required to sign the logbook one time per shift and signatures were missing in 10 of 23 instances. A physician assistant required to sign one time per shift and 16 of 16 instances were missing. It's recommended that a review of psychological observation procedure be conducted and if it can no longer be effectively implemented, the program should be discontinued. Alright folks, we're going to wrap up right here and in the next episode dealing with the topic. We're going to pick up where we left off and finish this bad boy up. All the information that goes with this episode can be found in the description box. What's up everyone? And welcome to another episode of the Epstein Chronicles. In this episode, we're picking up where we left off with the MCC Psychological Department and their explanation as to what happened to Jeffrey Epstein. Number six direct observation Mr. Epstein was on suicide watch from July 23, 2019 until July 24, 2019. While on suicide watch on July 23, 2019, Mr. Epstein attended an attorney visit from approximately 12:40pm until 7:15pm during this time he was without direct continuous observation by a dedicated BOP staff member as required by P5324.08. While on psychological observation, he attended attorney visits on July 24, 2019 for 11.5 hours, on July 25, 2019 for 11.5 hours, on July 26, 2019 for 9.5 hours, on July 27, 2019, 11.33 hours, on July 28, 2019 for 10 and a half hours and on July 29, 2019 for 8 hours. On July 30, 2019, psychology observation was terminated. During these visits, continuous observation by a dedicated BOP staff member was not maintained as required by MCC New York. Procedural Memorandum for Psychological Observation 7 Follow up Mr. Epstein arrived at MCC New York on Saturday, July 6, 2019. While conducting the 10:00pm institution count that evening, Redacted Facilities Assistant reported she observed Mr. Epstein in its cell. In an email that she sent to Dr. Redacted and Lt. Redacted later that evening, she described Mr. Epstein as distraught, sad, and a little confused. She said that she then asked Mr. Epstein if he was okay and he reportedly said he was. However, she noted in her email she was not convinced of this, adding he seems dazed and withdrawn. She went on to say so just to be on the safe side and prevent any suicidal thoughts, can someone from Psychology come and talk to him? Despite the fact that Lt. Redacted opened this email, there's no evidence that he contacted the on call psychologist as is required by P 5324.08 Suicide Prevention Program. Additionally, if Ms. Redacted was concerned about suicide risk, P5324.08 Suicide Program requires her to maintain direct continuous observation of Mr. Epstein. When Dr. Redacted opened the email the following Monday morning, Mr. Epstein was evaluated by Dr. Redacted at approximately 9:30am Mr. Epstein was denied bail on Thursday, July 18, 2019. This was a significant disappointment for Mr. Epstein and likely challenged his ability and willingness to adapt to incarceration. Given the potential impact of the judge's decision, a psychologist should have assessed Mr. Epstein's mental status upon his return to the institution. The BOP developed a sentry assignment of Sialert for purposes such as this. Specifically, Sialert is used to ensure if movement occurs, that all staff consider the special psychological and management conditions and related risks associated with the inmate. Furthermore, P532407 Sentry Psychology Alert function states when a decision to move any PSI Alert inmate occurs, any special psychological needs of the inmate are reviewed and considered by Psychology Services staff and any safety and security concerns are highlighted from non psychology services staff. Psychologists should use the Sialert assignment more frequently with high profile cases and with inmates who have a history of charge of sex offense. Both of these groups of inmates are susceptible to exaggerated or unrealistic fears about correctional settings and experience stress associated during movement and periods of transition, egg cell unit changes, movement to and from court, institutional movement and release of information through the media. Mr. Epstein was reportedly in court on July 31, 2019. It's unknown what time he returned to MCC New York because this information was not entered in sentry. Regardless, upon his return, the United States Marshal Service USMS provided R D staff with a Prisoner Custody alert notice regarding Mr. Epstein. The notice indicated Mr. Epstein had MTL mental concern suicidal tendencies. The US MSS requested R D staff sign the form and then they departed with the signed copy. On August 1, 2019 at 8:46am, Dr. Adaktid sent Dr. Adaktid and email reporting she had just become aware of the above information. In the absence of additional information about this notation, this should have been considered a referral to psychology about a potentially suicidal inmate and procedures should have been followed as outlined in p. 5324.08 Suicide Prevention Program Specifically, when a staff member becomes aware a an inmate may be thinking about suicide during normal working hours, that staff member must contact Psychology Services and maintain the inmate under direct continuous observation until he is placed on suicide watch or seen by a psychologist. There's no evidence Mr. Epstein was monitored under these conditions from the time he returned from court until he was seen by Dr. Redacted for a suicide risk assessment of On August 1, 2019 at approximately 1:30pm this weekend, someone is walking
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8 Inmate accountability and Assignment Accuracy According to a Century quarters roster generated on August 10, 2010 at 12:51aM, there were three inmates assigned to Mr. Epstein's shoe cell z04206 lad, including him. the time of his death, however, his shoe cell was only double occupancy. Inmate Patrick Avila, inmate Gregory Ferrer, and Mr. Epstein were all assigned to the same cell. On August 13, 2019 at 12:06pm and 12:08pm we generated a quarter's history roster for inmate Avila and ferreira, respectively, in MAID. Avila's cell assignment was Z04206LAD from August 5, 2009 until August 11, 2019 when he was moved to cell 704212UAD. Inmate Ferrer cell assignment was Z04206UAD from August 1, 2019 until August 11, 2019 when he WAS moved to sell Z04207LAD. We then generated a quarters history roster for Mr. Epstein on August 13, 2019 at 9:07am his cell assignment was Z04206LAMY from July 29, 2019 until August 10, 2019. On Monday, August 12, 2019, photographs of name tags on shoe cell doors and shoe locator forms were sent to the Correctional Service Department in the Northeast Region. The shoe locator form is dated August 9, 2019. It shows inmate Ferrer in cell 207. L Sentry states he was moved to the cell on August 11, 2019. Inmate Epstein is in cell 220. L Sentry never shows them in this cell along with inmate Reyes. The locator shows inmate Copper and inmate dockery in cell 206. The photosheets show the cell being 220 with inmate Epstein and Reyes identification cards on the door Inmate Reyes Efren, registration 85993 -054, was in cell Z06220U from August 5, 2019 to August 9, 2019. MCC has four suicide watch cells and each is for single occupancy use. The suicide watch cells are located in Health Services. Each cell is abbreviated with the unit code H01 in Sentry followed by the four digit cell number. The doors are identified by a painted number from 1 to 4. Two reviews are conducted. The first revealed Mr. Epstein was in H01001L According to Sentry, but the suicide watch log books indicate that he was in Cell 4. A second review was conducted on April 13, 2019. While there were four inmates on these cells, Sentry showed two inmates assigned to HO1001L, one assigned to H0102L, and the fourth inmate assigned to a general population housing unit. Through physical observation of the dedicated suicide watch cells, there were four H01 cells. However, a review of the BOPWARE inmate housing format only shows three cells. Inmate movement and assignment are not accurately reflected in Sentry as required by P5514 Correctional Service Procedure Manual 9. Attorney logbooks Four logbooks were not secured following Mr. Epstein's death. Specifically, three attorney logbooks located in the attorney visiting and front lobby areas and an inmate search logbook located in the attorney visiting area were not secured. All four books were still in use at the outset of the reconstruction and and after the reconstruction team advised staff to secure them. P5324.08 states, in the event of suicide, institution staff, particularly correctional staff and other law enforcement personnel, will handle the site with the same level of protection as any crime scene in which a death has occurred. The policy further states, all possible evidence and documentation will be preserved to provide data and support for subsequent investigations and investigators doing the psychological reconstruction. Further, a review of the attorney logbooks identified many errors and signify a systematic concern. For example, there were two concurrently open attorney logbooks in the attorney visiting area. Further, the different purposes of the two attorney logbooks, one in the attorney visit area and one in the front lobby, could not be explained. BOP staff were unable to articulate a system of control for the logbooks and during reconstruction, some of the logbooks could not be accounted for. Within the logbooks, entries were made out of the chronological order, attorneys did not consistently sign in and out, and significant information was illegible or missing. Columns were not consistently labeled. Logbook opening and closing dates were inconsistent and the COVID had been torn off. Several books at the current time, these logbooks are not functioning as an adequate system of control and monitoring. 10. Automatic External Defibrillators A review of available AEDs in the institution revealed that the list used for accountability and inspection purposes was inaccurate and incomplete. 11 post orders and Shoe Training Shoe post order sign in sheets were reviewed for the third quarter spanning June 9, 2019 to September 7, 2019. Officer L. Gray failed to sign post orders for SHOE. Three post quarterly SHOE training sign in sheets were reviewed. The 2019 third quarter shoe training was conducted on June 6, 2019. Three staff assigned to the third quarter SHU roster in SHU did not attend or receive the SHU training. Officer redacted, officer redacted and officer redacted. 12 Staffing the Drug Abuse Program Coordinator position at MCC New York was abolished during phase one of staff realignment during fiscal year 2018. Re establishing the Drug Abuse Program Coordinator, a position would provide the institution which with an additional supervised repsychologist to provide critical clinical service staffing in the Correctional Service department is relevant to the reconstruction. However, the details about this topic are provided in the After Action review completed separately from the report. 13 Case conceptualization a broad understanding of risk factors associated with sex offenders by staff at MCC New York did not appear to be present but was vital to his adjustment and safety in prison. There's limited time for psychologists to dedicate extended periods conceptualizing cases. However, it's recommended in particularly complex and high profile cases in order to provide the effective psychological interventions and maximize support for executive staff management of inmates. The documents examined True Intel Download report of incident 583, 586 and global report TrueView money exchanged phone, email and visitor lists, calls, messages, visits, timeline Truscope logs, High risk inmates, inmate lists, etc. Staff memorandums, staff email photographs of the scene deceased Autopsy video showing scene and staff response Sentry documentation SIS Case File Index psychology file PDS BE Mr. Psychological observation procedural memorandum POST orders Lieutenant logs attorney logs, staff roster medical information records BOP 24 hour death report Pre Sentence Report Notes left behind by deceased Autopsy Request and Report Inmate Central File Court Return Screening form prisoner remand form USM129 individual custody detention Report Prisoner Custody Alert Notice Staff sign and log one week prior to suicide detention orders 30 minute shoe rounds and the BP 292s and 295s. Alright, so that's what psychology at MCC came up with after Epstein's death. Now does it sound to you like they're sure of what went down? Because it sure seems to me that they have no idea what happened in that jail cell that Epstein was sharing with Nicholas Dartaglione. And if the BOP is lying about that, what else are they lying about? And why? And that, of course, is the million dollar question. All the information that goes with this episode can be found in the description box this weekend.
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