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sessment for every one month interval thereafter? O Yes: O No if no. why not? Acts) taken on the above date by the Segregation Review Official or the Reviewing Authority: O Released from Special Housing: O Continue in Speaal Housing Did inmate in Adminisuative Detention receive a written copy of staffs decision and
s documented here. Record Copy • Inmate Concerned (not necessary it placement is a result ot holdover status); Copy - Captain, Copy - Unit Manager. Copy - Operation Supervisor • Administrative Detention Unit: Copy — Psychology; Copy - Central Fine PDF Prescribed by P5270 (Replaces 8P-A0308 of JAN 88.) EFTA00110601 8P
sessment for every one month interval thereafter? K Yes: K No if no. why not? Acton taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housing: K Conbnue vi Special Housing Did inmate In Administrative Detention recent a written copy of staffs decision and
s documented here. Record Copy - Inmate Concerned (not necessary if placement is a result of holdover status); Copy - Captain. Copy - Unit Manager. Copy - Operation Supervisor • Administrative Detention Unit; Copy — Psychology; Copy - Central Fine PDF Prescribed by P5270 (Replaces 8P-A0308 of JAN 88.) EFTA00110614 8P
essment for every one month interval thereafter? K Yes: LI NO if no. why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: K Released from Special Housing. K Continue m Special Housing Did inmate in Administrative Detention receive a written copy or staffs decision an
s documented here. Record Copy - Inmate Concerned (not necessary it placement is a result ot holdover status); Copy - Captain, Copy - Unit Manager. Copy - Operation Supervisor • Administrative Detention Unit: Copy — Psychology; Copy - Central Fike PDF Prescribed by P5270 (Replaces BP-A0308 of JAN 88.) EFTA00060708 8P
for every cne month interval thereafter? O Yes. O No dn.. why not? O Yes O No Acton taken on the above date by the Segregation Review ()Moat or the Reviewing Authority: K Re:eased from Special Housing. O Continue in Special Reusing Did inmate in Administrative Detention receive a written copy of staffs decision a
s dteumented here_ Record Copy - Inmate Concerned (not necessary if placement Is a result of holdover status); Copy - Captain; Copy • Unit Manager. Copy - Operation Supervisor f eaeysAdmintstratve Detention Unit Copy —Psychology: Copy - Central Fite PDF Prole Ned by P5270 (Replaces 8P-A0308 al JAN 88.) EFTA00047579 B
Entities connected to both the Reviewing Authority and Copy - Operation Supervisor
Special Housing Unit
ORGANIZATIONNext Review
ORGANIZATIONSpecial Housing Review Form
ORGANIZATIONLeon Black
PERSONFederal Bureau of Prisons
ORGANIZATION
Julie K. Brown
PERSONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONthe Segregation Review
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONPGM REVIEW
ORGANIZATIONUNT MGR
ORGANIZATIONR. PROTO
ORGANIZATIONMedical Staff
ORGANIZATIONOHO Report
ORGANIZATIONActon Taken
LOCATIONSHU Review
ORGANIZATIONEl Continue
ORGANIZATIONthe Central File (Incident Report
ORGANIZATIONPagelofl
PERSONCARE1-MENTAL
ORGANIZATION