Epstein Secrets

s received presented weekly exercise: K Yea: K No Proper documentation and Justification in the Centel File (Incident Report. OW Report, copies of Special Housing Review Form): Yes: K No if no. why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housmg st

: K No Is there an additional assessment 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

recanted prescribed weeldy exercise: IZ Yea; El NO Proper documentation and justification in the Central Fie (Incident Report. DHO Report copes or Special Housing Review Form): Yea El No If no. why not? Is there a wntten psychiatric or psychological assessment on the inmate who has Vent 30 dale n a Waal housing status?

RI E No Is there an additional assessment tor every one month interval thereafter? Yes. —I No if no. why not, Acton taken on the above date by the Segregation Review Official or the Reyxweing Authority K Released from Special Housing, s, Continue in Special Housing Did inmate in Administrative Detention receiv

as received prescnbed weekly exercise: O Yes: O No Proper doCuMentation and iuStification in the Central Fie (InteleM Report. OHO Reprt. copies 01 Special Housing Review Form): K Yes; O No d no. why not? Is Mere a written psychiatric or psychological assessment on the inmate who has spent 33 days in a special housing s

s there an additional assessment 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

received prescribed weekly exercise: D Yes: K No Proper documentation and justification in the Central File (Incident Report, DHO Report, copes of Special Housing Review Form): O Yes; O No if no. why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing

s, K No Is there an additional assessment for every one month interval thereafter? O Yes; O No if no. why not? Action taken on the above dale by the Segregation Review Official or the Reviewing Authority O Released from Special Housing; K Continue in Special Housing Did Inmate in Administrative Detention receive

received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central F~e (Incident Report, DHO Report, copies of Special Housing Review Form): if no, why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status? Is t

; O No Is there an additional assessment for every one month interval thereafter? ~ Yes; 0 No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: D Released from Special Housing; ~ Continue In Special Housing Old inmate In Administrative Detention receive

received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central F~e (Incident Report, DHO Report, copies of Special Housing Review Form): if no, why not? Is there a written psychiatric or psychological assessment on the inmate who has spent 30 days in a special housing status? Is t

; O No Is there an additional assessment for every one month interval thereafter? ~ Yes; 0 No if no, why not? Action taken on the above date by the Segregation Review Official or the Reviewing Authority: D Released from Special Housing: ~ Continue In Special Housing Old inmate In Administrative Detention receive