Document EFTA00032157 is an intake screening form from the Bureau of Prisons Psychology Services for Jeffrey Epstein upon his arrival at MCC-NY on July 8, 2019.
The document details Jeffrey Epstein's mental health history, substance abuse history, sex offense history, relevant psychosocial history, and adjustment to incarceration. It notes that Epstein denied a history of mental health treatment, substance abuse, or sexual offense convictions. He reported being incarcerated for sex trafficking and previously for prostitution and stated he had worked in banking. The document also indicates that limits of confidentiality were reviewed with Epstein, and he consented to the interview.

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Bureau of Prisons Psychology Services Intake Screening "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Date: 07/08/2019 09:24 Provider: Reg #: 76318-054 Facility' NYM Unit Team: 11/48O Limits of Confidentiality Limits of confidentiality were reviewed with inmate EPSTEIN. He expressed an understanding of the limits Df confidentiality and consented to be interviewed accordingly. Data Source(s) The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SENTRY, Staff Observation. Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arrivi g at MCC-NY. He denied a history of mental health treatment on his Psychology Services Intake Questionnaire. Mental Health History and Current Symptoms No history of mental health issues was noted. No history of prior mental health treatment was noted. No current mental health symptoms were noted. No suicidal ideation, attempts, or self-harm were noted. Substance Abuse No history of substance abuse was noted. No history of substance abuse treatment was noted. Sex Offenses No sexual offense convictions were noted. No history of sexual predation in a correctional setting was noted. Relevant PsychosocIal History Noteworthy psychosocial issues: Other. Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously incarcerated three months f or prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was li/ing in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarcer ion. Adjustment to Incarceration Adjustment to incarceration concerns were identified: Other. SEXUAL ABUSE HISTORY Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex tr fficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as w II as the Bureau of Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported tr was not currently interested in any treatment programs. MENTAL STATUS: Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He was fully cooperative, maintained good eye-contact, and related in an interpersonally appropriate manner with interviewer. eech and thought lip processes were organized, coherent, logical, and goal-directed. Based on informal assessment during this interview, this inmate's cognitive functioning appeared withi normal limits, as reflected by adequate long and short-term memory, good attention, and appropriate concentration duri g interview, as well as adequate receptive and expressive language skills. Inmate denied any current sleep disturbances nd described his appetite as adequate. This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent or pia and contracted for safety. This inmate's verbalizations were optimistic, future oriented, and without indications of helples or hopeless thinking. Inmate Brown denied any familial history of suicide behaviors or attempts. This inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping Skills and facilitate adjustment to incarceration. Findings Care Level: CARE1-MH Generated 07/0812019 0920 by Bureau of Prisons - NYM Page 1 of 2 EFTA00032157
074•N /0"1 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Date: 07/08/2019 09:24 Provider. Reg #: 76318-054 Unit Team: A&O Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current menta health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Car Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated th a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychol0gy services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed by on 07/08/2019 09:30 Generated 07/08/2019 09:30 by Bureau of Prisons NYM Page 2 of 2 EFTA00032158
OEN Bureau of Prisons Psychology Services Risk of Sexual Abusiveness "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/2011953 Sex: M Unit Team A&O Date: 07/08/2019 09:35 Provider: Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due t. previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following o 'ective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X ) Having a history of prior sexual abuse perpetration in the community (X ) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was se by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical ntact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he underst ds the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were asse ed and include: ( ) History of prior sexual victimization in prison ( X ) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at (X ) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of s xual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment Inmate Epstein declined programming recommendatio s.The Inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and educatio assignments. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable toodeclined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in dance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk t f being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriat ss for general population at this facility. This inmate should not be housed with any inmates judged to be at an I ased risk for sexual victimization. Programming recommendations include XXXXX. Inmate =inmateLastName is ag eeable to/ cleaned programming recommendations. Generated 07/08/2019 09:41 by Bureau of Prisons NYM Page 1 of 2 EFTA00032159
Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/08/2019 09:35 Provider. Facility: NYM Reg #: Unit Team 76318-054 A&O Completed by on 07/08/2019 09:41 Generated 0748/2019 09:41 by Bureau of Prisons - NYM Page 2 of 2 EFTA00032160
Bureau of Prisons Psychology Services General Administrative Note **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: M F 7aJYAI Unit Team: Date: 07/08/2019 10:41 Provider: 76318-054 A&O Comments This writer consulted with Central Office, regarding inmate Epstein. Inmate Epstein has 1. arious risk factors for suicidality including a high profile case with media attention, sex offense charges, pre-trial status and a court proceeding today which could potentially be giving him bad news regarding his legal situation. As such, when Inmate Epstein returns from court, R&D staff as well as Lieutenant's have been informed to immediately notify the psychology department. If he returns after duty hours, the aforementioned staff were Instructed to notify the on-call psypFlologist and to place inmate Epstein on a watch status until psychology can conduct a thorough suicide risk assessment. Completed by f Psychologist on 07/08/2019 10:49 Generated 07/082019 10:49 by Bureau of Prisons - NY1A I Papilla, 1 EFTA00032161