OS, Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility. NYM I 'nit Team: A&O Date: 07/09/2019 08:41 Provider: Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on sychological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He is 1 a suicide watch at this time. Reason for Referral Inmate Epstein is being seen de risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at this ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instruc &D staff s well as the Lieutenant's Office, to immediately notify the psychology department when he returned f . Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho • terview him this moming to conduct a suicide risk assessment. Develintmental History Inmate Epstein denied any history of being the victim etrator of physical or sexual abuse. PraucatIonal HIstnry/CrignItIve Impairment Inmate Epstein reported he obtained his high school diploma ed some graduate classes in the area of mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail nse charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History 4) Inmate Epstein denied any history of mental health treatment, either on an inpab tient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d ' cute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever e ging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Covens Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this lime. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Level of Consciousness: Alert and Oriented Generated 07109/2019 10:36 by Bureau of Prisons - NYM Page 1 of 3 EFTA00032174

- Inmate Name: Date of Birth: Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M 07/09/2019 08:41 Provider: Reg #: 76318-054 Fm ‘IYM Unit Team: A&O at Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EP a neutral affect with approp 'a and volume. His thoughts irrelevant content. There not engage in any bizarre or Map explicitly denied recent and curre commitment to life and safety, agree N was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, anized and coherent, with no loosening of associations or tangential, circumstantial, or ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did to behavior. He noted having normal sleeping and eating habits. M EPSTEIN eation, planning, and intent. He was future-oriented and expre ed a tact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTO SSED* This writer screened the inmate for a variety o suicide. The following STATIC risk factors were assessed t behaviors: High Profile Crime, Lack of family connecti Of the DYNAMIC risk factors assessed, none were foun y validated factors commonly associated with risk for self-harm and The following PROTECTIVE factors were assessed to be pres reasons to live, Adequate problem solving skills, Denial of suici negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He including a high profile case with extensive media attention, sex offensenr proceeding yesterday which may have given him bad news regarding his leg writer that his only family at this time is his brother, with whom he does not hav and increase the inmate's risk for engaging in ender status nt. suicide related may decrease the inmate's risk of suicide:Able to identify tention/plans, Future orientation, View of death as k factors for suicidality a this time arges, pre-trial status, and he had a court Inmate Epstein also informed this atlonship with. Despite These risk factors, inmate Epstein possesses a number of protective factors a Inmate Epstein adamantly denied any suicidal ideation, intention or plan, He was very future oriented and requeste n call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ d said ' I have my paper spoon here? He reported he is going to have a bail hearing on Monday and believes he is go sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei un " He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as mpete t." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family member have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes In this area of s udy. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, Inrrate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate Is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 87/0912019 10:36 by Bureau of Prisons NYM Page 2 of 3 EFTA00032175

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01120/1953 Sex: M Facili NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his c9rrent sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unitt Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he Is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CAREI-MH is indicative of an inmate who shows no significant level of fundional impairment associated with a mental illness and demonstrates no need for regular mental health ntervention. Suicide Watch: A suicide watch is not warranted at this time Completed b n 07/09/2019 10:36 Generated 07/09/201910:38 by a asf Bureau of Prisons - NYM Pogo 3 of 3 EFTA00032176

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 763 8-054 Date of Birth: 01/20/1953 Sex: M Race: WHI E Encounter Date: 07/09/2019 08:41 Facility: Amendment made to this note by ton 07/10/2019 09:20. Bureau or Prisons - NYM EFTA00032177

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT NCLASSIFIED'• Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facili NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider. Reg #: 76318.054 Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Medical Record, Clinical Interview Inmate Epstein was placed on psychological observation when he returned from court yesterday evening 7/ 119 for precautionary reasons. He is not on a suicide watch at this time. He was seen this morning for a psychol ical observation contact and suicide risk assessment this morning, 7/9/19, at 7:30 a.m. as it was determined he possessed spore at-risk factors for suicidality. Reason for Referral Inmate Epstein is being seen for suicide risk assessment today for precautionary reasons. Inmate Epstei has various risk factors for suicidality at this time including a high profile case with media attention, sex offenseJtraffi ng charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regardin his legal situation. As such, this writer instructed R&D staff, as well as the Lieutenant's Office, to immediately not the psychology department when he returned from court. Inmate Epstein returned from court after duty hour and denied suicidality. The aforementioned staff notified the on-call psychologist and Inmate Epstein was placed on precautionary psychological observation status until psychology could interview him this morning to conduct a suicide ri assessment. Developmental History Inmate Epstein denied any history of being the victim and/or perpetrator of physical or sexual abuse. Educational HIstory/Cognitive Imoaftment Inmate Epstein reported he obtained his high school diploma and attended some graduate classes in the rea of mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail on sex offense charges (soliciting ostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History Inmate Epstein denied any history of mental health treatment, either on an inpatient or outpatient basis. I mate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute men al health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging attempts or self-Injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even d Medical Concernit Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associates with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Statuct Generated 07/101201909:20 by Bureau of Prisons-NYM any suicide nk alcohol. Pagel of 3 EFTA00032178

denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to m attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said spoon here." He reported he is going to have a ball hearing on Monday and believes he Is going to be releas Inmate Epstein reported he Is a Banker and has a "big business" in the community and that "being alive is revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "compete Epstein denied any mental health history or history of suicidality. He also reported none of his family membe health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of Epstein stated he has a support system in the community, including friends and other associates. Finally, In demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychop Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidali positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suici verbalized a desire to be alive at this time and future orientation. DIAGNOSIS. No Diagnosis, No Dx - Current Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Fac slY li M Unit Team: A&O Date: 07/09/2019 08:41 Provider f Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in dem a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The Inmate spoke with and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, dr irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal though not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. M explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and exp commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED. This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for suicide. The following STATIC risk factors were assessed to be present and Increase the inmate's risk for engaging in suicide related behaviors: Sex offender status, Lack of family connections, High Profile Crime Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of su engage in treatment, View of death as negative, Future orientation, Denial of suicidal ideation/intention/plans, solving skills, Able to identify reasons to live As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality a including a high profile case with extensive media attention, sex offense/trafficking charges, pm-trial status, a proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also writer that his only family at this time is his brother, with whom he does not have a close relationship with. or. He exhibited ormal rate, tone, mstantial, or disorder. He did EPSTEIN a elf-harm and e: Willingness to dequate problem this time d he hada court formed this Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstjuin adamantly t with his I have my paper from Jail. " He also t." Inmate have mental tudy. Inmate ate Epstein hology was noted. He has a e history, and Generated 07/101201909:20 by Bureau of Prisons NYM Page 2 of 3 EFTA00032179

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facili NYM Date: 07/09/2019 08:41 Provider: Reg #: 76318-054 Unit Team: A&O CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Overall Chronic Suicide Risk for this Inmate is: Low Absent RECOMMENDATIONS.. Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his rrent sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing uni . Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-u session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materi ls, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health ntervention. Suicide Watch: A suicide watch is not warranted at this time Completed by on 07/10/2019 09:20 Generated 07/10/2019 09:20 by Bureau of Prisons - NYS! Page 3 of 3 EFTA00032180

Bureau of Prisons -SENSITIVE BUT UNCLASSIFIED" Psychology Services Diagnostic and Care Level Formulation Inmate Haire: Date of Birth: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: Date: 07/09/2019 10:13 Provider: Relevant Historical Information Inmate, Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history, of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any trea men/ in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the Past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink ol. presenting Problem/Sym as Inmate Epstein was seen 'sk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on hi ology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein return om court er duty hours yesterday evening and staff notified the on-call psychdlogist. Inmate Epstein was placed on ionary psychological observation status until psychology could interview him this morning to conduct a form. 17,t;e risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Reg #: 76318-054 Unit Team: h&O Inmate Epstein has no history of mental health proble received inpatient or outpatient mental health treatment exhibieany acute psychopathology, is currently psychologic being classified as a CC1-MH inmate at this time. CARE1-M mental Illness (Axis I "No Diagnosis") or is mildly ill and requires Care Level Formulation s not exhibit suicidality at this time. He ha?; never any history of suicidality. Currently, he does not nd is in no psychological distress. As such, he is of an Inmate who either has no identifiable ention on an as-needed basis. CARE1-MH is indicative of an inmate who shows no significant level of illness and demonstrates no need for regular mental health intervention. Diagnosis; No Diagnosis, No Dx - Current Completed b on 07/09/2019 10:32 Generated 0;/09!201910:32 by Bureau of Prisons NYM s airment associated with a mental Page 1 of 1 EFTA00032181

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WH;E Encounter Date: 07/09/2019 10:13 Facility: NY Amendment made to this note by a on 07/09/2019 10:40. Bureau of Prisons - NYM EFTA00032182

Bureau of Prisons "SENSMVE BUT L Psychology Services Diagnostic and Care Level Formulation NCLASSIFIED" Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Date: 07/09/2019 10:13 Provider: Facility: NYM Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any sui e attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is i-known that he does not even drink alcohol. EresentingProblemlaymatom Inmate Epstein was seen by this writer for suicidelisk assessment today, 7/9/19 at 7:30 a.m. for precautlona reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Ps chology f Questionnaire (PSIO) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors f r suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, nd he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Ep tein returned from court after duty hours yesterday evening and staff notified the on-call psychologist Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this momin to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he d es not exhibit any acute psychopathology, is currently psychologically stable and Is in no psychological distress. A such. he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no i entifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated wi a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis. No Dx - Current Completed by Generated 07M/201010:40 by on 07/09/2019 10:40 Bureau of Prisons NYM Page 1 of 1 EFTA00032183