Subject: Federal prisons chief ousted over Jeffrey Epstein suicide debacle From: New York Daily News <[email protected]> To: Sent: Mon, 19 Aug 2019 18:12:32 +0000 BREAKING NEWS Federal prisons chief ousted over Jeffrey Epstein suicide debacle The Bureau of Prisons chief was ousted Monday, just days after the jailhouse suicide of billionaire pedophile Jeffrey Epstein shone a spotlight on mismanagement and staffing woes at the federal agency. Read the latest BREAKING NEWS PRESENTED BY UNSUBSCRISE I NEWSLETTERS I PRIVACY POLICY I TERMS OF SERVICE Copyright * 2019 I New York Day News 14 New York Plaza. New York. NY 10004 EFTA00043886

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Noteworthy News Articles 9-11-2019 From To Date 2019/09/11 11:26 Subject: Noteworthy News Articles 9-11-2019 Attachments: TEXT.htm District Of Corrections: Does D.0 Really Have The Highest Incarceration Rate In The Country? WAMU https://wamu.org/story/19/09/10/distrirt-of-rorrertions-does-d-c-really-have-the-highest-incarceration- rate-in-the-country/ For a brief moment last week, D.C. was at opposite ends of a debate. One on side, criminal justice reform advocates were saying that D.0 imprisons more people per capita than any of the 50 states. But the U.S. Attorney for D.C., which prosecutes all violent crime in the city, said just the opposite, pointing to data allegedly showing that the city actually sends fewer people to prison than any of the states. Official: Arizona corrections officers vacancy rates on rise The Tribune https://www.sanluisobispo.conVnews/business/article234938012.html The Arizona Department of Corrections director says vacancy rates for correctional officers have increased across the state, a report said. Director Charles Ryan warned Republican Gov. Doug Ducey in a retirement letter that vacancy rates at Arizona's prisons have increased from 1.7% to 19% since 2012, The Arizona Capitol Times reported Monday. "We failed as an agency": Texas prison officials admit violating court order on air conditioned units for inmates The Eagle https://www.theeagle.corn/news/texas/we-failed-as-an-agency-texas-prison-officials-admit- violating/article 2eb7018d-ac1c-5c64-6961-c7b47e2173fe.html Days after a federal judge threatened to jail Texas prison officials for violating a settlement agreement to put some inmates in air conditioned housing, the top Texas Department of Criminal Justice leader admitted in open court that the agency broke federal orders and that keeping inmates in temperatures above 100 degrees creates a serious health risk. Middle Tennessee construction companies are giving prisoners a second chance — and a job Spring Hill Home Page https✓/springhi I I homepage.conVmidd le-tennessee- construction-companies-are-givi ng-prisoners-a-second- chance-and-a-job/ The day starts early for Shane Presley, a construction worker from Antioch who works for Jone Bros. He wakes up before 4 a.m. to eat breakfast. By sunrise he's already at his job site, where he lays pipe all day long. During the workday he looks the same as his peers, but at the end of the day a van takes him back to the Lois De Berry Special Needs Facility, a prison in West Nashville where Presley is incarcerated. Jeffrey Epstein: Three victims who say they were abused by him have come forward in Paris Herald Publicist Page 13377 EFTA00043888

httpsliheraldpublicistronVjeffrey-epstein-three-virtims-who-say-they-were-abused-by-him-have-rome- forward-in-paris/ Three individuals who declare they had been victims of Jeffrey Epstein have come ahead in France, prosecutors in Paris have mentioned. The trio had been questioned in latest weeks, chief prosecutor Remy Heitz's workplace mentioned, with out giving any additional particulars. Does a Kansas Inmate Have a Right to Opioid Addiction Drugs? A Judge Will Decide NY Times https://www.nytimes.com/2019/09/11/us/kansas-aclu-inmate-opioids.html The American Civil Liberties Union is suing a federal prison in Kansas to force it to provide an inmate with buprenorphine, an opioid addiction medication, saying the man would "inevitably suffer and possibly die" without it. Full text of the New York Times article' Does a Kansas Inmate Have a Right to Opioid Addiction Drugs? A Judge Will Decide NY Times September 11, 2019 The American Civil Liberties Union is suing a federal prison in Kansas to force it to provide an inmate with buprenorphine, an opioid addiction medication, saying the man would "inevitably suffer and possibly die" without it. Officials at the Leavenworth federal penitentiary are not providing the inmate, Leaman Crews, with the buprenorphine he needs to stay sober, Lauren Bonds, legal director of the ACLU. of Kansas, said on Tuesday. Instead, she said, they are medicating him with codeine, an opioid, to keep him from going through a painful withdrawal, and Tylenol. Judge Carlos Murguia of Federal District Court for the District of Kansas will decide after an emergency hearing Wednesday afternoon whether prison officials are obligated to provide Mr. Crews with buprenorphine. Before reporting to the Leavenworth prison last Wednesday to serve a three-year sentence for embezzlement, Mr. Crews, 45, had been in recovery for 14 months with the aid of the medication, according to Ms. Bonds. "It is a rare feat for that long a period," she said, referring to using buprenorphine during recovery to treat addiction. "It was kind of a success story." The Federal Bureau of Prisons did not respond on Tuesday to questions about why buprenorphine is not available to inmates in recovery, but is permitted for inmates in detox. The office of the United States attorney for the District of Kansas is reviewing the A.C.LU. complaint, according to Jim Cross, a spokesman. The prison bureau, which incarcerates nearly 180,000 people, estimates that close to 40 percent of its inmates enter the federal prison system with a substance abuse problem, according to a letter a bipartisan group of eight senators sent to the Government Accountability Office last year. For federal inmates, methadone and — much less frequently — buprenorphine are usually prescribed for detoxing, as opposed to hedging cravings and maintaining sobriety. Page 13378 EFTA00043889

Pregnant women, however, are allowed to take medications that suppress opioid cravings for more than just detoxing, according to the prison bureau. By prescribing codeine to inmates, Ms. Bonds said, the federal prison system is supporting the cycle of addiction and increasing the chance inmates have of overdosing once they are released from custody. "We do know that in Leavenworth they offer buprenorphine for inmates in certain situations, usually to help people detox, as opposed to maintaining sobriety," Ms. Bonds said. By providing Mr. Crews with codeine, the prison was "making his opioid addiction worse," Michael V. Pantalon, a senior research scientist in the Yale School of Medicine's department of emergency medicine, said. "He will have codeine to reinforce his opioid addiction rather than the medications that would treat it," Dr. Pantalon said. "I can understand why there is a lawsuit," he added. According to the complaint, filed on Friday in the Federal District Court, federal prisons do not provide buprenorphine to inmates even when, as with Mr. Crews, the inmate had been prescribed the medication before being in custody. Studies show that the success rate for staying sober is much greater when buprenorphine is made available to the person struggling with addiction for at least a year, according to Dr. Pantalon. "People who stay on it for one consecutive year or longer do far, far better and stay abstinent for longer," he said. "It is a chronic disease, so it needs chronic treatment just like people with asthma or hypertension," he added. "We don't ask people with hypertension, 'When are you coming off the hypertension medication?" Most professionals who treat addiction recommend a combination of therapy and medication. "This is a brain disorder; it is not just an addiction of the body," Dr. Karan Baucom, director of the Baucom Institute, a treatment facility in Overland Park, Kan., said on Tuesday. "The brain has been reconfigured by the drug itself; it structurally changes the brain's response." The cycle of opioid addiction is fueled by the body's natural response to avoiding pain, Dr. Baucom explained. If someone in recovery does not have buprenorphine or methadone available, she said, they can get "so sick that they have to use the narcotic to recover from the symptom." Most people addicted to opioids get to a point where they are only using opioids to keep from getting sick, she added. Opioid abusers have less than a 30 percent chance to stay sober without the proper medication, Dr. Baucom said. The chances that an inmate will survive a relapse after being released from custody plummets, while the chances that he or she will overdose skyrockets. "It is not life or death, like you take him off and he dies," Dr. Pantalon said. "It is life or death mainly when he comes out," he added. Of course, some inmates can find opioids in prison in the codeine they are prescribed. And illegal drugs can make their way into prison as well, Ms. Bonds noted. "I think there is a risk of relapse, and not just when he is released," she said. https://www.nytimes.com/2019/09/11/us/kansas-aclu-inmate-opioids.html Page 13379 EFTA00043890

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