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Document DOJ-OGR-00027368

AI Analysis

Summary: This clinical contact note documents a psychological assessment of Jeffrey Epstein on July 26, 2019, while he was on psychological observation. Epstein expressed complaints about prison conditions and confinement, but denied suicidal ideation and reported wanting to fight his legal case. He was deemed to be receptive to supportive interventions and remained on psychological observation pending housing arrangements.
Significance: This document provides insight into Jeffrey Epstein's mental state and behavior while in prison, potentially relevant to understanding his circumstances leading up to his death.
Key Topics: Jeffrey Epstein's mental health assessment Complaints about prison conditions and confinement Epstein's behavior and interactions during psychological observation
Key People:
  • Jeffrey Edward Epstein - Inmate being assessed
  • [b(6); (b)(7)(C)] - Chief Psychologist conducting the assessment
Document Type
Medical Record
Date
July 26, 2019
Pages
1
Folder
IMAGES010

Full Text

**SENSITIVE But UNCLASSIFIED** Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/26/2019 09:09 Sex: M Facility: NYM Provider: [b(6); (b)(7)(C)] PhD/Chief Reg #: 76318-054 Unit Team: 5 Focus of Session Inmate Epstein was seen while on psychological observation in our hospital area. Subjective/Objective Presentation Prior to this writer's contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his medication. This writer immediately notified medical and his pills were being processed during the interview. Inmate Epstein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and restrictions). [b(7)(A)] [b(7)(A)] symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this time or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as "a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While on psychological observation, inmate Epstein has been eating his meals, sleeping and interacting with the inmate companions. He is in legal visiting the majority of the day and in the evenings. His log book and eating/shower chart reflect the same. He has been speaking to inmate companions about investment strategies and about prison adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, laughing, and joking. Intervention(s) Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this writer to address them. Progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing arrangements to be made on Monday. [b(7)(A)] [b(7)(A)] Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/26/2019 10:05 Generated 07/26/2019 10:05 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1