1 00:00:00,120 --> 00:00:04,480 Speaker 1: What's up everyone, and welcome back to the Epstein Chronicles. 2 00:00:04,960 --> 00:00:06,919 In this episode, we're going to pick up where we 3 00:00:07,040 --> 00:00:10,839 left off with the OIG report. In the last episode, 4 00:00:10,880 --> 00:00:15,800 we ended on part four talking about events of July 5 00:00:15,919 --> 00:00:19,359 twenty third and the placement of Epstein on suicide Watch 6 00:00:19,719 --> 00:00:24,120 and psychological observation from July twenty third to July thirtieth. 7 00:00:24,399 --> 00:00:27,559 In this episode, we're going to be looking at parts five, six, 8 00:00:27,640 --> 00:00:31,839 and seven. So let's start off with Part five. The 9 00:00:31,879 --> 00:00:36,840 psychology departments post July twenty third determination that Epstein needed 10 00:00:36,880 --> 00:00:41,320 to have an appropriate cellmate. Following the events of July 11 00:00:41,399 --> 00:00:45,679 twenty third, the mcc new York Psychology Department determined that 12 00:00:45,719 --> 00:00:49,399 Epstein needed to be housed with an appropriate cellmate. To 13 00:00:49,600 --> 00:00:55,039 ensure Epstein's cellmate requirement was disseminated to mcc new York staff. 14 00:00:55,399 --> 00:00:59,640 On July thirtieth, twenty nineteen, at twelve thirty pm, the 15 00:00:59,640 --> 00:01:04,640 staff psychologists sent an email to over seventy mcc new 16 00:01:04,719 --> 00:01:09,680 York staff members which read, inmate Epstein number seven six 17 00:01:09,840 --> 00:01:13,280 three one eight dash zero five to four is being 18 00:01:13,359 --> 00:01:17,000 taken off psych observation and needs to be housed with 19 00:01:17,079 --> 00:01:20,920 an appropriate cellmate. A review of the email recipient showed 20 00:01:21,239 --> 00:01:24,599 that the email was sent to, among others, the warden 21 00:01:24,920 --> 00:01:30,640 Associate Warden two, the Captain, the Shoe Lieutenant, the Sis Lieutenant, 22 00:01:30,920 --> 00:01:35,200 the day Watch Operations Lieutenant, the Evening Watch Operations Lieutenant, 23 00:01:35,640 --> 00:01:40,200 the Morning Watch Operations Lieutenant, the day Watch Activities Lieutenant, 24 00:01:40,719 --> 00:01:45,480 and CO Number one. The staff psychologists also completed a 25 00:01:45,519 --> 00:01:50,040 postwatch report which stated that the Shoe Lieutenant informed inmate 26 00:01:50,079 --> 00:01:53,319 Epstein needs to be housed with an appropriate cell mate. 27 00:01:54,239 --> 00:01:58,200 The wharden told the OIG that the chief psychologist had 28 00:01:58,280 --> 00:02:01,840 advised him that Epstein was not suicidal and was ready 29 00:02:01,840 --> 00:02:05,920 to return to the Shoe. According to the warden, when 30 00:02:05,959 --> 00:02:09,759 he spoke to the chief psychologist regarding Epstein, she told 31 00:02:09,800 --> 00:02:13,479 them to assign Epstein a cellmate. He added that mcc 32 00:02:13,639 --> 00:02:17,400 new York would typically house an inmate who was previously 33 00:02:17,439 --> 00:02:20,960 on suicide watch with a cell mate. The warden stated 34 00:02:21,039 --> 00:02:24,759 that there was no BOP policy mandating that an inmate 35 00:02:24,800 --> 00:02:27,680 coming off suicide watch have a cell mate, but they 36 00:02:27,840 --> 00:02:31,879 usually house such inmates with the cell mate. During their 37 00:02:31,879 --> 00:02:36,199 interviews with the OIG, Associate Warden I, the Captain, and 38 00:02:36,280 --> 00:02:39,800 the Shoe Lieutenant each said they had verbally informed the 39 00:02:39,840 --> 00:02:44,240 shoe staff of Epstein's cellmate requirement and were confident that 40 00:02:44,439 --> 00:02:49,240 all shoes staff members knew of Epstein's cellmate requirement. Additionally, 41 00:02:49,639 --> 00:02:53,159 the captain said he visited the shoe on multiple occasions 42 00:02:53,319 --> 00:02:56,919 and directed his staff to be alert and attentive about 43 00:02:56,960 --> 00:03:02,599 Epstein's special needs. To Associate Warden One, the captain was 44 00:03:02,639 --> 00:03:07,439 in charge of correctional services, including the shoe. Associate Warden 45 00:03:07,520 --> 00:03:10,240 One said the captain should have told the shoe lieutenant 46 00:03:10,479 --> 00:03:13,199 and that the shoe lieutenant should have told the shoe 47 00:03:13,240 --> 00:03:18,400 staff about the cellmate requirement. Associate Warden One further told 48 00:03:18,479 --> 00:03:22,520 the OIG that the shoe lieutenant was responsible for ensuring 49 00:03:22,560 --> 00:03:27,439 that everything within the shoe was in compliance. Associate Warden 50 00:03:27,479 --> 00:03:30,439 One told the OIG that the shoe staff knew that 51 00:03:30,479 --> 00:03:33,479 Epstein was required to have a cell mate and said 52 00:03:33,520 --> 00:03:36,599 she personally heard it being discussed on more than one 53 00:03:36,639 --> 00:03:40,680 occasion when she would visit the shoe while performing rounds. 54 00:03:41,520 --> 00:03:45,360 The captain, who supervised all of the lieutenants NCO's working 55 00:03:45,639 --> 00:03:49,240 in the mcc New York, said that after the cellmate 56 00:03:49,319 --> 00:03:52,840 requirement was issued for Epstein, he spoke with the shoe 57 00:03:52,840 --> 00:03:56,280 lieutenant and directed him to ensure that Epstein had a 58 00:03:56,319 --> 00:03:59,680 cell mate similar to the warden. The Shoe lieutenant told 59 00:03:59,680 --> 00:04:03,800 the OA that while there is no BOP policy addressing 60 00:04:04,080 --> 00:04:07,639 the necessity of assigning cell mates two individuals coming off 61 00:04:07,639 --> 00:04:11,080 of suicide Watch, it was common practice in the BOP 62 00:04:11,520 --> 00:04:14,439 for prisoners coming off of suicide Watch to be assigned 63 00:04:14,479 --> 00:04:18,480 the cell mate. The Shoe lieutenant confirmed that a BOP 64 00:04:18,639 --> 00:04:22,120 psychologist told them that Epstein had to be housed with 65 00:04:22,160 --> 00:04:24,920 the cell mate when Epstein returned to the Shoe, and 66 00:04:25,040 --> 00:04:29,759 said that he passed the directive down to the Shoe staff. Additionally, 67 00:04:30,240 --> 00:04:34,160 the daywatch Shoe officer in charge on August ninth, twenty nineteen, 68 00:04:34,639 --> 00:04:37,519 said he and all other Shoe staff were aware of 69 00:04:37,560 --> 00:04:43,399 Epstein's cellmate requirement. Mcc new York Psychology department personnel told 70 00:04:43,399 --> 00:04:47,079 the OIG that mcc new York staff members knew of 71 00:04:47,120 --> 00:04:52,040 Epstein's cellmate requirement because it was discussed during staff meetings, 72 00:04:52,360 --> 00:04:57,399 department head meetings, Shoe meetings, morning meetings, and during required 73 00:04:57,439 --> 00:05:02,439 staff training. Forensic Psychology one told the OIG that on 74 00:05:02,480 --> 00:05:05,920 August ninth, twenty nineteen, she was present during the meeting 75 00:05:06,199 --> 00:05:09,879 in which one of Epstein's attorneys opposed Epstein having a 76 00:05:09,879 --> 00:05:13,720 cell mate. Forensic psychologist one said she explained to the 77 00:05:13,720 --> 00:05:16,800 attorney that Epstein needed to have a cell mate because 78 00:05:16,839 --> 00:05:19,439 he was housed in the shoe and he was a 79 00:05:19,480 --> 00:05:27,240 sex offender. Part six. Selection of Epstein's cellmate after psychological observation. 80 00:05:28,560 --> 00:05:31,560 The Captain told the OIG that he compiled a list 81 00:05:31,560 --> 00:05:35,240 of possible cell mates for Epstein, vetted those inmates, and 82 00:05:35,279 --> 00:05:39,120 provided the list of names to the mcc New York Warden. 83 00:05:39,879 --> 00:05:43,199 The warden told the OIG that he identified two potential 84 00:05:43,279 --> 00:05:47,839 cell mates and tentatively decided on inmate number three. The 85 00:05:47,879 --> 00:05:51,480 warden said he passed this information onto the BP director's 86 00:05:51,560 --> 00:05:54,680 chief of staff and later received word that he should 87 00:05:54,800 --> 00:05:59,639 assign in May three to Epstein's cellmate. The warden told 88 00:05:59,600 --> 00:06:03,600 thea that no inmates were pre vetted to replace in 89 00:06:03,680 --> 00:06:07,439 May three if he left mcc New York. The Warden 90 00:06:07,480 --> 00:06:10,600 and the Captain told the OIG that if Inmate three 91 00:06:10,959 --> 00:06:13,920 had been moved as Epstein's cellmate, they would have had 92 00:06:13,959 --> 00:06:17,800 to review a new list of potential cellmate candidates to 93 00:06:17,959 --> 00:06:22,000 ensure that Epstein was housed with an appropriate inmate. According 94 00:06:22,040 --> 00:06:25,079 to the warden and the Captain. If inmate three was 95 00:06:25,120 --> 00:06:29,160 no longer detained at mcc New York, Shoe staff should 96 00:06:29,160 --> 00:06:32,120 have informed a lieutenant on duty, who should have informed 97 00:06:32,160 --> 00:06:35,240 the Captain, who would have ensured that the process of 98 00:06:35,279 --> 00:06:39,959 selecting a new cellmate for Epstein would begin. Part seven 99 00:06:40,920 --> 00:06:45,800 Epstein's cell assignment from July thirtieth to August tenth, as 100 00:06:45,800 --> 00:06:50,199 a result of Epstein's cellmate requirement. On July thirtieth, twenty nineteen, 101 00:06:50,800 --> 00:06:55,720 following his release from psychological observation, Epstein was initially assigned 102 00:06:55,959 --> 00:07:00,120 to sell Z zero four Dash two zero six with 103 00:07:00,120 --> 00:07:03,199 in May three in the J tier of the shoe. 104 00:07:04,199 --> 00:07:07,519 A BOP medical record note reflected that on this same 105 00:07:07,600 --> 00:07:11,360 date Epstein was provided with his personally owned medical device. 106 00:07:12,120 --> 00:07:15,800 BOP witnesses told the OIG that on the same date, 107 00:07:15,920 --> 00:07:19,240 Epstein and in May three were moved to sell Z 108 00:07:19,360 --> 00:07:22,079 zero six Dash two twenty in the L tier of 109 00:07:22,120 --> 00:07:26,160 the shoe to accommodate the electrical needs of Epstein's medical device. 110 00:07:26,839 --> 00:07:30,360 Of all the cells in the shoe, cell Z zero 111 00:07:30,560 --> 00:07:34,040 six Dash twenty was the closest sell with a direct 112 00:07:34,040 --> 00:07:36,680 line of sight to the shoe officers station in the 113 00:07:36,680 --> 00:07:42,639 common area of the shoe, which was approximately fifteen feet away. 114 00:07:43,439 --> 00:07:46,199 In May three told the OIG when he and Epstein 115 00:07:46,279 --> 00:07:50,800 were first assigned to cellmates in cell Z zero six 116 00:07:50,879 --> 00:07:53,800 Dash two twenty in the l tier, the day Watch 117 00:07:53,800 --> 00:07:57,000 operations lieutenant told in May three that he had a 118 00:07:57,000 --> 00:07:59,920 cool bunkie for him, an old guy who would not 119 00:08:00,160 --> 00:08:03,759 bother inmate number three. Inmate number three said he told 120 00:08:03,759 --> 00:08:06,600 the day Watch operations lieutenant that he slept on the 121 00:08:06,600 --> 00:08:10,120 bottom bunk, and the day Watch operations lieutenant said that 122 00:08:10,160 --> 00:08:12,920 would not be a problem because his new cellmate slept 123 00:08:12,920 --> 00:08:16,079 on the floor. In May three said he was surprised 124 00:08:16,120 --> 00:08:19,079 by his response because he understood that sleeping on the 125 00:08:19,079 --> 00:08:22,600 floor was not allowed and he had previously been disciplined 126 00:08:22,800 --> 00:08:26,639 for doing so. When Epstein arrived in the cell inmate 127 00:08:26,720 --> 00:08:29,720 number three, he recognized him and said he in May 128 00:08:29,720 --> 00:08:33,759 three told the day Watch operations lieutenant that the day 129 00:08:33,759 --> 00:08:38,200 Watch operations lieutenant had jammed up in May three. In 130 00:08:38,279 --> 00:08:40,360 May three said he knew Epstein had tried to hang 131 00:08:40,440 --> 00:08:44,279 himself and had just come from suicide watch. According to 132 00:08:44,320 --> 00:08:47,720 in May three, the day Watch operations lieutenant told in 133 00:08:47,840 --> 00:08:51,240 May three not to worry that Epstein was okay, and 134 00:08:51,279 --> 00:08:53,840 that in May three should keep an eye on him. 135 00:08:54,120 --> 00:08:57,279 In May three asked the day Watch Operations lieutenant if 136 00:08:57,279 --> 00:09:00,000 he was supposed to serve as a suicide prevention advocate, 137 00:09:00,440 --> 00:09:03,200 that is, an inmate who was assigned to the suicide 138 00:09:03,240 --> 00:09:06,879 watch area. In May three said the day Watch Operations 139 00:09:06,919 --> 00:09:11,519 lieutenant laughed and brushed off in May three's comment. According 140 00:09:11,519 --> 00:09:14,720 to in May three CEOs brought two mattresses to the 141 00:09:14,759 --> 00:09:18,480 cell for Epstein and placed them on the floor. Epstein 142 00:09:18,519 --> 00:09:20,960 put the mattresses on the right side of the cell, 143 00:09:21,240 --> 00:09:24,320 which is only partially visible through the cell door window 144 00:09:24,759 --> 00:09:27,840 when the cell door is closed. In May three noted 145 00:09:28,000 --> 00:09:31,360 that Epstein also had two extra blankets, which in May 146 00:09:31,360 --> 00:09:35,120 three said was unusual because none of the inmates had 147 00:09:35,159 --> 00:09:38,840 extra blankets. In May three said he asked Epstein to 148 00:09:38,840 --> 00:09:42,279 please not kill himself or hang himself while in May 149 00:09:42,279 --> 00:09:45,000 three was his cell mate, because in May three had 150 00:09:45,000 --> 00:09:48,399 a chance to go home soon. Epstein told in May 151 00:09:48,440 --> 00:09:51,039 three not to worry and that he was not going 152 00:09:51,080 --> 00:09:54,639 to cause in May three any trouble. All right, folks, 153 00:09:54,639 --> 00:09:57,039 we're gonna wrap this one up right here, because the 154 00:09:57,039 --> 00:10:01,799 rest of this chapter, starting with Part eight is pretty massive, 155 00:10:02,000 --> 00:10:05,279 so we'll pick up with the conclusion of chapter four 156 00:10:05,679 --> 00:10:09,440 in the next episode and keep it rolling. All of 157 00:10:09,480 --> 00:10:12,440 the information that goes with the episode can be found 158 00:10:12,759 --> 00:10:17,240 in the description box. What's up, everyone, and welcome back 159 00:10:17,240 --> 00:10:21,480 to the Epstein Chronicles. In this episode, we're picking right 160 00:10:21,559 --> 00:10:26,679 back up where we left off in chapter four. Chapter four, 161 00:10:26,720 --> 00:10:30,840 we left off with Part seven, and now we're diving 162 00:10:30,919 --> 00:10:36,720 in to Part eight. Psychological evaluations of Epstein. From July 163 00:10:36,879 --> 00:10:42,159 sixth to August ninth, during Epstein's detention at mcc New York, 164 00:10:42,519 --> 00:10:46,639 a variety of medical professionals, including a medical doctor, a 165 00:10:46,639 --> 00:10:51,480 clinical nurse, and physician assistant one who is a mid 166 00:10:51,559 --> 00:10:57,440 level practitioner, conducted multiple medical appointments with Epstein, and Epstein 167 00:10:57,600 --> 00:11:02,000 was prescribed a variety of medications for various ailments and 168 00:11:02,279 --> 00:11:06,759 health needs. Epstein was also given an eye and dental exam, 169 00:11:07,080 --> 00:11:10,919 as well as a blood panel screening. This section details 170 00:11:10,919 --> 00:11:15,440 Epstein's psychological evaluations while he was in mcc New York 171 00:11:15,480 --> 00:11:20,679 custody prior to his death on Saturday, July six, twenty nineteen, 172 00:11:21,000 --> 00:11:25,080 at nine thirty eight pm. Upon Epstein's intake into mcc 173 00:11:25,279 --> 00:11:29,600 New York, he was medically screened by Physician Assistant number two. 174 00:11:30,559 --> 00:11:35,519 Screening included taking vital signs and asking various medical history questions, 175 00:11:35,840 --> 00:11:40,600 including questions related to Epstein's mental health, among other things. 176 00:11:40,799 --> 00:11:45,039 Physician Assistant II annotated that Epstein did not have current 177 00:11:45,080 --> 00:11:49,919 suicidal ideation and had denied having a history of suicide attempts. 178 00:11:50,600 --> 00:11:55,600 Physician Assistant number two instructed Epstein how he could obtain medical, dental, 179 00:11:55,919 --> 00:11:59,919 and mental health care. At two fifty eight a m. 180 00:12:00,360 --> 00:12:05,559 On Sunday, July seventh, twenty nineteen, a facilities assistant emailed 181 00:12:05,559 --> 00:12:10,200 the Psychology Department asking that someone evaluate Epstein because he 182 00:12:10,240 --> 00:12:15,360 appeared distraught, sad, and a little confused. On July eighth, 183 00:12:15,399 --> 00:12:21,360 twenty nineteen, Forensic Psychologist I of the Psychology Department conducted 184 00:12:21,399 --> 00:12:25,080 an intake screening of Epstein that included a self report, 185 00:12:25,519 --> 00:12:30,919 staff observation, and a review of information in century. Forensic 186 00:12:30,960 --> 00:12:35,519 Psychologists number one noted that during Physician Assistant one's initial 187 00:12:35,600 --> 00:12:40,120 intake evaluation, on the intake questionnaire, Epstein denied having a 188 00:12:40,200 --> 00:12:44,480 history of mental health treatment and any history of mental 189 00:12:44,480 --> 00:12:50,879 health symptoms. Additionally, Forensic Psychologist I noted no suicidal ideation 190 00:12:51,320 --> 00:12:56,360 attempts or self harm, no history of substance abuse or treatment, 191 00:12:56,879 --> 00:13:02,320 and no sexual offense convictions. During the evaluation, Epstein stated 192 00:13:02,639 --> 00:13:06,200 he had been previously incarcerated for three months for prostitution 193 00:13:06,679 --> 00:13:10,039 and that he was currently charged with sex trafficking. Epstein 194 00:13:10,120 --> 00:13:14,600 denied recent or present morbid thoughts and denied passive or 195 00:13:14,759 --> 00:13:20,120 active suicidal ideation. It was noted in BOP records that 196 00:13:20,360 --> 00:13:25,320 Epstein's verbalizations were future oriented and did not have indications 197 00:13:25,320 --> 00:13:30,919 of helpless or hopeless thinking. According to Forensic Psychologists Number one, 198 00:13:31,200 --> 00:13:35,919 Epstein did not meet the criteria for any psychological diagnosis 199 00:13:36,240 --> 00:13:40,679 and was designated as mental health care Code one. This 200 00:13:40,799 --> 00:13:44,039 is indicative of an inmate who does not show any 201 00:13:44,039 --> 00:13:48,679 significant level of functional impairment associated with a mental illness 202 00:13:48,919 --> 00:13:53,840 and does not demonstrate a need for regular mental health intervention. 203 00:13:55,000 --> 00:14:00,000 Epstein was educated on emergency procedures for contacting the Psychology 204 00:14:00,039 --> 00:14:04,519 d Department staff, and Epstein agreed to contact staff if 205 00:14:04,519 --> 00:14:09,519 he needed Psychology Department services in the future. The mcc 206 00:14:09,720 --> 00:14:13,600 New York Chief Psychologist told the OIG that, based on 207 00:14:13,679 --> 00:14:18,440 the Psychological Services Intake Questionnaire, inmates have four different care 208 00:14:18,759 --> 00:14:22,759 code ratings. Code one means there are no concerns about 209 00:14:22,799 --> 00:14:26,159 the inmate's mental health status. They have no needs and 210 00:14:26,200 --> 00:14:29,600 will not be followed up with unless requested by staff 211 00:14:29,879 --> 00:14:33,840 or the inmate. Code two means there is some history 212 00:14:33,879 --> 00:14:36,759 of mental health issues, but the inmate has them under 213 00:14:36,799 --> 00:14:41,720 control and the psychology department will follow up monthly. Code 214 00:14:41,720 --> 00:14:45,799 three is more severe, requiring weekly visits by the psychology 215 00:14:45,879 --> 00:14:49,679 department to ensure the inmate is stable, and if unstable, 216 00:14:49,840 --> 00:14:53,519 would be moved to observation. Code four inmates are seen 217 00:14:53,639 --> 00:14:59,200 daily by the Psychology Department and are under constant psychological observation. 218 00:15:00,200 --> 00:15:03,799 The Chief Psychologists stated that a Code one inmate can 219 00:15:03,799 --> 00:15:08,200 beyond suicide Watch suicide watches for inmates who are showing 220 00:15:08,240 --> 00:15:13,879 immediate and exigen signs of being suicidal. Subsequent to the 221 00:15:13,879 --> 00:15:18,480 intake screening, on July eighth, twenty nineteen, the Chief Psychologists 222 00:15:18,480 --> 00:15:23,120 consulted with the National Suicide Prevention Coordinator from the BP's 223 00:15:23,159 --> 00:15:27,960 Central Office regarding the various risk factors associated with Epstein 224 00:15:28,519 --> 00:15:32,720 for suicide. These risk factors were that Epstein was involved 225 00:15:32,720 --> 00:15:36,159 in a high profile case with media attention, had been 226 00:15:36,240 --> 00:15:40,399 charged with sex offenses, was on pre trial status, and 227 00:15:40,519 --> 00:15:43,519 there was potential for bad news from a court proceeding 228 00:15:43,799 --> 00:15:48,840 that day, a determination was made. Upon Epstein's return from court, 229 00:15:49,320 --> 00:15:53,200 staff were to notify the psychologist and place Epstein on 230 00:15:53,399 --> 00:15:57,440 a watch status until a thorough suicide risk assessment could 231 00:15:57,480 --> 00:16:01,759 be conducted. When Epstein returned from court on July eighth, 232 00:16:01,840 --> 00:16:05,960 twenty nineteen, it was after duty hours, and mcc new 233 00:16:06,039 --> 00:16:10,360 York staff contacted the Psychology Department and informed them that 234 00:16:10,440 --> 00:16:17,360 Epstein denied suicideality. However, for precautionary reasons, Epstein was placed 235 00:16:17,399 --> 00:16:23,039 on psychological observation status until Psychology Department staff could conduct 236 00:16:23,039 --> 00:16:27,799 a suicide risk assessment the following day. During Epstein's period 237 00:16:27,840 --> 00:16:33,240 of psychological observation, inmate companions continuously observed them and kept 238 00:16:33,240 --> 00:16:38,320 a log that detailed Epstein's activities in fifteen minute increments. 239 00:16:39,240 --> 00:16:43,279 Under BOP policy, on a case by case basis, the 240 00:16:43,399 --> 00:16:47,720 warden may authorize such an inmate companion program at an 241 00:16:47,799 --> 00:16:52,879 institution to utilize inmate observers who were selected, trained, and 242 00:16:53,080 --> 00:16:59,879 supervised by the institutions suicide Prevention Program coordinator. On July ninth, 243 00:16:59,879 --> 00:17:05,759 twenty nineteen, the chief Psychologists conducted a suicide assessment of Epstein. 244 00:17:06,599 --> 00:17:10,880 She reviewed Epstein's medical record and interviewed him, which revealed 245 00:17:11,400 --> 00:17:17,039 that he possessed some risk factors for suicideality. Epstein denied 246 00:17:17,079 --> 00:17:22,480 having any past or present suicidal ideation, intention, or plan, 247 00:17:22,920 --> 00:17:26,680 and also denied having any history of mental health treatment 248 00:17:27,000 --> 00:17:31,759 or any current mental health symptoms. The chief Psychologist's assessment 249 00:17:32,039 --> 00:17:36,599 was that Epstein had numerous protective factors that outweighed his 250 00:17:36,759 --> 00:17:41,000 risk factors for suicideality, and that he had a positive 251 00:17:41,000 --> 00:17:46,440 outlook regarding his legal case. Epstein remained on psychological observation 252 00:17:46,880 --> 00:17:50,839 pending a suitable cell assignment, and the chief psychologist noted 253 00:17:51,119 --> 00:17:54,160 that a suicide watch was not warranted at the time 254 00:17:54,480 --> 00:17:59,119 of a report. On July tenth, twenty nineteen, the chief 255 00:17:59,119 --> 00:18:04,359 psychologists with Epstein for a psychological observation and noted that, 256 00:18:04,440 --> 00:18:09,160 according to the psychological Observation logbook, Epstein had been eating 257 00:18:09,200 --> 00:18:14,559 his meals, sleeping, and interacting with other inmates. During this 258 00:18:14,680 --> 00:18:18,960 meeting with the chief psychologist, Epstein voiced concerns over being 259 00:18:19,000 --> 00:18:22,839 housed in the shoe. Epstein asked the chief psychologist to 260 00:18:22,880 --> 00:18:25,279 be single selled if he were to be housed in 261 00:18:25,319 --> 00:18:29,279 the shoe, and had also requested a shower his property, 262 00:18:29,640 --> 00:18:34,839 pen and paper. The chief psychologist stated Epstein had been 263 00:18:34,880 --> 00:18:38,480 provided a shower on this date. She provided Epstein with 264 00:18:38,559 --> 00:18:43,000 coping skill strategies to which he was receptive. Epstein continued 265 00:18:43,000 --> 00:18:47,400 to deny any suicidal ideation, intension, or plan, and Epstein 266 00:18:47,480 --> 00:18:50,599 stated he was looking forward to his upcoming court hearing. 267 00:18:51,000 --> 00:18:56,079 Regarding pre trial release, the chief psychologist's assessment was that 268 00:18:56,200 --> 00:19:00,119 Epstein was psychologically stable at the time and then that 269 00:19:00,160 --> 00:19:04,400 he could be released from the psychological observation area. She 270 00:19:04,599 --> 00:19:07,640 noted that Epstein would be housed in the Shoe with 271 00:19:07,720 --> 00:19:10,359 a cell mat and would be seen the following morning 272 00:19:10,559 --> 00:19:16,240 to evaluate his mental status and stability. Following his July 273 00:19:16,400 --> 00:19:21,079 tenth assessment, Epstein would be taken off psychological observation and 274 00:19:21,200 --> 00:19:25,200 return to the Shoe with documented recommendations for his cellmate 275 00:19:25,759 --> 00:19:31,000 and next day contact by the psychology department. The following day, 276 00:19:31,319 --> 00:19:36,079 July eleventh, twenty nineteen, the staff psychologists attempted to see 277 00:19:36,079 --> 00:19:39,240 Epstein in the morning and afternoon, but he was meeting 278 00:19:39,440 --> 00:19:43,720 with his attorneys. Since the chief psychologist was unable to 279 00:19:43,720 --> 00:19:47,319 meet with Epstein, the chief psychologists met with Epstein in 280 00:19:47,359 --> 00:19:51,559 the attorney conference area for a psychological observation follow up. 281 00:19:52,240 --> 00:19:56,640 During this meeting, Epstein expressed concerns about a number of issues, 282 00:19:56,920 --> 00:20:00,400 including not yet receiving his property, not having enough water 283 00:20:00,839 --> 00:20:05,039 during his attorney conference, and the desire to attend recreation. 284 00:20:05,880 --> 00:20:09,759 Epstein was upset about having to wear an orange uniform, 285 00:20:10,000 --> 00:20:13,759 and the chief psychologists explained the orange uniform was because 286 00:20:13,799 --> 00:20:17,680 he was being housed in Schewe. During this clinical contact, 287 00:20:18,000 --> 00:20:22,640 the chief psychologists provided Epstein with additional coping strategies, to 288 00:20:22,680 --> 00:20:27,960 which he was receptive. Additionally, Epstein was educated about routine 289 00:20:28,119 --> 00:20:33,400 and emergency procedures for contacting the psychology department staff and 290 00:20:33,640 --> 00:20:38,200 reminded of self help books and audio tapes available through 291 00:20:38,599 --> 00:20:44,759 the psychology department. Epstein continued to deny any suicidal ideation, intention, 292 00:20:45,240 --> 00:20:48,880 or plan, and was scheduled to be seen again the 293 00:20:48,960 --> 00:20:53,799 following week. The chief psychologist told the OIG that Epstein 294 00:20:54,200 --> 00:20:58,720 and his attorney mockedor for thinking Epstein was suicidal. On 295 00:20:58,839 --> 00:21:04,000 July sixteenth, nineteen, at Epstein's request, the chief Psychologists met 296 00:21:04,039 --> 00:21:08,720 with Epstein during his attorney conference. The chief psychologists noted 297 00:21:08,839 --> 00:21:14,359 that Epstein did not have any psychological concerns and denied suicideality. 298 00:21:15,160 --> 00:21:19,319 The Chief Psychologists noted that she provided Epstein with psycho 299 00:21:19,519 --> 00:21:25,759 education regarding additional coping strategies. Epstein was educated about routine 300 00:21:25,880 --> 00:21:31,440 and emergency procedures to contact psychology department staff, and reminded 301 00:21:31,480 --> 00:21:34,440 to self help books and audio tapes that are available 302 00:21:34,480 --> 00:21:38,839 to them. The Chief Psychologists noted in her clinical contact 303 00:21:38,920 --> 00:21:41,960 report that there was no need for follow up and 304 00:21:41,960 --> 00:21:45,240 that Epstein would be seen in the shoe for rounds 305 00:21:45,279 --> 00:21:49,680 and monthly shoe reviews. According to the BOP after action 306 00:21:49,839 --> 00:21:54,720 review submitted by the Southeast Regional Director, the Chief psychologists 307 00:21:54,720 --> 00:21:59,599 meeting with Epstein on July sixteenth, twenty nineteen, at Epstein's 308 00:21:59,640 --> 00:22:05,079 request during his attorney conference was inappropriate. The Southeast Regional 309 00:22:05,119 --> 00:22:08,680 Director wrote in the report that Epstein attempted to bring 310 00:22:08,720 --> 00:22:12,079 his attorneys into the fray regarding the mental health treatment 311 00:22:12,319 --> 00:22:16,680 being provided by the institution. In the after action review, 312 00:22:16,839 --> 00:22:20,279 the Southeast Regional Director wrote that it was not typical 313 00:22:20,519 --> 00:22:24,640 for the BOP to provide psychological intervention in the presence 314 00:22:24,680 --> 00:22:28,640 of others, nor was it appropriate for a GOOP psychologist 315 00:22:28,680 --> 00:22:32,119 to meet with an inmates attorney. When asked by the 316 00:22:32,160 --> 00:22:36,519 OIG about these findings, the Chief Psychologist stated the intention 317 00:22:36,720 --> 00:22:39,799 was to check on Epstein, not to breach any security. 318 00:22:40,839 --> 00:22:45,519 On July eighteen, twenty nineteen, the chief Psychologists conducted a 319 00:22:45,559 --> 00:22:49,759 monthly shoe review and noted that Epstein was unavailable due 320 00:22:49,799 --> 00:22:52,240 to a meeting with his legal team, and that she 321 00:22:52,279 --> 00:22:55,519 would attempt to interview Epstein in the near future to 322 00:22:55,599 --> 00:23:01,160 complete his monthly review as noted previously. At approximately one 323 00:23:01,240 --> 00:23:05,559 twenty seven am on July twenty three, twenty nineteen, Epstein 324 00:23:05,680 --> 00:23:08,319 was found lying on the floor of his cell with 325 00:23:08,400 --> 00:23:12,160 a piece of homemade orange cloth around his neck. The 326 00:23:12,240 --> 00:23:16,519 Chief Psychologist made a general administrative note in Epstein's file 327 00:23:16,960 --> 00:23:21,200 that she was contacted by the Operations Lieutenant at approximately 328 00:23:21,200 --> 00:23:24,680 two am and informed that Epstein was placed on suicide 329 00:23:24,720 --> 00:23:28,400 watch after he was found with a string loosely hanging 330 00:23:28,440 --> 00:23:33,039 around his neck. That morning, Physician Assistant one assessed Epstein 331 00:23:33,119 --> 00:23:37,279 for injuries and noted in BOP records that Epstein was cooperative, 332 00:23:37,480 --> 00:23:43,799 alert and oriented. According to BOP's medical records, Epstein did 333 00:23:43,799 --> 00:23:47,839 not appear distressed and was smiling during the clinical assessment. 334 00:23:48,480 --> 00:23:50,880 Epstein said he did not know what happened to him, 335 00:23:51,000 --> 00:23:53,160 and he could not explain the mark on his neck. 336 00:23:53,519 --> 00:23:57,759 Physician Assistant one noted that Epstein had a circular line 337 00:23:57,799 --> 00:24:02,160 of erythema ie superficial redness on the skin that was 338 00:24:02,200 --> 00:24:05,519 two inches wide and spanned two thirds of the way 339 00:24:05,920 --> 00:24:08,319 around the front and sides of the base of his neck. 340 00:24:08,960 --> 00:24:12,559 According to bp A report, one section of the redness 341 00:24:12,759 --> 00:24:15,160 in the front of his neck had marks of friction, 342 00:24:15,680 --> 00:24:21,559 and there was no inflammation, deformities, hematomas, lacerations, or tenderness. 343 00:24:22,359 --> 00:24:25,519 The BOPER report stated that Epstein was able to move 344 00:24:25,559 --> 00:24:30,359 his neck without any restriction and denied having any pain, discomfort, 345 00:24:30,720 --> 00:24:35,880 or respiratory problems. Physician one noted that there was another 346 00:24:35,960 --> 00:24:41,400 small redness on Epstein's left knee, about two centimeters in diameter, 347 00:24:41,799 --> 00:24:46,680 which was noted as mild. Physician Assistant one's assessment was 348 00:24:46,720 --> 00:24:51,440 that the injury was unspecified and was self inflicted. All right, folks, 349 00:24:51,440 --> 00:24:53,680 we're gonna wrap it up right there, and we're going 350 00:24:53,759 --> 00:24:56,640 to pick it up in the next episode and keep 351 00:24:56,680 --> 00:25:01,480 it moving through chapter four. The information that goes with 352 00:25:01,599 --> 00:25:04,839 the episode can be found in the description box.