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Speaker 1: What's up, everyone, and welcome to another episode of the

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Epstein Chronicles. In this episode, we're going to pick up

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where we left off with the psychological reconstruction of the

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circumstances surrounding Jeffrey Epstein's death. Number five telephone calls. In

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a PDS dash B E MR note written by doctor

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Miller on July sixteenth, twenty nineteen, she was informed by

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an unnamed staff member that a lieutenant facilitated to telephone

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calls for mister Epstein. It's unknown when into whom those

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calls were placed and no evidence that they took place

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on monitor telephones. According to a memorandum from unit manager

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Nathaniel Bullock on August tenth, twenty nineteen, mister Epstein terminated

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his legal visit early on August ninth, twenty nineteen, in

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order to place a telephone call to his family. Mister Bullock,

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who was the institutional duty officer that week, escorted mister

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Epstein to the Shoe around seven pm that evening, and

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he was placed in the shower area on g Tier.

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While there, he was provided the telephone to make a

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phone call. Since mister Epstein reportedly did not have his

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pac or a pin number, which is required to use

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inmate telephone system. The unit manager placed the call, dialing

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a number that reportedly began with the area code three

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four seven. Mister Epstein told mister Bullock he was calling

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his mother, who, according to public records, has been deceased

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since two thousand and four. It's recommended that all telephone

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calls other than legal calls be made on monitored lines

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to be available for post call review, or on a

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speakerphone so staff can monitor what's being discussed. Institution Response

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Number five telephone calls. There's no documentation to substantiate that

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Lieutenant facilitated two telephone calls to mister Epstein. However, there

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is documented evidence that Unit Manager Proto provided a call

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to mister Epstein on July thirtieth, twenty nineteen, at five

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fifteen pm to Karina Shuliac friend on a monitor telephone

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speaker phone. The call was documented in a log that's

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maintained in the Correctional Systems department. Mister Epstein was provided

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a call because he had not been able to conduct

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voice recording on the inmate telephone. This is standard procedure

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by the unit team at mcc New York to occasionally

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provide a call to new arrivals when necessary. Number six

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Direct observation. Mister Epstein was on suicide watch from July

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twenty third, twenty nineteen, until July twenty fourth, twenty nineteen.

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While on suicide watch, on July twenty three, twenty nineteen,

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mister Epstein attended an attorney visit from approximately twelve forty

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pm until seven to fifteen pm. During this time, he

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was without direct continuous observation by a dedicated BOP staff

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member as required by P. Five three two four dot

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zero eight. While on psychological observation, he attended attorney visits

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on July twenty fourth, twenty nineteen, for eleven and a

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half hours, on July twenty fifth, twenty nineteen, for eleven

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point two five hours, on July twenty six, twenty nineteen,

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for nine point two five hours, and on July twenty seventh,

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twenty nineteen, for eleven point thirty three hours, On July

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twenty eight, twenty nineteen, for ten and a half hours,

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and on July twenty ninth, twenty nineteen, for eight hours.

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On July twenty three, twenty nineteen, psychology observation was terminated.

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During these visits. Continuous observation by a dedicated BOP staff

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member was not maintained as required by MCC New York

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Procedural Memorandum for Psychological Observation Institution Response Number six Direct Observation.

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The Psychology Department has eliminated psychology observation at MCC New

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York inmates on suicide Watch or only provided legal visits

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under special circumstances as deemed by the court. Seven follow up.

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Mister Epstein arrived at MCC New York on Saturday, July sixth,

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twenty nineteen. While conducting the ten pm institution count that evening,

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Albatore's facility's assistant reported she observed mister Epstein in his cell.

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In an email she sent to doctor Miller and to

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Mary and Lieutenant David Medina later that evening, she described

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mister Epstein as distraught, sad, and a little confused. She

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said that she then asked mister Epstein if he was okay,

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and he reportedly said he was. However, Miss Torres noted

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in her email she was not convinced of this, adding

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he seems dazed and withdrawn. She went on to say

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so just to be on the safe side and prevent

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any suicidal thoughts, can someone from psychology come and talk

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with them. Despite the fact that Lieutenant Medina opened the email,

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there's no evidence that he contacted the on call psychologist

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as is required by P. Five three two four dot

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zero eight Suicide Prevention Program. Additionally, if Miss Torres was

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concerned about suicide risk, P. Five three two four dot

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zero eight Suicide Prevention Program requires her to maintain direct

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continuous observation of mister Epstein. When doctor Miller opened the email.

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The following Monday morning, mister Epstein was evaluated by doctor

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Schlessinger at approximately nine thirty am. Mister Epstein was denied

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bail on Thursday July eighteenth, twenty nineteen. This was a

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significant disappointment for mister Epstein and likely challenged his ability

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and willingness to adapt to incarceration. Given the potential impact

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of the judge's decision, psychologists should have assessed mister Epstein's

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mental status upon his return to the institution. The BOP

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developed a century assignment of sy Alert for purposes such

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as this. Specifically, sy Alert is used to ensure, if

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movement occurs, that all staff consider the special psychological and

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management related risk associated with the inmate. Furthermore, p. Five

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three two four Dodd zero seven Century psychology alert function

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states when a decision to move any SY alert inmate occurs,

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any special psychological needs of the inmate are reviewed and

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considered by psychology services staff, and any safety and security

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concerns are highlighted for non psychology services staff. Psychologists should

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use the sy alert assignment more frequently with high profile

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cases and with inmates who have a history or charge

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of sex offense. Both of these groups of inmates are

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susceptible to exaggerated or unrealistic fears about correctional settings and

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experienced stress associated during movement and periods of transition eg.

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Sell unit changes, movement to and from court, institutional movement,

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and release of information through the media. Mister Epstein was

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reportedly in court on July thirty one, twenty nineteen. It's

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unknown what time he departed or returned to mcc New York,

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because this information was not entered in century. Regardless, upon

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his return, the United States Marshals Service provided R and

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D staff with a prisoner custody Alert notice regarding mister Epstein.

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The notice indicated mister Epstein had MTL mental concerns suicidal tendencies.

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The us MS requested R and D staff signed the form,

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and they then departed with the signed copy. On August first,

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twenty nineteen, at eight forty six am, Doctor and Mary

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sent Doctor Miller an email reporting that she had just

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become aware of the above information. In the absence of

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additional information about this notation, this should have been considered

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a referral to psychology Services about a potentially suicidal inmate,

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and procedures should have been followed as outlined in p.

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Five three to two four Dodd zero eight Suicide Prevention Program. Specifically,

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when a staff member becomes aware an inmate may be

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thinking about suicide during normal working hours, the staff member

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must contact psychology Services and maintain the inmate under direct

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continuous observation until he's placed on suicide watch or seen

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by a psychologist. There is no evidence mister Epstein was

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monitored under these conditions from the time he returned from

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court until he was seen by doctor Amery for a

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suicide risk assessment on August first, twenty nineteen at approximately

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one thirty pm. Institution Response seven follow up staff have

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been trained that it's required that they make verbal contact

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with either a psychology staff or a lieutenant when they

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have concerns for an inmate's mental health. If psychology staff

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is not in the institution, an inmate is placed on

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suicide watch and the on call psychologist and warden are notified.

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As part of their signature block. All psychology staff have

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added the following. If you're emailing about an inmate that

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may be at risk for suicide or self harm, this

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is an emergency situation. Please make sure that you contact

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verbally the psychology staff and the on call psychologist. Please

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ensure to maintain constant visual observation of the inmate until

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formal steps can be taken to ensure his or her

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safety pending a formal assessment by a psychologist. The Psychology

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Department uses sy alert codes more frequently with high profile

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cases and with inmates with a history of a charge

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of a sex offense. The sy Alert code is applied

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immediately on classification and loor identification, and not just when

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an inmate is about to leave the institution. If an

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inmate is moved in and out of an institution for court, etc.

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The inmate is assessed immediately prior to being released to

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a unit. R and D staff have reminded of the

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US Marshal and Court alert process. Psychology staff are notified

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immediately if there are suicidal concerns noted by the court.

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If psychology staff is not in the institution, an inmate

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that enters the institution with an alert notice is placed

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on suicide watch and the on call psychologist and warden

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are notified. These inmates receive a suicide risk assessment by

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a psychologist before being released to general population. R and

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D will review the PP forty four code, and intake

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screeners will utilize the PP sixty four to determine if

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inmates entering the facility have SI alert assignment if there

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is not a psychologist in the building. When a s

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inmate is identified, or if it's during non duty hours,

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the operations Lieutenant will immediately be notified and will contact

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the on call psychologist. The on call psychologist will come

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in after hours to screen the inmate in R and

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D and determine their are appropriateness for general population as

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well as any other pertinent housing considerations. Prior to the

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inmates released to general population. Inmates may also be assigned

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to SIE alert function by a psychologist while housed at

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the institution psychologists will consider not only inmates with substantial

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mental health concerns for a SI alert assignment, but will

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use SIE alert codes frequently with high profile cases and

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with inmates with a history or charge of a sex offense.

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The SI alert code is applied immediately and not just

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when an inmate is about to leave the institute. The

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attached institutional procedural Memorandum has been reviewed by Central Office

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Psychology Service and implemented by mcc New York Psychology Service

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to outline the follow up procedures when existing SIE alert

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inmates return from trips such as court proceedings and hospital trips.

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If any movement occurs with an existing SI alert inmate,

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psychology must be verbally notified immediately when the inmate returns

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back to the institution. This would include movement from court,

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institutional movement, or hospital trips. The Psychology Department will also

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notify of a SIE alert inmate movement prior to the

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inmate leaving. The Psychology Department will be provided with the

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court list as well as prisoners Schedule report on a

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daily basis. These reports will be reviewed daily by members

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of the Psychology Department to assess whether a sile alert

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inmate is scheduled to go out to court the following day.

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An existing SI alert inmate who has already been initially

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screened by the Psychology Department returns from court with a

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notice from the judge or a Marshal's office indicating imminent

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mental health concerns or concerns related to suicide, the SYE

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alert inmate will be seen by the psychologist immediately and

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prior to their return to general population. A psychologist will

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determine at that time if a SI alert inmate is

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ready to return to general population, their psychological stability and

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their treatment needs. If the inmate returns after hours and

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there's no psychologist in the institution, the SIE alert inmate

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will be placed on suicide watch pending a suicide risk

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assessment by a psychologist. When an existing SIRE alert inmate

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who has already been initially screened by the Psychology Department

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returns from court routinely and without a notice from the

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judge or Marshal's office, they will be screened by a

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member of Psychology Department within twenty four hours to assess

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if they're experiencing any significant distress regarding their court proceeding

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that may be exasperating their mental health difficulties and or

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risk factors. Per guidance from Central Office Psychology Division, the

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Psychology Department will conduct a training with R and D

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staff to help train them about SIE alert inmates and

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to recognize signs of psychological distress and suicide. Suicide prevention

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in SI alert Training have recently been conducted by the

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Psychology Services Department with lieutenants and during a recent department

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head meeting. Further, an email regarding SI alert procedure was

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sent to all lieutenants, receiving and discharge psychology and all

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health and Services staff. All right, folks, we're going to

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wrap up right here, and in the next episode, we're

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going to pick up where we left off. All the

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information that goes with this episode can be found in

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the description box.