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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 continue talking

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about the death of Jeffrey Epstein and the circumstances surrounding it,

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and to do that, we're going to start taking a

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look at the psychological response to the reconstruction of inmate

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Jeffrey Epstein. November thirteenth, twenty nineteen from Jay Petrucci, Warden

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mcc New York. This is a response to the psychological

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reconstruction of inmate Jeffrey Epstein, dated September seventeenth, twenty nineteen.

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One single ceiling. It's recommended that all inmates be double celled,

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unless safety concerns for an odd number of inmates precludes this.

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Priorities should be given to inmates with history of mental illness,

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self directed violence, recent stressors, eg losses, newly s ins, etc.

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It's recommended that a system of control be implemented, explaining

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who will be notified when a suicide watch or a

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psychological observation ends and how that communication will take place.

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Because this is a life safety issue, the system of control,

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once approved by the warden, should be reviewed in formal

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meetings such as staff recalls, department head meetings and lieutenant meetings,

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Institution response one single cell placement. A system has been

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put in place to ensure inmates are not single celled.

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A single cell report is completed during each shift by

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the Shoe Lieutenant during day watch and the Operations Lieutenant

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during the morning watch and evening watch. Notifications are made

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to the institution, Duty Officer, IDO and executive staff. Psychology

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discusses the status of inmates who are at risk for suicidality,

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their housing needs, as well as their needs for cellmates

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during staff meeting, the apartment head meetings, shoe meetings, morning meetings,

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and close out meetings. When inmates are placed on and

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off suicide watch, the warden is notified verbally regardless of

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the time of day. The warden then determines which suicide

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watch area a suicidal inmate will be housed and if

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they will be observed with an inmate companion or a

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staff member. Psychology verbally notifies the Operations Lieutenant when inmates

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are removed from suicide watch and that they will need

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to be placed with the cell mat Cell mates are recommended,

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not only for Shoe inmates being removed from suicide watch,

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but also for inmates returning to the general population setting.

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The CNA officer is responsible for entering the proper assignment.

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Once an inmate is removed from Suicide Watch, Psychology staff

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sends an email to the executive staff, IDEO and lieutenants

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informing them that the inmate is being removed from Suicide

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Watch and can return to a cell with a cell mate.

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The email contains the name of the staff member whose

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psychology verbally spoke with This recommendation for a cellmate and

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conversation with the lieutenant is also documented in the post

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suicide Watch report and placed in bee mr slash PDS.

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Psychology Services has eliminated the use of psychological observation to

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avoid any confusion as to the needs of inmates on

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watch status. Section two rounds thirty minute rounds are acquired

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by P five five zero zero dot one four Correctional

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Services Procedures Manual institution Response two rounds. Shoe training is

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conducted quarterly in which emphasis is placed on the importance

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of diligent rounds within the policy guided timeframes. In addition,

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the shoe lieutenant will review documentation shoe round sheets on

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a daily basis and provide the captain with an assurance

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memorandum of their completion. Weekly Shoe round sheets will be

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maintained on the specified range. To insure officers or completing

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required rounds, a staff member must observe all inmates confined

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in continuous lockdown status such as administrative detention or disciplinary

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segregation at least once in the first thirty minute period

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of the hour, followed by another round in the second

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thirty minute period of the same hour, thus ensuring an

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inmate is observed at least twice per hour. These rounds

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are to be conducted on an irregular schedule and no

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more than forty minutes apart. All observations must be documented.

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Closer observation may be required for an inmate who is

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mentally ill or who demonstrates unusual or bizarre behavior. These

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inmates have been identified with an orange photographic door tag

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to ensure a staff are aware to take more security

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precautions in dealing with this inmate. Two hour captain VIE

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review and six hour IDEO video review are being conducted.

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Number three cell made assignments. When mister Epstein was placed

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in Shoe on July seventh, twenty nineteen, the executive staff

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decided mister Tartaglioni would be a cellmate. As explained by

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doctor Miller, input was not sought from Psychology Services, and

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it's not clear if for how sex offender specific needs

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and associated risk were incorporated into the housing plan. Mister

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Tartaglioni was also a high profile inmate, an ex police

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officer charged in multiple murders. However, he and mister Apstein

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did not share the risk associated with being a sex offender,

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and the repairing may have aggravated mister Epstein's risk for

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self directed violence. In an effort to treat mister Epstein

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the same as other inmates, a statement repeated by multiple staff,

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executive staff may have inadvertently overlooked the need to consider

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a unique risk factors associated with the individuals who have

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been charged with and convicted of sex offense. On July

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twenty fifth, twenty nineteen, doctor Miller sent an email to

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Shirley Skipper Scott Associate Warden explaining a consultation between doctor

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Miller and doctor Nagel, National Suicide Prevention Coordinator. In the email,

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doctor Miller reviewed the consult and recommendation from the Psychology

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Services Branch Central Office that mister Epstein be housed with

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another inmate who had been accused of committing a sex offense.

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There is no evidence this information was considered beyond the email,

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and mister Epstein was never housed with another inmate charged

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or convicted of sexual offense. It's recommended executive staff and

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correctional service staff include a psychologist in decisions about cellmates

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as a means of incorporating expertise about suicide risk, mental

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health needs, and interventions for psychological stability institution response three

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cellmate assignments. Inmates with serious mental illness and those at

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risk for suicidality are discussed during staff meetings, the apartment

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head meetings, shoe meetings, morning meetings, and close out meetings.

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The Captain, Associate Wardens, Warden and Psychology Service discussed the

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inmates needs. The legal department also assists when the inmates,

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attorney or a court are concerned about an inmate's mental health.

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Psychology Services are involved in making recommendations regarding the type

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of cellmate with whom inmates at risk for suicide should

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be seld. Psychology Services takes into consideration the suicide risk

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factors involved with a particular inmate and shares their knowledge

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with executive staff. The psychological Reconstruction team suggests mcc new

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York executive staff did not take into account mister Epstein's

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sex offender specific needs in assigning a cellmate in the shoe. However,

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that is not correct. Mcc new York executive staff considered

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a variety of factors in determining the most appropriate cellmate

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for mister Epstein, including but not limited to history of

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sex offenses, nature of the inmate, cooperation status, etc. Mcc

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new York administrators initially housed mister Epstein with mister Tartaglioni,

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has both had high profile cases. Mister Tartaglioni is also

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a certified death penalty eligible inmate and thus, based on

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correctional judgment, less likely to assault or otherwise try to

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harm mister Epstein. Indeed, mister Tartaglioni notified staff immediately when

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he realized mister Epstein first made a possible suicide attempt

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gesture on July twenty three, twenty nineteen. Now, mind you

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just to interrupt here. They're basing this all on Tartaglioni's word.

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That's it. So you're going to take the word of

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a four time murderer okay I guess. Prior to mister

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Epstein being taken off suicide watch, mcc new York executive staff,

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with input from psychology staff, assessed all the inmates in

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Chue at the time and narrowed the list down to

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the most appropriate candidates. Mister Tartaglioni was not chosen as

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the investigation at the time had not yet cleared him

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of any wrongdoing. Most of the other inmates in Choe

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at the time were there for disciplinary reasons and were

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otherwise not appropriate to be housed with mister Epstein. The

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other notable inmate in Shoe with the history of sex offenses,

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mister Hoyt, was deemed dangerous to mister Epstein due to

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his threatening nature. Accordingly, mcc new York executive staff now

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of the possibilities to cooperators, specifically, ephrin Reis Register number

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eight five nine nine to three DASH zero five to

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four was placed in Schue for he claims he was

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being threatened and extorted on his UNI and he was

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confirmed as proffering with the US Attorney's Office as both

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he and f Extein were in Schoe for safety reasons.

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Mister Rayis was deemed an appropriate cellmate based on the above.

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Consideration was made for mister Epstein's sex offender specific needs

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in choosing his cellmate in the shoe. His charge crime

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was just one of the factors reviewed in making the determination.

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Mcc new York executive staff also considered high publicity, inmates

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with ample reasons not to hurt mister Epstein, and cooperators

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who are not vulnerable themselves, but also had a lot

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to lose should they harm mister Epstein. Number four Documentation accuracy.

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On July twenty three, twenty nineteen, mister Epstein was found

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on a responsive in his cell. He had abrasions on

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his neck and knee. There are inconsistencies between documents describing

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the circumstances of the scene. In a general administrative note

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in PDSBE, Mr Doctor Miller documented information received from Operations

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Lieutenant Glenn to Anderson that mister Epstein was found with

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a string loosely hanging around his neck. In contrast, Officer

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Wilson Silva, who responded to the emergency, wrote a memorandum

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dated July twenty third, twenty nineteen. In that memorandum, Officer

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Silva wrote that mister Epstein laying down near his bunk

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and what appeared to be a piece of handmade orange

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cloth around his neck. It's critical that all description of

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the incident accurately reflect objective evidence. Officer Joseph Massulo wrote

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that mister Epstein an incident report for self mutilation on

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July twenty third, twenty nineteen, after he was found on

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responsive in his cell, but prior to having necessary facts

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to determine whether he likely engaged in bureau violation. BOP

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policy expects staff to write an incident report within twenty

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four hours of having the information that an inmate likely

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violated BOP rules, without making a presumptive decision about guilt.

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A Special Investigative Service had a special threat assessment that

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was completed on August two, twenty nineteen, but the results

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were inconclusive as to whether mister Epstein engaged in self

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directed violence, willingly fought with the cell mat, or was

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assaulted by a cell mat. It's recommended that staff remain

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open to all reasonable explanations for a behavior and take

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the appropriate actions when a final determinations made. Although the

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incident report was later expunged, inmates frequently experienced significant stress

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when they contemplate the potential consequences associated with findings of guilt.

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Doctor Schlessinger entered a Psychology Service intake screening into PDS

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B E m R on July eighth, twenty ten. The

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document has three typographical errors. She selected no sexual offense

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conviction checkbox when in fact, mister Epstein was previously convicted

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of solicitation of prostitution and procuring a person under the

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age of eighteen for prostitution. Second, mister Epstein was erroneously

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identified as a blackmail in this document. Finally, there's one

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instance where he's mistakenly referred to as mister Brown. Doctor

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Schlessinger completed a risk of sexual abusiveness document on July eighth,

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twenty nineteen. She marked history of prior prison sexual predation

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in the affirmative this is not accurate. Ismal Joaquin, mid

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level practitioner, completed a history and physical on July ninth,

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twenty nineteen. An intake screening should have been conducted within

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twenty four hours of his entry into bureau custody, which

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was on July sixth, twenty nineteen. According to P six

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zero three one dot zero four, Patient care Officer Alwyn

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Thomas was responsible for observing mister Ebstein and documenting his

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behavior on suicide Watch. On July twenty third, twenty nineteen,

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Officer Thomas mistakenly used a suicide watch logbook intended for

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inmate companion documentation between one forty am and six AM

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on July twenty three, twenty nineteen, when he should have

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been using the Staff Suicide Watch logbook. Miss Kenya Coates,

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drug treatment specialist, reportedly noticed this error and subsequently hand

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copied all of Officer thomas entries from one forty am

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to six am into a Staff Suicide Watch logbook. She

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then initialed these entries, and this makes it appear as

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if she's the one conducting the watch. This information was

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discovered and conveyed in an email from Miss Charisma Edge

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associate Warden to doctor Slessinger with a carbon copied of

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Warden and Die on August twelfth, twenty nineteen. Of note,

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Miss Coates did not make an entry explaining why she

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was making the logbook changes. Additionally, Miss Coats then wrote

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entries for six fifteen, six thirty, six forty five and

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seven am in the Staff Suicide Watch logbook. These were

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not part of the original entries made by Officer Thomas,

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nor was Miss Coates assigned to work suicide Watch post

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due to the inability to interview staff at this time,

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It's unknown why Miss Coats attempted to correct Officer Thomas's

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error or made any of the subsequent log entries. It's

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recommended that if a staff member makes an entry error

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eg writes the incorrect Suicide Watch logbook, the staff member

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should describe the error in the correct logbook, to include

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indicating when they became aware of the error. The staff

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member should then notify the Chief Psychologists. A review of

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Special Housing Unit records BP DASH A zero two nine

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two reveal a number of incomplete entries. The document is

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used to monitor provision and receipt of basic services such

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as recreation, medical showers, meal consumption, et cetera. The officer

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in charge signature is missing in ten occasions, and a

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medical provider's signature is missing in seven instances. There are

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six instances in which it's not clear if mister Epstein

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ate his meal. There are nine instances in which it's

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not clear if mister Epstein took a shower. There are

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ten instances in which it's not clear if mister Epstein

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was offered recreation P five five zero zero dot one

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five Correctional Services Manual requires accurate and complete information on

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the VP dash A zero two nine two. A review

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of psychology observation logbooks revealed significant discrepancies from the approved

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Psychological Observation Procedural Memorandum dated April fifteenth, twenty nineteen. A

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correctional officer is required to complete hourly rounds and sign

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the logbook one hundred and seventy nine out of one

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hundred and eighty three rounds, six signatures were missing. The

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lieutenant is required to sign the logbook one time per

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shift and signatures were missing, and ten of twenty three instances,

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a physician assistant is required to sign one time per

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shift and sixteen of sixteen instances were missing. It's recommended

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that a further review of psychological observation procedures be conducted.

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The institution response documentation accuracy. The reconstruction team indicates it's

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critical that all descriptions of the incident accurately reflect objective

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evidence and references psychology staff's reliance on differing statements from

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two different staffs regarding the July twenty three, twenty nineteen incident.

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Psychology staff considers the information from more than one source

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when making decisions about suicide watch placement. Clinical judgment is

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used to make determinations, taking into a consideration each person's

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self report of a situation, as they may perceive differently.

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In reference to typographical errors noted in pdspe MR notes

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the Chief Psychologists has spoken to all psychology staff members

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concerning proofreading all documents entered to reduce typos and to

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improve information accuracy. Additionally, there is a second staff psychologist

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in the department which helps reduce the workload on current psychologists,

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allowing more time for a documentation review. Regarding the reconstruction

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Team's concern in reference to mister Epstein's expunged incident report,

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Special Investigative Services staff will conduct all investigation in matters

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of attempted suicide and make a determination as to whether

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an incident report is warranted. The reconstruction team stated medical

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staff conducted inmate Epstein's intake screening. Late century records Reflectedmate

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Epstein arrived in mcc New York's Receiving and Discharge area

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on July six, twenty nineteen, at approximately nine twenty four pm.

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His medical intake screening was conducted at approximately nine thirty

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eight pm by Physician Assistant Pa Kang on the same

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night and approximately fourteen minutes after his arrival in r

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and D on July ninth, twenty nineteen, he was placed

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on psychological observation and approximately twelve thirty eight pm he

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was escorted from psychological observation the Health Services for a

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medical assessment and a history in physical, which was performed

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by PA Joaquin within three days of the arrival. According

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to Program Statement six zero three dot zero four Patient Care,

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a provider must perform a history and physical within fourteen

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days of the inmate arriving at a GOP facility. The

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history and physical and intake screening were conducted timely and

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in accordance with policy regarding use of the incorrect suicide

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watchlogs and the recreation thereof The Chief Psychologist and Drug

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Abuse Coordinator counseled the Drug Treatment Specialists concerning her documentation

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in the Suicide Watch logbook. There was no ill intent

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on the part of the DTS, as all logbooks were maintained,

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the original logbook written by the officer and the one

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documented by DTS. The DTS indicated a desire to assist

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the officer, as he had written in the wrong logbook. Specifically,

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he wrote that the inmate companion logbook rather the staff logbook. However,

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she was informed that this is not a role and

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she is not a document in a logbook for anyone

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else observing an inmate on suicide watch. In the future,

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only staff members watching the inmate on suicide watch and

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operation lieutenants document in the suicide watch logbook. Logbooks are

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now being closely monitored on a daily basis by Chief Psychologist.

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Incomplete entries were noted in the BP two two. Shoe

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training is conducted quarterly in which emphasis will be placed

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on the importance of proper two ninety two documentation. In addition,

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the Shoe Lieutenant will receive two ninety twos on a

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daily basis and provide the Captain with an assurance memorandum.

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Two ninety twos will be printed for the previous week.

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Every Sunday. The Shoe Lieutenant will acquire any needed signatures

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from the respective oics in a handwritten manner. The reconstruction

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team findings noted, discrepancies and the procedures approved for psychological observation.

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The psychology department has eliminated psychology observation at mcc New York.

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Both staff and lieutenants received additional training on when they're

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required to complete rounds and sign Suicide Watch logbooks. With

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regard to Suicide Watch logbook signatures, correctional staff are required

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to perform routine rounds every hour. The two sally officer

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on Monday through Friday during day watch is required to

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perform rounds on Suicide Watch inmates as prescribed by the captain.

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After hours, the unit to officer will be responsible for

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making rounds, serving meals, collecting trash in the area, and

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performing the count with the internal one or Internal two

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assisting with duties as assigned by the captain. Additionally, psychology

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staff check the suicide Watch logs daily when they interview

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the inmates on Suicide Watch. If it's noted hourly rounds

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are not being conducted by the unit officer and or

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the lieutenants are not rounding and signing the books each shift,

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the Associate warden over programs and the captain are notified

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immediately and enforce accountability. 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.