mirror-epstein-docs/results/IMAGES009/DOJ-OGR-00024988.json

{
  "document_metadata": {
    "page_number": "531",
    "document_number": "DOJ-OGR-00024988",
    "date": "07/27/2019",
    "document_type": "Clinical Intervention - Clinical Contact",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 531\n**SENSITIVE BUT UNCLASSIFIED**\nBureau of Prisons\nPsychology Services\nClinical Intervention - Clinical Contact\nInmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nSex: M\nFacility: NYM\nReg #: 76318-054\nDate: 07/27/2019 07:14\nProvider: [b(6); (b)(7)(C)]\nUnit Team: 5\nPsyD\n\nFocus of Session\nHe was seen by writer while he was on Psych Observation.\n\nSubjective/Objective Presentation\nThe \"Eating/Shower Chart\" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, and slept.\n[b(7)(A)] stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHU.\nHe said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water because he stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive.\nCurrent Mental Status: He exhibited a neutral mood with a mildly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated \"I'm a coward.\" He added he does not like pain and even does not like when he has to give blood. He agreed to immediately tell staff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts.\n\nIntervention(s)\nSupportive and educative interventions were provided. He was given Turning Points handouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him from sleeping.\n\nProgress/Plan\nHe will remain on Psych Observation in an abundance of caution and pending housing arrangements to be made on Monday. While on Psych Observation, he will be seen daily by Psychology.\n\nCompleted by [b(6); (b)(7)(C)] PsyD on 07/27/2019 08:16\n\nGenerated 07/27/2019 08:16 by [b(6); (b)(7)(C)] PsyD Bureau of Prisons - NYM Page 1 of 1",
  "text_blocks": [
    {
      "type": "printed",
      "content": "Page 531\n**SENSITIVE BUT UNCLASSIFIED**\nBureau of Prisons\nPsychology Services\nClinical Intervention - Clinical Contact",
      "position": "header"
    },
    {
      "type": "printed",
      "content": "Inmate Name: EPSTEIN, JEFFREY EDWARD\nDate of Birth: 01/20/1953\nSex: M\nFacility: NYM\nReg #: 76318-054\nDate: 07/27/2019 07:14\nProvider: [b(6); (b)(7)(C)]\nUnit Team: 5\nPsyD",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Focus of Session\nHe was seen by writer while he was on Psych Observation.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Subjective/Objective Presentation\nThe \"Eating/Shower Chart\" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, and slept.\n[b(7)(A)] stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHU.\nHe said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water because he stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive.\nCurrent Mental Status: He exhibited a neutral mood with a mildly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated \"I'm a coward.\" He added he does not like pain and even does not like when he has to give blood. He agreed to immediately tell staff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Intervention(s)\nSupportive and educative interventions were provided. He was given Turning Points handouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him from sleeping.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Progress/Plan\nHe will remain on Psych Observation in an abundance of caution and pending housing arrangements to be made on Monday. While on Psych Observation, he will be seen daily by Psychology.",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Completed by [b(6); (b)(7)(C)] PsyD on 07/27/2019 08:16",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "Generated 07/27/2019 08:16 by [b(6); (b)(7)(C)] PsyD Bureau of Prisons - NYM Page 1 of 1",
      "position": "footer"
    }
  ],
  "entities": {
    "people": [
      "JEFFREY EDWARD EPSTEIN"
    ],
    "organizations": [
      "Bureau of Prisons",
      "NYM"
    ],
    "locations": [],
    "dates": [
      "01/20/1953",
      "07/27/2019"
    ],
    "reference_numbers": [
      "76318-054",
      "DOJ-OGR-00024988"
    ]
  },
  "additional_notes": "The document contains redactions marked as [b(6); (b)(7)(C)] and [b(7)(A)]. The document is stamped with 'SENSITIVE BUT UNCLASSIFIED' and has a large 'DRAFT' watermark across the center."
}