EFTA00036573.pdf

Type: pdf
Source set: data-set-8

Extracted text

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BP-A295.052
SPECIAL HOUSING UNIT REVIEW
APRIL 1994
Inmate Name:
EPSTEIN, JEFFREY EDWARD
Date Entered Special Housing:
07-29-2019
Register Number
76318-064
U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS
Reason for Placement:
PENDING DHO FOR CODE 228 SELF-MUTILATION
Institution:
NEW YORK MCC
I. Sutract (2 Cr 3 Days)
3 Day Review
Action Taken on the Above Date:
Continue in Special Housing Unit
Printed Name/Signature:
Date Reviewed
08-01-2019
H. RECORD REVIEW.
(To be done weekly in the ornate's absence, beginning after the unperson 7 day review, and continuing every week between each in-person 30 day
review.)
DATE
ACTION TAKEN
REMARKS
SIGNATURE
08-05-2019 Continue in Special Housing Unit
it Subsea: (7 or 30 Days)
7 Day Review
Review 8y (SRO):
Reviewing Authority:
Date inmate appeared for a Special Housing Review.
08-05-2019
Or Date inmate waived right to appear:
01-01-111
Has been seen daily by Medical Staff.
HAS been seen daily by responsible officer designated by Warden
g
Yes:
K
No
Has received prescribed weekly exercise:
WI Yet E Na
Proper documentation and justification in the Central File (Incident Report OHO Report, Copies of Special Housing Review Form)
g
Yes:
K
No
if no, why not?
Is there a written psychiatric or psychological assessment on the inmate who has Spent 30 days in a special housing status?
1_.] Yes:
K
No
Is there an additional assessment for every one month interval thereafter?
P1 Yes:
E
NO
if no. why not?
P1 Yes: El No
Action taken on the above date by the Segregation Review Official or the Reviewing Authority:
I;s71COntinbe in Special Housing
iJ Released from Special Housing;
Did inmate in Administrative Detention receive a written copy of stairs decision and the basis for the finding at each 30 day review?
g
Yes;
K
No
if no. why not (Should be given provided institutional woody not compromised)?
Remarks: (Any change in the reason for placement is bo be note…

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