EFTA00032184.pdf

8/29/19 9:30 [Redacted]
[Redacted]
8/17/09 MCC BOP
Chief Psychologist (11 years)
MDC Brooklyn Staff Psych 03-06
06-08 Forensic
B.S. Criminology
MA Counseling (MH)
MA Clinical Counseling
PhD
Rahway E Jersey State Prison - Staff Psychologist 2 years
Post Doctoral Fellowship 1 year
Internship - Miami - in/out MH treatment
FDC Miami - externship - Lenore Walker - battered womens program

Oversight
- Forensic (3), Staff Psychologist (1), Drug abuse coord., OT spec.
Ensures patients are seen, appropriate documentation
consults on cases as needed
Forensic reports - get them out on time
- reads all when they are new, then more review
- reads all reports she signs off on
- seeing more patients than normal
7 - 3:30 M-F

Intake
PSIQ - all inmates fill it out - MH history as well as current symptoms they feel
-> anything marked they are seen w/in 14 days
They typically do 7 days, try to do it that day
Care Code 1 - least significant - no requirements
2: MH histories, controlled mental health problems - seen monthly
3: more severe - must be seen every week if not stable in GP - they go to observation - goal is to get stable - if they deteriorate they
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go to a hospital
4: More severe than a 3, seen everyday
"psych obs"
Code 4 can be on suicide watch (SW)
-> Many times its manipulation (ie: not getting along w/ guard, new cellmate, get out of jail to hospital)
Psychologist meets w/ person - meds, coping skills
if they do this 2-3x get bumped to Code 2 to be met w/ 1x a month

Watch - imminently suicidal
lights on 24/7, constant watch, smock, special blanket mattress
Observation - not @ every BOP sight [site] - there when she got there
Step program to see how they do
Constant observation, 1:1, all liants [lights?]
-> get their clothing back, might get books
- SW can be detrimental if on SW longer than needed
- Any psychologist can take off S.W., they do consult sometimes
- Consult w/ Warden, Monday morning, Friday closeout meeting
- Capt. Warden, Tuesday SHU meeting
Associate w, Captain, Sup. Attorney, [Redacted], Warden, Duty officer
Dept head meeting Wednesday

Only methadone detox BOP prison
#1 [Redacted] Intake // [Redacted] note page 4 - consult [Redacted]
didn't mark anything on PSIQ - had he not been [Redacted] he would have gone to GP (Gen pop), but due to crimes magn[itude?]
best to do intake - [Redacted] said he was fine - Care Code 1
after court - put on obs precautionary b/c of what would happen
suicid[al]
#2 Risk assessment - [Redacted] Mad-angry he was on obs
no hx of suicidality or sub. abuse, no major med. concerns
Polite but annoyed, no overt risk factors
Risk Factors Sex offender, high prof crime, only 1 living brother
- didn't appear/report depression, didn't report anything
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(AW) Associate Warden
#3 Suicide Risk Assessment from [Redacted]
#2 Quoted "Being alive is fun" [Redacted] took it genuinely
#4 July 10 - Kept on obs an extra day even though he appeared fine due to housing concerns
Executive staff notified of these
Associate Warden, Warden selected Tartaglione (sp?)
[Redacted] wasn't an ^ discussion, but believes its b/c he was a cop w/ a lot to lose
- realizes he would be there a few weeks even w/ bail
- knows he will have a cellmate
- E acted like staff worked for them - ie: planning ahead
- doesn't like shared, wants single cell
July 11 - taken off obs, at attorney meeting ~12 hr/day
- spoke to him @ attorney conf; E was mocking [Redacted] saying he would never be suicidal
- Palm Beach attorney
- wanted brown uniform for att. meetings, wants rec,
wants phone calls
- Female officer told [Redacted] E had 2 calls
possibly officer Days
[Redacted] passed on his concerns to SHU LT [Redacted]
July 16 - after bail hearing, attorney conference rm
once a month, Dr M does a SHU review
E called for [Redacted] - treating her like assistant
chastized her b/c his needs weren't being met
no psych concerns, requested Kosher diet
July 18 - attempted SHU review - didn't see him b/c he was in attorney conference
[Redacted] got called E was found w/ loose neck w/ very light marks, when she turned around marks were darker
he was rocking on floor
[Redacted] Let Duty Psych know - ordered Suicide Risk Assessment
1 Gaming - for both E and Tartaglione -> Hypotheses
2 Rehearsal
3 Assault by cellmate
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CM (cellmate)
placed on SW
E tells [Redacted] he doesn't remember what happened
E told staff cellmate tried to kill him.
denied suicidality, had future plans, acted like a big kid. wanted to learn, wanted to fight case
Dr. Emery kept him on S.W.
-> Recording

Next Day (July 24) - [Redacted] - E fearful to return to his cell w/ cellmate. CM called him pedophile, CM was playing w/ bedsheet, he fell asleep and woke up shaking
- denied being suicidal, reported being unhappy w/ legal situation, slept well last night, eating, sleeping, drinking, asking for hygiene products, legal visits
- [Redacted] took off S.W., stepped down to Psych Obs
- Allows to have clothes and materials w/ observation
[Redacted] not any clearer on 3 hypothesis
E is creating doubt to play both sides.
E charming
E attorneys never contacted psychology voicing an opinion on his mindset or suicidality
July 25 - Psych observation contact - done by [Redacted]
- E smiling - "welcome back" - good spirits
E claimed he was baffled after being confronted by [Redacted] on whats going on. says maybe [Redacted] can give him cues
Continued w/ requests/complaints
I have a life and want to go back to living my life
- Doesn't want to go back to SHU
- Kept on Psych obs - not answering questions
July 26 - [Redacted] want to see him again. E wanted trust again - continues w/ complaints, makes jokes
still doesn't answer prim questions about incident
Called [Redacted] on being Jewish - made joke -
no acute symptoms
It's against Jewish religion to commit suicide
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- E said he doesn't like pain and didn't want to hurt himself
- E had been interacting w/ companions
#5
July 27 - Dr. Emery saw him - kept on psych obs.
#4 didn't answer questions still
anxious about returning to SHU b/c he doesn't know how he got the marks
Lt. Doctor still didn't have answers as to whether there was an assault.
July 28 - [Redacted] - Same thing
#5 Starts working more therapeutically, provided handouts to go back to housing
No signs in logbooks showing suicidality, participating in legal meetings
Still no contact from E attorneys
7/29 - [Redacted] sees E
- getting comfortable - wants to stay in psych obs
National Suicide Prevention Coordinator
See - got involved w/ cellmate issue - Dr. Nagel 7/25 email #6
- writing in note pad trying to get things done.
- E wanted own CPAP (which has cord)
7/29 - getting ready to place him in SHU
[Redacted] consulted ex. staff on staying extra night in SHU w/out CPAP, or SHU w/ CPAP - chose Psych Obs. (By pass)
#7 [Redacted] transitioned E to SHU next day - Email
7/30 - E went to SHU
Dr. M - very important SHU inmates have cellmates
rec v isolation
v privacy
distraction
provides rescue opportunity
training on about taught quarterly to SHU employees
All employees 1x year suicide prevention
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Lt. Rice SHU
7+ days on 24/7 observation
[Redacted] - [Redacted] did not have conversation w/ [Redacted]
[Redacted] Closeout meeting - E really wanted single cell
Captain
[Redacted] - all Lts should know cellmate policy due to training, and them constantly (psych) reminding them
There was still a cellmate label on E door.
Rounds are important to see an inmate is alone
Rounds - [Redacted] awareness
- she wouldn't be told by officers b/c shes Ex. Staff
- inmates won't tell her b/c officers will retaliate
[Redacted] is regimented and regulary does what she asks
* - Never heard rounds aren't completed @ night
Will - Aug 8 - [Redacted] didn't know
that would have been a red flag - he would have been placed on psych obs.
Attorneys didn't tell Psych about the will
Female attorney - complaints about water, vending, housing
w/ a murder
Aug 8 - SHU meeting see sign in sheets, unit team members, Ex staff, attorneys MCC
nothing significant discussed about E.
[Redacted] went to SHU rounds to see E - had cellmate
E on lower bunk - no visible problems, good spirits
Got pack # for phone calls, asked for books
Reported getting along w/ cellmate
1st attempt to get out on bail
Didn't suggest camera room, Warden didn't suggest it b/c [Redacted] wanted E to have cellmate
Dr. M has never gone to attorney conference for any other patients/inmate
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lack of cellmate, understaffing
3 suicide risk assessments is unusual
1 by judges order