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BP-A295.052
APRIL 1994
SPECIAL HOUSING UNIT REVIEW
U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

Inmate Name:
EPSTEIN, JEFFREY EDWARD
Register Number:
76318-054
Unit:
5
Institution:
NEW YORK MCC

Date Entered Special Housing:
07-10-2019
Reason for Placement:
PENDING CAPTIANS REVIEW

I. Subject: (2 or 3 Days)
3 Day Review
Date Reviewed
07-15-2019
Action Taken on the Above Date:
Continue in Special Housing Unit
Printed Name/Signature:
(b)(6); (b)(7)(C)

II. RECORD REVIEW.
(To be done weekly in the inmate's absence, beginning after the in-person 7 day review, and continuing every week between each in-person 30 day review.)
DATE
07-19-2019
ACTION TAKEN
Continue in Special Housing Unit
REMARKS
SIGNATURE
(b)(6); (b)(7)(C)

III. Subject: (7 or 30 Days)
7 Day Review
Review By (SRO):
(b)(6); (b)(7)(C)
Reviewing Authority:
Date inmate appeared for a Special Housing Review:
07-19-2019
Or Date inmate waived right to appear:
01-01-111

Has been seen daily by Medical Staff: [Checked] Yes; [ ] No
Has been seen daily by responsible officer designated by Warden: [Checked] Yes; [ ] No
Has received prescribed weekly exercise: [Checked] Yes; [ ] No
Proper documentation and justification in the Central File (Incident Report, DHO Report, copies of Special Housing Review Form): [Checked] Yes; [ ] 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? [Checked] Yes; [ ] No
Is there an additional assessment for every one month interval thereafter? [Checked] Yes; [ ] No
if no, why not?

Action taken on the above date by the Segregation Review Official or the Reviewing Authority:
[ ] Released from Special Housing; [Checked] Continue in Special Housing

Did inmate in Administrative Detention receive a written copy of staff's decision and the basis for the finding at each 30 day review? [Checked] Yes; [ ] No
if no, why not (Should be given provided institutional security not compromised)?

Remarks: (Any change in the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form):

Date of Next Review:
07-26-2019
Printed Name and Signature of Segregation Review Official or the Reviewing Authority and Date Signed:
(b)(6); (b)(7)(C)

Record Copy - Central File
This form replaces BP-295(52) dated January 1988

file:///C:/temp/shu/Epstein-Reno76318-054_SRO_20190710-20190723.html
8/13/2019
DOJ-OGR-00025426