Psychiatric services in correctional facilities / the American Psychiatric Association Work Group to Revise the APA Guidelines on Psychiatric Services in Correctional Facilities, Robert L. Trestman, Ph. D., M.D. (Chair), Michael K. Champion, M.D., Elizabeth Ford, M.D., Jeffrey L. Metzner, M.D., Cassandra F. Newkirk, M.D., M.B.A., Joseph V. Penn, M.D., Debra A. Pinals, M.D., Charles Scott, M.D., Roberta E. Stellman, M.D., Henry C. Weinstein, M.D., Robert Weinstock, M.D., Kenneth L. Appelbaum, M.D. (Consultant), John L. Young, M.D., M. Th. (Consultant).

Includes bibliographical references and index.

Print version record.

Cover -- Contents -- Contributors -- Preface -- Introduction -- Overview -- Clarification of Terms -- A Road Map -- PART 1 Principles Governing the Delivery of Psychiatric Services in Correctional Facilities -- Introduction -- The Legal Context -- Right to Treatment -- Adequate Care -- Treatment Over Objection -- Conditions of Confinement -- Access to Mental Health Care and Treatment -- Quality of Care -- Quality Assessment and Performance Improvement -- Prioritizing Resources -- Staffing -- Education and Training -- Cultural Awareness -- Informed Consent -- Confidentiality and Privacy

Suicide Prevention -- Mental Health Treatment -- Referral for Mental Health Treatment -- Mental Health Evaluations -- Therapeutic Milieu -- Levels of Care -- Community Reentry Planning -- Ethical Issues -- Hunger Strikes -- Research -- Administrative Issues -- Health Services Administration -- Relationship With Custody Administration -- Interprofessional Relationships -- Supervisory Roles -- Jail Diversion and Alternatives to Incarceration -- PART 2 Guidelines for Psychiatric Services in Correctional Facilities -- Introduction -- Reception Mental Health Screening and Referral

Intake Mental Health Screening and Referral -- Postclassification Referral -- Routine Segregation Clearance and Rounds -- Brief Mental Health Assessment -- Comprehensive Mental Health Evaluation -- Mental Health Treatment -- Community Reentry and Transfer Planning -- PART 3 Special Applications of the Principles and Guidelines -- Introduction -- Treatment Issues: Specific Disorders and Syndromes -- Substance Use Disorder -- Trauma and Posttraumatic Stress Disorder -- Nonsuicidal Self-Injury -- Infectious Disease -- Sleep Disorders -- Attention-Deficit/Hyperactivity Disorder

Treatment Issues: Specific Populations -- Women -- Youth in Adult Correctional Facilities -- Geriatric Persons -- Lesbian, Gay, Bisexual, and Transgender Persons -- Veterans -- Persons With Intellectual and Developmental Disabilities -- Hospice -- Mental Illness and Segregation -- Seclusion and Restraint -- Telepsychiatry -- Spiritual Lives of Inmates -- References -- Appendixes: Position Statements and Resource Document of the American Psychiatric Association -- Appendix 1: Position Statement on Access to Comprehensive Psychiatric Assessment and Integrated Treatment, September 2009

Appendix 2: Position Statement on Use of the Concept of Recovery, July 2005 -- Appendix 3: Position Statement on Adjudication of Youths as Adults in the Criminal Justice System, December 2005 -- Appendix 4: Position Statement on Mentally Ill Prisoners on Death Row, December 2005 -- Appendix 5: Position Statement on Use of Jails to Hold Persons Without Criminal Charges Who Are Awaiting Civil Psychiatric Hospital Beds, July 2007 -- Appendix 6: Resource Document: The Use of Restraint and Seclusion in Correctional Mental Health Care, December 2006

Correctional psychiatry is an evolving field, and serious questions remain. The work group sees an expanded role for clinicians as physician leaders, managers, and directors, more effectively advocating for their patients and helping to shape optimal care delivery systems that empower patients and support successful transition back to the community.

English.

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