The long-awaited report of the APA's Work Group to Revise the APA
Guidelines on Psychiatric Services in Correctional Facilities,
Psychiatric Services in Correctional Facilities comes at a time of
growing incarceration rates, more rigid sentencing policies,
harsher sanctions, and tougher public attitudes toward crime. The
result is a near-doubling of the incarcerated population since the
first report was issued in 1989 and a significant increase of
inmates with serious mental health issues. The work group members
address the implications of this troubling state of affairs for
psychiatrists and other mental health practitioners who diagnose
and treat within the correctional environment. On the basis of
extensive input from multiple sources and perspectives, they have
developed clear guidelines that equip clinicians to navigate the
special challenges they face. This edition has been thoroughly
updated and is structured to flow from the foundational principles
that govern the delivery of psychiatric care in correctional
facilities, to the guidelines for screening, referral, evaluation,
treatment, and community reentry planning, to special applications
of the principles and guidelines to specific disorders/ syndromes,
patient populations, housing locations, treatment modalities, and
inmate special needs. Readers will find the book well written, with
clear guidance for the clinician, as well as challenges to think
beyond the needs of individual patients to the larger relationship
between mental illness and incarceration. * Approximately three of
every four incarcerated people with a serious mental illness have a
co-occurring substance use disorder, complicating both diagnosis
and treatment. The book offers strategies for treating co-occurring
disorders and explores the need for evidence-based screening tools.
* Because some inmate populations have unique evaluation and
treatment needs because of their disorders, demographics, or other
characteristics, separate sections are devoted to women; youths in
adult correctional facilities; geriatrics; lesbian, gay, bisexual,
and transgender patients; veterans; and patients with intellectual
and developmental disabilities.* New management and programmatic
topics include hospice, mental illness and segregation, seclusion
and restraint, telepsychiatry, and the spiritual lives of inmates.*
The appendix is a valuable resource that includes a selection of
APA position statements on topics relevant to psychiatric services
in correctional settings, such as capital punishment, access to
care for transgender and gender-variant individuals, and the
adjudication of youths as adults in the criminal justice system.
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. Psychiatric Services in
Correctional Facilities provides the current knowledge and
professional support clinicians need to meet these challenges.
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