Attention deficit hyperactivity disorder in prison: a treatment protocol
Department of Psychiatry; Center for Mental Health Services Research
Medical Subject Headings
Attention Deficit Disorder with Hyperactivity; Central Nervous System Stimulants; Clinical Protocols; Humans; Massachusetts; Prisoners; Substance-Related Disorders
Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology
Prescribing controlled substances in correctional settings can create challenges for security, nursing, and psychiatric staff. Some inmates, including those with functionally significant attention deficit hyperactivity disorder (ADHD), however, can benefit from such treatment. This article describes the development of a protocol for the treatment of prison inmates with ADHD that attempted to address a broad range of concerns including disparate diagnostic and treatment standards among prison psychiatrists, conflicts between stakeholders, and medication misuse and substance abuse among inmates. The protocol provides criteria in four main areas: diagnosis, current functional impairment, treatment in general, and treatment with stimulants. Stakeholders had mixed reactions to the protocol.
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Citation: J Am Acad Psychiatry Law. 2009;37(1):45-9.