Signs and Strategies to Prevent Covert Nonadherence
| Signs of Covert Nonadherence | Suggested Prevention Strategies |
|---|---|
| Refusing to speak | Mouth check |
| Moving the tongue inside the mouth | Liquid medications or water “chasers” |
| Quickly turning away | Officer observation and intervention |
| Leaving for the restroom | Restroom restriction |
| Diverting to inmates in line or near | Restrict inmate-to-inmate contact in pill line |
| Unwillingness to show hands | Preload pills into a cup to hand to patient |