Table 5

Unique Skills Needed to Work with in Correctional Settings

Establishing a working relationship with correctional officers who have no medical training
Understanding custody levels
Managing boundaries
Balancing patient confidentiality with the facility's security needs
Providing quality psychiatric care with formulary restrictions
Understanding prison culture
Dealing with medication diversion, including medications uniquely abused in correctional settings
Advocating for patient needs in a system that is inherently not designed as a therapeutic milieu
  • From Refs. 26, 39.