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.