title: [Psychotropic drugs in prison].
abstract: Respect for guidelines and recommendations is the rule for prescribing psychotropic drugs in prison. The prevalence of psychiatric disorders and suicide in prison is higher than in general population. In France, 50 % of prisoners are treated with a psychotropic medication. Insomnia is a common complaint. It should not be trivialized and clinical psychiatric examination should be complete particularly in search of an underlying depressive syndrome. The lifestyle and dietary rules should not be neglected despite the difficulties associated with living conditions in prison and expectations of immediate results from both patients and sometimes the prison administration or justice. Given the prevalence of addictions in the prison population, vigilance is required in preventing withdrawal, especially at the beginning of incarceration. Indications for initiation and the prescription of opioid substitution treatment are the same as free environment. Individualization of delivery and confidentiality must be applied.
authors.affiliation: Université Lille Nord de France, CHRU de Lille, pôle de psychiatrie, 59000 Lille, France. Electronic address: tfovet@hotmail.fr.
authors.forename: Thomas
authors.initials: T
authors.lastname: Fovet
authors.affiliation: Université Lille Nord de France, CHRU de Lille, pôle de psychiatrie, 59000 Lille, France.
authors.forename: Ali
authors.initials: A
authors.lastname: Amad
authors.affiliation: Université Lille Nord de France, CHRU de Lille, pôle de psychiatrie, 59000 Lille, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Adins
authors.affiliation: Université Lille Nord de France, CHRU de Lille, pôle de psychiatrie, 59000 Lille, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Thomas
mesh_terms: D011307:Drug Prescriptions / Q000592:standards; D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy* / Q000453:epidemiology; D015995:Prevalence; D011329:Prisoners; D011330:Prisons; D011619:Psychotropic Drugs / Q000627:therapeutic use*
chemical_list: D011619:Psychotropic Drugs