title: Psychoactive Medication Misadventuring in Correctional Health Care.
abstract: Due to multiple factors, unprecedented numbers of individuals with mental health disorders and many with comorbid substance use disorders are now incarcerated in jails and prisons. This article details a variety of medication use and potential abuse/misuse/misadventuring topics that are unique to the correctional health care setting, with emphasis on how the large number of persons with psychiatric and/or substance use disorders affects these issues and methods that correctional systems commonly use to manage these inmate-patients. Also discussed are the potential for inmate feigning or malingering as a goal-directed behavior, potential for misadventuring/abuse of commonly used medications, urine drug screening/surveillance, and the effect of psychoactive medications on heat tolerance and environmental issues.
authors.affiliation: Community Care of North Carolina, Raleigh, NC, USA j.mckee@wingate.edu.
authors.forename: Jerry
authors.initials: J
authors.lastname: McKee
authors.affiliation: University of Texas Medical Branch Correctional Managed Care, Huntsville, TX, USA.
authors.forename: Joseph V
authors.initials: JV
authors.lastname: Penn
authors.affiliation: University of Texas Medical Branch Correctional Managed Care, Huntsville, TX, USA.
authors.forename: Angela
authors.initials: A
authors.lastname: Koranek
keywords: drug abuse; inmates; mental illness; prisons; psychoactive medications