title: Expert Opinion and Recommendations for the Management of Attention-Deficit/Hyperactivity Disorder in Correctional Facilities.
abstract: There has been considerably less research on the management of adult attention-deficit/hyperactivity disorder (ADHD) among the inmates of correctional facilities than in the general community. While the successful identification and management of ADHD in the adult correctional setting offer potential benefits to the individuals themselves, to institutional staff, and to wider society, their implementation represents significant challenges. These include high prevalence rates, the low level of ADHD recognition, the high incidence of comorbid psychiatric disorders, and the high risk of abuse and diversion of prescribed medications. Here, the authors provide an overview of current recommendations for the identification and management of adults with ADHD in correctional settings and discuss possible strategies for their further development.
authors.affiliation: Providence Care, Mental Health Services, Kingston, Ontario, Canada scottd2@providencecare.ca.
authors.forename: Duncan A
authors.initials: DA
authors.lastname: Scott
authors.affiliation: Department of Psychiatry, Institut Philippe-Pinel de Montreal, Montreal, Quebec, Canada.
authors.forename: Martin
authors.initials: M
authors.lastname: Gignac
authors.affiliation: Dalhousie University, Halifax, Canada Offender Health Services, East Coast Forensic Hospital, Dartmouth, Canada Capital District Health, Canada.
authors.forename: Risk N
authors.initials: RN
authors.lastname: Kronfli
authors.affiliation: North Shore ADHD Clinic, West Vancouver, British Columbia, Canada.
authors.forename: Anthony
authors.initials: A
authors.lastname: Ocana
authors.affiliation: Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada Central North Correctional Centre, Penetanguishene, Ontario, Canada.
authors.forename: Gunter W
authors.initials: GW
authors.lastname: Lorberg
mesh_terms: D019969:Amphetamine-Related Disorders / Q000453:epidemiology; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis* / Q000188:drug therapy* / Q000523:psychology; D000697:Central Nervous System Stimulants / Q000627:therapeutic use*; D003376:Counseling; D057237:Criminals / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology; D064226:Prescription Drug Diversion / Q000517:prevention & control; D015995:Prevalence; D011329:Prisoners; D011330:Prisons / Q000458:organization & administration* / Q000592:standards; D012307:Risk Factors; D057545:Social Stigma
chemical_list: D000697:Central Nervous System Stimulants
keywords: ADHD; correctional facilities; pharmacotherapy; prison