TY - JOUR PY - 2023// TI - Expanding clozapine use in state prisons: a review of the North Carolina experience JO - Journal of correctional health care A1 - Pruette, Megan E. A1 - Zarzar, Theodore R. A1 - Sheitman, Brian B. SP - ePub EP - ePub VL - ePub IS - ePub N2 - The prevalence of serious mental illnesses in prisons is estimated to be significantly higher than in the community. The antipsychotic medication clozapine is very effective in managing treatment-resistant psychosis and may also reduce suicidal and self-injurious behaviors but is underused due to several logistic challenges. A partnership between the North Carolina prison system and University of North Carolina School of Medicine established a consultative system for clozapine initiations that has led to a 390% increase in the number of incarcerated people using clozapine over a 5-year period. This article reviews the benefits and challenges of clozapine use in corrections based on the North Carolina experience and practical strategies on how to expand use in a prison system.

Language: en

LA - en SN - 1078-3458 UR - http://dx.doi.org/10.1089/jchc.21.06.0059 ID - ref1 ER -