Management of sleep complaints in correctional settings

Details

Serval ID
serval:BIB_300D82431720
Type
A part of a book
Publication sub-type
Chapter: chapter ou part
Collection
Publications
Institution
Title
Management of sleep complaints in correctional settings
Title of the book
The Oxford Textbook of Correctional Psychiatry
Author(s)
Elger BS
Publisher
Oxford University Press
ISBN
9780199360574
Publication state
Published
Issued date
2015
Editor
éd. par Robert Trestman ; Kenneth Appelbaum ; Jeffrey Metzner 
Series
Oxford Textbooks in Psychiatry
Chapter
4/16
Pages
10
Language
english
Abstract
Sleep problems among detainees are common. Appropriate evaluation and treatment remain challenging in correctional settings. However, this is not primarily a problem of resources; rather, it is, to a great extent, an issue of adequate training. Correctional health professionals need appropriate education regarding insomnia evaluation and management. Guidelines should be based on the principle of equivalence of care and should take into account all evidence from research in the community and in correctional settings. Educational material from outside prisons exists and should be made available to detainees and health professionals (Falloon et al., 2011; Sateia & Nowell, 2004). Priority should be given to changes in prison conditions and to nonpharmacological treatment. There is no evidence-based justification to replace BZD prescriptions with antipsychotics or antidepressants. In correctional settings, prescriptions of antipsychotics and antidepressants for sleep problems can increase risk due to polypharmacy and higher suicide risks. Correctional physicians should monitor and document the evaluation and treatment practice concerning insomnia complaints to improve safe, evidence-based treatment.
Create date
15/04/2016 11:02
Last modification date
20/08/2019 14:14
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