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Prescribing for Women in Corrections
Susan Hatters Friedman1, Anthony C Tamburello2, Aimee Kaempf2
1Dr. Friedman is the Phillip Resnick Professor of Forensic Psychiatry, and Professor of Reproductive Biology, Case Western Reserve University, Cleveland, Ohio; and Associate Professor of Psychological Medicine, University of Auckland, Auckland, New Zealand. Dr. Tamburello is Associate Director of Psychiatry, Rutgers - University Correctional Health Care, Trenton, New Jersey; and Clinical Associate Professor of Psychiatry, Robert Wood Johnson Medical School, New Brunswick, New Jersey. Dr. Kaempf is Associate Professor of Clinical Psychiatry, University of Arizona College of Medicine, Tucson, Arizona. Dr. Hall is Associate Professor of Psychiatry, University of Central Florida, Orlando, Florida; Affiliate Associate Professor, University of South Florida, Tampa, Florida; and Adjunct Professor, Barry University School of Law, Orlando, Florida. sjh8@case.edu.
Abstract:
Prescribing for women in jails and prisons requires special consideration and should be informed by extant evidence. Incarcerated women have higher rates of mental illness than both females in the community and incarcerated men. Medication administration concerns that may disproportionately affect female prisoners include drug-drug interactions with contraceptives, intermittent dosing schedules, and concerns about metabolic side effects. Further, pregnancy, lactation, and menopause may all affect medication choices. Incarcerated women frequently have comorbid mental illness, substance use disorders, and personality disorders. Finally, specific disorders, such as posttraumatic stress disorder, are more common in this population and merit special consideration for recognition and treatment.
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