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Management of sleep complaints in correctional settings
Book Item (Buchkapitel, Lexikonartikel, jur. Kommentierung, Beiträge in Sammelbänden)
ID 3401840
Author(s) Elger, Bernice S.
Author(s) at UniBasel Elger, Bernice Simone
Year 2015
Title Management of sleep complaints in correctional settings
Editor(s) Trestman, Robert; Appelbaum, Kenneth; Metzner, Jeffrey
Book title The Oxford Textbook of Correctional Psychiatry
Publisher Oxford University Press
Place of publication Oxford
Pages 85-89
ISSN/ISBN 978-0-19-936057-4 ; 978-0-19-936058-1
Series title Oxford textbooks in psychiatry
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.
Full Text on edoc No
Digital Object Identifier DOI 10.1093/med/9780199360574.003.0016

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