Effect of Clozapine on Time Assigned to Restrictive Housing in a State Prison Population.

Autor:	Zarzar TR; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC. theodore_zarzar@med.unc.edu., Mayo JP 3rd; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Rosen DL; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Williams JB; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Catlett TL; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., O'Connell MG; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Rashad GN; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Reed JG; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Brown CL; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Robbins BV; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Naftel HA; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC., Sheitman BB; Dr. Zarzar is Clinical Associate Professor, Dr. Mayo is Fellow in Child and Adolescent Psychiatry, Dr. Williams is Clinical Associate Professor, Dr. Brown is Clinical Associate Professor, Dr. Robbins is Clinical Professor, and Dr. Naftel is Clinical Assistant Professor, Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, NC. Dr. Rosen is Research Associate Professor, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC. Ms. Catlett is Director of Healthcare Administration, Dr. O'Connell is Director of Mental Health, Central Prison Healthcare Complex, Ms. Rashad is Staff Psychologist, Mr. Reed is Clinical Pharmacist, and Dr. Sheitman is Chief of Psychiatry, North Carolina Department of Public Safety - Prisons, Raleigh, NC.
Jazyk:	angličtina
Zdroj:	The journal of the American Academy of Psychiatry and the Law [J Am Acad Psychiatry Law] 2021 Dec; Vol. 49 (4), pp. 581-589. Date of Electronic Publication: 2021 Sep 03.
DOI:	10.29158/JAAPL.210011-21
Abstrakt:	This study examined the effect of clozapine on time assigned to restrictive housing (RH; i.e., solitary confinement), disciplinary infractions, and assaults on custody staff among patients treated within the North Carolina prison system. Records were reviewed for patients initiated on clozapine ( n = 84) over a 3.5-year period. Fifty-nine patients completed at least three consecutive months of treatment and were included in data analysis. Assigned RH days and disciplinary infractions were assessed for the periods prior to and after treatment with clozapine. Patients accumulated 13,500 RH days pretreatment and 3,560 days postclozapine initiation. There was a significant reduction in RH days with clozapine treatment ( P < .05). Patients with personality disorders ( n = 36) had a significant decrease in RH days ( P < .05), while those with psychotic disorders ( n = 23) showed a decrease with borderline significance ( P = .051). There were 253 disciplinary infractions pretreatment, including 27 assaults on custody staff, and 118 infractions posttreatment, including 7 assaults; the decrease in infractions was significant in the first three months of treatment ( P < .05). The mean ± SD duration of treatment was 269 ± 102 days. Expanding clozapine use in state prisons should be a high priority, as these data are consistent with reports of clozapine's benefits in community settings. (© 2021 American Academy of Psychiatry and the Law.)
Databáze:	MEDLINE
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