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Questions/Special Populations/Q49 of 56
hardincarcerated-populationsforensic-psychiatrymedication-discontinuationsystemic-barriersantipsychotic-withdrawalcorrectional-health
A 34-year-old man incarcerated at a state correctional facility is referred to the PMHNP for psychiatric evaluation after correctional officers noted him talking to himself in his cell and refusing meals for three days. Chart review reveals a previous community diagnosis of schizoaffective disorder and a documented medication list including olanzapine 20 mg nightly and sertraline 100 mg daily, but he has not received these medications since his intake processing 12 days ago. He reports that his medications were confiscated upon arrival and he has been told they are 'being verified.' He appears guarded, disheveled, with poor eye contact and tangential thought process. He denies suicidal ideation but endorses auditory hallucinations. The PMHNP assesses the barriers to psychiatric care in this setting. Which of the following most accurately characterizes the systemic barriers to psychiatric care in correctional settings?
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