Clozapine is the only medication approved for treatment-resistant schizophrenia and suicide prevention yet is markedly underused in prison systems. There is also an emerging evidence base from prisons showing that clozapine reduces self-injurious behavior, aggression, infractions, and time assigned to disciplinary segregation. This presentation will review clozapine's benefits, discuss barriers to use in corrections, and present practical solutions on how to expand use in a prison system.
Educational Objectives:
List three potential benefits of clozapine use in correctional settings
Identify three barriers to clozapine use in correctional systems
Describe the mechanics of a clozapine consultative system and how this may help expand prescribing
Level: Intermediate
Brian Sheitman MD, North Carolina Department of Public Safety