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Commentary: Evolving Toward Equivalency in Correctional Mental Health Care—A View From the Maximum Security Trenches

Dr. Vlach is in private practice in forensic and correctional psychiatry and is Assistant Professor of Psychiatry, University of Missouri-Kansas City School of Medicine, Kansas City, MO. Dr. Daniel is President of Daniel Correctional Psychiatric Services, Inc., and Clinical Professor of Psychiatry, University of Missouri School of Medicine, Columbia, MO. Address correspondence to: Anasseril E. Daniel, MD, Daniel Correctional Psychiatric Services, Inc., 33 East Broadway, Suite 115, Columbia, MO 65203. E-mail: aedaniel{at}aol.com

Developing and implementing community standards of care in correctional mental health and psychiatric practice will facilitate progress toward attaining equivalency in care in prisons and jails. Specialized therapeutic procedures such as application of restraints and seclusion when properly implemented are valuable tools in the treatment of the chronically mentally ill in prisons. The authors share some useful points for working in maximum-security prisons.