Antipsychotic Prescribing Patterns in the TexasPrison System .
J. Baillargeon and S. A. Contreras,
Journal of the American Academy of Psychiatry and the Law
29(1): 48-53, 2001.
Although prison inmates are reported to exhibit elevated rates of psychotic
disorders, little is known about antipsychotic pharmacotherapy in correctional settings. Therefore,
the purpose of this study is to describe antipsychotic prescribing patterns in one of the nation's
largest prison systems. The study population consisted of 3,750 Texas Department of Criminal
Justice (TDCJ) inmates diagnosed with schizophrenic disorders, nonschizophrenic psychotic
disorders, or both. In 1998, among inmates diagnosed with schizophrenic disorders, 14.6 percent
were prescribed atypical antipsychotic agents, and 85.4 percent were prescribed typical
antipsychotic agents. Among inmates diagnosed with nonschizophrenic psychotic disorders, 89.3
percent were prescribed typical antipsychotic agents, while 10.7 percent were prescribed atypical
antipsychotic agents. Black males and females were prescribed atypical antipsychotic agents less
frequently than their counterparts. Understanding such prescribing patterns is integral to the
efficient and cost-effective planning of correctional mental health care.