Providing neurologic care in criminal systems and state mental hospitals

Abstract

SummaryAs health care laws and payment structures change in the near future, neurologists may pursue other practice settings in which to provide care as a way to diversify their practice. Here we describe the challenges and opportunities involved with working in correctional and state mental hospital systems compared to a typical private practice: logistical challenges, patient and provider safety, patient characteristics, and cultural differences. Neurologists may take these factors into consideration when choosing whether to add this health care setting to their current practice.

Implicit Bias and Health Disparities in the Incarcerated Population: A Review With a Focus on Neurological Care and the Canadian Perspective

“…A major theme with both cases was regarding clinical follow-up. Here safety (as discussed above) was a factor, but also concerns about the logistical challenges in organizing subsequent care [81]. Overall, mechanisms do exist to provide follow-up appointments, and factors within the carceral system (surveillance, medication compliance, trained personnel) make it possible to provide such care to patients' benefit [81].…”

“…Here safety (as discussed above) was a factor, but also concerns about the logistical challenges in organizing subsequent care [81]. Overall, mechanisms do exist to provide follow-up appointments, and factors within the carceral system (surveillance, medication compliance, trained personnel) make it possible to provide such care to patients' benefit [81]. Follow-up care can be complex for chronic neurologic disorders and can be an even greater challenge for neurosurgical conditions.…”