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Treatment of incarcerated individuals with mental illness or substance use disorders (SUDs) shares many characteristics with community-based care. However, given the unique and challenging circumstances of incarceration, treatment obligations, context, and management are substantially different from those in community settings. In addition, “transinstitutionalization” has resulted in ever-increasing numbers of individuals with mental illness being housed in correctional settings. As a result, psychiatrists are more likely to confront some of the issues associated with correctional care, even if they do not practice primarily in correctional settings.
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