[Pregabalin in prisons: recommendations for the general practitioner].

The misuse of pregabalin (Lyrica) has emerged as a common problem in recent years, particularly among vulnerable populations. This reality is reflected in the prison environment, where pregabalin is subject to abuse and trafficking. In this article, we detail the issues surrounding this misuse and our practical strategy for tackling it.

[Treatment of mental disorders in prisons].

The practice of psychiatry and psychology in prisons is essential because of the high prevalence of mental disorders that is observed. Psychiatrists and psychologists, such as other health care professionals, should be affiliated to the health department and intervene in the therapeutic role, which must be distinguished from the role of the psychiatric expert mandated by the court. Therapy in prison is challenging because of the sometimes contradictory issues, at the interface of clinical, societal, security, legal and political fields.

Insomnia disorders are associated with increased cardiometabolic disturbances and death risks from cardiovascular diseases in psychiatric patients treated with weight-gain-inducing psychotropic drugs: results from a Swiss cohort.

Study Objectives: Insomnia disorders as well as cardiometabolic disorders are highly prevalent in the psychiatric population compared to the general population. We aimed to investigate their association and evolution over time in a Swiss psychiatric cohort.

Methods: Data for 2861 patients (8954 observations) were obtained from two prospective cohorts (PsyMetab and PsyClin) with metabolic parameters monitored routinely during psychotropic treatment.

Prevalence of Attention Deficit Hyperactivity Disorder in Detention Settings: A Systematic Review and Meta-Analysis.

Previous studies have reported a high prevalence of attention deficit hyperactivity disorder (ADHD) among people living in detention (PLD) corresponding to a five- to ten-fold increase compared to the general population. Our main study objective was to provide an updated ADHD prevalence rate for PLD, including PLD in psychiatric units. Sub-objectives included (i) comparing different ways of assessing ADHD, including DSM-5 criteria and (ii) identifying which types of PLD are more likely to have ADHD.

[Medical management of drug addicts in the prison system in Vaud].

Despite the improvement and the diversification of the circuits for care in the city, the number of drug addicts sentenced to prison sentences in the Canton of Vaud in Switzerland has not decreased in recent years. It is therefore imperative for the Prison Medicine and Psychiatry Service (SMPP) to provide a medical follow up which respects as closely as possible the principle of the equivalence of care with the outside environment. This article presents the way in which the SMPP takes its place in the continuity of the therapeutic assistance which drug dependent individuals can take advantage of.