People who are, or have been, in custody often have multiple morbidities and multi-dimensional disadvantage.A thorough clinical evaluation and multidisciplinary approach will assist in managing these patients. Treatment plans should be pragmatic and simple, and explained in an understandable manner.Caution should be used in the prescription of any medicines that have the potential for abuse. There is also a risk of drug diversion. Prison environmentThe prison environment impacts on the delivery of health care, as security requirements coexist alongside the medical requirements of the prisoners. This often provides additional challenges to the provision of health care. Health in prisons and forensic facilities is managed by state government agencies or private corporations. There is no access to the Pharmaceutical Benefits Scheme so medicines are purchased through contract arrangements. On admission, medicines may be changed to

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