Department of Corrections and Rehabilitation - Operations Manual

Chapter 9 – Health Care Services

Article 9 – Involuntary Psychiatric Medications

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91090.3 General Provisions

  • Involuntary psychiatric medication should not be used in a psychiatric context:

    • To control behavior that is not related to a diagnosable psychiatric disorder.

    • When an inmate is capable of giving informed consent and objects to such medication, unless the inmate is a danger to self or others.

    • Unless called for in a medical emergency as defined in CCRCalifornia Code of Regulations, Title 15, Section 3351, (a).

    • In doses other than that for which the drug is approved by the Food and Drug Administration (FDA) or by community standards of professional practice or by nationally recognized guidelines or by legitimate scientific and medical opinion.

    • In doses that diverge widely from appropriate dose recommendations, as defined by CCHCS care guidelines, nationally recognized guidelines, legitimate scientific and medical opinion, and by parameters provided by the FDA.  Formulary decisions should conform to the CCHCS statewide formulary.