Show Summary Details
Page of

Adjustment disorders 

Adjustment disorders
Chapter:
Adjustment disorders
Author(s):

Graham D. Glancy

and Stefan R. Treffers

DOI:
10.1093/med/9780199360574.003.0018
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 21 September 2018

Becoming incarcerated and the challenges associated with incarceration are for most people major life stressors. The development of acute adjustment disorders is very common in these settings. This chapter attempts to give guidance to clinicians who are on the front line in very difficult circumstances. They are often dealing with patients who are overwhelmed with significant adverse life events, whose history reveals that they have dealt with emotional disturbances by acting out, or have struggled with substance abuse for many years. The risk of suicide is a substantial concern, and may be substantially elevated in the presence of an adjustment disorder. Patients present with complex comorbidities, often complicated by substance use disorder and withdrawal. Clinicians often have very little information at their disposal, yet will have to make difficult decisions under pressure. For example, it is often not possible to collect collateral information or previous clinical records. Clinicians are required to balance an empathic approach while maintaining clear boundaries. In addition, the clinician is also required to bear in mind the security constraints of the institution. Often the clinician is working in relative isolation, without the added resources of a multidisciplinary team. In our view, treatment of adjustment disorders in correctional settings requires a keen application of the whole complement of clinical skills. This chapter discusses the presentation, assessment issues, and management concerns of adjustment disorders in jails and prisons.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.