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(1) (a) (i) 1) a)I.A.1.a.(1)(a)i)a)#|w * `(CG TimesScalableXXw P7XP%2`imesScalableXXX2PQXP<6X9`("Courier NewTTleXXx6X@DQX@%2`ier NewTTle&&Q2PQ&P%2`ier NewTTleI2PQP%2`ier NewTTleB2PQP:6X9`("Courier NewTTle6X@DQ@<6X9`("Courier NewTTleZ6X@DQ@:6X9`("Courier NewTTle6X@DQ@96X9`("Courier NewTTle& i6X@DQ&@86X9`("Courier NewTTlewK6X@DQ@"2`ier NewTTle>2PQP#2`ier NewTTleX?T2PQXP\ `ier NewTTle& F\  P6Q&P( U$   dHP LaserJet III (2nd Floor),,,,,,0-c DU {  { U EU{X-w'ɩU U!   _  MedicationRightsinPrisons:Doesacorrectionalfacilityhavetogiveaprisoner  psychotropicmedicationifhewasreceivingitinthecommunitypriortohisincarceration?    Pr  p  e p aredforNAPASby  c  C  fpr   CenterforPublicRepresentation    March2000   Itdependsonthetypeofmedicationandthenatureoftheprisoner'sillness.Thereisnoquestionthataninmatewithamajormentalillness,suchasschizophrenia,bipolardisorder,ormajordepressionhasarighttomedication(ifhewantsit),sincetheFederalConstitutionmandatesthatcorrectionalofficialsprovideappropriatetreatmenttoanyinmatewitha"serious"medicalneed,andmedicationisanintegralpartoftreatmentfortheseconditions.Smithv.Jenkins,919  F.2d90(8thCir.1990);_Waldrop_Ԁv.Evans,871F.2d1030(11thCir.1989).However,notevery  mentaldisorderissufficiently"serious"toqualifyforconstitutionalprotection,evenifadoctorinthecommunityhasalreadyprescribedmedicationforit.See_Doty_Ԁv.Countyof_Lassen_,37F.3d P 540(9thCir.1994)(nausea,shakes,headache,sleeplessness,anddepressedappetiteinsufficiently"serious"tomandatemedication).ButseeSteelev.Shah,87F.3d1266(11thCir.1996) ` ("insomnia,anxiety,andvariousbodilypains"and"feelingsofhelplessness"entitledinmatetomedication).  Prisonersarenot,however,entitledtotheirchoiceofmedication,oreventothemedicationthatismostlikelytohelptheircondition.Solongasaqualifiedprisondoctorperformsathoroughevaluationoftheinmate,andreviewshismedicalhistory,courtsareunwillingtointerferewiththeprofessionaljudgementoftheprisonmedicalstaffaboutwhichmedications,ifany,areappropriate.Vaughanv._Lacey_,49F.3d1344(8thCir.1995).Although 0*%( mostjailsandprisonshavepoliciesdesignedtoensurethatthereisnointerruptioninthemedicationofanewlyadmittedinmate,manyfacilitiesarereluctanttoprovideinmateswith -@), certaindrugs,suchasthenewerantipsychoticsorthe_benzodiazepam_Ԁtranquilizers,becauseofcostorsecurityconsiderations.See_Wolfel_Ԁv.Ferguson,689F.Supp.756(S.D.Ohio1987);_Mathis_  v.Cotton,1997WL457514(N.D.Tex.1997).Further,theproceduresusedtodeterminewhat  medicationsareappropriate_ofter_Ԁresultindelaysbeforetheinmatereceivestreatment.See_Mahan_  v.PlymouthCountyHouseofCorrections,64F.3d14(1stCir.1995).Manyinstitutionswillalso p substitutecheapermedications,whichareontheirformulary,forthemedicinethatwasprescribedbythetreatingphysicianinthecommunity.Thesekindsofpracticesarenotgenerallyunlawful.SeeBridgesv.Jennings,1998WL223276(10thCir.1998)(upholdingrefusaltocontinue `  prescribing_Xanax_Ԁtoaddictedinmate);Lewisv.Plummer,1997WL168530(N.D.Calif. @  1997)(prisonernotentitledtoValiumwhichhewastakingpriortohisincarceration);_Lawthorn_   v._Duckworth_,736F.Supp.1501(N.D.Ind.1987)(prisonpolicyoflimitinguseofValium  becauseitsvalueoutweighedbytheriskofoffendershoardingandsellingitintheprison).However,ifaprisonterminatesmedication,caremustbetakentoensurethatthedoseisgraduallyreducedwhenthisismedicallyappropriate.See_Mathis_,supra(inmateexperiencedseizurewhen P Valiumabruptlyterminated).