{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:31:30Z","timestamp":1761863490994,"version":"build-2065373602"},"reference-count":0,"publisher":"Canadian Society of Healthcare-Systems Pharmacy","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Hosp Pharm"],"abstract":"<jats:p>Background: Greater burdens of comorbidity and exposure to unique environmental factors predispose incarcerated individuals to polypharmacy and inappropriate prescribing. There is limited literature investigating polypharmacy within the correctional health setting.\nObjectives: To determine the median number of medications prescribed per client at facilities in British Columbia, to determine the proportion of clients meeting the definition for polypharmacy, to identify the top medication categories prescribed, and to screen for potential drug therapy problems among those with polypharmacy.\nMethods: An observational point prevalence study of adult clients with one or more active medications on the census date at 5 correctional health facilities in British Columbia was conducted. Clients were excluded if they had one-time or no medication orders on the census date.\nResults: Of the 500 clients screened, 420 were included in the final analysis. Across the centres, the median number of medications ranged from 3 to 5 per client, and the rate of polypharmacy ranged from 23% to 41%. Of the scheduled medications, opioid agonist therapy and psychotropics were the leading categories prescribed across all facilities. Non-opioid analgesics were the top \u201cas needed\u201d medications prescribed at 4 of the 5 facilities. The leading potential drug therapy problem identified was drug interactions resulting in additive sedation.\nConclusions: Polypharmacy was present within all facilities in this study, with more than 25% of clients affected at 3 of the sites. The top medications prescribed aligned with those identified in the literature; however, there remain opportunities for therapy optimization.\nKeywords: polypharmacy, correctional health, incarceration\nR\u00c9SUM\u00c9\nContexte : Le fardeau plus important associ\u00e9 aux comorbidit\u00e9s et \u00e0 l\u2019exposition \u00e0 des facteurs environnementaux uniques pr\u00e9dispose les personnes incarc\u00e9r\u00e9es \u00e0 la polypharmacie et \u00e0 des prescriptions inappropri\u00e9es. La litt\u00e9rature sur la polypharmacie dans le cadre des services de\u00a0 sant\u00e9 dans le milieu correctionnel est limit\u00e9e.\nObjectifs : D\u00e9terminer le nombre m\u00e9dian de m\u00e9dicaments prescrits par client dans des \u00e9tablissements en Colombie-Britannique; d\u00e9terminer la part de clients r\u00e9pondant \u00e0 la d\u00e9finition de la polypharmacie; recenser les principales cat\u00e9gories de m\u00e9dicaments prescrits; et proc\u00e9der au d\u00e9pistage des probl\u00e8mes potentiels de th\u00e9rapie m\u00e9dicamenteuse chez les clients pr\u00e9sentant de la polypharmacie.\nM\u00e9thodologie : Une \u00e9tude observationnelle de pr\u00e9valence ponctuelle des adultes prenant un ou plusieurs m\u00e9dicaments actifs \u00e0 la date du recensement a \u00e9t\u00e9 men\u00e9e dans 5 \u00e9tablissements de sant\u00e9 correctionnelle en Colombie-Britannique. Les clients \u00e9taient exclus s\u2019ils n\u2019avaient qu\u2019une prescription unique ou aucune ordonnance m\u00e9dicamenteuse \u00e0 la date du recensement.\nR\u00e9sultats : Sur les 500 clients test\u00e9s, 420 ont \u00e9t\u00e9 inclus dans l\u2019analyse finale. Dans les diff\u00e9rents centres, le nombre m\u00e9dian de m\u00e9dicaments variait de 3 \u00e0 5 par client, et le taux de polypharmacie variait de 23 % \u00e0 41 %. Parmi les m\u00e9dicaments programm\u00e9s, la th\u00e9rapie agoniste des opio\u00efdes et les psychotropes \u00e9taient les principales cat\u00e9gories prescrites dans tous les \u00e9tablissements. Les analg\u00e9siques non opio\u00efdes \u00e9taient les m\u00e9dicaments les plus prescrits \u00ab au besoin \u00bb dans 4 des 5 \u00e9tablissements. Les interactions m\u00e9dicamenteuses entra\u00eenant une s\u00e9dation additive constituaient le principal probl\u00e8me potentiel de la th\u00e9rapie m\u00e9dicamenteuse recens\u00e9.\nConclusions : La polypharmacie \u00e9tait pr\u00e9sente dans tous les \u00e9tablissements de cette \u00e9tude, avec plus de 25 % des clients touch\u00e9s dans 3 des sites. Les principaux m\u00e9dicaments prescrits \u00e9taient en accord avec ceux indiqu\u00e9s dans la litt\u00e9rature; cependant, il reste des occasions d\u2019optimiser la th\u00e9rapie.\nMots-cl\u00e9s : polypharmacie, sant\u00e9 correctionnelle, incarc\u00e9ration<\/jats:p>","DOI":"10.4212\/cjhp.3708","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T16:09:11Z","timestamp":1747238951000},"source":"Crossref","is-referenced-by-count":0,"title":["Exploring Polypharmacy in the BC Correctional Health Setting"],"prefix":"10.4212","volume":"78","author":[{"given":"Lillian","family":"Lo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Masson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Brons","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Leung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2732","published-online":{"date-parts":[[2025,5,14]]},"container-title":["Canadian Journal of Hospital Pharmacy"],"original-title":[],"link":[{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3708\/5624","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3708\/5625","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3708\/5624","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T14:40:59Z","timestamp":1751985659000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/view\/3708"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,14]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,4,9]]}},"URL":"https:\/\/doi.org\/10.4212\/cjhp.3708","relation":{},"ISSN":["1920-2903","0008-4123"],"issn-type":[{"type":"electronic","value":"1920-2903"},{"type":"print","value":"0008-4123"}],"subject":[],"published":{"date-parts":[[2025,5,14]]},"article-number":"e3708"}}