24-113 - Recommendation 2

Ensure that the Health Services Division (Central and/or Regional Office) reviews medication discontinuation practices at FCI Lewisburg and other holdover facilities, including the discontinuation of antidepressants without a clinical encounter, to determine whether such practices are consistent with BOP clinical guidance. If the Health Services Division determines that such practices are inconsistent with BOP clinical guidance, it should work collaboratively with FCI Lewisburg clinicians to identify practical solutions to increase the frequency with which clinicians conduct a clinical encounter with holdover inmates in advance of such decisions so that clinicians can collect complete information about an inmate's condition and the inmate is informed of such decisions and aware of the potential risks associated with medication discontinuation.