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GGD-75-91 1 (1975-06-06)

handle is hein.gao/gaobabkxl0001 and id is 1 raw text is: C 9 O 3 6 - ,7 - RESTRICTED Not to be released outside the GOer .3.. Accounting Office elcopt 6n the basis of specific approva WASHINGTON, D.C. 20548 RELEASED B-133223 JUN 6 1975 The Honorable Robert W. Kastenmeier, Chairman Subcommittee on Courts, Civil Liberties, --and the Administration of Justice Committee on the Judiciary House of Representatives Dear Mr. Chairman: Your October 24, 1974, letter requested that we study the use of certain potentially dangerous drugs being adminis- tered at the Medical Center for Federal Prisoners in Spring- field, Missouri. The facility is operated by the Bureau of - Prisons, Department of Justice. In discussions with your office we agreed to determine the cost of the drugs--Thorazine, Stelazine, Prolixin (Enan- thate), Mellaril, and Permitil--purchased; the quantities prescribed; and the officially stated reasons for using them. We agreed to restrict our review to patients currently as- signed to the Medical Center and not examine records before January 1972. A recent'GAO report, Controls On Use of Psychothera- peutic Drugs and Improved Psychiatrist Staffing Are Needed in Veterans Administration Hospitals (MWD-75-47), issued April 18, 1975, provides definitions and additional back- ground on the use of psychotherapeutic drugs which should be helpful in using this report. BACKGROUND Federal prisoners are transferred to the Medical Center for medical, surgical, and/or psychiatric treatment. In ad- dition, the courts assign suspected psychotics to the Medi- cal Center for pretrial evaluation of competency and for posttrial observation. When we began our review in November 1974, there were 589 patients at the Medical Center--275 assigned to psychi- atric wards and 314 to medical-surgical wards. GGD-75-91

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