Senator John Cornyn is proposing introducing a poorly informed  legislative proposal  that appears to be in response mental health and criminal science advocacy groups that insist that a high percentage of the inmate population incarcerated in the US are not criminals so much as mentally ill and disabled.  Psychiatric Nosology (labeling and diagnosis) is not a precise discipline and it’s easy for patients, particularly inmates with motives, to game the system.  Good forensic psychiatrists that I know are careful to search for corroboration before they believe what inmates say but busy psychiatry providers treating people in the corrections system don’t use the tools of forensic psychiatrists, they go with the interview and the complaints of the patient in front of them, the past medication history and limited current information, prescribe meds they think are appropriate and then move on to the next patient, leaving behind a prescription for a...(Read Full Article)