Optimising opioid substitution therapy in the prison environment.

Optimising opioid substitution therapy in the prison environment. Int J Prison Health. 2019 Dec 05;15(4):293-307 Authors: Alam F, Wright N, Roberts P, Dhadley S, Townley J, Webster R Abstract PURPOSE: The purpose of this paper is to examine the current provision of opioid substitution therapy (OST) during and immediately following release from detention in prisons in England and Wales. DESIGN/METHODOLOGY/APPROACH: A group of experts was convened to comment on current practices and to make recommendations for improving OST management in prison. Current practices were previously assessed using an online survey and a focus group with experience of OST in prison (Webster, 2017). FINDINGS: Disruption to the management of addiction and reduced treatment choice for OST adversely influences adequate provision of OST in prison. A key concern was the routine diversion of opiate substitutes to other prisoners. The new controlled drug formulations were considered a positive development to ensure streamlined and efficient OST administration. The following patient populations were identified as having concerns beyond their opioid use, and therefore require additional considerations in prison: older people with comorbidities and complex treatment needs; women who have experienced trauma and have childcare issues; and those with existing mental health needs requiring effective understanding and treatment in prison. ORIGINALIT...
Source: International Journal of Prisoner Health - Category: Criminology Authors: Tags: Int J Prison Health Source Type: research