tailieunhanh - báo cáo khoa học: " Drug use and opioid substitution treatment for prisoners"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Drug use and opioid substitution treatment for prisoners | Stover and Michels Harm Reduction Journal 2010 7 17 http content 7 1 17 HARM REDUCTION JOURNAL REVIEW Open Access Drug use and opioid substitution treatment for prisoners Heino Stover1 Ingo Ilja Michels2 Abstract Drug use is prevalent throughout prison populations and despite advances in drug treatment programmes for inmates access to and the quality of these programmes remain substantially poorer than those available for nonincarcerated drug users. Because prisoners may be at greater risk for some of the harms associated with drug use they deserve therapeutic modalities and attitudes that are at least equal to those available for drug users outside prison. This article discusses drug use by inmates and its associated harms. In addition this article provides a survey of studies conducted in prisons of opioid substitution therapy OST a clinically effective and cost-effective drug treatment strategy. The findings from this overview indicate why treatment efforts for drug users in prison are often poorer than those available for drug users in the non-prison community and demonstrate how the implementation of OST programmes benefits not only prisoners but also prison staff and the community at large. Finally the article outlines strategies that have been found effective for implementing OST in prisons and offers suggestions for applying these strategies more broadly. Introduction Drug use by prisoners Drug use remains endemic among incarcerated populations 1 2 . In Europe the prevalence of drug dependence among prisoners varies from country to country a systematic review of the literature found the prevalence to range from 10 to 48 for male prisoners and 30 to 60 for female prisoners at the point of incarceration 3 . In the United States the number of people incarcerated annually for drug-related offenses in the past 20 years has grown from 40 000 to 450 000 leading to prison populations with high rates of drug use 4 . Imprisonment of drug

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