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Substance use in remand prisoners: a consecutive case study

D Mason1, L Birmingham, D Grubin

  • 1Department of Forensic Psychiatry, University of Newcastle upon Tyne, St. Nicholas Hospital, Gosforth.

BMJ (Clinical Research Ed.)
|July 5, 1997
PubMed
Summary
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Substance misuse is prevalent in newly remanded prisoners, with screening often underestimating drug and alcohol use. Management of these issues in prison is poor, leading to untreated withdrawal or continued drug use.

Area of Science:

  • Forensic Psychiatry
  • Public Health
  • Addiction Medicine

Background:

  • Substance misuse is a significant issue within the prison population.
  • Effective screening and management of substance use disorders are crucial for remand prisoners.

Purpose of the Study:

  • To determine the prevalence of drug and alcohol use among newly remanded prisoners.
  • To assess the effectiveness of prison reception screening for substance misuse.
  • To examine the clinical management of substance misusers in this population.

Main Methods:

  • A consecutive case study was conducted in a large adult male remand prison.
  • 548 men aged 21 and over were screened for substance misuse and treatment needs.
  • Findings were compared with prison reception screening and treatment provision.

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Main Results:

  • High prevalence of drug (57%) and alcohol (32%) misuse was observed.
  • Prison reception screening underestimated drug and alcohol use, identifying only 24% and 19% respectively.
  • Only 9% of inmates received treatment for substance withdrawal symptoms.

Conclusions:

  • Newly remanded prisoners exhibit high rates of substance misuse.
  • Current prison reception screening is ineffective in accurately identifying substance use disorders.
  • Inadequate clinical management, including poor detoxification provision, leaves many prisoners untreated.