To determine the prevalence of drug and alcohol use among newly remanded prisoners, assess the effectiveness of prison reception screening, and examine the clinical management of substance misusers among remand prisoners.
A consecutive case study of remand prisoners screened at reception for substance misuse and treatment needs and comparison of findings with those of prison reception screening and treatment provision.
A large adult male remand prison (Durham).
548 men aged 21 and over awaiting trial.
Prevalence of substance misuse ; treatment needs of substance misusers ; effectiveness of prison reception screening for substance misuse ; provision of detoxification programmes.
Before remand 312 (57%) men were using illicit drugs and 181 (33A) met DSM-IV drug misuse or dependence criteria ; 177 (32%) men met misuse or dependence criteria for alcohol. 391 (71%) men were judged to require help directed at their drug or alcohol use and 197 (36%) were judged to require a detoxification programme.
The prison reception screen identified recent illicit drug use in 131 (24%) of 536 men and problem drinking in 103 (19%). Drug use was more likely to be identified by prison screening if an inmate was using multiple substances, using opiates, or had a diagnosis of abuse or dependence. 47 (9%) of 536 inmates were prescribed treatment to ease the symptoms of substance withdrawal. (...)
Mots-clés Pascal : Détention préventive, Prévalence, Evaluation, Abus médicamenteux, Alcoolisme, Prévention, Désintoxication, Etude cas, Homme, Système nerveux pathologie, Psychopathologie, Organisation santé, Toxicologie
Mots-clés Pascal anglais : Imprisonment before trial, Prevalence, Evaluation, Drug abuse, Alcoholism, Prevention, Deintoxication, Case study, Human, Nervous system diseases, Psychopathology, Public health organization, Toxicology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0381225
Code Inist : 002B18C14. Création : 12/09/1997.