Harm reduction in European prisons: a compilation of models of best practice
The key aim of this research was to provide an overview of the legislation, policy and practice concerning harm reduction services provided for problematic drug users (PDUs) in 9 European Union (EU) countries. To achieve this, the main objectives were to analyse international, national policies on h...
Gespeichert in:
| Hauptverfasser: | , , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
London
European Network on Drugs and Infections Prevention in Prison ENDIPP, Cranstoun Drug Services
2007
Oldenburg BIS-Verl. der Carl-von-Ossietzky-Univ. |
| Schriftenreihe: | Gesundheitsförderung im Justizvollzug
16 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | The key aim of this research was to provide an overview of the legislation, policy and practice concerning harm reduction services provided for problematic drug users (PDUs) in 9 European Union (EU) countries. To achieve this, the main objectives were to analyse international, national policies on harm reduction; to explore how harm reduction in conceptualised in different cultural contexts; to identify existing harm reduction initiatives in prisons; to identify the obstacles and barriers that need to be to overcome in order to implement harm reduction measures in prisons; to examine in detail the policies and harm reduction services in place in two sample institutions; to identify models of best practice and promote awareness of the harm reduction initiatives operating in the area of problematic drug users in custody, and finally to present examples of harm reduction measures in prisons from each of the sample countries. Key requirements needed in order to successfully implement sustainable harm reduction services in prisons are identified. These requirements can be formulated on all relevant levels: attitude towards and knowledge about harm reduction, drug addiction and health risks for all key actors, necessary changes both on the policy and practice level. Guidelines are formulated from evidence-based practice, as opposed to moral and value judgements. <engl.> |
| Beschreibung: | Literaturverz. S. [145] - 159 |
| Beschreibung: | 183 S. graph. Darst. |
| ISBN: | 9783814220901 |
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| 520 | 8 | |a The key aim of this research was to provide an overview of the legislation, policy and practice concerning harm reduction services provided for problematic drug users (PDUs) in 9 European Union (EU) countries. To achieve this, the main objectives were to analyse international, national policies on harm reduction; to explore how harm reduction in conceptualised in different cultural contexts; to identify existing harm reduction initiatives in prisons; to identify the obstacles and barriers that need to be to overcome in order to implement harm reduction measures in prisons; to examine in detail the policies and harm reduction services in place in two sample institutions; to identify models of best practice and promote awareness of the harm reduction initiatives operating in the area of problematic drug users in custody, and finally to present examples of harm reduction measures in prisons from each of the sample countries. Key requirements needed in order to successfully implement sustainable harm reduction services in prisons are identified. These requirements can be formulated on all relevant levels: attitude towards and knowledge about harm reduction, drug addiction and health risks for all key actors, necessary changes both on the policy and practice level. Guidelines are formulated from evidence-based practice, as opposed to moral and value judgements. <engl.> | |
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Datensatz im Suchindex
| _version_ | 1804137210660782080 |
|---|---|
| adam_text | Contents
Acknowledgements 9
List of Tables and Figures 11
Executive Summary 13
Chapter 1 - Introduction 25
Chapter 2 - Methodology 27
2.1 Methodological approach 27
2.2 Aims and objectives 27
2.3 Details of institutions visited and participants interviewed 28
2.4 Definition of key terms 30
2.5 Procedures and ethical issues 31
2.6 Methodological issues arising from the fieldwork 33
Chapter 3 - Profiles of the prisons and NGOs visited - trends and
responses to drug use in prisons in the sample countries 35
3.1 Prison population rate 35
3.2 Sentenced prisoners by main offence (drug offences) 35
3.3 Austria 36
3.3.1 General Overview 36
3.3.2 Prisons and NGOs visited 37
3.4 Bulgaria 38
3.4.1 General Overview 38
3.4.2 Prisons and NGOs visited 39
3.5 Estonia 40
3.5.1 General Overview 40
3.5.2 Prisons and NGOs visited 41
3.6 Germany 42
3.6.1 General Overview 42
3.6.2 Prisons and NGOs visited 43
3.7 Italy 44
3.7.1 General Overview 44
3.7.2 Prisons and NGOs visited 44
3.8 Lithuania 46
3.8.1 General Overview 46
3.8.2 Prisons and NGOs visited 48
3.9 Poland 48
3.9.1 General Overview 48
3.9.2 Prisons and NGOs visited 50
3.10 Romania 50
3.10.1 General Overview 50
3.10.2 Prisons and NGOs visited 51
3.11 Spain 52
3.11.1 General Overview 52
3.11.2 Prisons and NGOs visited 54
Chapter 4 -Review of the literature 57
4.1 High risk behaviour in prisons 57
4.1.1 Drug use in prison 57
4.1.2 Nature and prevalence of drug use and related risks in prisons 58
4.1.3 Injecting drug use and communicable diseases 62
4.1.4 Unprotected sex in prisons 64
4.1.5 Tattooing and body piercing 66
4.2 Prison as a high risk environment 67
4.2.1 Overcrowding and the over-representation of risk groups 68
4.2.2 The principle of equivalence for health care in prisons 69
4.3 Treatment, prevention and education programmes for
prisoners 71
4.3.1 Testing of Infectious Diseases and HAART 72
4.3.2 Hepatitis vaccination 72
4.3.3 Drug testing 73
4.3.4 Information, education and communication for prisoners and
prison staff 74
4.3.5 Prison based drug demand reduction programmes 77
4.4 Harm reduction in prisons 80
4.4.1 Needle exchange programmes in prisons 82
4.4.2 Political and moral resistance to prison based needle exchange
programmes 84
4.4.3 Provision of substitution treatment 85
4.4.4 Provision of bleach and disinfectants 88
4.4.5 Provision of condoms, dental dams, and water-based
lubricants 89
4.5 Training and engaging prison staff in implementing harm
reduction services 91
Chapter 5 - Identifying good practice models of harm reduction
in prisons 95
5.1 The provision of condoms - Austria, Estonia 96
5.2 Conjugal visits - Estonia, Spain 97
5.3 Through care - Italy 98
5.4 Rehabilitation programmes for drug users - Bulgaria 99
5.5 Partnerships with NGOs - Austria, Bulgaria, Estonia,
Germany, Lithuania 99
5.6 HIV education through peer groups and NGOs -
Romania, Spain 103
5.7 Substitution treatment - Austria, Spain, Poland 107
5.8 Prison based needle exchange programmes in Spain 112
5.9 Testing and treatment for communicable diseases - Austria,
Lithuania 114
5.10 Training for healthcare staff - Germany 115
5.11 The provision of bleach - Austria 115
5.12 The provision of hygienic packs - Austria, Spain 116
Chapter 6 - Barriers to the implementation of harm reduction in
prisons and requirements to ensure sustainability 117
6.1 Overcoming institutional challenges 117
6.2 Overcoming abstinence orientation as pre-dominant response 119
6.3 Information, education and communication 120
6.4 Adjustments in regulations and legislation 122
6.5 Reduction of prison populations and prison reform 123
6.6 Commitment and political and management leadership 124
6.7 Overcoming resistance from prisoners and prison staff 125
6.8 Human rights legislation and international guidelines 127
6.9 The need for protocols, standards of care and guidelines 129
6.10 Continuity of treatment 130
6.11 Substitution treatment in prisons 134
6.12 Needle exchange programmes in prisons 135
Chapter 7 - Conclusions 137
References 145
Appendices 161
|
| adam_txt |
Contents
Acknowledgements 9
List of Tables and Figures 11
Executive Summary 13
Chapter 1 - Introduction 25
Chapter 2 - Methodology 27
2.1 Methodological approach 27
2.2 Aims and objectives 27
2.3 Details of institutions visited and participants interviewed 28
2.4 Definition of key terms 30
2.5 Procedures and ethical issues 31
2.6 Methodological issues arising from the fieldwork 33
Chapter 3 - Profiles of the prisons and NGOs visited - trends and
responses to drug use in prisons in the sample countries 35
3.1 Prison population rate 35
3.2 Sentenced prisoners by main offence (drug offences) 35
3.3 Austria 36
3.3.1 General Overview 36
3.3.2 Prisons and NGOs visited 37
3.4 Bulgaria 38
3.4.1 General Overview 38
3.4.2 Prisons and NGOs visited 39
3.5 Estonia 40
3.5.1 General Overview 40
3.5.2 Prisons and NGOs visited 41
3.6 Germany 42
3.6.1 General Overview 42
3.6.2 Prisons and NGOs visited 43
3.7 Italy 44
3.7.1 General Overview 44
3.7.2 Prisons and NGOs visited 44
3.8 Lithuania 46
3.8.1 General Overview 46
3.8.2 Prisons and NGOs visited 48
3.9 Poland 48
3.9.1 General Overview 48
3.9.2 Prisons and NGOs visited 50
3.10 Romania 50
3.10.1 General Overview 50
3.10.2 Prisons and NGOs visited 51
3.11 Spain 52
3.11.1 General Overview 52
3.11.2 Prisons and NGOs visited 54
Chapter 4 -Review of the literature 57
4.1 High risk behaviour in prisons 57
4.1.1 Drug use in prison 57
4.1.2 Nature and prevalence of drug use and related risks in prisons 58
4.1.3 Injecting drug use and communicable diseases 62
4.1.4 Unprotected sex in prisons 64
4.1.5 Tattooing and body piercing 66
4.2 Prison as a high risk environment 67
4.2.1 Overcrowding and the over-representation of risk groups 68
4.2.2 The principle of equivalence for health care in prisons 69
4.3 Treatment, prevention and education programmes for
prisoners 71
4.3.1 Testing of Infectious Diseases and HAART 72
4.3.2 Hepatitis vaccination 72
4.3.3 Drug testing 73
4.3.4 Information, education and communication for prisoners and
prison staff 74
4.3.5 Prison based drug demand reduction programmes 77
4.4 Harm reduction in prisons 80
4.4.1 Needle exchange programmes in prisons 82
4.4.2 Political and moral resistance to prison based needle exchange
programmes 84
4.4.3 Provision of substitution treatment 85
4.4.4 Provision of bleach and disinfectants 88
4.4.5 Provision of condoms, dental dams, and water-based
lubricants 89
4.5 Training and engaging prison staff in implementing harm
reduction services 91
Chapter 5 - Identifying good practice models of harm reduction
in prisons 95
5.1 The provision of condoms - Austria, Estonia 96
5.2 Conjugal visits - Estonia, Spain 97
5.3 Through care - Italy 98
5.4 Rehabilitation programmes for drug users - Bulgaria 99
5.5 Partnerships with NGOs - Austria, Bulgaria, Estonia,
Germany, Lithuania 99
5.6 HIV education through peer groups and NGOs -
Romania, Spain 103
5.7 Substitution treatment - Austria, Spain, Poland 107
5.8 Prison based needle exchange programmes in Spain 112
5.9 Testing and treatment for communicable diseases - Austria,
Lithuania 114
5.10 Training for healthcare staff - Germany 115
5.11 The provision of bleach - Austria 115
5.12 The provision of hygienic packs - Austria, Spain 116
Chapter 6 - Barriers to the implementation of harm reduction in
prisons and requirements to ensure sustainability 117
6.1 Overcoming institutional challenges 117
6.2 Overcoming abstinence orientation as pre-dominant response 119
6.3 Information, education and communication 120
6.4 Adjustments in regulations and legislation 122
6.5 Reduction of prison populations and prison reform 123
6.6 Commitment and political and management leadership 124
6.7 Overcoming resistance from prisoners and prison staff 125
6.8 Human rights legislation and international guidelines 127
6.9 The need for protocols, standards of care and guidelines 129
6.10 Continuity of treatment 130
6.11 Substitution treatment in prisons 134
6.12 Needle exchange programmes in prisons 135
Chapter 7 - Conclusions 137
References 145
Appendices 161 |
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| geographic | Europa Europäische Union. Mitgliedsstaaten |
| geographic_facet | Europa Europäische Union. Mitgliedsstaaten |
| id | DE-604.BV022962803 |
| illustrated | Illustrated |
| index_date | 2024-07-02T19:05:31Z |
| indexdate | 2024-07-09T21:08:41Z |
| institution | BVB |
| isbn | 9783814220901 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016167151 |
| oclc_num | 259253553 |
| open_access_boolean | |
| owner | DE-12 DE-29 DE-384 DE-19 DE-BY-UBM DE-703 |
| owner_facet | DE-12 DE-29 DE-384 DE-19 DE-BY-UBM DE-703 |
| physical | 183 S. graph. Darst. |
| publishDate | 2007 |
| publishDateSearch | 2007 |
| publishDateSort | 2007 |
| publisher | European Network on Drugs and Infections Prevention in Prison ENDIPP, Cranstoun Drug Services BIS-Verl. der Carl-von-Ossietzky-Univ. |
| record_format | marc |
| series | Gesundheitsförderung im Justizvollzug |
| series2 | Gesundheitsförderung im Justizvollzug |
| spelling | Stöver, Heino 1956- Verfasser (DE-588)111736757 aut Harm reduction in European prisons a compilation of models of best practice Heino Stöver ; Morag MacDonald ; Susie Atherton London European Network on Drugs and Infections Prevention in Prison ENDIPP, Cranstoun Drug Services 2007 Oldenburg BIS-Verl. der Carl-von-Ossietzky-Univ. 183 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Gesundheitsförderung im Justizvollzug 16 Literaturverz. S. [145] - 159 The key aim of this research was to provide an overview of the legislation, policy and practice concerning harm reduction services provided for problematic drug users (PDUs) in 9 European Union (EU) countries. To achieve this, the main objectives were to analyse international, national policies on harm reduction; to explore how harm reduction in conceptualised in different cultural contexts; to identify existing harm reduction initiatives in prisons; to identify the obstacles and barriers that need to be to overcome in order to implement harm reduction measures in prisons; to examine in detail the policies and harm reduction services in place in two sample institutions; to identify models of best practice and promote awareness of the harm reduction initiatives operating in the area of problematic drug users in custody, and finally to present examples of harm reduction measures in prisons from each of the sample countries. Key requirements needed in order to successfully implement sustainable harm reduction services in prisons are identified. These requirements can be formulated on all relevant levels: attitude towards and knowledge about harm reduction, drug addiction and health risks for all key actors, necessary changes both on the policy and practice level. Guidelines are formulated from evidence-based practice, as opposed to moral and value judgements. <engl.> Europäische Union (DE-588)5098525-5 gnd rswk-swf Cross-Cultural Comparison Europe Harm Reduction Europe Health Policy Europe Prisoners Drug use European Union countries Prisoners Medical care European Union countries Prisoners Services for European Union countries Prisoners Europe Prisons Europe Justizvollzugsanstalt (DE-588)4073137-6 gnd rswk-swf Mitgliedsstaaten (DE-588)4170174-4 gnd rswk-swf Drogenabhängigkeit (DE-588)4138597-4 gnd rswk-swf Gesundheitsschutz (DE-588)4127850-1 gnd rswk-swf Prävention (DE-588)4076308-0 gnd rswk-swf Drogenmissbrauch (DE-588)4070587-0 gnd rswk-swf Strafvollzug (DE-588)4057808-2 gnd rswk-swf Europa Europäische Union. Mitgliedsstaaten Europäische Union (DE-588)5098525-5 b Strafvollzug (DE-588)4057808-2 s Drogenabhängigkeit (DE-588)4138597-4 s Prävention (DE-588)4076308-0 s DE-604 Mitgliedsstaaten (DE-588)4170174-4 s Justizvollzugsanstalt (DE-588)4073137-6 s Drogenmissbrauch (DE-588)4070587-0 s Gesundheitsschutz (DE-588)4127850-1 s 1\p DE-604 MacDonald, Morag Verfasser aut Atherton, Susie Verfasser aut Gesundheitsförderung im Justizvollzug 16 (DE-604)BV011142119 16 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016167151&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Stöver, Heino 1956- MacDonald, Morag Atherton, Susie Harm reduction in European prisons a compilation of models of best practice Gesundheitsförderung im Justizvollzug Europäische Union (DE-588)5098525-5 gnd Cross-Cultural Comparison Europe Harm Reduction Europe Health Policy Europe Prisoners Drug use European Union countries Prisoners Medical care European Union countries Prisoners Services for European Union countries Prisoners Europe Prisons Europe Justizvollzugsanstalt (DE-588)4073137-6 gnd Mitgliedsstaaten (DE-588)4170174-4 gnd Drogenabhängigkeit (DE-588)4138597-4 gnd Gesundheitsschutz (DE-588)4127850-1 gnd Prävention (DE-588)4076308-0 gnd Drogenmissbrauch (DE-588)4070587-0 gnd Strafvollzug (DE-588)4057808-2 gnd |
| subject_GND | (DE-588)5098525-5 (DE-588)4073137-6 (DE-588)4170174-4 (DE-588)4138597-4 (DE-588)4127850-1 (DE-588)4076308-0 (DE-588)4070587-0 (DE-588)4057808-2 |
| title | Harm reduction in European prisons a compilation of models of best practice |
| title_auth | Harm reduction in European prisons a compilation of models of best practice |
| title_exact_search | Harm reduction in European prisons a compilation of models of best practice |
| title_exact_search_txtP | Harm reduction in European prisons a compilation of models of best practice |
| title_full | Harm reduction in European prisons a compilation of models of best practice Heino Stöver ; Morag MacDonald ; Susie Atherton |
| title_fullStr | Harm reduction in European prisons a compilation of models of best practice Heino Stöver ; Morag MacDonald ; Susie Atherton |
| title_full_unstemmed | Harm reduction in European prisons a compilation of models of best practice Heino Stöver ; Morag MacDonald ; Susie Atherton |
| title_short | Harm reduction in European prisons |
| title_sort | harm reduction in european prisons a compilation of models of best practice |
| title_sub | a compilation of models of best practice |
| topic | Europäische Union (DE-588)5098525-5 gnd Cross-Cultural Comparison Europe Harm Reduction Europe Health Policy Europe Prisoners Drug use European Union countries Prisoners Medical care European Union countries Prisoners Services for European Union countries Prisoners Europe Prisons Europe Justizvollzugsanstalt (DE-588)4073137-6 gnd Mitgliedsstaaten (DE-588)4170174-4 gnd Drogenabhängigkeit (DE-588)4138597-4 gnd Gesundheitsschutz (DE-588)4127850-1 gnd Prävention (DE-588)4076308-0 gnd Drogenmissbrauch (DE-588)4070587-0 gnd Strafvollzug (DE-588)4057808-2 gnd |
| topic_facet | Europäische Union Cross-Cultural Comparison Europe Harm Reduction Europe Health Policy Europe Prisoners Drug use European Union countries Prisoners Medical care European Union countries Prisoners Services for European Union countries Prisoners Europe Prisons Europe Justizvollzugsanstalt Mitgliedsstaaten Drogenabhängigkeit Gesundheitsschutz Prävention Drogenmissbrauch Strafvollzug Europa Europäische Union. Mitgliedsstaaten |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016167151&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV011142119 |
| work_keys_str_mv | AT stoverheino harmreductionineuropeanprisonsacompilationofmodelsofbestpractice AT macdonaldmorag harmreductionineuropeanprisonsacompilationofmodelsofbestpractice AT athertonsusie harmreductionineuropeanprisonsacompilationofmodelsofbestpractice |