prison

Last updated : 05.12.2019
Rating
  • Likely to be beneficial

Pre- and post -exposure prophylaxis of HIV (PrEP and PEP) were found in a systematic review (ECDC/EMCDDA, 2018) to be effective in:

  • reducing HIV transmission in prison
Name of response option
  • Pre- and post -exposure prophylaxis of HIV (PrEP and PEP)
Desired outcome(s)
  • reduce infectious diseases
Area(s)
  • Harm reduction
Specific substance or pattern of use
  • not-drug specific
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Last updated : 05.12.2019
Rating
  • Beneficial

Health promotion and peer-education on blood borne viruses testing were found in a systematic review (ECDC/EMCDDA, 2018) to be effective in:

  • increasing blood borne viruses testing uptake in prison
Name of response option
  • Health promotion and peer-education on blood borne viruses testing
Desired outcome(s)
  • reduce infectious diseases
Area(s)
  • Harm reduction
Specific substance or pattern of use
  • not-drug specific
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Last updated : 05.12.2019
Rating
  • Beneficial

HBV, HCV and HIV testing upon admission and to all people in prison was found in a systematic review (ECDC/EMCDDA, 2018) to be effective in:

  • reducing HIV transmission.

The evidence suggests that provider-initiated strategies for HIV testing yield a higher uptake than prisoner-initiated strategies.

Name of response option
  • HBV, HCV and HIV testing upon admission in prison
Desired outcome(s)
  • reduce infectious diseases
Area(s)
  • Harm reduction
Specific substance or pattern of use
  • not-drug specific
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Last updated : 05.12.2019
Rating
  • Beneficial

Provision of HBV vaccination with unknown or negative serology was found in a systematic review (ECDC/EMCDDA, 2018) to be effective in:

  • reducing HBV transmission in prison
Name of response option
  • Provision of HBV vaccination in prison
Desired outcome(s)
  • reduce infectious diseases
Area(s)
  • Harm reduction
Specific substance or pattern of use
  • not-drug specific
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Last updated : 05.12.2019
Rating
  • Beneficial

Provision of HBV, HCV and HIV treatment in prison was found in a systematic review (ECDC/EMCDDA, 2018) to be effective in:

  • reducing HBV, HCV and HIV transmission.
Name of response option
  • Provision of HBV, HCV and HIV treatment in prison
Desired outcome(s)
  • reduce infectious diseases
Area(s)
  • Treatment
Specific substance or pattern of use
  • not-drug specific
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Last updated : 05.12.2019
Rating
  • Likely to be beneficial

Continuity of care between prison and community was found in a systematic review (ECDC/EMCDDA, 2018) to have some effect in:

  • improving retention in drug treatment, and
  • improving adherence to HIV and HCV treatment.
Name of response option
  • Continuity of treatment from prison to community
Desired outcome(s)
  • retain patients in treatment
Area(s)
  • Treatment
Specific substance or pattern of use
  • not-drug specific
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Last updated : 05.12.2019
Rating
  • Likely to be beneficial

Provision of condoms and lubricant in prison was found in a systematic review (ECDC/EMCDDA, 2018) to have some effect in:

  • reducing sexual risk behaviours.
Name of response option
  • Provision of condoms and lubricant
Desired outcome(s)
  • reduce substance use
Area(s)
  • Harm reduction
Specific substance or pattern of use
  • not-drug specific
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Last updated : 05.12.2019
Rating
  • Beneficial

Opioid substitution was found in a systematic review (ECDC/EMCDDA, 2018) to be effective in:

  • reducing substance use in prison
Name of response option
  • pharmacological treatment
Desired outcome(s)
  • reduce substance use
Area(s)
  • Treatment
Specific substance or pattern of use
  • opioids
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Last updated : 05.12.2019
Rating
  • Unknown effectiveness

A systematic review of a small number of studies assessing the acceptance and feasibility of safe tattooing and body piercing programmes in prison  (ECDC/EMCDDA, 2018) suggests these bear no significant effect in:

  • reducing blood borne viruses infections.

But more investigation is needed.

Name of response option
  • Safe tattooing and body piercing programmes
Desired outcome(s)
  • reduce infectious diseases
Area(s)
  • Harm reduction
Specific substance or pattern of use
  • not-drug specific
Target group(s) or setting(s)
  • prison

References

European Centre for Disease Prevention and Control, European Monitoring Centre for Drugs and Drug Addiction. Public health guidance on prevention and control of blood-borne viruses in prison settings. Stockholm: ECDC and EMCDDA; 2018.
Data

Statistical Bulletin 2019 — drug use in prison

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