Opioid Substitution Treatment in Prison

Prisons are not the right place for treating drug dependent men and women, and countries should develop policies for alternatives to imprisonment. As long as these alternatives have not been developed and implemented, prison authorities are faced with this specific population, in need of treatment, care and support. Research has shown that substitution therapy is the most effective way to treat opioid dependence, to reduce the risk of HIV and hepatitis C transmission, and to reduce the risk of overdose.

The course is based on the expertise of scientists and medical doctors/psychiatrists/healthcare professionals working in the field of substitution treatment in prisons. This course is to support prison doctors, contracted doctors, prison health care workers, prison administration, NGOs and others in delivering or supporting substitution treatment to opioid dependent prisoners. 

See "Introduction" for more information about the course.

17 activities 25m 00s of videos 01h 06 minutes of reading

I - Introduction

II - What is substitution treatment? Part I

In this part you'll find out the main goals of substitution treatment, you'll see how differ agonists from antagonists and you'll read about the benefits of substitution treatment

III - What is substitution treatment? Part II

In this part you'll find out to use methadone in substitution therapy, you'll see how differ substitution treatment regimens, you'll read  how to use buprenorphine and sustained-release morphine in substitution therapy. At the end you'll find out how to use naltrexone as a prevent to addiction.

IV - Substitution treatment in prisons

In this part you'll find out how to implement substitution treatment in a prison and you'll read about the role of psychological and social care in prison.

V - Some basic information about treatment

In this part you'll find out the basic information for the patient on substitution treatment, you'll read about how a patient can continue treatment after commencement or termination of prison sentence. At the end we describing the links between substitution therapy and treatment of blood-borne infections (eg HIV / AIDS, HBV, HCV) and others (eg tuberculosis or sexually transmitted diseases).

VI - Medical ethics aspects of OST programmes in prisons

In this part we presentation of the ethical basis of substitution