Lectures delivered by Heino Stöver on Monday, 26 October, as part of the SOLID October School 2020
In the 8-part video lecture series Heino Stöver provides insights into the healthcare for marginalised persons, using and example of drug users in prisons. Incarcerated people are often denied the basic medical care that is generally available to people in the civic society. Harm reduction interventions available in society are often unavailable or very restricted in prison settings. Prof. Stöver starts with providing an international picture of the issue, presents recent evidence from European studies, and discusses in detail specific interventions: opioid substitution treatment, needle exchange programs, and condom programs to reduce sexual risks. In the final sections he discusses post-release mortality and overdose prevention programs.
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. Relevant international literature and databases have been reviewed in order to develop the best evidence-based guidance. The publication follows the guidance and recommendations of several international publications such as the WHO Regional Office for Europe: Prisons and Health, 2014. A WHO guide to the essentials in prison health, the UNODC/UNAIDS/WHO framework for HIV prevention, care, treatment and support in prison settings, as well as the WHO/UNAIDS/UNODC Evidence for actions technical paper: Interventions to address HIV in prisons – Drug dependence treatment.
See "Introduction" for more information about the course.