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.
Last updated : 15.11.2019
Rating
  • Beneficial

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

  • reducing injecting risk behaviour.

The result is confirmed in another systematic review (Palmateer et al., 2022, 27 systematic review, 61 studies) that found sufficient evidence to support the effectiveness of OST in:

  • the prevention of injecting risk behaviours and injecting frequency among PWID in prison settings.
Name of response option
  • Pharmacological treatment
Desired outcome(s)
  • reduce risk behaviours
Area(s)
  • Harm reduction
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.
Palmateer N, Hamill V, Bergenstrom A, Bloomfield H, Gordon L, Stone J, Fraser H, Seyler T, Duan Y, Tran R, Trayner K, Biggam C, Smith S, Vickerman P, Hickman M, Hutchinson S. Interventions to prevent HIV and Hepatitis C among people who inject drugs: Latest evidence of effectiveness from a systematic review (2011 to 2020). Int J Drug Policy. 2022 Nov;109:103872. doi: 10.1016/j.drugpo.2022.103872. Epub 2022 Oct 3. PMID: 36202039.
Subscribe to prison
Top