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  • Title: Drug use and perceived treatment need among newly sentenced prisoners in England and Wales.
    Author: Stewart D.
    Journal: Addiction; 2009 Feb; 104(2):243-7. PubMed ID: 19149820.
    Abstract:
    AIMS: To investigate pre-custody levels of drug use among newly sentenced prisoners and factors associated with perceived drug treatment need. DESIGN, SETTING AND PARTICIPANTS: A sample of 1457 prisoners was recruited to a general purpose longitudinal survey of convicted prisoners starting a new sentence. MEASUREMENTS: Data were collected by structured interviews on reception to prison. Measures were taken of illicit drug use, drug treatment history, current treatment needs, psychological health and a range of social problems. FINDINGS: Life-time use of heroin, crack cocaine, cocaine powder, amphetamines or cannabis was reported by 79% of prisoners. Cannabis was the drug reported most commonly, but approximately a third had used heroin or crack cocaine during the year before custody. Nearly half of recent drug users reported wanting help or support with a drug problem during their sentence. Dependence on heroin and cocaine, previous drug treatment, employment, accommodation and psychological health problems were all associated positively with perceived treatment need. CONCLUSIONS: The prevalence of pre-custody drug use among this sample of newly sentenced prisoners was high. Because treatment need was associated with a range of drug, health and social factors, assessment and referral to appropriate interventions should occur as soon as possible on reception. Treatment should be coordinated with other services and support.
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