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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

Opportunity to change in prison<br />

Prisoners do manage to cease drug use while in prison. Prisoners<br />

use far less drugs in prison than in the community, due to reduced<br />

availability (Crowley, 1999). Injecting drugs in prison is less<br />

frequent than in the community, each episode <strong>of</strong> injecting is far<br />

more risky due to the greater scarcity <strong>of</strong> injecting equipment and<br />

the higher prevalence <strong>of</strong> syringe sharing (Dolan and al 2003). The<br />

vast majority <strong>of</strong> prisoners view time in prison as an opportunity to<br />

address problems associated with substance abuse and health<br />

pr<strong>of</strong>essionals should not miss this opportunity ((Long et al 2004).<br />

Models <strong>of</strong> addiction treatment<br />

� Abstinence<br />

� Harm Reduction<br />

Components <strong>of</strong> an effective treatment programme<br />

� Experienced qualified pr<strong>of</strong>essional staff<br />

� Flexible arrangements<br />

� Assessment and treatment<br />

� Engagement <strong>of</strong> concerned persons<br />

� A broad team <strong>of</strong> heath pr<strong>of</strong>essionals<br />

� Flexible approaches to treatment<br />

� Encouragement and access to engage in peer support<br />

� Quick and easy access to relapse prevention and aftercare<br />

� Commitment to research, training and development<br />

Findings - Themes<br />

� Drug use in Prison<br />

� Attitudes and beliefs<br />

� Service provision<br />

� Dual diagnosis<br />

� Counselling approaches in Limerick Prison<br />

Attitudes and beliefs<br />

� “If we were shown a different way, you know with training and<br />

facilities, a work programme. Some people will never be<br />

rehabilitated, that’s just the way it is. But you need to invest in<br />

those that are willing to be rehabilitated” (MP).<br />

� It’s very bad, there is nobody worried about the prisoners, to<br />

them like, we’re a bit <strong>of</strong> scum, you know. It’s like a big game”<br />

(FP).<br />

Service provision<br />

“People coming in and out are labelled counsellors, I don’t know<br />

what they are, I don’t know what they’re saying to people, I’ve<br />

no control or understanding <strong>of</strong> what’s going on there, I couldn’t<br />

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