Harm reduction: a public health approach to prison drug use
International Journal of Prisoner Health
ISSN: 1744-9200
Article publication date: 30 December 2021
Issue publication date: 24 November 2022
Abstract
Purpose
As prison drug use continues to be a concern worldwide, harm reduction practices serve as an alternative approach to traditional abstinence-only or punishment-oriented methods to address substance use behind bars. The purpose of this study is to present a summary of research surrounding prison-based harm reduction programs.
Design/methodology/approach
This narrative review of the international literature summarizes the harms associated with prison drug use followed by an overview of the literature surrounding three prison-based harm reduction practices: opioid agonist therapy, syringe exchange programs and naloxone distribution.
Findings
A collection of international research has found that these three harm reduction programs are safe and feasible to implement in carceral settings. Additionally, these services can effectively reduce some of the harms associated with prison drug use (e.g. risky injection practices, needle sharing, fatal overdoses, etc.). However, these practices are underused in correctional settings in comparison to their use in the community.
Originality/value
Various policy recommendations are made based on the available literature, including addressing ethical concerns surrounding prison populations’ rights to the same standard of health care and services available in the community. By taking a public health approach to prison drug use, harm reduction practices can provide a marginalized, high-risk population of incarcerated individuals with life-saving services rather than punitive, punishment-oriented measures.
Keywords
Acknowledgements
Authors would like to thank Dr Terance Miethe and Dr Emily Salisbury for their mentorship and ongoing feedback regarding this manuscript. The authors received no funding for this article. Correspondence concerning this article should be addressed to Linsey A. Belisle, University of Houston-Downtown, Department of Criminal Justice and Social Work, One Main St, Houston, TX, 77002, BelisleL@uhd.edu.
Citation
Belisle, L.A. and Solano-Patricio, E.D.C. (2022), "Harm reduction: a public health approach to prison drug use", International Journal of Prisoner Health, Vol. 18 No. 4, pp. 458-472. https://doi.org/10.1108/IJPH-06-2021-0053
Publisher
:Emerald Publishing Limited
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