This program will be based on the fundamental principles of harm reduction. Harm reduction is a pragmatic approach to reducing individual and social harms associated with drug use, especially the risk of HIV infection. This approach accepts that certain interventions focused on diminishing the harmfulness of a substance, even if they increase the extent of substance use, may be able to reduce the total adverse consequences on the individual, as well as society (Meulen & Ka Hon Chu, 2015). In regards to high risk behaviour for the transmission of HIV in prison (e.g., needle-sharing), harm reduction approaches acknowledge that there are no known effective solutions for completely eliminating drug-use or drug-related problems in the community …show more content…
Access to sterile injection equipment has been demonstrated to be one of the most important strategies to prevent HIV transmission among IDU’s (Manghera, 2014). Prison needle-exchange programs, whereby inmates can obtain sterile needles free of charge in exchange for used ones, have been implemented in numerous jurisdictions worldwide including Switzerland, Germany, Spain Scotland, and Armenia (Dolan, 2014). It is imperative to implement such programs even in the presence of needle decontamination techniques, such as bleach, which are not always effective due to prisoners not following the correct disinfecting procedures (Manghera, 2014). Although there has been no needle exchange program in Canadian corrections, other countries have reported various success and an overall reduction in HIV transmission. Furthermore, needle-exchange programs in the community have also been successful in decreasing the risk of HIV. For example in Saskatchewan needle exchange programs have led to a decrease in HIV and other disease transmission by one third (Canadian Public Health Association,
Yet, access to these services may be restricted, especially for those who are imprisoned. In Lamb's book, several women discuss their difficulty obtaining access to drug abuse treatment while they were in prison. Several said the lack of resources and insufficient support contributed to their ongoing battles with addiction. Increasing access to treatment programs is one way to combat the problem of substance misuse. Many people who are jailed battle addiction, and without the right care, they are prone to relapse.
Goal: Cm met with client for weekly follow up I: CM greeted client and followed up on last week’s session. CM reintegrated goal of the Harm Reduction program was to provided a referral for housing. Intern discussed plan of action to help manage the Client’s access to VA benefits and referral for VASH. Intern validated the progress the client is making and his interest in doing well.
During the 1970s and 1980s, the use of illegal drugs was growing; which undertook a war on drugs. As of June 2001, there were a total of 697 drug court programs, serving around 226,000 offenders and another 427 programs being planned (Office of Justice Programs, 2001). The drug court can be seen as a social movement to crack down on drugs. Although the drug court model continues to evolve, there are some key components. Some of these key components are, a non adversarial approach that emphasizes teamwork; eligible participants are defined early and promptly placed in the drug court program; and abstinence is monitored by frequent alcohol and drug testing, and so on.
In terms of public safety, only 3% of individuals who were involved in treatment programs committed violent crimes after treatment; this number doubles for those who were sentenced to jail and prisons. New York has made the necessary changes to start viewing The War on Drugs and its influence on Mass Incarceration as not only a criminal justice issue but also now a mental health and public health problem. From the beginning, stakeholders saw the flaws and have spent about 36 years working out the issues. The reform is a good stepping stone toward a more just system, but just as the original Rockefeller drug Laws had their issues, the new reforms will have issues that will be worked out through the years to
Most people in the United States each year go the prison and keep there for non-violent crime, such as drug related offenses. This issue has affected many family’s life for many years and caused the prisoners to deprive from many of their rights. Lacking the appropriate policies for keeping drug related offenses in prison has been a public health crisis and created a new addiction, like penchant for locking people up in prison. The author in this article “prison addiction: why mass incarceration policies must change.” discusses about lacking the appropriate policies for incarceration for non-violent drug related offenses.
“The primary stage of treatment should consist of a prison-based therapeutic community (Inciardi et al., 1994). Segregated from the negativity of the prison culture, recovery from drug abuse, and the development of prosocial values in the prison.” (Inciardi et al., 2004) This stage excludes family members, coworker, and neighbors because they want the inmates to focus on treatment and interactions with those who have struggled with addicts to help build prosocial values and work ethic. The second stage
This program participated in a research study that proved how beneficial NEP’s were in reducing risks of HIV, Hepatitis B, and Hepatitis C. With a great comparison between IDUs who participated in this study who exchanged needles within the program and those who didn’t persuaded the “U.S. National Commission and AIDS to endorse NEP’s in 1991” (De Jarlais). Many seem to believe that allowing needle exchange programs to operate in their community they will see an increase in the number of needle injecting drug users. However research proves that it’s just the opposite “NEP’s do not increase crime or drug use and provide gateway to drug treatment and HIV prevention services”(Hagan 2000) the number of drug users does not increase, experts argue that harm reduction policies decrease the negative consequences of drug use as well as act as a bridge to treatment and general medical
Many feel that the answer to this problem is more severe punishment, however, this does not solve the addiction problem. Many times it was believed that our prisons release inmates who are have not received treatment while incarcerated, or do not have the follow up treatment that is needed to reduce recidivism. Currently inmates undergo treatment before and after incarceration have shown a reduction in criminal behavior. Caulkins, J. P., Kasunic, A., & Michael A C Lee. (2014).
Therefore, the goals of harm reduction include prevention and prevention of the overall level of drug use. It also seeks to reduce the negative consequences of drug abuse rather than eliminating the use of the illicit substances. Further, harm reduction aims to save lives and diminish the likelihood of drug abuse problems for an individual, their family, as well as their community. The process of harm reduction also helps in reducing high-risk situations brought about by drug abuse, such as criminal behavior, and HIV exposure due to sharing of needles and paraphernalia, as well as risk of overdose.
Implementation of some of these proposals may require some economic input and also rely on political goodwill. The principles involved, however - integrity, honesty, ethics, morality, and lawfulness - apply to all cultures, even though they may not present in all cultures. These solutions cannot work without the support of the society as a whole. The shift from the previous zero tolerance that threw drug addicts to prison has softened. Growing number of people are recognizing the need for treating drug addiction as a disease and not a crime.
In the United States and around the world there is an epidemic involving drug addiction. Also, we are facing a growing problem revolving around prison overcrowding, due to inmates that have committed drug related crimes, or offences while under the influence. There is a solution that would help society and lessen overcrowding, and that’s to help those that are committing crimes due to an addiction disorder. By providing treatment for offenders; we can help the growing population, reduce recidivism, and equip them with the skills they need for successful reentry and life of recovery.
Only 18.3% (337,882) were for the sale or manufacture of a drug” (p. 23). Therefore, the individuals who are likely to enter the already overcrowded prisons may be users and the actual not distributors themselves. Thus, prison space that is intended to be reserved for murders and sexual predators is instead being occupied by substance
Furthermore, it’s not a surprise that inmates while in jail have sexual encounters and use drugs. When in prison, inmates are told they are not to engage in sexual encounters or drug use but this doesn’t stop them. Since facilities don’t condone either behavior they don’t supply condoms or clean needles which poses an alarming threat of spreading HIV among inmates. This is growing a problem for correctional officials to deal with because of, as mentioned above, patient confidentiality. Although, if an HIV inmate has exposed others in a facility notification of possible transmission is to be released in order for other inmates or officers to get tested.
In the United States alone, more than 36 million people abuse illegal substances, however, most of these are not caused by the prescription of opioids. A drug abuse crisis is overtaking the U.S. Drug abuse kills over 200,000 people worldwide each year, although only .002 percent of these deaths are caused by the prescription of opioids. 117 million people suffer from a chronic illness, many of which need the prescription of opioids to function on a daily basis. Even though many people abuse them, doctors should not stop prescribing opioids because they are necessary for many people to function, most people who abuse them have had problems with other substances, and most opioid-related deaths do not come from doctor prescribed pills.
Three sources have been chosen for this study; 1. RAPt Research and Policy Briefing 2. UKDPC Reducing Drug Use, Reducing Reoffending 3. Ministry of Justice Gender differences in substance misuse and mental health amongst Prisoners.