Police surgeons are increasingly being asked by the police to assess w
hether drug misusers held in police custody are fit to be detained and
fit for interview. There has been little published on how they manage
these questions, furthermore the management appears to vary in differ
ent parts of the country. This study sets out to determine the attitud
es and practise of police surgeons to the management of drug misusers
in police custody. A questionnaire was sent to the full members of the
Association of Police Surgeons of Great Britain (APSGB) in March 1993
. It was found that police surgeons are very aware of the increasing d
rug problem, indeed 76% reported that they were seeing an increasing n
umber of drug misusers. However, they exhibit significantly negative a
ttitudes to drug misusers and there is no common practice for prescrib
ing controlled drugs. Fifty-two per cent said that on average they not
ified no drug misusers each month. Seventy-six per cent of respondents
said they had received a hepatitis B immunization. The majority of re
spondents called for more training on drug problems. Therefore, there
is an urgent need for specific guidelines for police surgeons on the m
anagement of drug misusers in police custody to address the arbitrary
nature of the current practice.