Background More treatment for substance misuse should be provided within pr
isons.
Aims To examine differences between prisoners on remand with substance misu
se problems and other prisoners on remand.
Method Random selection and interview of unconvicted male prisoners (n=750,
a 9.4% sample), plus examination of the prison medical record.
Results Of the sample of 750, 253 subjects (33.7%) reported either drug- or
alcohol-related health problems or dependency. Compared with other prisone
rs on remand, they reported more childhood adversity, conduct disorder, sel
f-harm, past psychiatric treatment and current mood disorder, and had fewer
qualifications, were more likely to be unemployed and have more housing di
fficulties.
Conclusions One-third of unconvicted men in prison report substance-related
problems, and these are a marker for vulnerability within a disadvantaged
population. Health care providers should involve this group in treatment an
d rehabilitation. both inside prison and following release.
Declaration of interest The study was funded by the Home Office Research an
d Planning Unit, for the Directorate of Health Care. The views expressed ar
e the authors' own.