This manual is addressed to prison health‑care workers and other prison staff with responsibility for prisoners’ well‑being. It provides practical information about a range of issues related to psychiatric care, prevention of the spread of transmissible diseases (such as acquired immunodeficiency syndrome, hepatitis and tuberculosis), psychoactive drugs and the medical management of drug‑addicted prisoners. The text highlights important ethical standards and suggests responses to ethical dilemmas related to access to a doctor, equivalence of care, patient’s consent and confdentiality, preventive health care, humanitarian assistance, professional independence and competence.
Contents
FOREWORD
LIST OF ABBREVIATIONS
CHAPTER 1 – MEDICAL ETHICS IN PRISON
1.1 Levels of health‑care services in prison
1.2 Hygiene and health promotion
1.3 Medical confdentiality
1.4 Medical consultations
1.5 Medical documentation and record keeping
1.6 Other ethical issues
CHAPTER 2 – PSYCHIATRIC CARE AND TREATMENT PLANS – THERAPEUTIC AND REHABILITATIVE PSYCHOSOCIAL ACTIVITIES IN PRISON
2.1 Mental health services in prisons
2.2 Psychiatric units in prison
2.3 Treatment plan
2.4 Consent to treatment in psychiatry
2.5 Suicide prevention
2.6 Other mental health problems in prison
2.7 Dual diagnosis in prisons
2.8 Prisoners with personality disorders
CHAPTER 3 – PREVENTING THE SPREAD OF HIV/AIDS AND HEPATITIS B/C IN PRISONS
3.1 Epidemiological background
3.2 International documents
3.3 Improvement of attitudes and knowledge
3.4 Reduction of drug supply and demand
3.5 Harm reduction of risky behaviour
3.6 Medical preventive interventions
CHAPTER 4 – THE DUAL EPIDEMIC: HIV/AIDS AND TUBERCULOSIS (TB)
CHAPTER 5 – PSYCHOACTIVE DRUGS AND THE MEDICAL MANAGEMENT OF DRUG‑ADDICTED PRISONERS
5.1 Psychoactive drugs
5.2 Drug dependency and addiction
5.3 Medical management of drug‑addicted prisoners
LIST OF WEBSITE REFERENCES
This manual is addressed to prison health‑care workers and other prison staff with responsibility for prisoners’ well‑being. It provides practical information about a range of issues related to psychiatric care, prevention of the spread of transmissible diseases (such as acquired immunodeficiency syndrome, hepatitis and tuberculosis), psychoactive drugs and the medical management of drug‑addicted prisoners. The text highlights important ethical standards and suggests responses to ethical dilemmas related to access to a doctor, equivalence of care, patient’s consent and confdentiality, preventive health care, humanitarian assistance, professional independence and competence.
