"Phewww, bingoed!": Motivations and variations of methods for using heroin in Scottish prisons

While prison is recognised as a setting for infectious disease transmission among drug users, little is known about psychological and situational factors influencing high-risk behaviours, knowledge vital to prison-based interventions. Qualitative interview and focus group data were collected from staff and prisoners in six Scottish prisons. A general view was that prison heroin use had increased, but injecting and sharing remained a covert and minority behaviour. ‘Anti-injecting culture’ among staff and most prisoners emerged as an important factor, though not linked by prisoners to an ‘anti-drug culture’. Of individual and social risk factors identified, only the desire to inject in prison for maximum effect was unique to prison injectors and sharers. This decision-based behaviour requires further theory-focused research. Given these findings, introducing needle exchanges into Scottish prisons could undermine their low drug injection rates. Enabling injecting, albeit within a public health framework, conflicts with the major prison objective of rehabilitation. - See more at: http://eprint.ncl.ac.uk/pub_details2.aspx?pub_id=24710#sthash.07NjQiK7.dpuf