Prescription of nicotine replacement therapy in prison settings
The prevalence of addictions is high in prison. Incarceration allows contact with somatic and psychiatric care systems and, where appropriate, more specialised addiction treatment responses. The organization of the treatment of addictions in detention is structured around a global care allowing the identification, the diagnosis, the definition of a project of care and the preparation for the coordinating exit, as and when necessary , medical follow-up of withdrawal, psychological follow-up, prescription and follow-up of substitution treatments including nicotine replacement therapy (NST) and opioid substitution therapy (OST). Improving access to substitution treatment for both nicotine and opiates and harmonizing professional practices is a priority area of work, developed in the 2010-2014 strategic health action plan for people in the justice system and in the recent methodological guide on the health care of detainees, released in 2012.
In order to establish an inventory of the prescriptions of the NSTs, the Directorate General for Health analyzed the data collected in 2011 and 2012 via the observatory of the health structures for the detained persons (OSSD), tool developed by the Directorate General for Healthcare to inform a report typical activity of health units.
This inventory must provide food for thought in order to contribute to the development and implementation of the National Plan on Tobacco Control 2014-2019 (PNRT). The population of detained persons is clearly identified as a priority (axis 2 of the PNRT "Helping smokers to stop"), the health, medico-social and social intervening in this area will be integrated into the various fact sheets relevant future.
Source: French Ministry of Health. Directorate General for Health. 2015