Prisons

The responsibility of the provision of Healthcare Services to prisoners transferred from the Scottish Prison Service (SPS) to NHS in November 2011. This transfer of responsibility was to ensure equity of care: prisoners now receive their healthcare from NHS as does the general population. This transfer also upheld European and International standards for the health care of prisoners.

Health care within the prisons is delivered on a Primary Care Model and supports the delivery of a range of services relating to Primary Care, Mental Health Services, Addition Services and Health Improvement. All health care staff within the prison are actively working towards the implementation of Medication Assisted Treatment (MAT) standards across all sites.

In addition to nursing services within the prison, a range of services are provided by the Health Improvement Team who are based there. This small team provide a comprehensive service for people who have a substance use history including one to one and group based harm reduction services that supports people to consider strategies that reduces their risk from drugs, alcohol and Blood-borne viruses (BBV).

Services carried out by the Prison Healthcare staff

Addiction Nurses	Addiction assessment Joint working with Mental Health Team (dual diagnosis) Motivational interviewing Relapse prevention Urinalysis during treatment High dose monitoring Throughcare Community liaison/prescription confirmation Referral to agencies who fall under Adult Support and Protection BBV Clinic - Counselling, testing, fibroscans etc Smoking cessation Sexual Health Clinic Naloxone Training: one to one and group work Case management Ensuring GP review (drug misuse and dependence guidelines) Vision
Alcohol Support Service	Detox support from alcohol Clinical observations during detox Fast alcohol screening test (FAST) scoring Alcohol brief intervention One to one support Motivational interviewing Relapse prevention Vitamin therapy Harm reduction medication pre test counselling and work up (acamprosate, disulfirum) Throughcare Vision Audits
Mental Health Team	Assessment Psychiatric triage Dual diagnosis intervention and support Crisis intervention Onward referral to secondary support services Caseload review Depot clinic Medication monitoring clinic High dose medication monitoring Self injurious behaviour review Risk management Allocation meeting Multi Disciplinary Mental Health Team (MDMHT) Consultant psychiatry liaison Throughcare/Positive Routes Preparation for return to custody (CPA's) Care planning, review and follow up Mentorship Vision Audits
Health Improvement Team	Harm reduction awareness Motivational interviewing Substance use groups Recovery planning group Naloxone training Pre release group work Co facilitation of smoking cessation Co facilitation of Naloxone sessions Vision Audits

Naloxone

Naloxone is a medicine that temporarily reverses the effects of opioids such as heroin, methadone and codeine. If someone is in an opioid overdose, this medicine can save their life, buying time for the emergency services to arrive.

The prisons also have an award-winning peer naloxone training programme that provides the opportunity for prisoners to volunteer and undertake training on how to administer naloxone.

Peer Champions participate in a number of training sessions delivered by both Health Improvement staff and external trainers, with the programme providing an opportunity for those who live in prison to participate and complete training to then deliver high quality training to other prisoners.

Peer Naloxone Champions attempt to meet with everybody with a planned liberation date leaving prison and offer the opportunity to participate in overdose prevention, intervention and naloxone training.

The launch of this programme has seen the numbers of people leave prison with Naloxone grow significantly.

The programme is supported on a voluntary basis by people living in prison.

This website uses cookies

Prisons

Services carried out by the Prison Healthcare staff

Naloxone