Contents
FOREWORD
LIST OF ABBREVIATIONS
CHAPTER 1 – MEDICAL ETHICS IN PRISON
1.1 Levels of health‑care services in prison
5
7
9
10
1.2 Hygiene and health promotion
11
1.3 Medical confdentiality
12
1.4 Medical consultations
14
1.5 Medical documentation and record keeping
20
1.6 Other ethical issues
24
CHAPTER 2 – PSYCHIATRIC CARE AND TREATMENT PLANS – THERAPEUTIC
AND REHABILITATIVE PSYCHOSOCIAL ACTIVITIES IN PRISON
2.1 Mental health services in prisons
29
30
2.2 Psychiatric units in prison
31
2.3 Treatment plan
33
2.4 Consent to treatment in psychiatry
35
2.5 Suicide prevention
38
2.6 Other mental health problems in prison
40
2.7 Dual diagnosis in prisons
46
2.8 Prisoners with personality disorders
48
CHAPTER 3 – PREVENTING THE SPREAD OF HIV/AIDS
AND HEPATITIS B/C IN PRISONS
51
3.1 Epidemiological background
51
3.2 International documents
52
3.3 Improvement of attitudes and knowledge
53
3.4 Reduction of drug supply and demand
55
3.5 Harm reduction of risky behaviour
57
3.6 Medical preventive interventions
60
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
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69
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5.2 Drug dependency and addiction
71
5.3 Medical management of drug‑addicted prisoners
74
LIST OF WEBSITE REFERENCES
79