Contents
FOREWORD
LIST OF ABBREVIATIONS
CHAPTER 1 – MEDICAL ETHICS IN PRISON
1.1 Levels of health‑care services in prison

5
7
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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

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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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5.2 Drug dependency and addiction

71

5.3 Medical management of drug‑addicted prisoners

74

LIST OF WEBSITE REFERENCES

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