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Prescribing narcotics to drug-dependent people in prison: some preliminary results.


 Switzerland began testing a program in which narcotics are prescribed under medical care for drug-dependent inmates. The goal of the program being run at the Oberschongrun penitentiary is to make drug-dependent people feel better, have the chance of becoming stable in prison, and escape the vicious cycle of committing further drug-related crimes when they are released. Participation in the trial is voluntary. Participants must be at least 20 years of age, been drug dependent for two years, and have undergone unsuccessful drug treatment. An additional selection criterion is illegal consumption of heroin while incarcerated. Issues involved with the trial are described, including the conflicts inherent in prescribing drugs that are usually considered illegal. Preliminary conclusions show that the program is feasible, although there are significant problems in instituting this type of program in an environment that is totalitarian and rigid. The program raises prison role issues of rehabilitation versus punishment.
