Sydney Medical School, The University of Sydney, New South Wales.
National Drug and Alcohol Research Centre, University of New South Wales.
Aust N Z J Public Health. 2019 Apr;43(2):120-130. doi: 10.1111/1753-6405.12884. Epub 2019 Mar 25.
A history of alcohol and other drug (AoD) use is common among men entering prison and often linked to the crime for which they are imprisoned. This is the first systematic review of prison-based, behavioural AoD treatment programs for more than a decade and the first that reviews the methodological quality of evaluations. This review aims to create an understanding of the quality of research in this field and identify the most effective AoD use treatment for men in prison.
A PRISMA-compliant systematic review of international, peer-reviewed research published between January 1995 and December 2015. The Dictionary for Effective Public Health Practice Project was used to assess the methodological quality of papers.
A total of 25 relevant papers were identified, of which 12 were rated as methodologically sound. Four of these measured post-release AoD use and three reported statistically significant reductions in AoD use.
Although there is relatively little methodologically strong evidence of the impact of prison-based AoD treatment, and no Australian papers studies, current best-evidence practice is Cognitive behavioural therapy delivered in Therapeutic Community (TC) settings. Implications for public health: Prison-based TC treatment should be available to people in prison who have a history of AoD use.
在进入监狱的男性中，酒精和其他药物（AoD）使用史很常见，而且常常与他们被监禁的罪行有关。这是十年来首次对基于监狱的行为性 AoD 治疗方案进行的系统评价，也是首次对评估方法质量进行审查。本综述旨在了解该领域研究的质量，并确定对监狱男性最有效的 AoD 使用治疗方法。
对 1995 年 1 月至 2015 年 12 月期间发表的国际同行评审研究进行了符合 PRISMA 原则的系统评价。使用有效的公共卫生实践词典项目来评估论文的方法质量。
共确定了 25 篇相关论文，其中 12 篇被评为方法合理。其中 4 项测量了出狱后的 AoD 使用情况，3 项报告 AoD 使用量有统计学意义的减少。
尽管基于监狱的 AoD 治疗的影响方面相对缺乏强有力的方法学证据，而且没有澳大利亚的研究，但目前的最佳实践证据是在治疗社区（TC）环境中提供认知行为疗法。对公共卫生的影响：监狱内的 TC 治疗应该提供给有 AoD 使用史的囚犯。
