Conspicuous by their abstinence: the limited engagement of heroin users in English and Welsh Drug Recovery Wings

Background In recent years, an abstinence-focused, ‘recovery’ agenda has emerged in UK drug policy, largely in response to the perception that many opioid users had been ‘parked indefinitely’ on Opioid Substitution Therapy (OST). The introduction of ten pilot ‘Drug Recovery Wings’ (DRWs) in 2011 represents the application of this recovery agenda to prisons. This paper describes the DRWs’ operational models, the place of opiate dependent prisoners within them, and the challenges of delivering ‘recovery’ in prison. Methods In 2013, the implementation and operational models of all ten pilot DRWs were rapidly assessed. Up to three days were spent in each DRW, undertaking semi-structured interviews with a sample of 94 DRW staff and 102 DRW residents. Interviews were fully transcribed, and coded using grounded theory. Findings from the nine adult prisons are presented here. Results Four types of DRW were identified, distinguished by their size and selection criteria. Strikingly, no mid- or large-sized units regularly supported OST recipients through detoxification. Type A were large units whose residents were mostly on OST with long criminal records and few social or personal resources. Detoxification was rare, and medication reduction slow. Type B's mid-sized DRW was developed as a psychosocial support service for OST clients seeking detoxification. However, staff struggled to find such prisoners, and detoxification again proved rare. Type C DRWs focused on abstinence from all drugs, including OST. Though OST clients were not intentionally excluded, very few applied to these wings. Only Type D DRWs, offering intensive treatment on very small wings, regularly recruited OST recipients into abstinence-focused interventions. Conclusion Prison units wishing to support OST recipients in making greater progress towards abstinence may need to be small, intensive and take a stepped approach based on preparatory motivational work and extensive preparation for release. However, concerns about post-release deaths will remain

Outside the outsiders: Media representations of drug use

This article is intended to highlight some key themes within the news media's reporting of drugs, drug users and drug-related crime.1 Its aim is to focus on how the news media represent illegal drugs and drug users and their causal links with further criminal behaviour. The article proposes that news media and governmental beliefs mirror each other and have both adopted a stance that serious or `problematic' drug use is dangerous and causes further criminality. It also asserts that both media coverage and policy direction are disproportionately aimed at specific stereotypes of drug users and drug-using offenders, to the point whereby simplistic notions have developed at the expense of a much wider and more complex discussion to the detriment of a holistic drugs discourse. The ramifications of such representations are that users of heroin and crack cocaine are thought of as risk-bearing `outsiders' and are actively excluded from society. The article will draw on a plethora of studies from across the globe through the belief that even in an era of media diversity and culturally diverse drug use, there are common globally identifiable themes within the news media's reporting of drugs and crime