International Conference on Prison and Health, De Leeuwenhorst, The
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PROCEEDINGS International Conference on Prison and Health De Leeuwenhorst, the Netherlands 21 October 2004 Organized by World Health Organization, Regional Office for Europe in cooperation with Pompidou Group, Council of Europe and Ministry of Justice, the Netherlands PROCEEDINGS International Conference on Prison and Health De Leeuwenhorst, the Netherlands 21 October 2004 Issued March 2005 Contents Page Introduction .................................................................................................................................................1 Programme for WHO Health in Prisons Project Conference 21 October 2004....................................2 Welcome and introduction session.............................................................................................................5 Mr P.H. Donner, Minister of Justice, the Netherlands...................................................................5 Dr H Nikogosian, Deputy Director, Division of Technical Support, Reducing ............................7 Disease Burden, World Health Organization, Regional Office for Europe...................................7 Mr ADJ Keizer, Chair of the Pompidou Group, Council of Europe..............................................8 Plenary session 1: General overview on drugs and prison ....................................................................11 Prisons, harm reduction and public health. Overview of the existing knowledge.......................11 Prof. Dr Wim van den Brink, Professor of psychiatry and addiction ..........................................11 Dr Giel Van Brussel, MD, MPH, Head public psychiatry department........................................11 The challenges of harm reduction within the prison system: Lessons from England and Wales...................................................................................................................................................13 Mr Martin Narey, Chief Executive of the National Offenders Management Service in England and Wales.....................................................................................................................................13 The Committee for the Prevention of Torture’s (CPT) mandate, findings and recommendations regarding drugs in prisons.................................................................................15 Dr Pétur Hauksson, Chair of the Medical Group of CPT, Council of Europe.............................15 Plenary session 2: Harm reduction in practice. Part I...........................................................................16 Mainline - Educational programmes ...............................................................................................16 Hugo van Aalderen, MA, Managing Director of Mainline, The Netherlands .............................16 Educational Programmes in Central Asian Prisons.......................................................................18 Mr Dmitry Rechnov, AIDS Foundation East-West (AFEW), Head of Penal System Projects Department...................................................................................................................................18 Tuberculosis control through harm reduction................................................................................20 Dr Jaap Veen, co-ordinator, unit Europe, KNCV Tuberculosis Foundation ...............................20 Plenary session 2: Harm reduction in practice. Part II .........................................................................24 Needle exchange in Spanish prisons.................................................................................................24 Dr Xavier Roca Tutusaus, Head of Treatment Section. Rehabilitation Service. .........................24 Needle exchange in the Republic of Moldova..................................................................................26 Dr Larisa Pintilei, Innovating Projects in prisons.......................................................................26 Substitution Treatment in European Prisons .................................................................................28 Dr Heino Stöver, Ph.D., Bremen Institute for Drug Research and Ms Laetitia Hennebel, European Researcher, Cranstoun Drug Services .........................................................................28 Substitution therapy in Poland.........................................................................................................31 Dr Marzena Ksel, Director Prison Health Services, Poland ........................................................31 Plenary session 3: WHO Status Paper on Harm Reduction..................................................................32 Discussion of the WHO status paper on Harm Reduction – Brief comments..............................32 Mr Peter van der Sande, Acting Head Director of DJI, the Netherlands .....................................32 Ms Eva Koprolin, Pompidou Group, Council of Europe.............................................................34 Ms Margareta Nilson, Programme Coordinator, European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) .......................................................................................................35 PowerPoint Presentations.........................................................................................................................36 Annex 1........................................................................................................................................36 PowerPoint Presentation by Dr Wim van den Brink and Dr Giel van Brussel............................36 Annex 2........................................................................................................................................45 PowerPoint Presentation by Dr Xavier Roca Tutusaus................................................................45 Annex 3........................................................................................................................................50 PowerPoint Presentation by Dr Larisa Pintilei ............................................................................50 Annex 4........................................................................................................................................52 PowerPoint Presentation by Dr Heino Stöver, and Ms Laetitia Hennebel...................................52 Annex 5........................................................................................................................................55 PowerPoint Presentation by Dr Marzena Ksel.............................................................................55 List of Participants ....................................................................................................................................60 Speakers.......................................................................................................................................60 International participants .............................................................................................................62 Participants from the Netherlands................................................................................................72 Participants from World Health Organization, Regional Office for Europe................................83 Interpreters ...................................................................................................................................83 Introduction The WHO Regional Office for Europe’s Health in Prison Project was established in 1995. Since then, annual conferences have been organized for representatives of the network, national and international institutions and experts interested in prison health. The 2004 conference was organized by WHO Regional Office for Europe in collaboration with the Dutch Government and the Pompidou Group of the Council of Europe in De Leeuwenhorst, the Netherlands on 21 October 2004. The main aim of the conference was to review drug related problems and harm reduction in prisons and develop recommendations for international collaboration in this field. The conference programme allowed for a general overview of drugs and prisons and more specific topics regarding the spread of HIV/AIDS and the TB/HIV co-epidemic. Presentations were given on the different areas of harm reduction for drug users in prisons including training programmes, substitution therapy and needle exchange programmes. More than 200 participants represented 31 European Member States and international organizations. The speakers comprised policy makers and experts from both eastern and western parts of the WHO European Region. This publication includes abstracts of all the presentations from the conference. The programme ended with a discussion on a Status Paper on Prisons, Drugs and Harm Reduction. This paper will be printed and available as a separate publication. The WHO Regional Office for Europe would like to thank the Dutch Government and in particular the Ministry of Justice for co-organizing the conference. The important contribution of the Pompidou Group of the Council of Europe is also highly appreciated. We would also like to give our special thanks to the co-sponsors of the conference: o The Ministry of Health, Welfare and Sport in the Netherlands o The WHO Collaborating Centre on Health in Prisons, London, United Kingdom o KNCV Tuberculosis Foundation, the Netherlands o AIDS Foundation / STD AIDS Netherlands o Cranstoun Drug