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Prison staff and harm reduction Additional module: Women prisoners Training Criminal Justice Professionals in Harm Reduction Services for Vulnerable Groups funded by the European Commission Directorate General for Health and Consumers Session 1 Women prisoners Women in prison 2 Lecture Some facts about women prisoners 3 Percentage of female prisoners in selected European countries Source: World Female Imprisonment List 4 Some facts about women prisoners The number of women in prison is increasing at a much greater rate than men Most women serve short sentences and are mostly imprisoned for non-violent offences (property or drug related offences) When a woman is imprisoned, there are likely to be special consequences for other members of her family Women prisoners are a particularly vulnerable group often subject to stigma and gender discrimination in prison and in the community 5 Female problem drug users in prison At least 75% of women in prison have had some sort of drug- or alcohol-related problem at the time of arrest Drug use amongst women is increasing Rapid increase amongst women injecting drug users (IDUs) sharing injecting equipment Some of these women will end up in the prison populations 6 Activity Brainstorming: Why does the number of women receiving custodial sentences increase? 7 Session 2 Women prisoners Problem drug use and special issues women face in prison 8 Activity Special issues and problems women face in prison 9 Special issues and problems women face in prison 10 Women’s role in the family Women play a key role in the family having responsibility for children and other family members Imprisonment impacts on women and their families 11 Accommodation far from home Prisons are designed for male prisoners Women are frequently housed in annexes of male prisons or sent to special women’s prisons Women prisoners are often located significant distances away from their homes and families 12 Pregnancy and being a mother Women prisoners are often mothers 55% of women prisoners have at least one child under 16 years 34% are single parents In some countries special mother and baby sections exist How long a prisoner can keep her baby in prison varies 13 Mother to child transmission of HIV Women drug users who are also pregnant often receive little accurate information about prevention of mother-to-child transmission of HIV Rates of transmitting HIV to newborn babies can be reduced with right precautions Infection can occur any time during pregnancy but usually occurs at birth Mothers who are HIV-infected should generally not breastfeed their babies 14 Pregnant women drug users It is not recommended that pregnant women should be advised to quit heroin Methadone is the treatment of choice at this time Women with problem drug use who are also pregnant are often more motivated to change their drug use and risk behaviour 15 Harm reduction There is a lack of harm reduction tools in prisons let alone those designed specifically for women Women prisoners should: Receive information and services specifically designed for their needs (e.g. on HIV transmission from mother to infant) Be enabled to protect themselves from infectious diseases (e.g. through the provision of condoms and skills in negotiating safer sex) 16 Sex workers Drug dependence can push women into sex work Sex workers often fear having their children removed Providing harm reduction for sex workers who use drugs is problematic Motivation to earn money (for drugs) can override fear of violence and reality of risks 17 Experience of abuse I. Imprisoned women are significantly more likely to have been physically or sexually abused than men 70% with experience of severe physical violence by a parent 59% of female prisoners with experience of sexual abuse as children (Browne et al., 1999) Experienced abuse and resulting trauma are directly linked to female pathways of crime Abuse and resulting trauma may be responsible for marginalisation from social norms and problem drug use Possibly resulting to an increase in criminal behaviour 18 Experience of abuse II. Many women are forced by their partners to engage in Criminal activity Prostitution Sex industry 19 Health care and hygiene Women prisoners have specific health and hygiene needs Access to a woman doctor and to specialists in women’s health should be guaranteed High rates of mental health problems are found among the women prison population Tendency to self harm and suicide 90% of women prisoners have either a mental health disorder, problem drug use or both 20 Preparation for release I. Less access to education and training compared to male prisoners Work is limited Limited access to vocational training 21 Preparation for release II. Women may face difficulties when negotiating return of their children Women with problem drug use will need services to help them protect themselves after release Information should be provided on Harm reduction Access to evidence-based drug treatment Sexual and reproductive health services Housing Child support 22 Activity: case studies Case study 1 Janis is a 19-year-old shop worker. At arrival at the prison she requests testing for hepatitis C. In a discussion of risk factors, she admits to occasionally using heroin and thinks that she might be pregnant. Case Study 2 Children can remain with their mothers in prison up until they are three years old. After the age of six months, children have to be in the nursery during the day while their mothers are at work. This can be distressing for some mothers. What can be done to reassure the mothers and reduce their distress? 23 Activity Negotiation skills for condom use 24