“How are we gonna get them off the drugs if they’re allowed to stay on it?” correctional officer perspectives on Overdose prevention sites in prisons

Abstract

ABSTRACT Despite growing support for Overdose Prevention Sites (OPS) in global communities, there is less international support for their implementation in prisons. To interpret the contexts shaping positionalities on and challenges associated with OPS in prisons, in the current study, we analyze interpretations of federal correctional officers (COs) in Canada (n = 134) on OPS in prison and associated harm reduction measures. Data were collected through a longitudinal, semi-structured interview research design. Results indicate how many participants support OPS, especially when caveated as a preference over the Prison Needle Exchange Program (PNEP). Still, participants described challenges and complications with OPS policy, implementation, and safety concerns; namely, that OPS hinder correctional rehabilitation, recovery from substance misuse, and effective reintegration post release. While some COs express understanding and support for harm reduction initiatives such as OPS, they called for clear directives and policies, which will support hesitant staff in facilitating this public health measure in prison settings. We untangle policy requirements and raise a number of key questions to support the successful implementation of prison OPS from the perspective of officers, specifically around issues related to needle possession, liability of officers, substance confiscation and the prison economy, and the health and rehabilitation of incarcerated people.