In the Czech Republic, drug-related prison health is mentioned in the general strategic document on the development of the Prisons Service. The Prison Service administers 35 prisons and the health department of the Prison Service coordinates health-related interventions in prison.
In the fourth regular survey on drug use among prison inmates in the Czech Republic, which was conducted in 2016, the majority (59 %) of inmates reported lifetime illicit drug use, including use of cannabis (44 %), pervitin or amphetamines (42 %) and ecstasy (26 %). The proportion of drug users among inmates was substantially higher than among the general population. A total of 27 % of the respondents had used a psychoactive substance or anabolic steroids during one of their previous prison sentences; most commonly, this was alcohol made in prison (16 %), cannabis (14 %) or pervitin (13 %). Lifetime injecting drug use was reported by almost one third of respondents, with 7 % reporting injecting drug use in prison and 6 % sharing injecting equipment in prison. A total of 31 % of the respondents had used opioids, amphetamines or cocaine regularly and/or injected the drugs in the last 30 days before their current period of imprisonment.
Prevention, drug treatment interventions and efforts to mitigate the social impact of drug use are carried out in prisons through drug prevention counselling centres, drugfree zones, specialised wings and programmes provided by NGOs. The cooperation between prisons and NGOs was more intensive in 2015 than in 2014. Ten prisons are authorised to provide OST, seven of which reported a total of 53 OST patients in 2015. OST is provided to inmates who have received it prior to imprisonment and initiation of OST while in prison is done only on an exceptional basis. Detoxification is available in a small number of prisons. Drug treatment in prisons is provided on a voluntary basis and as part of court-ordered compulsory treatment. Distribution of clean needles and syringes is not authorised in prisons. Recently, a pilot project was launched to provide condoms to inmates.
In the fourth regular survey on drug use among inmates in the Czech Republic, which was conducted in 2016, the majority (59 %) of inmates reported lifetime illicit drug use