Bulgaria Country Drug Report 2018

Drug use and responses in prison

The available data from self-reporting indicates that around 1 in 10 people admitted to prison in 2017 had used an illicit substance during the month prior to their imprisonment. Cannabis, heroin and amphetamines were the most commonly used substances.

At prison entry, inmates undergo a medical examination, including an assessment of drug use and related problems. Those who exhibit symptoms of drug or alcohol dependency are monitored by a psychiatrist and they can also be subject to mandatory treatment.

Drug treatment options in prison include methadone maintenance treatment (MMT) and short- and medium-term programmes based on cognitive and behavioural approaches, which target mainly alcohol users. In 2016, 14 inmates received MMT.

Voluntary and anonymous testing for human immunodeficiency virus is offered to all inmates. Additionally, various cultural, educational and training activities are conducted in cooperation with non-governmental organisations.

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Methodological note: Analysis of trends is based only on those countries providing sufficient data to describe changes over the period specified. The reader should also be aware that monitoring patterns and trends in a hidden and stigmatised behaviour like drug use is both practically and methodologically challenging. For this reason, multiple sources of data are used for the purposes of analysis in this report. Caution is therefore required in interpretation, in particular when countries are compared on any single measure. Detailed information on methodology and caveats and comments on the limitations in the information set available can be found in the EMCDDA Statistical Bulletin.