BMJ 2003;327:29 (5 July), doi:10.1136/bmj.327.7405.29
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Smoking cessation dilemmas in prison
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Helping prisoners to stop smoking can be a real conundrum. A delicate balance has to be struck between the equality of health care that prisoners deserve and the intricacies of running a secure prison. This year I had the opportunity to view this phenomenon in one of Britain's maximum security jails.
The implementation of a workable smoking cessation programme was an uphill battle for the staff involved. Even the simplest of leaflets on giving up, kindly designed by the Health Education Board for Scotland, were unsuitable. Their suggestions to "eat more fruit" or "take a walk" in the park to beat off a craving isn't really feasible when your scenery extends only to a prison cell and your meals are what you get given, not what you request.
There were further obstacles, including the devious personalities that can
be found in prisons. Nicotine replacement gum was banned because it could
Julie Ann Colclough
University of Dundee
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- Smoking cessation dilemmas in prison
- John Boyington
bmj.com, 28 Jul 2003 [Full text]
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