“My first 48 hours out”: drug users’ perspectives on challenges and strategies upon release from prison

Abstract Background Prisoners report much higher prevalence rates of drug use and more harmful consumption patterns than the general population. People who drugs have above-average experiences with criminal justice system in general, prison subsequent release situations particular. Release from is associated increased mortality among users due to risk overdose. The EU-funded project ‘My first 48 hours out’ aimed address gaps continuity care for long-term upon release, a special focus on user’s perspectives needs challenges release. Methods A multi-country (Belgium, France, Germany Portugal) qualitative study was set up explore users’ perceptions behaviour incarceration strategies avoid risks when being released. In total, 104 prisoners recently released persons history participated semi-structured interviews groups discussions these topics. Results Respondents pointed out that there are numerous people prison. Lack stable housing employment support were frequently mentioned, as well complex administrative procedures regarding access services, health insurance welfare benefits. Besides structural challenges, individual issues may challenge social reintegration like ‘old habits’, mental problems disrupted networks. As result, (ex-)prisoners adopt cope at Conclusion Measures prepare often do not specific drugs. Psychosocial medical need be improved adjusted inside outside To improve quality around coping should used better their barriers treatment.