Drug treatment in Swedish prisons – moving towards evidence-based interventions?

Aim This article reviews the development in Sweden of prison-based drug treatment (PBDT) from the 1970s to the present situation. Data The data consists of committee reports, white papers, research reports and interviews with two senior managers from the Swedish Prison and Probation Services (SPPS). Results The 1970s and 1980s trials with milieu therapy in prisons were followed by the introduction of cognitive programmes in the 1990s. Due to the growing number of prisoners with drug problems, the Prison Anti-Drug Effort increased the number of places and programmes for drug treatment in prisons. As of 2000, the scientific evaluation of all prison-based drug treatment has been strongly emphasised. Drug control has increased since 2004, and the very concept of PBDT is now approached rather more rigorously and scientifically. Conclusion The SPPS programme evaluations are scientifically formed, but changes in practice are slow to emerge. The SPPS runs a more restricted policy compared to treatment outside, which leads to some evidence-based treatment methods being rejected. Also, PBDT is somewhat under threat by changes in the prisons’ internal organisation with growing specialisation in different wings, as well as by the poor financial situation of the SPPS.