This study is focused on improving the implementation of Prison Needle Exchange Programs (PNEPs) in Canadian federal prisons, with the goal of increasing the uptake of these programs among people who inject drugs in prison. The study is being conducted in nine federal prisons, including five women's prisons, where a higher proportion of incarcerated individuals report a history of injection drug use. This study aims to improve PNEP adoption and sustainability by identifying barriers and facilitators and implementing evidence-based strategies to enhance program engagement.
All people incarcerated at a study site during the intervention period
None
Sequential
NIATx
BehavioralThe Network for the Improvement of Addiction Treatment (NIATx) model uses a bundle of implementation tools that include expert facilitation (coaching) and quality process improvement specifically for behavioural healthcare settings to improve access and retention in treatment.
Effectiveness
Number of participants on the PNEP
Bloodborne virus cascade of care
Number of HIV and hepatitis C virus screenings/tests, diagnoses, and treatment initiations, among the total prison population
Enrollment in opioid agonist therapy
The number of people who inject drugs who access opioid agonist therapy among the total prison population
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McGill University Health Centre/Research Institute of the McGill University Health Centre
Lead sponsor
Yale University
Collaborator
Burnet Institute
Collaborator
Kirby Institute
Collaborator
