Accessing opioid agonist treatment in prison in England and Scotland remains problematic - the views of people with lived experience.

PURPOSE: The purpose of this paper is to examine lived experiences of opioid agonist treatment (OAT) during and immediately following release from detention in prisons in England and Scotland. DESIGN/METHODOLOGY/APPROACH: Surveys were completed by serving prisoners in both countries and by those recently released from prison (England only). The survey findings were discussed in focus groups of people with lived experience. The combined findings from the surveys and focus groups were shared with an expert group of prison OAT providers and people with lived experience with the purpose of making recommendations for more accessible and effective OAT in custodial environments and continuity of OAT on release. FINDINGS: The quality and accessibility of OAT varied considerably between establishments. It was reported to be harder to access OAT in Scottish prisons. It was often hard for people in prison to get the dosage of OAT they felt they needed and it was generally harder to access buprenorphine than methadone in English prisons. Only Scottish people in prison were aware of long-lasting forms of buprenorphine. People in English prisons had mixed experiences of the help available in prison, with no improvement recorded since a 2016 study. People in Scottish prisons were more likely to rate the help available as poor. RESEARCH LIMITATIONS/IMPLICATIONS: The number of people accessed while actually in prison (73) was reduced by the impact of the pandemic, making it more difficult to access people in prison and because some were resistant to participating on the basis that they had already been consulted for a wide variety of research projects focused on the impact of COVID. The Scottish cohort (a total of 19 individuals comprising 14 survey respondents and five focus group members) is clearly too small a number on which to base robust claims about differences in OAT provision between the English and Scottish prison systems.. PRACTICAL IMPLICATIONS: The study identifies key barriers to accessing OAT in prisons and suggests key components of more user-friendly approaches. SOCIAL IMPLICATIONS: This study provides an overview of the recent lived experiences of people accessing OAT in prison and on release and offers valuable recommendations on how to make service provision more effective and consistent. ORIGINALITY/VALUE: This study provides an overview of the recent lived experiences of people accessing OAT in prison and on release in England and Scotland and offers valuable recommendations on how to make service provision more effective and consistent.

'I'm always walking on eggshells, and there's no chance of me ever being free': The mental health implications of Imprisonment for Public Protection in the community and post-recall.

BACKGROUND: Despite its abolition in 2012, the indeterminate sentence of Imprisonment for Public Protection (IPP) still casts a long shadow over the justice system. Recall is a growing problem: In June 2020, there were 1,359 recalled IPP prisoners. Research documents the negative mental health implications of initial imprisonment under an IPP sentence; however, little is known about experiences on licence, or post-recall. AIMS: To explain how recalled IPP prisoners perceive being on licence, and in prison post-recall, to affect their mental wellbeing. METHODS: We draw on 31 interviews with recalled IPP prisoners, conducted for a wider project exploring the high rates of IPP recall. RESULTS: Three themes emerged: a perpetual state of anxiety about recall and spending additional years behind bars; self-imposed social isolation, both in the community and in prison; and a profound sense of hopelessness. People often feel trapped in an unjust and inevitable cycle of imprisonment, with little faith in a positive future. CONCLUSIONS: The government must make structural changes to stop the revolving door of IPP recall. In the short term, confidential mental health support should be available to people serving IPPs in prison and the community.

Optimising opioid substitution therapy in the prison environment.

PURPOSE: The purpose of this paper is to examine the current provision of opioid substitution therapy (OST) during and immediately following release from detention in prisons in England and Wales. DESIGN/METHODOLOGY/APPROACH: A group of experts was convened to comment on current practices and to make recommendations for improving OST management in prison. Current practices were previously assessed using an online survey and a focus group with experience of OST in prison (Webster, 2017). FINDINGS: Disruption to the management of addiction and reduced treatment choice for OST adversely influences adequate provision of OST in prison. A key concern was the routine diversion of opiate substitutes to other prisoners. The new controlled drug formulations were considered a positive development to ensure streamlined and efficient OST administration. The following patient populations were identified as having concerns beyond their opioid use, and therefore require additional considerations in prison: older people with comorbidities and complex treatment needs; women who have experienced trauma and have childcare issues; and those with existing mental health needs requiring effective understanding and treatment in prison. ORIGINALITY/VALUE: Integration of clinical and psychosocial services would enable a joint care plan to be tailored for each individual with opioid dependence and include options for detoxification or maintenance treatment. This would better enable those struggling with opioid use to make informed choices concerning their care during incarceration and for the period immediately following their release. Improvements in coordination of OST would facilitate inclusion of strategies to further streamline this process for the benefit of prisoners and prison staff.

Prison mental health in-reach teams, serious mental illness and the Care Programme Approach in England.

The delivery of prison mental health services in England is examined over the last 12 years. Resources for services have grown significantly during this period and improved organisational models for the delivery of services are now in place. During this period however the challenges of working in the prison environment have increased. The paper argues that a history of sexual abuse or violence are common amongst prisoners and the Care Programme Approach (CPA) provides the vehicle to assess these histories through the use of routine enquiry. Commissioners of prison mental health services now need to ensure that teams are delivering cogent trauma-based interventions where relevant and the outcomes are measured.

Methodological and theoretical improvements in the study of superstitious beliefs and behaviour.

Via four studies (N = 901), we developed an improved Belief in Superstition Scale (BSS) composed of three distinct components (belief in bad luck, belief in good luck, and the belief that luck can be changed), whose structure was supported through exploratory (Study 1) and confirmatory (Studies 2 and 3) factor analyses using divergent samples. We found that among theoretical predictors, higher 'chance' locus of control (i.e., the belief that chance/fate controls one's life) best predicted all three BSS subscales (Studies 2-3). In Study 3, we found that BSS subscale scores were reliable, but largely invariant across age and education with a non-general psychology sample. In Study 4, the BSS subscales best predicted participants' superstitious attitudes and behaviour in a new lottery drawing paradigm among other commonly used superstition scales. Taken together, our results indicate that the BSS is a valuable addition to the burgeoning research on superstitious attitudes and behaviour.

Angels and demons are among us: assessing individual differences in belief in pure evil and belief in pure good.

We conducted five studies to demonstrate that individuals' beliefs in pure evil (BPE) and in pure good (BPG) are valid and important psychological constructs. First, these studies together demonstrated that BPE and BPG are reliable, unitary, and stable constructs each composed of eight theoretically interdependent dimensions. Second, these studies showed that across a wide variety of different measures, higher BPE consistently related to greater intergroup aggression (e.g., supporting the death penalty and preemptive military aggression) and less intergroup prosociality (e.g., opposing criminal rehabilitation, proracial policies, and beneficial social programs), while higher BPG consistently related to less intergroup aggression (e.g., opposing proviolent foreign relations and torture) and greater intergroup prosociality (e.g., supporting criminal rehabilitation and support for diplomacy). In sum, these studies evidence that BPE and BPG relate to aggressive and prosocial orientations toward others and have strong potential to advance current theories on prejudice, aggression, and prosociality.

The effects of death reminders on sex differences in prejudice toward gay men and lesbians.

Terror management research shows that death reminders (mortality salience) increase prejudice toward worldview violators. Two studies investigated whether death reminders exacerbated differences in heterosexual men's and women's reports of sexual prejudice (negative attitudes based on sexual orientation). Results showed that following death reminders, sex differences in anti-gay discrimination and affective prejudice toward gay men (but not toward lesbians) were larger, and that these increased sex differences were mediated by gender role beliefs. The current studies suggest that researchers may attenuate the effects of death reminders by lessening the perceived worldview violation in addition to alleviating the existential terror of death.

Before the measurement of prejudice: early psychological and sociological papers on prejudice.

Given its renown, many psychologists and sociologists likely consider the publication of Gordon Allport's (1954/1979) seminal book The Nature of Prejudice as the inauguration of the psychological study of prejudice. However, we have uncovered rarely-cited, published papers (starting in 1830) that provide a wealth of speculation on prejudice even before psychologists/sociologists attempted to measure it (circa 1925). Thus, this paper intends to discuss early published work on prejudice in psychology and sociology by focusing on three key questions: a) when did psychologists/sociologists recognize prejudice as a psychological phenomenon, b) when did psychologists/sociologists recognize prejudice as a phenomenon in need of study, and c) what were the historical and personal conditions that gave rise to the interest in prejudice? In short, the seeds of prejudice research were maturing for some time before Allport's seminal book and the first attitudinal studies on prejudice, although these earlier works are seldom cited.

Social vigilantism: measuring individual differences in belief superiority and resistance to persuasion.

Social vigilantism (SV) is an enduring individual difference that assesses the tendency of individuals to impress and propagate their "superior" beliefs onto others to correct others' more "ignorant" opinions. After establishing a reliable measure of SV, three studies showed that SV was associated with greater expressions of belief superiority (whether reacting to others holding dissimilar or similar beliefs) and greater resistance to persuasion (via increased rates of counterarguing and greater attitude stability after persuasion appeals) even after controlling for relevant individual differences (narcissism, dogmatism, psychological reactance, and need for cognition), as well as attitude importance and extremity. Thus, SV predicts expressions of belief superiority and resistance to persuasion above and beyond characteristics of the attitude and individual difference variables previously studied in the attitude literature. SV is a meaningful construct in increasing the understanding of persuasion, attitude resistance, and attitude dissemination that can be applied in a variety of psychological domains.