Table 1.
Scientific aims, interlinked health and methodological perspectives, and work packages (WPs) for the periods prior to, during, and after imprisonment.
| Time period and aim | Health perspective | Methodological perspective | WPa | ||
| Prior to imprisonment |
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Investigate the prevalence of SUDb among the prison population before incarceration in Scandinavia | Determine the burden of SUD-related problems and selection of persons with SUD who are in prison | Does registry data capture the prevalence of SUD across the Scandinavian countries? | I | |
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Investigate the prevalence of mental and physical health problems before incarceration among the prison population | Determine the burden of mental and physical health problems and selection of persons with such problems who are in prison | Does registry data capture the prevalence of mental and physical health problems across the Scandinavian countries? | I | |
| During imprisonment |
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Test a risk assessment tool based on OxRecc for identification of persons with SUD in need of treatment interventions | Identify persons in need of treatment based on routinely collected data | Improving risk assessment by testing and externally validating the OxRec instrument in the Nordic countries | II | |
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Investigate and compare the availability of treatment interventions during incarceration for SUD and non-SUD populations | Determine if adequate treatment is offered in line with health policies and whether the availability of treatment for persons with SUD (first aim) differs from persons without SUD | Is registry data a valid source when estimating treatment availability in prison? | I | |
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Investigate the nature, norms, mechanisms, and process of SUD treatment in Scandinavian prisons | Determine how SUD treatment is implemented and integrated into the prison context | How can qualitative analysis complement and support register data on health in prison research? | III | |
| Postimprisonment |
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Investigate and compare postrelease outcomes | Determine effects of in-prison treatment on postrelease outcomes regarding health, social welfare, and recidivism | How can variables from different countries be aligned to fully compare outcomes? | I | |
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Investigate postrelease narratives among former prisoners | Describe challenges and opportunities for persons released from prison as perceived by participants in WayBack (a nonprofit foundation that helps prisoners return to society) | How can qualitative prison research guide, improve, and support implementation of health interventions in the postrelease context? | III | |
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Test a risk assessment tool based on OxRec for identification of persons with a need for additional follow-up postrelease | Identify persons with a high risk of substance use postrelease to prevent relapse to substance use, crime, overdose, and other high-risk events | Improving risk assessment by testing and externally validating the OxRec instrument in the Nordic countries | II | |
aWP I is related to epidemiology, WP II is related to risk assessment, and WP III is related to qualitative methods.
bSUD: substance use disorder.
cOxRec: Oxford Risk of Recidivism Tool.