• Introduction to the inquiry

• Context and background to substance misuse in Scotland’s prisons

• Key themes and findings from our inquiry
  • Drivers of substance use
  • Availability and supply
  • Healthcare and treatment
  • Recovery and throughcare
  • Workforce and resources
  • Data and accountability
  • An emerging consensus?
  • Key findings

• Drivers of substance use and the prison environment
  • Overview
  • Poverty, trauma and inequality
  • Mental health and emotional distress
  • Purpose, boredom and the prison regime
  • Access to family and community support
  • Culture and stigma
  • Conclusions and recommendations on the drivers of substance use
    • Recommendations

• Supply, security and the control of substances in prison
  • Overview
  • Changing nature of supply
  • Security measures and technological developments
    • Staff safety
  • Intelligence, corruption and organised crime
  • Impact of severe overcrowding and regime pressures
  • Balancing enforcement and harm reduction
  • Good practice and innovation
  • Conclusions and recommendations on the supply and control of illicit substances in Scottish prisons
    • Recommendations

• Health, treatment and recovery services in prisons
  • Overview
  • Access to healthcare
  • Medication-Assisted Treatment standards
  • Mental health and dual diagnosis
  • Continuity of care and throughcare
  • Physical health and blood-borne viruses
  • Peer and lived-experience roles
  • Workforce and resources
  • Data, evaluation and accountability
  • Conclusions and recommendations on health, treatment and recovery
    • Recommendations

• Rehabilitation, reintegration and recovery pathways
  • Overview
  • Throughcare and continuity of support
  • Housing and stability
  • Employment, education and skills
  • Peer mentoring and community networks
  • Family inclusion and support
  • Community justice partnerships and multi-agency working
  • Equality and inclusion
  • Innovation and good practice
  • Conclusions and recommendations on rehabilitation and reintegration
    • Recommendations

• Alcohol use in prisons
  • Prevalence
  • Entry into prisons and enforcement
  • Assessment, treatment and rehabilitation
  • Reintegration and throughcare
  • Courts, sentencing and alternatives to custody
  • Conclusions and recommendations relating to alcohol use in prisons
    • Recommendations

• Data, governance and accountability
  • Overview
  • Current data landscape
  • Public Health Scotland and national oversight
  • Monitoring outcomes
  • Governance structures and leadership
  • Learning, evaluation and research
  • Transparency and public confidence
  • Conclusions and recommendations on data, governance and accountability
    • Recommendations

• Final overarching conclusions

• Annexe A: Summary of relevant legislation passed by the Scottish Parliament

• Annexe B: Extract from Minutes

• Annexe C: Relevant Published Data

• Annexe D: Written and oral evidence