**11. Treatment of drug addicts in prison**

A specialized ward for compulsory drug addiction treatment, alcoholism treatment and gambling treatment in a prison for women in Opava was established in 1999 and was designated for women with minimum security, medium security and high security, while a specialized department for men was established later, in 2004, and only for sentenced men with medium security. Placement in this department is voluntary or treatment is ordered by court pursuant to Section 351 of the Criminal Procedure Act with the cooperation of the Directorate-General of the Czech Republic Prison Service. An inmate who was placed in the specialized department and to whom the court ordered a compulsory treatment, is obligated to undergo this compulsory treatment. The length of stay in the specialized department for compulsory treatment is based on the therapeutic program; it depends on inmate's personality and performance in the individual treatment program. The program is usually planned for a minimum of seven months but the stabilization stage may be extended as needed, depending on capacity, to last up to one year. One-year stay is usually recommended on average, which means placement of an inmate in the specialized department for drug addicts a year before parole or a year before the release from prison. The inmate may be placed in the specialized department no sooner than one month upon completion of methadone substitution therapy, which also takes place in Opava prison [14]. So the inmate's ongoing methadone substitution therapy is one contraindication for placement in this department and the other contraindication is epilepsy. An inmate who was ordered a compulsory treatment by court may be placed in the specialized department for compulsory treatment while serving a sentence, but also an inmate who was not ordered a compulsory treatment by court but the inmate has a provable history of addictive substance abuse, including alcohol and gambling and wants to undergo this therapeutic program in the specialized department upon request. A large number of special therapeutic practices are used. Psychotherapy, practicing, training and education with the use of a regimen component are applied when working with inmates. All of these methods are based namely on a positive expectation on client's part, health and illness interpretation, realizing the negative impact arising from patterns of pathological behavior [15]. Also, the methods are based on a therapeutic relationship that includes interest, trust and acceptance, but it also strives for support in finding motivation to abstain and creating inmates' own views of the drug addiction harmfulness. Inmates interested in longer therapy get it in individual form because the number of such inmates is not high enough to always run the therapeutic groups [16].
