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Alkoholkonsumst\u00f6rungen und Drogenabh\u00e4ngigkeit sind bei Strafgefangenen h\u00e4ufig und viele suchtkranke Straft\u00e4ter m\u00fcssen im Gef\u00e4ngnis betreut werden. Zu den medizinischen Aufgaben geh\u00f6rt hierbei eine ad\u00e4quate Diagnostik von Suchtmittelkonsum und Folgest\u00f6rungen, die Behandlung von Entzugssymptomen und Vermittlung oft externer Beratungsangebote. Im Gef\u00e4ngnis gibt es jedoch keine Spezialstationen und wenige spezielle Therapieangebote.<\/jats:p>\n                  <jats:p>Ein Schwerpunkt der Behandlung von Substanzkonsumst\u00f6rungen im Gef\u00e4ngnis stellt die Opiatabh\u00e4ngigkeit dar. Die Substitutionsbehandlung ist hierf\u00fcr die anerkannte First-Line-Therapie, ihre Wirksamkeit ist auch bei Inhaftierten gut belegt. Das Angebot mit oralen oder Depotpr\u00e4paraten f\u00fcr opiatabh\u00e4ngige Strafgefangene sollte weiter ausgebaut werden. Stark defizit\u00e4r ist bislang das Behandlungsangebot f\u00fcr Alkoholabh\u00e4ngige oder andere Suchtkranke im Gef\u00e4ngnis, das meist durch externe Suchtberatungsstellen wahrgenommen wird. Im Beitrag werden Grundz\u00fcge der medizinisch-therapeutischen Versorgung Inhaftierter mit Substanzkonsumst\u00f6rungen dargestellt.<\/jats:p>","DOI":"10.1007\/s00103-025-04149-8","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T22:42:04Z","timestamp":1761691324000},"page":"1380-1387","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Behandlung von Suchterkrankungen im Strafvollzug","Therapy of substance use disorders in correctional settings"],"prefix":"10.1007","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4179-4989","authenticated-orcid":false,"given":"Michael","family":"Soyka","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"4149_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32229-9","author":"L Degenhardt","year":"2019","unstructured":"Degenhardt\u00a0L, Grebely\u00a0J, Stone\u00a0J et\u00a0al (2019) Global patterns of Opioid use and dependence: harms to populations, interventions, and future action. 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