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To address this knowledge gap, we conducted a survey to identify how insomnia is detected, diagnosed and treated in adult prisons in England and Wales. Telephone interviews with a purposive sample of health\u2010care managers were then conducted. The survey was sent to all establishments holding adult prisoners, covering screening and assessment methods to detect insomnia; treatment options, both pharmacological and non\u2010pharmacological; the importance of insomnia as a treatable condition; and staff training available. Eighty\u2010four (73%) prisons completed the survey. Few had a stepped approach to insomnia management, as recommended by National Institute for Health and Care Excellence (<jats:styled-content style=\"fixed-case\">NICE<\/jats:styled-content>) guidelines. The most common treatments available were sleep hygiene education and medication, offered by 94 and 88% of respondents, respectively. Analysis of telephone interviews revealed four main themes: insomnia as a normal occurrence in prison; the problem of medication in prison; the negative impact of the prison environment; and effective management of insomnia in prison. The current findings suggest that logistical, ethical and security barriers and a lack of staff knowledge and training impact negatively on the management of insomnia in prison.<\/jats:p>","DOI":"10.1111\/jsr.12503","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T09:36:39Z","timestamp":1488188199000},"page":"322-329","source":"Crossref","is-referenced-by-count":15,"title":["Insomnia management in prisons in England and Wales: a mixed\u2010methods study"],"prefix":"10.1111","volume":"26","author":[{"given":"Lindsay H.","family":"Dewa","sequence":"first","affiliation":[{"name":"INIHR Imperial Patient Safety Translational Research Centre Imperial College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lamiece","family":"Hassan","sequence":"additional","affiliation":[{"name":"Division of Imaging, Informatics and Data Sciences The University of Manchester Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny J.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health The University of Manchester Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Senior","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health The University of Manchester Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"291","DOI":"10.31887\/DCNS.2005.7.4\/vabad","article-title":"Sleep and psychiatry","volume":"7","author":"Abad V. 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