Pubdate: Tue, 26 Apr 2005 Source: Scotsman (UK) Copyright: The Scotsman Publications Ltd 2005 Contact: http://www.scotsman.com/ Details: http://www.mapinc.org/media/406 Author: Sheila Bird Referenced: http://www.mapinc.org/drugnews/v05/n664/a05.html DRUG TESTS INADEQUATE Contrary to your editorial (22 April), the Scottish Prison Service has neither given up trying to address prisoners' drug dependency nor has need of random, mandatory drugs tests (RMDT) to "catch the drug users". In 2003-4, RMDT "caught" about 2,200 drug-using prisoners, but more than 18,000 self-identified, of whom more than 14,000 accepted an addictions assessment. Politicians were forewarned - before RMDT was foisted on SPS - that it would "catch" only one in two users of heroin in Scottish prisons, based on prisoners' frank, anonymous, self-reporting of their (low) frequency of inside injecting. The then Home Secretary, David Blunkett, delayed publication of the 2001 MDT prisoner survey, released only in January, which enabled the corresponding analysis for prisons in England and Wales. Why the delay? Could it be because the analysis showed that RMDT's under-estimation was even worse in England and Wales, where a 4 per cent opiate-positive rate translates to 14 per cent of prisoners being inside-users of heroin? The SPS's plan to redirect its RMDT resources to more informative data collection is enlightened. The likely methodology? Anonymous self-completion behavioural inquiries, linked to biological sample, of a type that were so powerfully arresting of wrong-headed policy that politicians had to put a stop to them (Scotland after 1996) or delay public dissemination of their results even when a parliamentary select committee had insisted on investigation of RMDT (England). Whereas in devolved Scotland, evidence clearly counts, enlightenment is yet to dawn south of the Border. SHEILA M BIRD Chair, Royal Statistical Society' Working Party on Performance Monitoring in the Public Services Auchtubh, Lochearnhead Perthshire - --- MAP posted-by: Larry Seguin