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Norway

Capital city — Oslo

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Panorama

Health

Organisation of health care

Ministry in charge

Ministry of Health and Care Services

(Helse- og omsorgsdepartementet)

Every prison facility has a health care unit

yes

Each facility has at least one medical cabinet with basic equipment.

Number of medical staff (FTE)

120

i
2021
/ prison administration, Statistiques 2016 – 2020, p. 52.

The main types of care provided are:

  • general medicine (municipal responsibility).

  • specialized addiction medicine and psychiatry (state responsibility).

The medical team consists mainly of nurses and general practitioners. Some facilities have psychologists, psychiatrists and specialists in addiction.

Depending on the size of the facility, the medical team may consist of between 2 and 17 persons.

Hospitals do not have special wards for prison inmates.

Access to health care

Health care is free

yes

A medical examination is performed upon admission

yes

The prisoner must be examined by a nurse within 24 hours of incarceration. The examination, which is usually carried out within two to three days of incarceration, normally includes screening for transmissible diseases (tuberculosis, HIV, hepatitis B/C)1.

  1. The European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT), “Report to the Norwegian Government on the visit to Norway (from 28 to 5 June 2018”, 2019, p. 41. ↩

A medical file is opened upon admission

yes

  • The Ombud (Norwegian NPM) considers the collection of relevant, necessary medical information at Bredtveit Prison to be unsatisfactory and arbitrary.

    i
    19/03/2024
    / Ombudsman (Sivilombudsmannen)

Prisoners can access health care units after

written request

Inmates draft a written request and submit it to a corrections officer. In some facilities, the inmate may submit the request in a dedicated box in a communal area.

Medical examinations are carried out on a confidential basis

yes

Health care is guaranteed throughout incarceration.

Obtaining medicines differs according to the prescription. Some products, such as sleeping pills, are given to inmates in their cells. Drug replacement treatments are strictly monitored.

  • The Ombud (Norwegian NPM) believes that medicine at Bredtveit Prison is handled irresponsibly, which constitutes a risk for the safety of the prisoners who need it. Medicine is stored in the guardroom, unlocked. There is no log to record its distribution. This lack of organisation has resulted in risks of poisoning and incorrect treatment.

    i
    19/03/2024
    / Ombudsman (Sivilombudsmannen)

  • The NPM notes that, at Halden Prison, medicine dispensers with incarcerated individuals’ names and information are left unlocked in the staff room. Incarcerated persons are not always required to sign when receiving medication. Failures regarding medicine storage and distribution increase the risk of incarcerated individuals not receiving necessary medication.

    i
    22/05/2024
    / Parliamentary Ombud, "Visit report n°77, Halden Prison", p. 6.

Hospitalization is by doctor’s orders. The head of the facility directs the appropriate security measures to be implemented (presence of a supervisor, use of restraint, etc.).

Physical health care

Prisoners suffer mainly from mental disorders and addictions. Hepatitis C is one of the most common physical diseases.

The Health Department is responsible for the prevention of epidemic and contagious diseases, such as the immediate quarantine of an infected person.

Risk reduction measures have been implemented. They are the following;

  • distribution of condoms during conjugal visits
  • distribution of chlorine for the disinfection of syringes
  • needle exchange (an exceptional measure).

Mental health care

A person found criminally irresponsible cannot be convicted.
Psychiatric hospitalisation under duress or for a severe mental illness is subject to conditions. Some prisoners, who are eligible for these conditions, serve their sentences in solitary confinement.

  • Several prisoners reported that their mental health was negatively impacted by their proximity to prisoners who hurt themselves and suffered from mental disorders.

    i
    19/03/2024
    / Ombudsman parlementaire (Sivilombudsmannen)

Psychologists or psychiatrists treat persons with mental illnesses. Prison staff also receive training.
Prisoners may request a transfer to a psychiatric facility. The final decision is determined by the facility’s head and doctor, and the head of the receiving facility.
The Parliamentary Ombudsman at Bredtveit Prison reports, in 2023, the lack of resources to safeguard prisoners’ mental health. This situation also harms the prison staff’s physical and mental health.

People with addictions (alcohol, tobacco, narcotics, psychotropic drugs…) receive special attention.
Eighteen facilities have had small detox units since 2007. These units represent 5% of the total prison capacity. Prisoners can start or continue substitution treatment in these units1.
Prisoners placed in detox units are subject to special conditions. Failure to comply with these may lead to reintegration into a regular ward. Regular wards offer short programmes for addiction management. Prisoners are subject to continuous monitoring and sanctions, where appropriate.

Prisoners suffering from drug or alcohol addictions present a higher risk of death upon their release, according to a study from the University of Oslo. The researchers also noted the importance of providing substitution treatments and overdose prevention programmes prior to release.

  1. Hedda Giertsen, “Prison and Welfare in Norway” in M. Pavarini and L. Ferrari (eds), “No Prison”, 2018, p. 149. ↩

Corrections officers are trained to deal with persons who inflict self-harm. They monitor them and encourage them to talk.