RT Article T1 Drug Use Stigma and Reprisal: Barriers to Prison Needle Exchange in Canada JF The prison journal VO 104 IS 3 SP 344 OP 364 A1 De Shalit, Ann A2 Van der Meulen, Emily 1977- A2 Chu, Sandra Ka Hon A2 Thomas, Rhiannon LA English YR 2024 UL https://krimdok.uni-tuebingen.de/Record/1887245995 AB After years of advocacy by a range of civil society groups, supported by scholarly and empirical research, Canada's federal prison service implemented a needle exchange program at select carceral institutions in 2018. Since the program rollout, however, uptake has remained minimal. To understand why, we conducted the first independent and national study of the program, interviewing 30 people who were incarcerated at one of the prisons with a needle exchange. Our findings show that drug use stigma and anticipated or actual reprisal from correctional officers, particularly related to breaches of confidentiality for program participants, markedly impede access and utilization. K1 community-based research K1 Former inmates K1 Correctional Officers K1 Harm Reduction K1 needle exchange K1 injection drug use DO 10.1177/00328855241240142