The CSAPA is a referral center of Fleury Mérogis penitentiary

The "CSAPA referral" activity is dedicated to improving sanitary and social support of detainees who struggle with psychoactive substances use, by offering a treatment follow-up and support when they are released.
A social worker detached from the CSAPA Pierre Nicole and assigned to the CSAPA Fleury-Mérogis has the following responsibilities:

• Meeting the detainees with problematic use of illicit or licit drugs, assessing the needs in terms of medico-social support at their release;
• Liaising between the different parties involved in the treatment project;
• Implementing relays for substitute treatment with opiates and then avoiding any brutal interruption of treatment at the release.
• Favoring the pursue of support in terms of addictive behaviors at the release (ambulatory follow-up, residential care...);
• Facilitating contacts between the detainees and the external treatment structures.

The Centre Pierre Nicole "CSAPA referral" activity applies to anyone :

• Struggling with psychoactive substance use
• Detained at the Fleury Mérogis Penitentiary
• Accused or convicted, at anytime of the detention term (beginning, middle or end of sentence time)
• Detainees who might benefit of a sentence adjustment;
• Detainees who used to have an accommodation or an address in Paris before their detention

Initial contact by the professionals working in the detention environment :

• Sanitary units (UCSA, SMPR, CSAPA penitentiary...) SPIP
• External stakeholders
• Or on direct mail request of the detainee

Aurore Doré, department manager
Nathalie Chalmeau, educator,   Féderic Vallance, educator