This chapter presents findings for managing methadone programs in prisons. For the first time, the findings presented in this chapter contribute to socio-cultural and ecological approaches to solving problems, as well as providing policy alternatives for managing methadone programs in prisons. The social ecological model (SEM) is used in this research to examine the interaction of public policy, community, institutional, interpersonal, and intrapersonal elements. The findings presented in this chapter will have an impact on efforts to improve organizational, interpersonal, and intrapersonal factors.
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Participants in each jail were selected through random samples with the support of the facility's main security and health staff members. In order to reduce participant selection bias, snowball sampling was also used. From December 2015 and March 2016, the data for this research was acquired via in-depth face-to-face interviews. Both methadone and non-methadone inmates, as well as the prison's governor and a variety of security and medical professionals, were interviewed.
During the interviews, participants were able to relax in a private room or somewhere they felt at ease. All interviews were conducted in Bahasa, the primary language. In order to make comparisons between prisons and sub-groups, the study's overarching premise led to the creation of four subject guides. The guide was translated from Bahasa to English and then from English back to Indonesian by the researcher (and the guide's primary author). Except for one interview with a detainee and one with a staff member, all interviews were recorded digitally. In this scenario, handwritten notes are used. The interviews lasted anywhere from 30 minutes to almost an hour. More than 50 people were interviewed, including three prison governors, nine security staff, 10 health workers (including psychologists, nurses, and doctors), 19 non-methadone detainees, and 16 methadone inmates. At the Methadone Narcotics Prison, there are 17 inmates; there are 12 inmates at the Methadone General Prison, and six inmates at the Non-Methadone General Prison.
Anonymous transcriptions and translations of interview tapes into English were performed. Nvivo 11 was used to code and analyze the transcripts. Although additional themes were analyzed, this study relied on a framework analysis because it was more transparent. Identifying core concerns, concepts, and themes establishes an initial thematic framework. The process of analysis starts with the creation of a narrative description of how the program functions across the system and aims to discover similarities and variations in both individual cases and prisons. As a further step, you'll look for additional explanations by mapping the relationship between searching and categories throughout the complete set of data for other explanations. As a result of the social ecology model, it was possible to categorize the obstacles and enablers to the OAT program's implementation in prisons.
The University of Stirling's Campus Research Ethics Committee gave its blessing to this investigation. The Indonesian Ministry of Law and Human Rights does not have a process for approving research ethics. A letter of reference from the Ministry of Home Affairs must first be obtained and given to each jail that is being considered for investigation in order to gain access to services. Every single one of the study prison's three governors signed the authorization letter.