[Medical management of drug addicts in the prison system in Vaud].

Despite the improvement and the diversification of the circuits for care in the city, the number of drug addicts sentenced to prison sentences in the Canton of Vaud in Switzerland has not decreased in recent years. It is therefore imperative for the Prison Medicine and Psychiatry Service (SMPP) to provide a medical follow up which respects as closely as possible the principle of the equivalence of care with the outside environment. This article presents the way in which the SMPP takes its place in the continuity of the therapeutic assistance which drug dependent individuals can take advantage of. In this way, the range of therapeutic protocols in force in the different regimes of detention (preventive detention, custody and the execution of sentence) are examined, whether initial treatment, drug weaning or substitution therapies.