By Ryan C. Berg

Key Points

• Much of Brazil’s deadly urban violence is the direct result of territorial battles involving the country’s powerful transnational organized crime groups, many of which trace their origins to the country’s dangerous and overcrowded prisons.

• The Primeiro Comando da Capital (PCC), or First Capital Command, took shape in São Paulo during the early 1990s, as inmates organized against poor prison conditions to impose order and preserve lives. Eventually, the PCC developed an ability to project its influence and control well beyond prison walls and into Brazil’s sprawling urban slums.

• The PCC has vanquished many of its domestic rivals, enjoys a footprint in every state in Brazil, runs operations in almost every country of South America, and is now more globally minded than ever before, recruiting guerrillas from the Revolutionary Armed Forces of Colombia and Venezuelan refugees and partnering with European mafia groups and Lebanese Hezbollah.

• Law-and-order strategies that “stuff” Brazil’s crowded prisons with new inmates may actually exacerbate the problem, given that the PCC has effectively converted the country’s prisons into logistical hubs and training centers of illicit activity. To fight the PCC, the US should designate it as a transnational organized crime group to confer the benefits of multiple pieces of legislation and seek extradition of key PCC leaders.

Washington, DC: American Enterprise Institute, 2020. 36p.

By Louis Favril

Background: Many people who enter prison have recently used drugs in the community, a substantial portion of whom will continue to do so while incarcerated. To date, little is known about what factors may contribute to the continuation of drug use during imprisonment. Methods: Self-reported data were collected from a random sample of 1326 adults (123 women) incarcerated across 15 prisons in Belgium. Multivariate regression was used to investigate associations between in-prison drug use and sociodemographic background, criminological profile, drug-related history, and mental health among participants who reported pre-prison drug use. Results: Of all 1326 participants, 719 (54%) used drugs in the 12 months prior to their incarceration and 462 (35%) did so while in prison. There was a strong association between drug use before and during imprisonment (OR = 6.77, 95% CI 5.16–8.89). Of those who recently used drugs in the community, half (52%) continued to do so while incarcerated. Factors independently associated with continuation (versus cessation) were young age, treatment history, polydrug use, and poor mental health. In a secondary analysis, initiation of drug use while in prison was further related to incarceration history and low education. Conclusion: Persistence of drug use following prison entry is common. People who continue to use drugs inside prison can be differentiated from those who discontinue in terms of drug-related history and mental health. Routine screening for drug use and psychiatric morbidity on admission to prison would allow for identifying unmet needs and initiating appropriate treatment. 

International Journal of Drug Policy Volume 115, May 2023, 104027

Karen Duke, Helen Gleeson, Susanne MacGregor, Betsy Thom

This article explores the factors contributing to drug-related deaths in English and Welsh prisons between 2015 and 2020. Based on content analysis of all Prison and Probation Ombudsman ‘other non-natural’ fatal incident investigation reports, descriptive statistics were generated. Qualitative analysis explored the circumstances surrounding deaths and key risk factors. Most deaths were of men, whose mean age was 39 years. Drug toxicity was the main factor in causing death, exacerbated by underlying physical health conditions and risk-taking behaviours. A variety of substances were involved. New psychoactive substances became more important over time. A high proportion had recorded histories of substance use and mental illness. During this period, the prison system was under considerable stress creating dangerous environments for drug-related harm. This study highlights the process of complex interaction between substances used, individual characteristics, situational features and the wider environment in explaining drug-related deaths in prisons. Implications for policy and practice are discussed.

J Community Psychol. 2023;1–22