Aggressive behaviour and victimization are common among severely mentally ill people requiring hospitalisation in the inner city. Rates of violent crime are higher than in the general population.

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Objective To consider opioid agonist therapy in prisons. Conclusions Given the substantial risks of substance misuse by prisoners, long-acting injectable buprenorphine should be adopted as ‘best practice’ treatment in Australian prison populations.

Objective Consider the unique features and challenges of prison psychiatry. Conclusions A Prison Mental Health Network within the Royal Australian and New Zealand College of Psychiatrists would serve many useful functions including improving the quality of mental health services by promoting high clinical standards and ethical practice by psychiatrists working in prisons.