Inmate drug habits are supported primarily through the use of contraband drugs obtained from outside the prison or freom within the system (pharmacy, dental, and medical facilities in the institution) and through the use of legitimately prescribed medications. The institution has the most control over drugs originating from within the institution. Rigid control over the dispensing of drugs, including the prescribing of potentially addictive drugs only when absolutely necessary, and careful monitoring of the dosage are important in controlling inmate access to narcotics. An institution should also aim at easing prison conditions that create unreasonable stress situations likely to precipitate drug abuse. Also, where possible, therapeutic relationships should be established with addicts for the purpose of helping them cope with their circumstances without the use of drugs. One therapeutic approach that has been useful with inmate addicts is a reality-oriented group process where group members are challenged to take responsibility for their own behavioral choices. Written behavioral contracts are used with the group to help the inmate set behavioral goals and work towad them. Such programs tend to be most successful when the format of contracts can also be extended to community behavior after release. Another approach to treating inmate addicts is for the institution to develop links with community drug treatment programs. This has the added advantage of providing the inmate a point of contact in the community after release. Excerpts from the workshop discussion are provided.