Annual Report 2010 by the National Preventive Mechanism against Torture There are several 344. Likewise, there are several programmes for dealing with substance abuse, programmes for dealing supervised by the prison authorities themselves or by non-profit organisations, with substance abuse which may take the form of drug-free modules (in which case the inmates voluntarily accept being housed in a specific area and agree not to take any kind of drugs); therapeutic modules; maintenance programmes involving methadone; and programmes for exchanging syringes (which are in decline due to the fewer number of users). In addition, this matter receives priority attention in health prevention programmes. Accordingly, favourable mention should be made of an innovative programme at Nanclares de la Oca (Alava) in which those inmates that so require are given buprenorphine patches as a substitute for methadone, with highly satisfactory results, although the prison authorities reported that it is a specific programme that is difficult to extend to other prisons, for both medical and financial reasons. Whenever the prison regime so permits, inmates may attend specialist treatment centres outside Most prisons have specialised treatment programmes for the re­ education and reinsertion of offenders Note should be made of the extension of the modules of respect observed, which by mid 2010 amounted to 119 modules at 62 centres 144 Furthermore, there is a possibility of attending specialist treatment centres outside whenever the prison regime so permits (third degree or individual flexibility in the case of second degree). During some of the inspection visits complaints were received from inmates who wanted to be given permission for leave to receive specialist care for their alleged drug addiction; after making the appropriate enquiries, it appears that in many cases the refusal was due to their prison regime or their conduct. 345. Today, most prisons have a catalogue of specialised treatment programmes designed for the re-education and social reinsertion of offenders, and of a voluntary nature (rehabilitation programmes for sexual aggressors, schemes for those convicted of domestic violence, support for foreign national inmates, the mediated resolution of conflicts, health education, therapies with animals, programmes for inmates in closed prisons, programmes for those aged under 25, programmes on road safety and education, etc.). Nevertheless, it is of concern that some prisons cannot provide these activities for all the inmates they house due to a lack of specialist staff. Bearing in mind that these programmes seek to respond to the aims that the Spanish Constitution lays down for custodial sentences, it should be considered a priority to provide the resources required for these programmes. 346. Note should be made of the extension of the modules of respect observed at the prisons run by the SGIP, which by mid 2010 amounted to 119 modules at 62 centres. The main feature of these modules is that access to them requires the subscription of a “contract” by an inmate, who thereby undertakes to maintain an especially respectful attitude towards the guards, their fellow inmates and the rules governing these units, as well as agree to take part in any proposed activities, which go beyond what is purely contained in the prison regulations. In short, it constitutes a reinforced commitment by inmates to their own re-education, which is rewarded by the dedication the THE OMBUDSMAN OF SPAIN