A survey of primary and specialised health care provision to prisons in England and Wales

Cornford, Charles S.; Mason, James; Buchanan, Katie; Reeves, David; Kontopantelis, Evangelos; Sibbald, Bonnie; Thornton‐Jones, Helen; Williamson, M.; Baer, Lenny

doi:10.1017/s1463423608000583

Cited by 8 publications

(4 citation statements)

References 22 publications

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“…Some of these factors are clear indicators of the effectiveness of community mental health services. Cornford and colleagues (Cornford, 2007(Cornford, , 2008 found that a third of English and Welsh prisons in 2005 were not able to offer any cognitive behavioral therapy, and that no systems were in place for transfer of medical information on admission or release in more than 70% of prisons. Data from a national US survey from 2002-04 showed that a third of prisoners with diagnoses of schizophrenia and bipolar disorder were not treated with psychiatric drugs (Wilper, 2009).…”

Section: Risk Factorsmentioning

confidence: 99%

Suicide in Prisoners: An Italian Contribution

Cinosi

Martinotti²,

Risio³

et al. 2013

TOCRIJ

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It is well-known that suicidal behavior is very common among criminal justice clients, both among those serving community sentences and among prison inmates. Suicide rates among prisoners are considerably higher than in the general population. There is great concern over high rates of suicide and suicidal behavior in prisons, with suicide prevention becoming a major challenge for penal institutions in many countries. In particular, Italian prisons are facing an important crisis. The aim of the present descriptive review is to investigate suicide in prisons, with particular attention to the Italian situation. To date, there are no comprehensive data on this phenomenon for reasons that are critically discussed in this paper. First, we focus on epidemiology, and try to summarize existing heterogeneous data. Demographic, criminological and clinical risk factors associated with suicide in prisoners are then examined. Understanding the process by which certain prisoners, under specific circumstances, contemplate, plan and decide to end their lives is critical to suicidal prevention, as discussed in the third part of the review. Finally, we suggest possible future investigations to improve detection of specific risk factors and we discuss the challenges to be faced in order to decrease suicide rate among prisoners.

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Section: Risk Factorsmentioning

confidence: 99%

Suicide in Prisoners: An Italian Contribution

Cinosi

Martinotti²,

Risio³

et al. 2013

TOCRIJ

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“…The provision of healthcare services to prisoners is dependent on the availability of suitably qualified staff, thus any difficulty with recruitment and retention is likely to impact significantly on what is achievable in prisons …”

Section: Introductionmentioning

confidence: 99%

“…Additional challenges, specifically related to inhaler use in this population, include that 65% of young people in custody report leaving school by Year 9, which may impact their health literacy, and the existence of cognitive deficits, including intellectual disability . With regard to the management of patients with asthma in prisons, there is very little published research to guide clinicians . An exception is clinical guidelines for adolescent asthma care, which highlight the need for patient education – including inhaler technique – along with impediments to treating asthma that may occur in the prison environment.…”

Section: Introductionmentioning

confidence: 99%

Unique location but similar issues: working with health professionals in correctional services to improve inhaler use

et al. 2015

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Background Correct inhaler technique is vital in the management of asthma and chronic obstructive pulmonary disease. However, inhaler misuse is ubiquitous and patients seldom receive effective education on how to use inhalers. Prisoners may have additional contributing factors for inhaler misuse, i.e. low health literacy and intellectual disability. Consequently, health professionals within correctional service facilities have a unique opportunity, and arguably an even more critical role, in the training of inmates in inhaler use. Aim To evaluate correctional services health professionals’ baseline inhaler techniques; to assess the impact of training on inhaler techniques; and to evaluate the impact of the training on service delivery to inmates. Method Nurses working in a correctional services hospital complex were recruited. Their baseline inhaler technique (i.e. prior to training) was assessed using inhaler technique checklists. An education intervention was then delivered, following which participants’ inhaler technique was reassessed. Results A total of 23 nurses participated in the study. At baseline, proportions demonstrating correct technique were 42, 0 and 5% for metered dose inhalers, Turbuhaler and Accuhaler, respectively. Following training, there was a statistically significant increase in the proportion of participants demonstrating correct inhaler techniques (84% (p = 0.008), 84% (p < 0.001) and 90% (p < 0.001)). Conclusions Nurses in correctional care are expected to check inmates’ inhaler techniques as part of clinical care, but were unable to use inhalers correctly and needed training in this regard. Pharmacists are well placed to provide this training.

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“…The majority of prisoners are young males who come from a lower socio-economic class. 2 UK prisoners are found to have a higher instance of alcohol and substance dependency, mental illness and are more likely to have been homeless than the rest of the population. 3 Also, as a captive population, they are more susceptible to infectious diseases such as influenza and gastroenteritis, as well as some blood borne viruses like HIV, hepatitis B and C. 3 Following the 'common risk factors approach to health', 4 this poor health status is mirrored in their oral health.…”

mentioning

confidence: 99%

Oral health among UK prisoners

Neville

2015

Perspect Public Health

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A survey of primary and specialised health care provision to prisons in England and Wales

Cited by 8 publications

References 22 publications

Suicide in Prisoners: An Italian Contribution

Suicide in Prisoners: An Italian Contribution

Unique location but similar issues: working with health professionals in correctional services to improve inhaler use

Oral health among UK prisoners

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