Exploring the Delivery of Healthcare in the Police Detention Center Through Remote Presence Technology

Abstract

Introduction: There is overwhelming evidence to support the delivery of high-quality health service at a lower cost with the use of advanced technologies. Implementing remote presence technology to expand clinical care has been fraught with barriers that limit interprofessional collaboration and optimal client outcomes. In Canada, government ministries responsible for correctional services, policing, and health are well positioned to link federal, provincial, and regional services to enhance service delivery at the point of care for individuals detained within the justice system. Using remote presence technology to link the detention center with relevant health services such as the emergency room has the potential to open up a new care pathway. Research Question: The key research question was how a new intervention pathway for individuals detained in police service detention centers could be implemented. Research Design: Utilizing an exploratory qualitative research design, interviews were undertaken with 12 police service and six healthcare participants. Data were transcribed and thematically analyzed. Findings: Four main themes emerged and included role conflict, risk management, resource management, and access to services. A number of collaborative learning partnerships were identified by the participants. Implications: These themes reveal important facilitators and barriers to attending to the health needs of detainees within the police detention center through the utilization of remote presence.