Key successes and challenges in providing mental health care in an urban male remand prison: a qualitative study

Samele, Chiara; Forrester, Andrew; Urquía, Norman; Hopkin, Gareth

doi:10.1007/s00127-016-1170-2

Cited by 17 publications

(23 citation statements)

References 23 publications

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“…Nineteen empirical studies were included (see Appendix A). Eight of these had quantitative designs (Bond and Gittell 2010;Fletcher et al 2009;Friestad and Kjelsberg 2009;Hean, Ødegård and Willumsen 2017;Lehman et al 2009;Orrick et al 2011;Shavit et al 2017;Wooditch, Sloas and Taxman 2017) and 11 had qualitative designs (Denton 2014;Friedmann et al 2012;Gunnison and Helfgott 2017;Hannaa et al 2020;Hansen 2015;Hean, Willumsen and Ødegård 2017a;Hean, Willumsen and Ødegård 2017b;Kras 2012;Moore and Hamilton 2016;Samele et al 2016;Yamatani and Spjeldnes 2011). The samples originated in Norway (Friestad and Kjelsberg 2009;Hansen 2015;Hean, Ødegård and Willumsen 2017;Ødegård 2017a, 2017b), the USA (Bond and Gittell 2010;Fletcher et al 2009;Friedmann et al 2012;Gunnison and Helfgott 2017;Hannaa et al 2020;Kras 2012;Lehman et al 2009;Orrick et al 2011;Shavit et al 2017;Wooditch, Sloas and Taxman 2017;Yamatani and Spjeldnes 2011), Australia (Denton 2014), and the UK (Moore and Hamilton 2016;Samele et al 2016).…”

Section: Resultsmentioning

confidence: 99%

Interprofessional Collaboration in Reintegration After Prison for Prisoners with Substance Abuse Issues: A Scoping Review

Larsen

Dale

Ødegård

2021

Int J for Crime, Justice & Social Democracy

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Reintegration after prison for prisoners with interlinked welfare needs has been one of the most challenging issues for decades in the criminal justice system. The WHO and the UN highlight the demand for well-functioning collaboration between professionals and welfare agencies handling these challenges. However, interprofessional collaboration has been an underdeveloped field of research and theory, especially concerning prisoners with substance abuse issues. The present study undertakes a scoping review of research on interprofessional collaboration in reintegration after prison for prisoners with substance abuse issues, particularly identifying factors that influence collaboration. Nineteen included studies from the USA, the U.K., Australia, and Norway show that relational and structural factors influence collaboration and that innovative projects are perceived as improving collaboration. A tentative conceptual model of factors that influence collaboration is presented and may serve as a basis for reflection and further development of a theoretical framework within the field of research.

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Section: Resultsmentioning

confidence: 99%

Interprofessional Collaboration in Reintegration After Prison for Prisoners with Substance Abuse Issues: A Scoping Review

Larsen

Dale

Ødegård

2021

Int J for Crime, Justice & Social Democracy

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“…The overriding aim of this research study was to explore the effectiveness of an exercise referral scheme as a health promotion intervention for Irish male prisoners with mental health symptoms, using a mixed methods design. The literature confirmed that imprisoned people have extraordinarily high levels of poor mental health and indicated several reasons why this is the case, highlighting social, economic and genetic circumstances as some of the main causes (Mannocci et al, 2015;Hoke 2015;Samele et al, 2016). It is clear from the literature reviewed that prisoners are known to experience mental illness to varying degrees and with many consequences, which range from mild anxiety and depression, to chronic self-harm and even suicide.…”

Section: Discussionmentioning

confidence: 95%

The efficacy of exercise referral as an intervention for Irish male prisoners presenting with mental health symptoms

O’Toole¹,

Maguire

Murphy

2018

IJPH

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Purpose The use of exercise as an intervention to improve health in the general population is well documented. The purpose of this paper is to explore whether an exercise referral scheme can be an effective health promotion tool for male prisoners in Ireland, presenting with mental health symptoms. Design/methodology/approach This mixed methods study with a pre- and post-intervention design was conducted in Mountjoy Prison, Dublin, which has a capacity for approximately 790 prisoners. Reliable and validated symptom assessment scales were used to assess levels of depression, anxiety, stress, self-esteem and anger amongst a sample of 40 prisoners pre- and post-intervention. The scales used were the Depression, Anxiety and Stress scale or DASS-42 (Lovibond and Lovibond, 1995), the Novaco Anger Scale (Novaco, 1994), the Rosenberg Self-Esteem Scale ( Rosenberg, 1965 ) and the Zung Self-Rated Anxiety Scale (Zung, 1971). Semi-structured interviews were also conducted with a subset of the participants post-intervention to further test and contextualise the symptom ratings. The data gathered from the self-rating scales were imported into SPSS 22 for statistical testing for significance. Wilcoxon's signed-rank test was then used to measure significance of changes. Thematic analysis was performed on the qualitative data. Findings In the post-intervention, significant levels of improvement were achieved in the levels of depression, anxiety (DASS), anxiety (Zung), stress, anger, and self-esteem for 29 of the 30 prisoners who completed the study. The incidence of normal mood scores rose from 33 to 90 per cent after the intervention; the incidence of extremely severe scores for anxiety changed from 40 to 7 per cent, severe stress scores changed from 27 to 3 per cent, normal stress levels rose from 17 to 73 per cent, marked anger ratings reduced from 40 to 3 per cent and low self-esteem levels reduced from 20 per cent of participants pre-intervention to 7 per cent post-intervention. In the main, participants perceived the experiences and outcomes of the intervention positively. Research limitations/implications There are some limitations to the design of this study. Operational circumstances within the prison at the start of this study prevented the authors from accessing a larger sample. A control group would add greatly to the study but this was not possible within a single prison setting. The possible influence of extraneous variables such as increased attention and social contact, and more time out of one's cell may have contributed to improved symptom scores as much as the exercise intervention in this study. This possibility was recognised from the outset but the authors proceeded because the aim was to test if an exercise referral package (and all that inevitably goes with that) would make a difference for symptomatic prisoners. Practical implications The organisation and smooth running of the intervention and the positive results therein underpinned the practicality of this project. The significantly positive results con...

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“…In a time of economic constraint, it is unclear how feasible this is. Alternative models of PMHS have been proposed, including the contentious topic of designated ‘prison hospitals’, 19 , 20 as are present across areas of Europe and the USA. 21 – 23 However, there are ethical implications for implementing services of this type.…”

Section: Discussionmentioning

confidence: 99%

Managing returns to prison from medium-secure services: qualitative study

2021

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Background Little is known about factors that influence discharge decision-making for people admitted to medium-secure services from prison, particularly for those who are returned to prison following treatment. Aims To explore the organisational influences on care pathways through medium-secure services for those admitted from prison. Method We recruited 24 clinicians via purposive and snowball sampling; 13 shared their experiences via a focus group, and 11 shared their experiences via individual semi-structured interviews. A thematic analysis was conducted, producing three overarching themes: maintenance of throughput and service provision, class of two systems, and desirable and undesirable patients. Results Data indicated external factors that direct and, at times, limit clinicians’ pathway decisions, including commissioning criteria and legal status under the Mental Health Act 1983 and within the criminal courts system (i.e. whether on remand or sentenced). These factors also influence how clinicians view the role and function of medium-secure services within the wider forensic mental health system, and therefore the types of patients that are deemed ‘appropriate’ for continued treatment when making discretionary pathway decisions. Conclusions There remains a deficit in adequate resources to meet the mental health needs of prisoners who are admitted to medium-secure services. To meet the clinical need of all admissions, criteria for prolonged treatment in medium-secure services needs to be reconsidered, and it is likely that provision for the medium-secure hospital estate will need to increase substantially if effective rehabilitation of those who transfer from prison is to take place.

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Key successes and challenges in providing mental health care in an urban male remand prison: a qualitative study

Cited by 17 publications

References 23 publications

Interprofessional Collaboration in Reintegration After Prison for Prisoners with Substance Abuse Issues: A Scoping Review

Interprofessional Collaboration in Reintegration After Prison for Prisoners with Substance Abuse Issues: A Scoping Review

The efficacy of exercise referral as an intervention for Irish male prisoners presenting with mental health symptoms

Managing returns to prison from medium-secure services: qualitative study

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