P-43 Palliative care for prisoners: a partnership approach

Kemp, R.A.T. de; Milton, Libby; Michie, Gerald; Wotherspoon, Angela

doi:10.1136/bmjspcare-2018-hospiceabs.68

Cited by 3 publications

(2 citation statements)

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“…54 In Scotland, a community collaboration model was reported between a local hospice and HMP Edinburgh. 55 A UK study outlined three approaches to palliative care delivery: individual prison, cluster and regional, emphasising the need for an integrated model of care in UK prisons. 56 Evidence from England illustrated notable examples of the model, including a Norwich prison with a 15-bed unit for older adults which provides care within the prison environment with support from hospice nurses and medical staff.…”

Section: Resultsmentioning

confidence: 99%

“…8 The grey literature search yielded an additional 18 publications for inclusion, from eight countries (USA, Switzerland, Scotland, Ireland, Canada, Australia, New Zealand and the UK). There were eight web articles, [48][49][50][51][59][60][61][62] two poster presentations, 55,56 one conference abstract, 54 two official reports, 63,64 four policy documents 58,65,66 and one charity publication. 57 Findings from the grey literature highlighted two key themes illustrating policy and practice debates.…”

Section: Facilitators and Challengesmentioning

confidence: 99%

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How do people in prison access palliative care? A scoping review of models of palliative care delivery for people in prison in high-income countries

Gilbert,

Viggiani,

de Sousa Martins

et al. 2024

Palliat Med

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Background: An ageing prison population with complex health needs combined with punitive sentencing practices means palliative care for incarcerated individuals is increasingly important. However, there is limited evidence regarding the models of care delivery in high-income countries, and their associated challenges and benefits. Aim: To develop a typology of models of palliative care provision for incarcerated individuals, synthesise evidence of their outcomes and describe facilitators of and challenges in delivering different models of palliative and end-of-life care in prisons. Design: Scoping review following Arksey and O’Malley, with narrative synthesis. The protocol was registered prospectively (reviewregistry1260). Data sources: MEDLINE, EMBASE, CINAHL, PsycINFO, the Social Sciences Citation Index and grey literature were searched on 15th March 2023. The Mixed Methods Appraisal Tool (MMAT) was used for quality appraisal. Results: A total of 16,865 records were screened; 22 peer-reviewed articles and 18 grey literature sources met the inclusion criteria. Three models were identified: Embedded Hospice, Outsourcing Care and Community Collaboration. The Embedded Hospice model shows potential benefits for patients and prisons. Outsourcing Care may miss opportunities for comprehensive care. Collaborative Care relies on proactive prison-community relationships that could be formalised for improvement. Psychosocial and bereavement needs of those dying in prison and their caregivers lack sufficient documentation. Conclusion: Further research is needed to evaluate prison hospice costs and examine how prison hospices impact compassionate release usage. Beyond the USA, policies might formalise care pathways and recognise best practices. Further investigation to address psychosocial needs of people in prison with life-limiting illnesses and post-death bereavement support is required.

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Section: Resultsmentioning

confidence: 99%

Section: Facilitators and Challengesmentioning

confidence: 99%

How do people in prison access palliative care? A scoping review of models of palliative care delivery for people in prison in high-income countries

Gilbert,

Viggiani,

de Sousa Martins

et al. 2024

Palliat Med

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Palliative and End-of-Life Care in Prison

Aston

2023

Nursing in Prison

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A thematic analysis of Prison and Probation Ombudsman fatal incident reports involving prisoners on palliative/end-of-life care pathways in the long-term high security estate in England and Wales

Kirkham¹

2021

Preprint

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Objectives In this study, the clinical and non-clinical factors that may influence the provision of palliative/end of life care in long-term high security prisons in England and Wales are identified through the lens of Prison and Probation Ombudsman (PPO) fatal incident reports. Methods This work extends that of McParland and Johnston (2019) and contemporary literature published in the subsequent period to 2020 through a thematic analysis of fatal incident reports published by the PPO in the period 2014-2020. The results are discussed in context of the Dying Well in Custody Charter and positioned within the extant literature. Conclusions The results suggest that prisoners in long-term high security prisons who are receiving palliative care are more likely than not to receive care that is comparable to that in the community. Directions for further research are also identified.

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P-43 Palliative care for prisoners: a partnership approach

Cited by 3 publications

References 0 publications

How do people in prison access palliative care? A scoping review of models of palliative care delivery for people in prison in high-income countries

How do people in prison access palliative care? A scoping review of models of palliative care delivery for people in prison in high-income countries

Palliative and End-of-Life Care in Prison

A thematic analysis of Prison and Probation Ombudsman fatal incident reports involving prisoners on palliative/end-of-life care pathways in the long-term high security estate in England and Wales

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