Social Care in Prison: Emerging Practice Arrangements Consequent upon the Introduction of the 2014 Care Act

Tucker, Susan; Hargreaves, Claire; Roberts, Amy Restorick; Anderson, I.; Shaw, Jenny; Challis, David

doi:10.1093/bjsw/bcx115

Cited by 23 publications

(29 citation statements)

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“…To better meet equivalency with the community and to enhance the quantity, scope and targeting of services additional research should explore and identify the role other prisoners and third sector organisations (such as older adult specialist services) may have in identifying and suitably meeting older prisoners' health and social care needs (Forsyth et al, 2017). There have been recent efforts towards using prisoner peers to meet older prisoner health and social care needs, but the appropriateness and effectiveness of such interventions is largely unknown (Tucker et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…The introduction of the Care Act (2014) also transpired during the data collection phase of this study (Forsyth et al, 2017). Essentially, this meant that local authorities became responsible for the provision of social care for prisoners (Tucker et al, 2018). The OHSCAP was designed to complement the Care Act by providing a system for meeting the social care needs of older prisoners who did not meet the high threshold for social care packages set by local authorities (Forsyth et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

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The Older Prisoner Health and Social Care Assessment and Plan (OHSCAP) versus Treatment as Usual: A Randomised Controlled Trial

Forsyth

Webb

Power³

et al. 2020

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Background Older adults are the fastest-growing subgroup among prisoners in England and Wales and have more health and social care needs than their younger counterparts and those the same age living in the community . We hypothesised that the Older prisoner Health and Social Care Assessment and Plan (OHSCAP) would significantly increase the proportion of met health and social care needs three months after prison entry, compared to treatment as usual (TAU).MethodsA parallel randomised controlled trial (RCT) was conducted at ten prisons in the North of England. Males aged 50 and over received the OHSCAP or TAU. The allocation procedure was minimisation with a random element. The OHSCAP process involved individuals having their needs assessed, care plans being created and reviewed. TAU encompassed the standard prison health assessment. The trial was registered with the UK Clinical Research Network Portfolio (ISRCTN ID: 11841493) and was closed on 30th November 2016.ResultsData were collected between 28th January 2014 and 06th April 2016. 249 older prisoners were assigned TAU of which 32 transferred prison; 12 were released; 2 withdrew and 1 was deemed unsafe to interview. 253 prisoners were assigned the OHSCAP of which 33 transferred prison; 11 were released; 6 withdrew and 1 was deemed unsafe to interview. Consequently, data from 202 participants were analysed in each of the two groups. There were no significant differences in the number of unmet needs as measured by the Camberwell Assessment of Needs – Forensic Short Version (CANFOR-S). The mean number of unmet needs for the OHSCAP group at follow-up was 2.03 (SD=2.07) and 2.06 (SD= 2.11) for the TAU group (RR = 0.088; 95% CI -0.276 to 0.449, p = 0.621). No adverse events were reported. Conclusion Those received the OHSCAP did not experience an improvement to the meeting of the needs in comparison to the TAU g. This was largely due to the OHSCAP not being implemented as planed due to a national prison crisis.The OHSCAP was fundamentally not implemented as planned, partly due to the national prison staffing crisis that ensued during the study period. Therefore, those receiving OHSCAP did not experience improved outcomes compared to those who received TAU. Trial RegistrationISRCTN11841493 25/10/2013Protocol available at: http://www.isrctn.com/ISRCTN11841493

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Older Prisoner Health and Social Care Assessment and Plan (OHSCAP) versus Treatment as Usual: A Randomised Controlled Trial

Forsyth

Webb

Power³

et al. 2020

Preprint

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“…This is also consistent with recent government guidance in one country (Munday, Leaman, & O’Moore, 2017) End-of-life care and hospices - although compassionate or early release may appear to be the most obvious route for prisoners reaching the end of their lives or with significant health and social care needs such as dementia, in many high income countries it is used sparingly for fear of public censure (Justice Committee, 2013; Loeb, Penrod, McGhan, Kitt-Lewis, & Hollenbeak, 2014). Therefore, evaluations of various end of life options could be useful, potentially building upon the USA-based hospice work, but including cell-based and community transfer options as well. Personal care – this could include the development and evaluation of a model of practice to reflect the main way that the social care needs of prisoners are likely to be assessed and attended (Tucker et al, 2017). Structured programmes – the building and evaluation of programmes of activities for prisoners, potentially by using successful community programmes adapted for prison and for post-release reintegration – which is a particularly under-researched area regarding older prisoners (Cooney & Braggins, 2010; Kamigaki & Yokotani, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Personal care – this could include the development and evaluation of a model of practice to reflect the main way that the social care needs of prisoners are likely to be assessed and attended (Tucker et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…There is a dearth of research and evaluations of social care practice in prisons generally, and for older prisoners specifically, with a lack of overarching programmes, models or guidelines (Senior et al, 2013; Tucker et al, 2017), and no systematic reviews found to support development of the field. A systematic review of older prisoner ‘care’ interventions only described two papers which supported prisoners social care needs through structured day programmes (Stevens et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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A systematic integrative review of programmes addressing the social care needs of older prisoners

et al. 2019

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Background The number of older prisoners has risen exponentially over the last two decades, especially in high-income countries. Due to the increased and somewhat inadequately met health and social care needs of this group of prisoners, coupled with their vulnerability arising from higher levels of isolation, poverty and exploitation, financial costs have spiralled and human rights concerns have grown. This review aimed to present an overview of programmes that addressed older prisoners’ social care needs, a particularly underdeveloped area, with a view to assessing the extent to which they could inform policy and practice. Methods Following Whittemore and Knafl’s (J Adv Nurs 52:546-553, 2005) integrative review approach, a comprehensive search - including 16 electronic databases and hand searching - was undertaken up to May 2017 using search terms related to context, function and disability. The quality of included papers was assessed, data were extracted using a review-specific form based on the PICO formula, and research questions addressed using a narrative synthesis approach. Additionally, reporting followed PRISMA guidelines. Results A total of 29 papers were selected for inclusion, the majority of which focused on hospice programmes, with the remainder describing personal care-focused services, structured day programmes, and adaptations to prison operations (regime) and accommodation in support of prisoners’ social care needs. Whilst the programmes were reported to have some positive impacts on prisoners and the prison overall, and programmes were perceived to be cost-effective or cost-neutral, outcomes regarding staff were more mixed. Findings were tempered by the methodological shortcomings of the included papers, with many assessed as low quality, with a lack of prisoner participation, and an absence of experimental studies. Conclusions The evidence base for programmes addressing older prisoners’ social care needs appears to be at an embryonic stage. Further robust studies evaluating the effectiveness and cost-effectiveness of programmes addressing older prisoners’ social care needs are imperative in better informing policy and practice in support of this highly vulnerable group. Electronic supplementary material The online version of this article (10.1186/s40352-019-0090-0) contains supplementary material, which is available to authorized users.

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The Limits of Family for Men in Poverty

Hughes

Tarrant²

2023

Palgrave Macmillan Studies in Family and Intimate Life

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Social Care in Prison: Emerging Practice Arrangements Consequent upon the Introduction of the 2014 Care Act

Cited by 23 publications

References 7 publications

The Older Prisoner Health and Social Care Assessment and Plan (OHSCAP) versus Treatment as Usual: A Randomised Controlled Trial

The Older Prisoner Health and Social Care Assessment and Plan (OHSCAP) versus Treatment as Usual: A Randomised Controlled Trial

A systematic integrative review of programmes addressing the social care needs of older prisoners

The Limits of Family for Men in Poverty

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