A partnership approach to implementing smoke-free prisons

O’Moore, Éamonn; Davies, Kate; Mulholland, I. R.

doi:10.1136/bmj.g5443

Cited by 2 publications

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“…The implementation of the smokefree policy in prisons across England and Wales will see prisons go through a major period of change and reform (O'Moore et al, 2014). This research has shown how smoking remains a fundamental activity that is central to the 'fabric' of institutional lifepolicies which seek to challenge this, it seems from evidence gathered here, will cause disruption with the potential for illegal tobacco markets emerging (de Viggiani, 2006).…”

Section: Discussionmentioning

confidence: 75%

Perspectives on implementing smoke-free prison policies in England and Wales

Woodall

Tattersfield

2017

Health Promotion International

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This paper explores prisoner and staff views of the current smoking policy in English and Welsh prisons (a partial ban permitting smoking in prison cells) and gauges perceptions of the implications of the forthcoming policy change which will see a total smoking ban within all parts of the institution. Five focus group discussions in one medium security male prison in England were undertaken. Three focus groups were undertaken with prisoners (both smokers and non-smokers) and two focus groups with staff. The findings suggest that smoking is embedded in the fabric of prison life and serves several functions, including alleviating anxiety in prisoners. The current smoking policy was perceived as being a fair policy that both supported smoking and non-smoking prisoners. There were concerns, however, that a total smoking ban would have adverse outcomes for prisoners and staff, including deleterious effects on mental health and the potential for violence. The paper concludes by suggesting that the incoming policy, which sees a total smoking ban in prisons, is laudable, but this research suggests that without careful implementation there may be adverse health and organisational outcomes.

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Section: Discussionmentioning

confidence: 75%

Perspectives on implementing smoke-free prison policies in England and Wales

Woodall

Tattersfield

2017

Health Promotion International

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“…Whether the same resource is provided to prevention activities, as opposed to promotion, is debateable given the data and comments from the inspection reports. The implementation of the smoke-free policy in prisons across England and Wales was predicted to see prisons go through a major period of change and reform (O'Moore, Davies, & Mulholland, 2014). While the smoke-free prison agenda dominated the 2018 reports, most prisons were managing this successfully.…”

Section: Discussionmentioning

confidence: 99%

Promoting health and well-being in prisons: an analysis of one year’s prison inspection reports

Woodall

Freeman

2019

Critical Public Health

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There is renewed optimism about the development of policy and practices related to promoting health in prison settings, driven by the epidemiological data which suggests that the health of people in prison remains very poor. In England and Wales, the focus of this paper, independent prison inspections, conducted by Her Majesty's Inspectorate of Prisons for England and Wales (HMIP), form a critical element in how prisons are assessed. This includes efforts within prisons to promote health and well-being. This paper, using content and thematic analysis, analyses one year (2018) of inspection reports in 38 male prisons. Analysis demonstrates that a 'whole-prison approach' to promoting health and well-being is poorly understood, with only 41% of prisons showing characteristics of this approach. Of the male prisons inspected in 2018, there was good availability of disease prevention activities and screening programmes (88%) and smoking cessation support (94%). The provision of peer support mechanisms, access to condoms and access to health information was highly variable across prisons. The paper makes several conclusions about the state of health promotion in prison and moreover the current criteria adopted by HMIP to assess health and well-being which seems to offer a very narrow biomedical perspective.

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A partnership approach to implementing smoke-free prisons

Cited by 2 publications

References 0 publications

Perspectives on implementing smoke-free prison policies in England and Wales

Perspectives on implementing smoke-free prison policies in England and Wales

Promoting health and well-being in prisons: an analysis of one year’s prison inspection reports

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