Challenges for prison governors and staff in implementing the Healthy Prisons Agenda in English prisons

Ismail, Nasrul; Viggiani, N. De

doi:10.1016/j.puhe.2018.06.002

Cited by 10 publications

(6 citation statements)

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“…PSIs form part of the therapeutic delivery model but these interventions are often not delivered due to the difficulties of operationalising interventions in a correctional setting [ 28 ]. Contextually, [ 29 ] [ 30 ]) extend this argument to suggest that the prisons operate with a command-and-control, hierarchical management structure and an overarching suspicion of public health approaches will also further limit the ambition of delivering genuine equivalence of care in prison healthcare.…”

Section: Discussionmentioning

confidence: 99%

Estimating a treatment effect on recidivism for correctional multiple component treatment for people in prison with an alcohol use disorder in England

Sondhi

Leidi

Best

2020

Subst Abuse Treat Prev Policy

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Background There is an emerging literature on the impact of correctional substance abuse treatment (SAT) on reoffending for people in prison with substance misuse issues. This study estimates a pathway effect for people in prison receiving multiple component treatments for an alcohol use disorder (AUD) to reduce reoffending by applying treatment effect estimation techniques for observational studies. Treatment groups comprised pharmacological treatments, psychosocial interventions (PSIs) and interventions that incorporate Risk Need Responsivity (RNR) programming. RNR compliant treatment matches treatment dose to the risk of reoffending, targets criminogenic need and is tailored to a person’s learning style. Methods Multiple treatment effect estimators are provided for people in prison diagnosed with an AUD in England when compared to a derived control group for: Pharmacological treatment only; RNR compliant treatment and PSIs. Results The outcomes for RNR compliant treatment suggest a lower recidivism rate compared to the control group. Pharmacological only treatment results in a statistically significant higher level of reoffending relative to the control group. Conclusions The creation of a universal system of ‘equivalence of care’ framed within a public health context in English correctional SAT may have had an unintended consequence of diluting approaches that reduce recidivism. There is an opportunity to develop an integrated, cross-disciplinary model for correctional SAT that unites public health and RNR compliant approaches.

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Section: Discussionmentioning

confidence: 99%

Estimating a treatment effect on recidivism for correctional multiple component treatment for people in prison with an alcohol use disorder in England

Sondhi

Leidi

Best

2020

Subst Abuse Treat Prev Policy

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“…Many interventions available in the community such as OST, naloxone distribution, needle exchange and other harm reduction techniques are difficult to extend to the prison environment (Michel et al, 2015;Stone, 2016;Stöver and Hariga, 2016). As has been argued in relation to the implementation of health initiatives in some prison systems, this is due to political resistance, austerity, lack of resources and the dominance of the law and order ethos (Duke, 2003;Kolind et al, 2013;Ismail and deViggiani, 2018a). The conflicts between the health and crime framings intensify within the prison space and have implications for the ways in which the people in prison who use drugs themselves are framed by policy makers and for the drug interventions available within this environment, but also for ways in which prisoners themselves respond to, adapt and resist these framings.…”

Section: National Levelmentioning

confidence: 99%

Framing and reframing drug ‘problems’ in prison spaces and populations

Duke¹,

Kolind²

2020

Risk and Substance Use

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“…87,560 prisoners in England and Wales (Ministry of Justice, 2023). Many are marginalised, experiencing high levels of social disadvantage coupled with disproportionately high incidences of ill health (Ismail and deViggiani, 2018), complex health and social care needs, aggression, violence, substance misuse and histories of trauma (Baybutt et al, 2019). The high prevalence of mental ill health (WHO, 2023) affected by enforced solitude, violence, a lack of meaningful activity and isolation from social networks (Woodall and Baybutt, 2022).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic gardening in English prisons post-pandemic: implications for health and wellbeing

Farrier,

Baybutt

2024

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PurposeGreener on the Outside for Prisons (GOOP) is a therapeutic horticulture programme targeting the high levels of complex health and social care needs in prisons in England. The COVID-19 pandemic and resulting lockdowns led to unprecedented disruption in prisons in England. This paper examines the experiences of prisoners both during and post-lockdowns in four prisons, to understand the effects of participation in GOOP on health and wellbeing after the disruption of restrictions, and identify implications for developing this programme further.Design/methodology/approachThe paper is based on original qualitative data gathered from in-depth narrative-based interviews and focus groups with prisoners and staff in four English prisons. Audio data was transcribed and subject to a thematic analysis, drawing from a realist-informed lens.FindingsThematic analysis revealed five key themes: reimagining the GOOP context; increasing empathy between participants; building sense of coherence; reconnecting with nature and a joined-up connection with provider services. The main arguments centre on horticulture in prisons remaining under-utilised as a means of promoting good health and wellbeing, although there is enthusiasm from staff to provide green spaces for the most vulnerable prisoners and develop a range of mechanisms to connect people in prison with nature.Originality/valueThis paper focuses on new knowledge arising from an unprecedented situation in English prisons, from key stakeholders on the frontline of garden activities. Accounts demonstrate the extent of the health and wellbeing benefits of participation in such activities in this challenging environment, which has implications for practice for prisons more widely.

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Challenges for prison governors and staff in implementing the Healthy Prisons Agenda in English prisons

Cited by 10 publications

References 9 publications

Estimating a treatment effect on recidivism for correctional multiple component treatment for people in prison with an alcohol use disorder in England

Estimating a treatment effect on recidivism for correctional multiple component treatment for people in prison with an alcohol use disorder in England

Framing and reframing drug ‘problems’ in prison spaces and populations

Therapeutic gardening in English prisons post-pandemic: implications for health and wellbeing

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