Health screening at first reception into prison

Birmingham, Luke; Mason, Debbie; Грубин, Дон

doi:10.1080/09585189708412022

Cited by 35 publications

(16 citation statements)

References 2 publications

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“…In the follow-up part of their study, Birmingham et al (1997) found that mental disorder undetected on reception into prison was unlikely to be picked up later. Although we did not look at this in the current study, there is no reason to believe that the situation is any different for female remand prisoners.…”

Section: Psychiatric Morbidity and Offendingmentioning

confidence: 95%

Prevalence of mental disorder in female remand prisons

Parsons¹,

Walker²,

Грубин³

2001

J. Forensic Psychiatry

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High rates of undetected mental disorder have been reported in male remand prisons. Little is known about the levels of mental disorder that are undetected among female remand prisoners. The aims of the study were to assess the prevalence of mental disorder in newly remanded female prisoners and the ef cacy of the prison health screen at identifying mental disorder. To achieve these aims consecutive female remand prisoners were screened for mental disorder at reception to prison. Diagnosis of mental disorder was compared with the ndings from the standard prison health screen. There were 227 (59%) women who had at least one mental disorder (excluding substance dependence), of whom 42 (11%) were psychotic. The prison reception screening identi ed 81 women as having a mental disorder, and nine of them were psychotic. These results lead us to conclude that the prevalence of mental disorder, including psychoses, is very high in this population. The existing prison reception screening does not identify the majority of cases of mental disorder.

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Section: Psychiatric Morbidity and Offendingmentioning

confidence: 95%

Prevalence of mental disorder in female remand prisons

Parsons¹,

Walker²,

Грубин³

2001

J. Forensic Psychiatry

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“…A limitation of this study is that prisoners' health was assessed exclusively by self-report and reviewing the medical notes. Including a physical examination may result in higher morbidity rates, as prison medical records underdetect the morbidity of prisoners [12].…”

Section: Discussionmentioning

confidence: 99%

Health of elderly male prisoners: worse than the general population, worse than younger prisoners

Fazel

Hope²,

O’Donnell³

et al. 2001

Age and Ageing

211

178

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Background: assessment of the health of men aged 60 and over in English and Welsh prisons. Methods: 203 men were interviewed from 15 prisons, comprising one-®fth of all sentenced men in this age group in England and Wales. Assessment included semi-structured interviews covering chronic and acute health problems, and recording of major illnesses from the medical notes and prison reception health screen. Results: 85% of the elderly prisoners had one or more major illnesses reported in their medical records, and 83% reported at least one chronic illness on interview. The most common illnesses were psychiatric, cardiovascular, musculoskeletal and respiratory. Conclusion: the rates of illness in elderly prisoners are higher than those reported in other studies of younger prisoners and surveys of the general population of a similar age. The increasing number of elderly people in prison poses speci®c health challenges for prison health-care services.

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“…59 It is known that, if health issues are not identified at reception, they are unlikely to be detected throughout a person's time in prison. 60 …”

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confidence: 99%

The effectiveness of the Older prisoner Health and Social Care Assessment and Plan (OHSCAP): a randomised controlled trial

Forsyth

Archer-Power

Senior

et al. 2017

Health Serv Deliv Res

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Background Older people are the fastest-growing group in prisons in England and Wales and have complex health and social care needs that often remain unmet. Objectives (1) Evaluate the efficacy of the Older prisoner Health and Social Care Assessment and Plan (OHSCAP) in improving (i) the ability to meet older male prisoners’ health and social care needs, (ii) health-related quality of life (HRQoL), (iii) depressive symptoms and (iv) functional health and well-being and activities of daily living; (2) assess the quality of care plans produced; (3) explore the experiences of older prisoners receiving, and staff conducting, the OHSCAP; and (4) evaluate the cost-effectiveness of the OHSCAP compared with treatment as usual (TAU). Design Multicentre, parallel-group randomised controlled trial (RCT) with follow-up at 3 months, with a nested qualitative study and quality audit of care plans (n = 150, 68%). Setting Ten English prisons. Participants Four hundred and ninety-seven newly arrived male prisoners aged ≥ 50 years with a discharge date at least 3 months from recruitment. A total of 14 prisoners and 11 staff participated in qualitative interviews. Intervention Randomisation to OHSCAP or TAU. The OHSCAP group had health and social needs assessed by a trained health-care worker or prison officer. Care plans were devised and subsequent actions included professional support and appropriate referrals. Main outcome measures Primary outcome measure – mean number of unmet health and social care needs as measured by the Camberwell Assessment of Need – Short Forensic Version. Secondary outcome measures – measures of functional health and well-being, depressive symptoms and HRQoL. A health economic evaluation was undertaken using service contact between baseline and follow-up and appropriate unit cost information. Results A total of 497 prisoners were recruited (248 to OHSCAP and 249 to TAU). The 404 completed follow-ups were split evenly between the trial arms. No significant differences were observed between the intervention and TAU groups in relation to the primary outcome measure. The OHSCAP did not demonstrate convincing benefits in HRQoL over TAU, and there were no significant differences in relation to costs. Audit and qualitative data suggest that the intervention was not implemented as planned. Limitations As a result of the limited follow-up period, potential long-term gains of the intervention were not measured. Some of the standardised tools had limited applicability in prison settings. Cost-effectiveness data were limited by unavailability of relevant unit cost data. Conclusions The OHSCAP failed in its primary objective but, fundamentally, was not implemented as planned. This appears to have been attributable, in some part, to wider difficulties currently affecting the prison landscape, including reduced levels of staffing, the loss of specialist support roles for such initiatives and increased prevalence of regime disruption. Future work Partnership working and information sharing across disciplines within prison settings require improvement. Research should explore the potential involvement of other prisoners and third-sector organisations in identifying and addressing older prisoners’ health and social care needs to better match community provision. Further examination should be undertaken of how the prison regime and system affects the well-being of older prisoners. Future prison-based RCTs should carefully balance the fidelity of initiatives being evaluated and testing in a ‘real-life’ setting. Trial registration Current Controlled Trials ISRCTN11841493. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 5, No. 31. See the NIHR Journals Library website for further project information.

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Health screening at first reception into prison

Cited by 35 publications

References 2 publications

Prevalence of mental disorder in female remand prisons

Prevalence of mental disorder in female remand prisons

Health of elderly male prisoners: worse than the general population, worse than younger prisoners

The effectiveness of the Older prisoner Health and Social Care Assessment and Plan (OHSCAP): a randomised controlled trial

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