Women’s experiences of prison-based mental healthcare: a systematic review of qualitative literature

Bright, Ann‐Marie; Higgins, Agnès; Grealish, Annmarie

doi:10.1108/ijph-09-2021-0091

Cited by 17 publications

(12 citation statements)

References 42 publications

(174 reference statements)

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“…What was interesting was that for the most part the studies focused on female participants. What was also evident was that none of these studies were conducted in the context of mental ill‐health or published by mental health focused journals, so it is possible that women in prison, who experience mental ill‐health are marginalized by the research community as highlighted by Bright et al (2022). Another interesting finding was the locations where the articles originated.…”

Section: Discussionmentioning

confidence: 99%

Nursing in a prison context: A focused mapping review and synthesis of international nursing literature

Bright

Higgins

Grealish

2023

Journal of Advanced Nursing

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AimTo provide a snapshot of the extent to which nursing and the prison context features in non‐specialist/generic nursing journals.DesignFocused mapping review and synthesis.MethodsRelevant articles were examined for the extent to which they featured nursing and the prison context. A descriptive and contextual analysis of the data was carried out to provide a topography and synthesis of the key trends identified.Data SourcesArticles meeting criteria for nursing and the prison context in relevant non‐specialized, generic nursing journals (n = 7) from January 2018 to December 2022.ResultsFour thousand, nine hundred and twelve (n = 4912) articles were published during the review period of which (n = 14) met inclusion criteria. The key trends identified are presented under three headings: taking an advocacy approach for better health and well‐being, examining self‐determination and autonomy in prison populations and nursing in the prison context.ConclusionNursing and the prison context features in non‐specialized and generic nursing journals but sparsely and infrequently. There is a need for greater visibility of nursing and the prison context in nursing journals to help reduce stigma and marginalization of those working and those detained in prison.Implication for the Profession and/or Patient CareNurses working in prison environments often manage extremely complex care needs. It is necessary to feature all nursing care environments in nursing journals so as to increase visibility and to act as a source of education for all.Impact (What Problem Did the Study Address? Main Findings? Where/Whom Will the Research Have Impact on)The findings of this review will have impact on all nurses engaged in practice and research as it highlights the extent to which nursing in a prison context is featured in non‐specialized nursing journals and also speaks to the challenges faced by those working and detained in prison.Patient or Public ContributionNo patient or public contribution. This was a review of existing literature.

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Section: Discussionmentioning

confidence: 99%

Nursing in a prison context: A focused mapping review and synthesis of international nursing literature

Bright

Higgins

Grealish

2023

Journal of Advanced Nursing

Self Cite

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“…Women and minority ethnic groups have experience of dismissal by doctors [64] and as this study demonstrates a significantly higher prevalence of all conditions in females, gender identity must be considered in the assessment and implications of these conditions. Recent research on autism in women highlights striking differences with their male counterparts both in the community and in prison [65][66][67]. The presence of autistic traits and pain was reported by all trans and most nonbinary participants, so further research into the high prevalence rates in these populations are also warranted.…”

Section: Discussionmentioning

confidence: 99%

Autistic Traits Correlate with Chronic Musculoskeletal Pain: A Self-Selected Population Based Survey

Ryan¹,

BEER²,

Thomson³

et al. 2023

OBM Neurobiol

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Chronic musculoskeletal pain is an increasingly frequent feature in young people. Many exhibit a range of additional physical and psychological features and fulfil criteria for fibromyalgia. Hypermobility, irritable bowel syndrome and migraine are frequent comorbid conditions. These are all in part mediated by dysfunction of the autonomic nervous system and commonly include fatigue, poor sleep and brain fog. Anxiety, social withdrawal and a range of autistic traits are frequently described by those with chronic musculoskeletal pain, and autistic people are over-represented among patients attending pain clinics. This study was designed to explore the correlation between the degree of pain and autistic traits described within a self-selected community-based population. The study used a nonexperimental, correlational design with data collected from a volunteer sample of 448 adults (aged 18-60) who completed online self-report questionnaires assessing each of autistic traits (RAADS-R score), fibromyalgia symptoms (ACR criteria) and hypermobility (Beighton’s test). Correlation analysis and linear regressions were used to test the relationships between each disorder. Data was analysed using parametric and non-parametric techniques to assess prevalence, strength and significance of relationships, causes of variance within populations and mediations. Our self-selected community population had a mean age of 24 years and was 77% female. The prevalence of significant autistic traits, fibromyalgia and hypermobility were all much greater than expected at 63.4%, 40.6% and 43.7% respectively. Those identifying as non-binary or trans had the highest rates. Fibromyalgia was significantly associated with autistic traits, with dysautonomia a stronger predictor than chronic pain. Regression analyses revealed hypermobility partially mediated the relationship between autistic traits and fibromyalgia. This is the first community study to provide evidence for a direct association between fibromyalgia and autistic traits. Although self-selected, the findings in our predominantly young female population confirm that these conditions are common and that those with autistic traits are at significantly increased risk of developing fibromyalgia, especially if they are hypermobile.

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“…Women also described staff as being unresponsive or refusing requests for mental health care or being told that there were long waits for such care; all of which negatively impacting on them (Fitzpatrick et al , 2022). This highlights how staff interactions can either contribute or help to ameliorate suicidal or other extreme behaviours as well as the need for an organisational culture that focus on treatment as opposed to punishment (Bright et al , 2023). Indeed, negative interactions with staff can trigger memories of previous traumatic experiences, which can lead to self-harming behaviour or suicidal ideation.…”

Section: Discussionmentioning

confidence: 99%

Understanding experiences of suicidality within women’s prisons in England: a systematic review of the qualitative literature

Struthers,

Mahoney

2023

JFP

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Purpose Suicide and suicide-related incidents have increased within women’s prisons in the UK. This paper aims to synthesise the findings of qualitative literature, to gain a deeper understanding of the how women and staff in English prisons experience and explain the causes of their suicidal behaviours. Design/methodology/approach A systematic search of five electronic databases, namely, MEDLINE, APA Psychological Information Database (Psycinfo), Cumulative Index to Nursing and Allied Health Literature (with full text – CINAHL), Psychology and Behavioural Sciences Collection and APA PsycArticles, was completed in January 2023. This study’s search strategy returned 1,714 articles, 7 of which were included for review. To identify relevant themes within the data, Thomas and Harden’s (2008) framework was applied. Quality appraisal was conducted by using Joanna Briggs’ Institute Checklist for Qualitative Research (Joanna Briggs Institute, 2021). Findings Four themes were determined, which describe the causes of suicidal behaviours in women’s prisons in England; mental health and trauma, lack of support from services and staff, contact with family and self-harm as a coping strategy. Important sub-themes were also identified including the prison environment and poor relationships with staff. Practical implications Further qualitative research is needed, however, the findings suggest greater support is required to aid positive mental health, including the provision of trauma informed coping strategies and improved staff training. Originality/value To the best of the authors knowledge, this is the first systematic review conducted on the factors contributing to women’s suicide in English prisons using qualitative literature.

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Women’s experiences of prison-based mental healthcare: a systematic review of qualitative literature

Cited by 17 publications

References 42 publications

Nursing in a prison context: A focused mapping review and synthesis of international nursing literature

Nursing in a prison context: A focused mapping review and synthesis of international nursing literature

Autistic Traits Correlate with Chronic Musculoskeletal Pain: A Self-Selected Population Based Survey

Understanding experiences of suicidality within women’s prisons in England: a systematic review of the qualitative literature

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