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Int J Prison Health. 2020 Apr 02;16(2):123-134. doi: 10.1108/IJPH-01-2020-0004.

Perceptions of the effectiveness of health care for probationers.

International journal of prisoner health

Coral Sirdifield, Rebecca Marples, David Denney, Charlie Brooker

Affiliations

  1. School of Health and Social Care, University of Lincoln, Lincoln, UK.
  2. School of Law and Social Sciences, University of Suffolk, Ipswich, UK.
  3. Department of Criminology and Sociology, Royal Holloway University of London, Egham, UK.

PMID: 33634651 DOI: 10.1108/IJPH-01-2020-0004

Abstract

PURPOSE: This study aims to investigate the views of commissioners, providers and criminal justice staff on how effective current health-care provision is at meeting the health needs of people on probation. Understanding perceptions of what constitutes effective provision, where barriers are encountered and where improvements could be made is an important step towards improving access to care for this hard-to-reach group.

DESIGN/METHODOLOGY/APPROACH: The research was part of a wider study. This paper focusses on findings from case studies conducted via semi-structured telephone interviews with 24 stakeholders in a purposive sample from six geographical areas of England. Interviews were conducted by researchers from a variety of backgrounds and an individual with lived experience of the criminal justice system. Data were analysed using thematic analysis.

FINDINGS: Participants provided examples of effective health-care provision, which largely involved multi-agency partnership working. It was apparent that there are many barriers to providing appropriate health-care provision to people on probation, which are underpinned by the complexity of this population's health-care needs, the complexity of the health-care landscape and problematic commissioning processes.

PRACTICAL IMPLICATIONS: Improvements are needed to provide appropriate and accessible health care that meets the needs of people on probation, thereby reducing health inequalities. These include shared targets, improved funding, clearer pathways into care and giving probation a voice in commissioning.

ORIGINALITY/VALUE: To the best of authors' knowledge, this is the first study of commissioner, provider and criminal justice staffs' views on the effectiveness of current health-care provision at meeting the health needs of people on probation.

© Emerald Publishing Limited.

Keywords: Commissioning; Criminal Justice System; Health; Health care; Offender health; Probation

References

  1. Alemi, F., Taxman, F., Baghi, H., Vang, J., Thanner, M. and Doyon, V. (2006), “Costs and benefits of combining probation and substance abuse treatment”, The Journal of Mental Health Policy and Economics, Vol. 9 No. 2, pp. 57-70. - PubMed
  2. Braun, V. and Clarke, V. (2006), “Using thematic analysis in psychology”, Qualitative Research in Psychology, Vol. 3 No. 2, pp. 77-101. - PubMed
  3. Braun, V. and Clarke, V. (2014), “What can ‘thematic analysis’ offer health and wellbeing researchers?”, International Journal of Qualitative Studies on Health and Well-Being, Vol. 9 No. 1. - PubMed
  4. Brooker, C., Sirdifield, C. and Marples, R. (2020), “Mental health and probation: a systematic review of the literature”, Forensic Science International: Mind and Law, Vol. 1 No. 100003, pp. 1-9. - PubMed
  5. Gibbard, I. and Hanley, T. (2008), “A five-year evaluation of the effectiveness of person-centred counselling in routine clinical practice in primary care”, Counselling and Psychotherapy Research, Vol. 8 No. 4, pp. 215-222. - PubMed
  6. Gregoire, T.K. and Burke, A.C. (2004), “The relationship of legal coercion to readiness to change among adults with alcohol and other drug problems”, Journal of Substance Abuse Treatment, Vol. 26 No. 1, pp. 35-41. - PubMed
  7. Hatfield, B., Ryan, T., Pickering, L., Burroughs, H. and Crofts, R. (2004), “The mental health of residents of approved premises in the greater Manchester probation area: a cohort study”, Probation Journal), Vol. 51 No. 2, pp. 101-115. - PubMed
  8. HC Deb (2019), “Probation reform”. - PubMed
  9. Hearnden, I. (2000), “Problem drug use and probation in London: an evaluation”, Drugs: education, Prevention and Policy, Vol. 7 No. 4, pp. 367-380. - PubMed
  10. Kirton, G. and Guillaume, C. (2019), “When welfare professionals encounter restructuring and privatization: the inside story of the probation service of England and Wales”, Work, Employment and Society, Vol. 33 No. 6, pp. 929-947. - PubMed
  11. Lang, N., Hillas, A., Mensah, M., Ryan, S. and Glass, L. (2014), “Linking probation clients with mainstream health services: experience in an outer London borough”, Probation Journal, Vol. 61 No. 3, pp. 278-285. - PubMed
  12. Martin, B.K., Clapp, L., Alfers, J. and Beresford, T.P. (2004), “Adherence to court-ordered disulfiram at fifteen months: a naturalistic study”, Journal of Substance Abuse Treatment, Vol. 26 No. 3, pp. 233-236. - PubMed
  13. Martin, B.K., Clapp, L., Bialkowski, D., Bridgeford, D., Amponsah, A., Lyons, L. and Beresford, T.P. (2003), “Compliance to supervised disulfiram therapy: a comparison of voluntary and court-ordered patients”, The American Journal on Addictions, Vol. 12 No. 2, pp. 137-143. - PubMed
  14. McSweeney, T., Stevens, A., Hunt, N. and Turnbull, P.J. (2007), “Twisting arms or a helping hand? Assessing the impact of ‘coerced’ and comparable ‘voluntary’ drug treatment options”, British Journal of Criminology, Vol. 47 No. 3, pp. 470-490. - PubMed
  15. Melnick, G., Coen, C., Taxman, F.S., Sacks, S. and Zinsser, K.M. (2008), “Community-based co-occurring disorder (COD) intermediate and advanced treatment for offenders”, Behavioral Sciences & the Law, Vol. 26 No. 4, pp. 457-473. - PubMed
  16. Ministry of Justice (2013), Transforming Rehabilitation. A Revolution in the Way we Manage Offenders, Ministry of Justice, London. - PubMed
  17. Ministry of Justice (2019a), “Government response to the ACMD report on custody-community transitions”, Ministry of Justice, London. - PubMed
  18. Ministry of Justice (2019b), “Offender Management Statistics Bulletin, England and Wales. Quarterly April to June 2019”, Ministry of Justice, London. - PubMed
  19. Morse, J.M. and Field, P.A. (1996), Nursing Research: The Application of Qualitative Approaches, Chapman and Hall, London. - PubMed
  20. National Probation Service (2019), National Probation Service Health and Social Care Strategy 2019-2022, National Probation Service, London. - PubMed
  21. NHS England (2016), “Strategic Direction for Health Services in the Justice System: 2016-2020”, NHS England, Leeds. - PubMed
  22. Nowell, L.S., Norris, J.M., White, D.E. and Moules, N.J. (2017), “Thematic analysis: striving to meet the trustworthiness criteria”, International Journal of Qualitative Methods, Vol. 16 No. 1, p. 13. - PubMed
  23. Plugge, E., Pari, A.A.A., Maxwell, J. and Holland, S. (2014), “When prison is ‘easier’: probationers’ perceptions of health and wellbeing”, International Journal of Prisoner Health, Vol. 10 No. 1, pp. 38-46. - PubMed
  24. Pomerantz, J.M. (2003), “Treatment of mentally ill in prisons and jails: follow-up care needed”, Drug Benefit Trends, Vol. 15 No. 6, pp. 20-21. - PubMed
  25. Revolving Doors Agency (2013), “Balancing Act. Addressing health inequalities among people in contact with the criminal justice system. A briefing for Directors of Public Health”, Revolving Doors Agency, Probation Chiefs Association, Public Health England, London. - PubMed
  26. Revolving Doors Agency (2017), “Rebalancing Act. A resource for Directors of Public Health, Police and Crime Commissioners, the police service and other health and justice commissioners, service providers and users”, Revolving Doors Agency, London. - PubMed
  27. Sirdifield, C., Brooker, C. and Marples, R. (2020), “Suicide and probation: a systematic review of the literature”, Forensic Science International: Mind and Law, (In press), p. 100012. - PubMed
  28. Sirdifield, C., Denney, D., Marples, R. and Brooker, C. (2019a), “Researching healthcare availability for probation clients: an illustration of methodological challenges and lessons in surveying organisations”, British Journal of Community Justice, Vol. 15 No. 2, pp. 41-58. - PubMed
  29. Sirdifield, C., Marples, R., Brooker, C. and Denney, D. (2019b), “NHS commissioning in probation in England – still on a wing and a prayer”, Health & Social Care in the Community, Vol. 27 No. 5, pp. e697-e704. - PubMed
  30. Sirdifield, C., Marples, R., Brooker, C., Denney, D., Siriwardena, N., Maxwell-Harrison, D., Strachan, S., and Connell, T. (2019c), Probation Healthcare Commissioning Toolkit, a Resource for Commissioners and Practitioners in Health and Criminal Justice, University of Lincoln, Lincoln. - PubMed
  31. Skeem, J.L. and Eno Louden, J. (2006), “Toward evidence-based practice for probationers and parolees mandated to mental health treatment”, Psychiatric Services, Vol. 57 No. 3, pp. 333-342. - PubMed
  32. Social Exclusion Unit (2002), “Reducing re-offending by ex-prisoners – Report by the Social Exclusion Unit”, Office of the Deputy Prime Minister, London. - PubMed
  33. Yu, S.-S.V. and Sung, H.-E. (2015), “Suicidal ideation of probationers”, Gender Differences’, Crisis, Vol. 36 No. 6, pp. 424-432. - PubMed

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