Long-term physical health conditions in older adults in prison: a brief report from a nominal group.
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| Title: | Long-term physical health conditions in older adults in prison: a brief report from a nominal group. |
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| Authors: | Hewson, Thomas (AUTHOR), O'Neill, Adam (AUTHOR), Heathcote, Leanne (AUTHOR), Shaw, Jennifer (AUTHOR), Robinson, Catherine A (AUTHOR), Senior, Jane (AUTHOR), Forsyth, Katrina (AUTHOR) |
| Source: | Journal of Forensic Psychiatry & Psychology. Feb2025, Vol. 36 Issue 1, p89-104. 16p. |
| Subjects: | Medical personnel, Prison conditions, Older people, General practitioners, Research personnel |
| Abstract: | Prisoners are at increased risk of multiple health conditions relative to the general population. The effective management of long-term conditions amongst prisoners is vital to reducing health inequalities. A nominal group was conducted exploring facilitators and barriers to the identification, diagnosis, and treatment of chronic physical illness amongst older adult prisoners in England and Wales, as well as innovations and suggestions for improvement in this area. The nominal group included 12 prison staff from a range of professions and specialist roles, including nurses, general practitioners, consultants, junior doctors, researchers, and managers. Eight key themes were identified from group discussions, including: 1) primary and secondary care interfaces; 2) quality and outcomes framework (QOF); 3) healthcare during transitions; 4) prison environments and lifestyles; 5) expert patients; 6) service design and healthcare roles; 7) telemedicine; and 8) data availability. The importance of collaboration between prison staff, primary and secondary healthcare professionals, and patients themselves to effectively manage long-term conditions infiltrated several themes. Further research is needed to determine the most effective interventions for managing chronic illness and multimorbidity amongst older prisoners. This research is urgently required given the ageing prisoner population and could help to standardise healthcare across the prison estate. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Forensic Psychiatry & Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Prisoners are at increased risk of multiple health conditions relative to the general population. The effective management of long-term conditions amongst prisoners is vital to reducing health inequalities. A nominal group was conducted exploring facilitators and barriers to the identification, diagnosis, and treatment of chronic physical illness amongst older adult prisoners in England and Wales, as well as innovations and suggestions for improvement in this area. The nominal group included 12 prison staff from a range of professions and specialist roles, including nurses, general practitioners, consultants, junior doctors, researchers, and managers. Eight key themes were identified from group discussions, including: 1) primary and secondary care interfaces; 2) quality and outcomes framework (QOF); 3) healthcare during transitions; 4) prison environments and lifestyles; 5) expert patients; 6) service design and healthcare roles; 7) telemedicine; and 8) data availability. The importance of collaboration between prison staff, primary and secondary healthcare professionals, and patients themselves to effectively manage long-term conditions infiltrated several themes. Further research is needed to determine the most effective interventions for managing chronic illness and multimorbidity amongst older prisoners. This research is urgently required given the ageing prisoner population and could help to standardise healthcare across the prison estate. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 14789949 |
| DOI: | 10.1080/14789949.2024.2437460 |
