Developing an initial programme theory for a model of social care in prisons and on release (empowered together): A realist synthesis approach.

IF 1.5 4区 医学 Q1 LAW
Deborah Buck, Lee D Mulligan, Charlotte Lennox, Jana Bowden, Matilda Minchin, Lowenna Kemp, Lucy Devine, Joshua Southworth, Falaq Ghafur, Catherine Robinson, Andrew Shepherd, Jennifer J Shaw, Katrina Forsyth
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Abstract

Many people are living in prison with a range of social care needs, for example, requiring support with washing, eating, getting around safely, and/or maintaining relationships. However, social care for this vulnerable group is generally inadequate. There is uncertainty and confusion about who is legally responsible for this and how it can best be provided, and a lack of integration with healthcare. We used realist-informed approaches to develop an initial programme theory (IPT) for identifying/assessing social care needs of, and providing care to, male adults in prison and on release. IPT development was an iterative process involving (a) an initial scoping of the international prison literature; (b) scoping prison and community social care policy documents and guidelines; (c) full systematic search of the international prison social care literature; (d) insights from the community social care literature; (e) stakeholder workshops. Information from 189 documents/sources and stakeholder feedback informed the IPT, which recommended that models of prison social care should be: trauma-informed; well integrated with health, criminal justice, third-sector services and families; and person-centred involving service-users in all aspects including co-production of care plans, goals, and staff training/awareness programmes. Our IPT provides an initial gold standard model for social care provision for people in prison and on release. The model, named Empowered Together, will be evaluated in a future trial and will be of interest to those working in the criminal justice system, care providers and commissioners, local authorities, housing authorities, voluntary groups, and service-users and their families.

为监狱和刑满释放人员社会关怀模式(共同赋权)制定初步方案理论:现实主义综合方法。
许多人在狱中生活时都有一系列的社会关怀需求,例如在洗漱、饮食、安全出行和/或维持人际关系方面需要帮助。然而,对这一弱势群体的社会关怀普遍不足。对于谁在法律上对此负责,以及如何才能最好地提供社会关怀,都存在不确定性和困惑,而且缺乏与医疗保健的整合。我们采用现实主义的方法制定了初步方案理论(IPT),用于识别/评估监狱中和出狱后男性成年人的社会关怀需求,并为其提供关怀。IPT 的开发是一个反复的过程,其中包括:(a) 对国际监狱文献进行初步筛选;(b) 对监狱和社区社会医疗政策文件和指南进行筛选;(c) 对国际监狱社会医疗文献进行全面系统的搜索;(d) 从社区社会医疗文献中获取见解;(e) 利益相关者研讨会。来自 189 份文件/资料来源的信息以及利益相关者的反馈意见为 IPT 提供了参考,IPT 建议监狱社会关怀模式应:以创伤为导向;与卫生、刑事司法、第三部门服务和家庭紧密结合;以人为本,让服务使用者参与到各个方面,包括共同制定关怀计划、目标和员工培训/提高认识计划。我们的 IPT 为监狱服刑人员和刑满释放人员的社会关怀提供了一个初步的黄金标准模式。该模式被命名为 "共同赋权",将在未来的试验中进行评估,刑事司法系统、护理提供者和专员、地方当局、住房当局、志愿团体以及服务使用者及其家人都将对该模式感兴趣。
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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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