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Date: November 25, 2024 Mon
Time: 8:02 pm
Time: 8:02 pm
Results for prisoners, health care
2 results foundAuthor: Great Britain. HM Inspectorate of Prisons Title: Alcohol Services in Prisons: An Unmet Need Summary: "This report draws on inspection surveys of 13,000 prisoners between 2004 and 2009, 72 inspection reports between 2006 and 2009, and surveys of drug coordinators in 68 prisons in 2009. The data cover all kinds of prisons holding those over 18. The survey results, particularly for the most recent year, are startling. Within the whole sample, 13% of prisoners surveyed reported having an alcohol problem when they entered their prison. In the most recent year, 2008-09, this rose to 19%, nearly one in five. It was even higher among young adults (30%) and women (29%). These figures almost certainly underestimate the scale of the problem, as many of those with alcohol problems will fail to recognise or acknowledge them. While most alcohol users, particularly women, reported concurrent use of illegal drugs, there was a significant proportion of male substance misusers for whom alcohol was the only problematic substance. This was true for half of the men in local prisons who reported having an alcohol problem. Among young adults, only a minority reported having drug problems, but no alcohol problem. Prisoners with alcohol problems are likely to be more problematic in general and to need greater support. More are high risk offenders and more had been in prison before. They were more likely than other prisoners to come into prison with pre-existing difficulties, such as housing needs and health, particularly mental health, issues. Alcohol use is accepted as a key risk factor in predicting violent reoffending. Yet this report shows that at every stage in prison, their needs are less likely to be either assessed or met than those with illicit drug problems. On entry to prison, alcohol problems are not consistently or reliably identified, nor is the severity of alcohol withdrawal symptoms. Some establishment drug coordinators’ estimates of the extent of the problem in their prison appeared to be considerably at odds with our survey findings. Few prisons had an alcohol strategy based on a current needs analysis, and even where analyses had been carried out, some were likely to underestimate need. Services for alcohol users were very limited, particularly for those who did not also use illicit drugs. There was a shortage of healthcare staff with training in alcohol misuse, or dual diagnosis (mental health and substance use). Interventions so far have largely consisted of Alcoholics Anonymous, an abstinence-based self-help approach which is not suitable for all those with alcohol problems. CARATs (counselling, assessment, referral, advice and throughcare service) teams are not resourced to work with those who have only an alcohol problem. Most drug coordinators identified the lack of specific funding as a major barrier to providing adequate services, even when new interventions became available – whereas there has been ring-fenced funding for illicit drug users." Details: London: HM Inspectorate of Prisons, 2010. 68p. Source: Internet Resource: Accessed August 21, 2010 at: http://www.justice.gov.uk/inspectorates/hmi-prisons/docs/Alcohol_2010_rps.pdf Year: 2010 Country: United Kingdom URL: http://www.justice.gov.uk/inspectorates/hmi-prisons/docs/Alcohol_2010_rps.pdf Shelf Number: 119213 Keywords: Alcohol AbuseCorrectional ProgramsPrisoners, Health CareRecidivism |
Author: Grace, Jocelyn. Title: Review of Indigenous Offender Health Summary: This review provides an overview of health issues facing the Indigenous offender population, including some of the social and historical factors relevant to Indigenous health and incarceration. In doing so, it is important to first understand how Indigenous people conceptualise health. Health as it is understood in western society is a fairly discrete category, which differs from the traditional Indigenous perspective of health as holistic. This is made explicit in the 1989 National Aboriginal health strategy that states ‘health to Aboriginal peoples is a matter of determining all aspects of their life, including control over their physical environment, of dignity, of community self-esteem, and of justice’. For this reason, considering health in a justice context is of particular relevance to Indigenous people, as the restrictions imposed upon offenders represent a threat to individual and community health. Some of the sources referred to in this review originally used only the term Aboriginal, even though it is evident that in many, if not most, cases the reporting did not differentiate between Australian Aborigines and Torres Strait Islander people. Population figures reveal that substantial numbers of Torres Strait Islanders or people of both Aboriginal and Torres Strait Islander descent live in all jurisdictions, except the Australian Capital Territory (ACT). Therefore, the term Indigenous has been used throughout this review to refer to both the Aboriginal and the Torres Strait Islander populations. This review is largely structured under key topic headings, such as chronic disease or the social determinants of health. Much of the general information about offenders refers to both men and women, and, in some instances, to some juveniles, but specific sections are also devoted to women and juveniles. Details: Mount Lawley, WA: Australian Indigenous HealthInfoNet, 2011. Source: Internet Resource: Accessed April 21, 2011 at: http://www.healthinfonet.ecu.edu.au/uploads/docs/offender_health_review_2011.pdf Year: 2011 Country: Australia URL: http://www.healthinfonet.ecu.edu.au/uploads/docs/offender_health_review_2011.pdf Shelf Number: 121461 Keywords: Indigenous PeoplesInmates, Health Care (Australia)Mental Health ServicesPrisoners, Health Care |