Developing gender-specific evidence-based standards to improve the health and wellbeing of female prisoners in England
PHE ePoster Library. McCann L. 09/13/17; 186625; 176
Lucy McCann
Lucy McCann
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Abstract
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Abstract Background:Women involved in the criminal justice system face distinct challenges and have particular, and complex needs, particularly with regard to physical and mental health. Existing standards for the health and wellbeing of prisoners are male-focussed, overlooking the special needs of women and their health. We developed a set of gender-specific, evidence-based standards to be implemented across the women's prison estate, aimed at protecting and promoting health and wellbeing and preventing ill health.Process:A structured literature review was conducted of standard healthcare databases and grey literature. Three authors independently reviewed papers and 330 were identified for inclusion covering 12 areas of health and wellbeing. Key evidence was extracted and submitted to a multidisciplinary international set of stakeholders to draw consensus as part of a Delphi process. The process comprised of three rounds, including an initial open round to revise/suggest additional standards. Consensus was defined a priori as 75% agreement with mean overall score of six or more. Impact:These standards are the most extensive that are known to exist for the health and wellbeing of women in prison. The development process places evidence at the heart of the methodology and is supported by expert knowledge and consensus-building, thus ensuring a robust outcome which is recognised, respected and valued by those who will be implementing them as well as the prisoners themselves. They will provide support to the women's prison estate in improving the health and wellbeing of this vulnerable group and contribute to reducing the vast inequalities facing them.
Abstract Background:Women involved in the criminal justice system face distinct challenges and have particular, and complex needs, particularly with regard to physical and mental health. Existing standards for the health and wellbeing of prisoners are male-focussed, overlooking the special needs of women and their health. We developed a set of gender-specific, evidence-based standards to be implemented across the women's prison estate, aimed at protecting and promoting health and wellbeing and preventing ill health.Process:A structured literature review was conducted of standard healthcare databases and grey literature. Three authors independently reviewed papers and 330 were identified for inclusion covering 12 areas of health and wellbeing. Key evidence was extracted and submitted to a multidisciplinary international set of stakeholders to draw consensus as part of a Delphi process. The process comprised of three rounds, including an initial open round to revise/suggest additional standards. Consensus was defined a priori as 75% agreement with mean overall score of six or more. Impact:These standards are the most extensive that are known to exist for the health and wellbeing of women in prison. The development process places evidence at the heart of the methodology and is supported by expert knowledge and consensus-building, thus ensuring a robust outcome which is recognised, respected and valued by those who will be implementing them as well as the prisoners themselves. They will provide support to the women's prison estate in improving the health and wellbeing of this vulnerable group and contribute to reducing the vast inequalities facing them.
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