Perceptions of the effectiveness of healthcare for probationers

Sirdifield, Coral, Marples, Rebecca, Denney, David and Brooker, Charlie (2020) Perceptions of the effectiveness of healthcare for probationers. International Journal of Prisoner Health, 16 (2). pp. 123-134. ISSN 1744-9200

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Perceptions of the effectiveness of health care for probationers
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Purpose: This study sought to investigate the views of commissioners, providers, and criminal justice
staff on how effective current healthcare 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.
Approach: The research was part of a wider study. This article focuses on findings from case studies
conducted via semi-structured telephone interviews with 24 stakeholders in a purposive sample of 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 healthcare provision, which largely involved
multi-agency partnership working. It was apparent that there are many barriers to providing
appropriate healthcare provision to people on probation, which are underpinned by the complexity
of this population’s healthcare needs, the complexity of the healthcare landscape, and problematic
commissioning processes.
Practical Implications: Improvements are needed to provide appropriate and accessible healthcare
that meets the needs of people on probation, and thereby reduce health inequalities. These include
shared targets, improved funding, clearer pathways into care, and giving probation a voice in
Originality: This is the first study of commissioner, provider, and criminal justice staffs’ views on the
effectiveness of current healthcare provision at meeting the health needs of people on probation.

Keywords:probation, healthcare, health, commissioning, criminal justice system, offender health
Subjects:L Social studies > L431 Health Policy
L Social studies > L560 Probation/After Care
Divisions:College of Social Science > School of Health & Social Care
ID Code:40816
Deposited On:18 May 2020 13:47

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