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Improving Health Outcomes for Prisoners “Better Health, Better Lives for prisoners “ Sharon Hardie Health Promotion Manager - East.

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Presentation on theme: "Improving Health Outcomes for Prisoners “Better Health, Better Lives for prisoners “ Sharon Hardie Health Promotion Manager - East."— Presentation transcript:

1 Improving Health Outcomes for Prisoners “Better Health, Better Lives for prisoners “ Sharon Hardie Health Promotion Manager - East

2 Overview of Prisoner Health Needs What we know.... People in prison suffer significant health inequalities; Much higher morbidity and mortality across a wide range of physical and mental health issues; Such health inequalities are evident not only when in prison but also continue to have an affect beyond the prison walls; People in prison often belong to wider social groups and networks who contribute disproportionately to wider health and social inequalities.

3 Overview of Prisoner Health Needs What we know.... Prisons impact positively on health care needs of people but this effect is often reliant on being in prison; A return to the community often results in ‘flipping’ previous health gains including access to health services especially preventive health services like screening, immunisation and chronic care.

4 Health Status Prevalence on admission to PrisonPrevalence in the Community Alcohol Problems73%13% male/ 7% female Illegal Drug Use56%8% Smoking Rates76%26% all Hepatitis C20%1% Asthma12%5.4% Epilepsy2.1%0.7% Chlamydia12%0.8% Severe Dental Decay29% male/ 42% female10% male/ 3% female Schizophrenia9% male/ 36% female0.5% Depression25%5% (approx.) Personality Disorders66% (approx.)5% (approx.) ‘Prison Health in Scotland 2007’

5 Seize the opportunity The Health Promoting Prison 2002 Better Health, Better Lives for Prisoners 1,2 & 3 (2012) Healthier People, Safer Communities: (2013)

6 Seize the opportunity Transfer of prison health care services to NHS; Appointment of an NHS Director for Health & Justice; Health & Justice Collaboration – Health Improvement; Ministerial Group on Offender Reintegration – Going forward. SPS Unlocking Potential- Transforming Lives/Purposeful Activity strategy

7 Multi Agency Health Promoting Prison Group Active for 7 years 3 Year Action Plan- 7 priority areas I.Smoking II.Physical Activity III.Sexual Health & BBV IV.Oral Health V.Mental Wellbeing VI.Alcohol VII.Prisoner Capacity Building Copyright - Scottish Prison Service with permission

8 Why focus on Prisoner Capacity Building? Prisoners can be part of the solution in designing and delivering health promotion and health improvement programmes- peer educators much more effective means of engagement and peer modelling; can promote more effective uptake of positive health; behaviours e.g. smoking cessation. Sustaining change beyond the prison gate is possible and positive Change can be driven by actions of ex-prisoners- Positive Prisons/New Routes Recruit with Conviction Purposeful Activity

9 Future- Health & Social Care Planning for older prisoners- Social Care Wider Justice system- Engaging with those on community orders Prison staff- Assets based approaches Throughcare- Integrated Case Management

10 “Inspiring hope for a different future”


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