The Development of a DVD for Young Offenders Wendy Macdonald

Background Needs of young offenders Qualitative study Changing Times DVD

Levels of need Chitsabesan et al., % needs with peer and family relationshiops 36% educational or work needs 35% needs relation to violence to people and property

31% mental health need 29% need because of risky behaviour 20% IQ below 70 30% assessed as borderline learning disability

Community vs Custody Significantly more needs –Education –Risky behaviour –Relationships –Alcohol and drug misuse

Between groups –Female offenders Significant difference mental health – depression, self-harm and post-traumatic stress Lack of research on physical health Adolescents generally value: –Confidentiality, trust, and flexible service

Marcell & Helpern-Felsher (2005) Health beliefs and intention to seek help GP most effective, trustworthy, and confident in physical health Significantly less depression and sex scenarios

Context - high levels of need Poor detection of needs Services struggling to meet demand Prison Service funded a qualitative study to inform the development of a DVD capturing the views of young people in custody about health issues and their experiences of coping whilst in custody

28 Young Offenders 4 YOIs and 2 secure local authority children’s homes 23 males 5 females Interviews minutes Constant comparison method of analysis

Interviews –Physical health –Mental health –Sexual health –Drugs and alcohol –Hopes and plans for the future

Themes –Physical health Diet, exercise –Sexual health Parenting –Drugs and alcohol –Mental health and illness –Coping strategies Communication, activities, exercise, positive thinking, relationships, anger management –Standards in health care