Presentation is loading. Please wait.

Presentation is loading. Please wait.

Occupational Therapy in Prison Establishments

Similar presentations


Presentation on theme: "Occupational Therapy in Prison Establishments"— Presentation transcript:

1 Occupational Therapy in Prison Establishments
Christine Balaba – Occupational Therapist Emma Nicklin- Therapy & Service Development Lead

2 Outline Service context Literature review Research rationale
Research progress

3 Service Context Barnet Enfield and Haringey Mental Health Trust
North London Forensic Service Community Services 7 prisons Therapy services in each with OT’s 16 OT’s and 3 TI’s

4 Prison OT Inreach Inpatient wards Daycare OPD services

5 Literature Sharp increase in evidence base for OT in forensic mental health (in study numbers and quality) Absence of studies relating specifically to prison-based OT (Hitch, Hii and Davey 2016)

6 Literature Review Guided by the question “what evidence is published about occupational therapy within the prison service”. The search yielded eight articles and two poster presentations (USA, Singapore, Rumania, Canada and Australia) No peer reviewed articles on OT provision in a UK prison were identified.

7 Literature Review Most studies focused on OT group interventions.
Largely unclear if and what additional roles OTs hold within prisons. Lack of focus of OTs working as part of a mental health in-reach team or working in a more generic role. All interventions evaluated focused on a mental health prison population, rather than targeting the general prison population.

8 Literature Review Use of outcome measures:
Task Behavioural Scale (Tan, Kumar and Deavarj 2015) Canadian Occupational Performance Measurement (COPM) Occupational Therapy Leisure Skills Questionnaire, Fundamental Interpersonal Relations Orientation Behavioural Scale (Jones and McColl 1991). However data collected is sparse

9 Literature Review OT programs often form part of an overall rehabilitation program. Some studies appeared vague on how this is managed in relation to data collation and what other rehabilitative input the prisoners had (Eggers M, et al. 2006) (Tan BL et al 2015). Within the prison service, OT input never exists in isolation but forms part of a varied interdisciplinary network.

10 Literature Review OT provision varies greatly across services
Information is limited in relation to assessments and interventions used. Data in relation to OTs working in prison services is scarce and often poorly conducted.

11 Rationale Prison OT has a long way to go in terms of proving their effectiveness and more research is needed. OTs have the potential to provide a fundamental role in delivering rehabilitative programs within the prison service.

12 Experiences of prison work
Rewarding Engagement High function Generic working Multiple client groups Holistic working Promotion and development of OT 5 years working from ½ post to 16, all staff said

13 Research Questions What are the experiences, processes and outcomes of occupational therapy in prison establishments? What are the experiences of occupational therapists working in the prison service? What are the experiences of clients receiving occupational therapy in the prison service? What assessments and interventions are performed by occupational therapists? Are occupational therapy goals achieved?

14 Mixed Methods Approach
(a) Analysis of interviews of occupational therapists’ and clients’ experiences using interpretative phenomenological approach (b) Thematic analysis of the Goal Attainment Scale (c) Caseload analysis

15

16

17

18 Inclusion Criteria Client:
Prisoner who has received occupational therapy input in prison during their current period of sentencing Male Adult (18-65 years old) Able to understand written and spoken English well enough to read consent forms and participate in an interview. Must have capacity to give consent Occupational therapist: Registered occupational therapist with the Health and Care Professions Council (HCPC) Has worked at the current prison setting for at least six months and is employed by Barnet, Enfield and Haringey Mental Health Trust (HMP Brixton, HMP Pentonville, HMP Wormwood Scrubs)

19 Exclusion Criteria Client:
Those prisoners who are likely to be released prior to engaging with the research process (e.g. taking part in the interview). Behavioural instability and change in risk post recruitment Those prisoners who are secluded from other prisoners and day to day activities due to offences committed whilst in prison, and who therefore are not accessible to a researcher for taking part in an interview. Those diagnosed with a serious mental illness who have experienced a psychotic episode within the last week Therapist: Occupational therapists undergoing performance review Occupational therapists who are likely to leave their post prior to taking part in the research process (eg. Locum posts).

20 Study Progress 1Formulate research question 2 Literature Review
Prison Research 2016 June July Aug Sept Oct Nov Dec 1Formulate research question 2 Literature Review 3 formulate design/method 4 Write research proposal 2017 Jan Feb Mar Apr May 5 Apply for Sponsorship 6 Complete Peer Review 7 Apply for ethical approval 8 Recruitment 9 Data collection 10 Data analysis

21 Experiences of the research process
North London Forensic Service Research Group NOCLOR IRAS (Integrated Research Application System) NOMS (National Offender Management Service)

22 Thank you for listening Questions?

23 References Eggers M, Munoz JP, Sciulli J, et al. (2006) The Community Integration Project: Occupational therapy at work in a county jail. Occupational Therapy in Health Care 20(1):17-27. Hitch, D Hii, QK and I Davey (2016) Occupational therapy in forensic psychiatry: Recent develop[ments in our understanding ( ). British Journal of Occupational Therapy, 79(4), Jones, E J and M A McColl (1991) Development of Evaluation of an Interactional Life Skills Group for Offenders. The Occupational Therapy Journal of Research, 11(2), Tan BL, Kumar VR, and Devaraj P (2015) Development of a new occupational service in a Singapore prison. British Journal of Occupational Therapy 78(8):


Download ppt "Occupational Therapy in Prison Establishments"

Similar presentations


Ads by Google