Addressing ex-offenders inequity in access to healthcare through the provision of a nurse led intervention
Eshareturi, Cyril
Eshareturi, Cyril
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2015-10
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Abstract
The current context of offender health in England and Wales indicates that the health needs of ex-offenders are significantly greater than those of the general population with a lack of equity existing between need and supply. The study presented herein is aimed at mapping the ex-offender health pathway towards identifying “touch points” in the community for the delivery of nurse-led interventions. The study was underpinned by the “Silences Framework” which enabled the study to gain theoretically by situating power with ex-offenders. A total of 26 respondents were ranked on the basis of poor health with those scoring the lowest and confirming their ranking through a confirmation of a health condition selected as cases and interviewed over the course of 6 months. These interview narratives were validated by interviewing individuals in the professional networks of ex-offenders and were analysed using the inductive qualitative thematic approach. The study uncovered that ex-offenders were not prepared in prison for the continuity in access to health care in the community on release. Ex-offender’s on-release preparation did not enquire as a matter of procedure on whether an offender was registered with a General Practitioner (GP) or had the agency to register self with a practice on release. Postrelease, the study uncovered a disparity between services, which address the physical health needs of ex-offenders and those which address their mental and substance misuse health needs. Finally, the study identified the site of postrelease supervision as the “touch point,” where a nurse-led intervention could be delivered.
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Eshareturi C (2015) Addressing ex-offenders inequity in access to healthcare through the provision of a nurse led intervention. In: Qualitative Health Research Conference. 19-21 Oct 2015. Toronto, Ontario, Canada.
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