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‘You can't have them in here’: experiences of accessing medication among older men on entry to prison

Published online by Cambridge University Press:  28 May 2015

VICTORIA SULLIVAN ,
KATRINA FORSYTH ,
LAMIECE HASSAN ,
KATE O'HARA ,
JANE SENIOR  and
JENNY SHAW
VICTORIA SULLIVAN*
Affiliation:
Greater Manchester West NHS Foundation Trust, Manchester, UK.
KATRINA FORSYTH
Affiliation:
The Offender Health Research Network (OHRN), The University of Manchester, UK.
LAMIECE HASSAN
Affiliation:
The Offender Health Research Network (OHRN), The University of Manchester, UK.
KATE O'HARA
Affiliation:
The Offender Health Research Network (OHRN), The University of Manchester, UK.
JANE SENIOR
Affiliation:
The Offender Health Research Network (OHRN), The University of Manchester, UK.
JENNY SHAW
Affiliation:
The Offender Health Research Network (OHRN), The University of Manchester, UK. Lancashire Care NHS Foundation Trust and Institute of Brain Behaviour and Mental Health, The University of Manchester, UK.
*
Address for correspondence: Dr Victoria Sullivan, Edenfield Centre, Prestwich Hospital, Greater Manchester West NHS Mental Health Foundation Trust, Manchester, M25 3BL E-mail: vix.simm@gmail.com
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Abstract

Older prisoners are the fastest growing sub-group in the English and Welsh prison estate. They have complex health needs, in spite of which there is a dearth of literature concerning their access to prescribed medication. Literature relating to younger prisoners highlights common issues around maintaining continuity of medication upon reception into prison custody. The objective of the study was to explore the lived experience of older male prisoners regarding continuity of medication upon entry into prison. This paper presents findings from part of a large-scale research project regarding health and social care services for older male adult prisoners. Semi-structured interviews were conducted with male participants (N = 27) aged 60 years and over who had been newly received into prison. Interviews were conducted within the first ten weeks of custody. Participants were asked about their experience of accessing medication on entry into prison. Data were analysed using the constant comparison method. Eighty-five per cent of participants were in receipt of prescribed medication when committed to prison. Older prisoners’ experiences of receiving medication in prison were reflected in four key themes: delays in confirming medicines; changes to medication; communication difficulties; and enforced helplessness. Whilst these experiences mirrored those of prisoners of all ages reported in previous studies, these issues are especially relevant to older prisoners who are likely to have greater and more complex medication needs than their younger peers. In addition, older prisoners experienced unmet needs related to restricted mobility and functional skills that could have impaired their ability to maintain concordance with medication regimes. This study shows that there is need for increased awareness of prescribing issues specific to older prisoners to allay related feelings of anxiety and distress and to ensure they receive appropriate medication.

Keywords

older prisonersmedicationprescribing
Type
Articles
Information
Ageing & Society , Volume 36 , Issue 6 , July 2016 , pp. 1254 - 1271
Copyright
Copyright © Cambridge University Press 2015 

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References

Aday, R. H. 2003. Aging Prisoners: Crisis in American Corrections. Praeger, New York.Google Scholar
American Civil Liberties Union 2012. At America's Expense: The Mass Incarceration of the Elderly. American Civil Liberties Union, New York. Available online at http://www.aclu.org/criminal-law-reform/report-americas-expense-mass-incarceration-elderly [Accessed 2 March 2013].Google Scholar
Bastiaens, H., Van Royen, P., Pavlic, D. R., Raposo, V. and Baker, R. 2007. Older people's preference for involvement in their own care: a qualitative study in primary health care in 11 European countries. Patient Education and Counselling, 68, 1, 33–42.Google Scholar
Birmingham, L., Wilson, S. and Adshead, G. 2006. Prison medicine: ethics and equivalence. British Journal of Psychiatry, 188, 1, 4–6.CrossRefGoogle ScholarPubMed
Bodenheimer, T., Lorig, K., Holman, H. and Grumbach, K. 2002. Patient self-management of chronic disease in primary care. Journal of the American Medical Association, 288, 19, 2469–75.Google Scholar
Boeije, H. 2002. A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality & Quantity, 36, 4, 391–409.Google Scholar
Bowen, R., Rogers, A. and Shaw, J. 2009. Medication management and practices in prison for people with mental health problems: a qualitative study. International Journal of Mental Health Systems, 3, 1, 3–24.Google Scholar
Burns, K. A. 2009. Commentary: the top ten reasons to limit prescription of controlled substances in prison. Journal of the American Academy of Psychiatry and the Law, 37, 1, 50–2.Google Scholar
Cooney, F. and Braggins, J. 2010. Doing Time: Good Practice with Older People in Prison – The Views of Prison Staff. Prison Reform Trust, London.Google Scholar
Corwin, P. S. 2001. Senioritis: why elderly federal inmates are literally dying to get out of prison. Journal of Contemporary Health Law and Policy, 17, 2, 687–714.Google ScholarPubMed
Crawley, E. 2005. Institutional thoughtlessness in prisons and its impact on the day-to-day prison lives of elderly men. Journal of Contemporary Criminal Justice, 21, 4, 350–63.Google Scholar
Crawley, E. 2007. Imprisonment in old age. In Jewkes, Y. (ed.), Handbook on Prisons. Willan Publishing, Cullompton, UK, 224–44.Google Scholar
Crawley, E. and Sparks, R. 2005. Hidden injuries? Researching the experiences of older men in English prisons. Howard Journal of Criminal Justice, 44, 4, 345–56.Google Scholar
Department of Health 2007. A Pathway to Care for Older Offenders. A Toolkit for Good Practice. Department of Health, London.Google Scholar
Department of Health and Her Majesty's Prison Service 2003. A Pharmacy Service for Prisoners. Department of Health, London.Google Scholar
Exworthy, T., Samele, C. and Urquίa, N. 2012. Asserting prisoners’ right to health: progressing beyond equivalence. Psychiatric Services, 63, 3, 270–5.Google Scholar
Fazel, S., Bains, P. and Doll, H. 2006. Substance abuse and dependence in prisoners: a systematic review. Addiction, 101, 2, 181–91.Google Scholar
Fazel, S., Hope, T., O'Donnell, I. and Jacoby, R. 2004. Unmet treatment needs of older prisoners: a primary care survey. Age & Aging, 33, 4, 396–8.Google Scholar
Fazel, S., Hope, T., O'Donnell, I., Piper, M. and Jacoby, R. 2001. Health of elderly male prisoners: worse than the general population, worse than younger prisoners. Age & Aging, 30, 5, 403–7.Google Scholar
Forrester, A., Exworthy, T., Olumoroti, O., Sessayc, M., Parrottd, J., Spencere, S. J. and Whytef, S. 2013. Variations in prison mental health services in England and Wales. International Journal of Law & Psychiatry, 36, 3/4, 326–32.Google Scholar
Forsyth, K., Senior, J., Stevenson, C., O'Hara, K., Hayes, A., Challis, D. and Shaw, J. 2014. ‘They just throw you out’: release planning for older prisoners. Ageing & Society, available on CJO2014. doi:10.1017/S0144686X14000774.Google Scholar
Gautier, S. 2011. Viellir et mourir en prison. Soins Gerontologie, 16, 88, 22–4.Google Scholar
Ginn, S. 2012. Elderly prisoners. British Medical Journal, 345, e6263.CrossRefGoogle ScholarPubMed
Glaser, B. G. 1965. The constant comparison method of qualitative analysis. Social Problems, 12, 4, 436–45.Google Scholar
Grant, A. 1999. Elderly inmates: issues for Australia. Australian Institute of Criminology Trends and Issues in Crime and Criminal Justice, 115, 1–6.Google Scholar
Hassan, L., Senior, J., Edge, D. and Shaw, J. 2011. Continuity of supply of psychiatric medicines for newly received prisoners. The Psychiatric Bulletin, 35, 244–8.Google Scholar
Hassan, L., Shaw, J., Edge, D. and Senior, J. 2010. An Audit of Medication Prescribing Practices Following Imprisonment. Offender Health Research Network, Manchester, UK.Google Scholar
Hayes, A., Burns, A., Turnbull, P. and Shaw, J. 2012. The health and social needs of older male prisoners. International Journal of Geriatric Psychiatry, 27, 11, 1155–62.Google Scholar
Her Majesty's Chief Inspector of Prisons 2008. Older Prisoners in England and Wales: A Follow-up to the Thematic Review by HM Chief Inspector of Prisons. Available online at http://www.justice.gov.uk/downloads/publications/inspectorate-reports/hmipris/thematic-reports-and-research-publications/older_prisoners_thematic-rps.pdf [Accessed 2 March 2013].Google Scholar
Her Majesty's Chief Inspector of Prisons 2012. Annual Report 2011–2012. HM Inspectorate of Prisons, London.Google Scholar
Her Majesty's Inspectorate of Prisons 2004. ‘No Problems – Old and Quiet’: Older Prisoners in England and Wales, A Thematic Review by HM Chief Inspector of Prison. Her Majesty's Inspectorate of Prisons, London.Google Scholar
Her Majesty's Prison Service (HMPS) 2004. Reception: Prison Service Order 0500. HMPS, London.Google Scholar
Her Majesty's Prison Service (HMPS) 2006. Continuity of Healthcare for Prisoners: Prison Service Order 3050. HMPS, London.Google Scholar
Howse, K. 2003. Growing Old in Prison. A Scoping Study on Older Prisoners. Prison Reform Trust, London.Google Scholar
Kumar, A. and Allcock, N. 2008. Pain in Older People: Reflections and Experiences from an Older Person's Perspective. Help the Aged, London.Google Scholar
Leech, N. L. and Onwuegbuzie, A. J. 2011. Beyond constant comparison qualitative data analysis: using NVivo. School Psychology Quarterly, 26, 1, 70–84.Google Scholar
Lester, C., Hamilton-Kirkwood, L. and Jones, N. 2003. Health indicators in a prison population: ‘asking prisoners’. Health Education Journal, 62, 4, 341–9.CrossRefGoogle Scholar
Lynn, J., Teno, J. M., Phillips, R. S., Wu, A. W., Desbiens, N., Harrold, J., Claessens, M. T., Wenger, N., Kreling, B. and Connors, A. F. Jnr. 1997. Perceptions by family members of the dying experience of older and seriously ill patients. Annals of Internal Medicine, 126, 2, 97–106.Google Scholar
Mason, D., Birmingham, L. and Grubin, D. 1997. Substance use in remand prisoners: a consecutive case study. British Medical Journal, 315, 7099, 8–21.Google Scholar
McDonald, D. 1995. Managing Prison Health Care and Costs. National Institute of Justice, Washington DC.Google Scholar
Ministry of Justice 2013. Offender Management Caseload Statistics 2013. Ministry of Justice, London.Google Scholar
National Health Service Commissioning Board 2012. Service Specification No. 29. Public Health Services for People in Prison or Other Places of Detention, Including Those Held in the Young People's Secure Estate. Department of Health, London.Google Scholar
National Health Service National Prescribing Centre 2008. Medicines Reconciliation: A Guide to Implementation. Available online at http://www.npc.nhs.uk/improving_safety/medicines_reconciliation/resources/reconciliation_guide.pdf [Accessed 2 March 2013].Google Scholar
Nurse, J., Woodcock, P. and Ormsby, J. 2003. Influence of environmental factors on mental health within prisons: focus group study. British Medical Journal, 327, 7413, 480–5.Google Scholar
Patton, M. Q. 1990. Qualitative Evaluation and Research Methods. Sage, Newbury Park, California.Google Scholar
Pickering, G. 2005. Age differences in clinical pain states. In Gibson, S. J. and Weiner, D. K. (eds), Pain in Older Persons: Progress in Pain Research and Management. Volume 35, IASP Press, Seattle, Washington, 67–85.Google Scholar
Plugge, E., Douglas, N. and Fitzpatrick, N. 2008. Patients, prisoners or people? Women prisoners’ experiences of primary care in prison: a qualitative study. British Journal of General Practice, 58, 554, e1–8.Google Scholar
Prison Reform Trust 2008. Doing Time: The Experiences and Needs of Older People in Prison. Prison Reform Trust, London.Google Scholar
Royal College of General Practitioners (RCGP) 2011. Safer Prescribing in Prisons: Guidance for Clinicians. RCGP Secure Environments Group, London.Google Scholar
Senior, J., Forsyth, K. J., Walsh, E., O'Hara, K., Stevenson, C., Hayes, A. J., Short, V., Webb, R., Challis, D., Fazel, S., Burns, A. and Shaw, J. 2013. Health and social care services for older male adults in prison: the identification of current service provision and piloting of an assessment and care planning model. Health Service Delivery Research, 1, 5, 160.Google Scholar
Singleton, N., Meltzer, H. and Gatward, R. 1998. Psychiatric Morbidity Among Prisoners in England and Wales. Office for National Statistics, London.Google Scholar
Smyer, T., Gragert, M. D. and LaMere, S. H. 1997. Stay safe! Stay healthy! Surviving old age in prison. Journal of Psychosocial Nursing, 35, 9, 10–7.Google Scholar
Thompson, C., Petrovic, M., Duffell, E. and Chaloner, J. 2009. Tuberculosis symptom screening among new prisoners in two Greater Manchester prisons. Public Health, 123, 1, 86–8.Google Scholar
Uzoaba, J. H. E. 1998. Managing older offenders: where do we stand? Report number R-70, Ottawa, Research Branch Correctional Service of Canada.Google Scholar
Williams, B. A., Baillargeon, J. G., Lindquist, K., Walter, L. C., Covinsky, K. E., Whitson, H. E. and Steinman, M. A. 2010. Medication prescribing practices for older prisoners in the Texas prison system. American Journal of Public Health, 100, 4, 756–61.Google Scholar
Wilson, S. 2004. The principle of equivalence and the future of mental health care in prisons. British Journal of Psychiatry, 184, 1, 5–7.Google Scholar