Reasons for Outcomes on Release Sample Clauses

Reasons for Outcomes on Release. The previous sections (Section 3.1. and 3.2) have described the pathways that prisoners take towards release, both in terms of the Criminal Justice System and prison mental health services. In addition, a range of negative outcomes on release have been described (Section 3.3.). In this section, the nature and reasons for these negative outcomes will be discussed in terms of problems in health service provision, in the prison system and the situation of prisoners on release. This section will draw on relevant policy and research, and where possible will include qualitative insights from existing studies. In some cases, the reasons suggested for poor outcomes in term of health, contact with services and reoffending will be outcomes in themselves and will to a greater or lesser extent be able to be intervened on by health services. Organisation of Health Services Low levels of contact with community services in the period immediately after release have been noted in England and Wales (Xxxxxx et al., 2012), and problems related a lack of assistance in accessing services may be part of the problem. Whilst both prison mental health inreach teams and community mental health teams are generally provided by the NHS, they are often run by different health care trusts due to local competitive commissioning arrangements, and prison and community services have little ability to work beyond the barrier of the prison walls leaving prisoners to navigate their own way after release (Centre for Mental Health, 2014). The design and arrangement of mental health services means that continuity of care is difficult across the transition from prison to the community and released prisoners are often left without named contacts in community mental health teams. The division of prison and community mental health services can lead to poor communication and inadequate transfer of information means that community teams do not have the full picture at release (Pope, Smith, Wisdom, Easter, & Xxxxxxx, 2013). Continuity as a concept will be discussed in more detail later (Section 5.2). Prison systems and health services in different countries may not be comparable to those in Europe so conclusions may not be fully generalisable. However, literature from the USA has also documented problems with the organisation of health services. Xxxxxxxxxx et al. (2011) recruited a sample of prisoners who had been released from Colorado prison less than two months previously and conducted qualitative int...
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