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Senior J, Forsyth K, Walsh E, et al. 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. Southampton (UK): NIHR Journals Library; 2013 Aug. (Health Services and Delivery Research, No. 1.5.)

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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.

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Appendix 8Older prisoner Health and Social Care Assessment and Plan (OHSCAP)

General information

  • This assessment tool is divided into three areas: wellbeing, social care and discharge from prison. It revisits information that may already have been provided on initial reception, and identifies new information that has come to light following a few days in custody. It then explores any issues relevant to ensuring appropriate discharge from prison.
  • It is to be completed 7–10 days after the prisoner has arrived in the prison.
  • Ideally it will be completed by both health care and discipline staff together, jointly interviewing the prisoner. This is provided he is happy to discuss his health issues in front of the discipline officer. However, it may be more appropriate for the discipline officer to take the lead and refer to health care if necessary.
  • The assessment will be reviewed at a time deemed appropriate by staff completing it, and the prisoner.
  • A care plan must be completed by the staff conducting the assessment, and agreed with the prisoner. The prisoner may retain a copy of the care plan if they want to.

Social assessment

The aim of this part of the assessment is to discuss any issues with the prisoner that might be affecting his ability to settle into prison life and feel safe. The questions are divided into three sections: relationships, activities and mobility. There is space in the assessment to record discussion on any other areas that might be important to the prisoner.

Wellbeing assessment

This part of the assessment revisits the information gathered during medical reception a week earlier to see if there have been any changes, and to identify if the prisoner requires further health/wellbeing assessment following the first week of settling into custody.

Discharge from prison

This part of the assessment explores the issues that require addressing prior to the prisoner being discharged from prison.

SECTION 1: SOCIAL ASSESSMENT

NameDate of Birth
AgeNOMS Number

A: Relationships

Ask the person if they have been able to maintain their social and family relationships whilst they have been in prison. Is anyone looking after their finances/benefits, etc.? How are they getting along with other prisoners? Do they feel safe?

B: Activities

What is the prisoner doing with their time? What are their interests/hobbies? Are they aware of what is available to them, e.g. gym, over 60s club, library? Do they want to work? Are they going out on exercise? If not, why not?

C: Mobility

Is the prisoner managing to get around safely? Can they collect their own meals, get in/out of bed, get to/from their cell to association, and in/out of shower? Can they walk to visits/healthcare/treatment room, etc.?

SECTION 2: WELLBEING ASSESSMENT

D. Emotional wellbeing

Is the prisoner coping OK with being in prison? How are they feeling in general? Are they feeling supported? Are they getting on with other prisoners – feeling safe? Are they sleeping? Do they have any concerns?

E. Physical wellbeing

Are there any physical problems that have arisen since first reception in to prison? Can they think of anything they might have forgotten to mention when they first arrived? For example, have they got their reading glasses/contact lens solution, etc.? Does the prisoner know how to access health care? Are they able to attend to their own personal hygiene needs effectively?

F. Medications and treatment

Does the prisoner take any medication? If so, have they been getting it at the right times? Are there any problems with getting their medication, e.g. ability to attend treatment room, pressured into giving it to other prisoners?

G. Any other concerns that have not already been mentioned?

SECTION 3: DISCHARGE FROM PRISON

H. Discharge from prison

When is the person being discharged from prison? Where do they plan to go? Will they be welcome there? Do they have finances in place to support themselves? Are there any health care/social care needs that need to be considered?

________________________________________________________________________
Healthcare staff (sign) (IF PRESENT)(Print Name)Date
________________________________________________________________________
Discipline staff (sign)(Print Name)Date
________________________________________________________________________
Prisoner (sign)(Print Name)Date

Care plan

To be completed in conjunction with prisoner

NumberIssue raised from assessmentAim of actionAction (including by whom and when)Date to be reviewed and rationaleStatus of action
1
2
3
4

Review

Date:

Reviewer(s):

NumberProgress since last reviewAction plannedNext review with rationale
1
2
3
4

Review

Date:

Reviewer(s):

NumberProgress since last reviewAction plannedNext review with rationale

© 2012 The University of Manchester and University of Leeds all rights reserved.

Copyright © Queen's Printer and Controller of HMSO 2013. This work was produced by Senior et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK259264

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