The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial

Abstract Background Older people are the fastest-growing demographic group among prisoners in England and Wales and they have complex health and social care needs. Their care is frequently ad hoc and uncoordinated. No previous research has explored how to identify and appropriately address the needs...

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Autores principales:	Katrina Forsyth, Roger T. Webb, Laura Archer Power, Richard Emsley, Jane Senior, Alistair Burns, David Challis, Adrian Hayes, Rachel Meacock, Elizabeth Walsh, Stuart Ware, Jenny Shaw
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Old Prison Health Social care Assessment Care planning Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/2d9fed384df8495398ccff4917c776b4
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spelling	oai:doaj.org-article:2d9fed384df8495398ccff4917c776b42021-11-14T12:14:06ZThe older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial10.1186/s12889-021-11965-51471-2458https://doaj.org/article/2d9fed384df8495398ccff4917c776b42021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-11965-5https://doaj.org/toc/1471-2458Abstract Background Older people are the fastest-growing demographic group among prisoners in England and Wales and they have complex health and social care needs. Their care is frequently ad hoc and uncoordinated. No previous research has explored how to identify and appropriately address the needs of older adults in prison. We hypothesised that the Older prisoner Health and Social Care Assessment and Plan (OHSCAP) would significantly increase the proportion of met health and social care needs 3 months after prison entry, compared to treatment as usual (TAU). Methods The study was a parallel randomised controlled trial (RCT) recruiting male prisoners aged 50 and over from 10 prisons in northern England. Participants received the OHSCAP or TAU. A clinical trials unit used minimisation with a random element as the allocation procedure. Data analysis was conducted blind to allocation status. The intervention group had their needs assessed using the OHSCAP tool and care plans were devised; processes that lasted approximately 30 min in total per prisoner. TAU included the standard prison health assessment and care. The intention to treat principle was followed. The trial was registered with the UK Clinical Research Network Portfolio (ISRCTN ID: 11841493) and was closed on 30 November 2016. Results Data were collected between 28 January 2014 and 06 April 2016. Two hundred and forty nine older prisoners were assigned TAU of which 32 transferred prison; 12 were released; 2 withdrew and 1 was deemed unsafe to interview. Two hundred and fifty three 3 prisoners were assigned the OHSCAP of which 33 transferred prison; 11 were released; 6 withdrew and 1 was deemed unsafe to interview. Consequently, data from 202 participants were analysed in each of the two groups. There were no significant differences in the number of unmet needs as measured by the Camberwell Assessment of Needs – Forensic Short Version (CANFOR-S). The mean number of unmet needs for the OHSCAP group at follow-up was 2.03 (SD = 2.07) and 2.06 (SD = 2.11) for the TAU group (mean difference = 0.088; 95% CI − 0.276 to 0.449, p = 0.621). No adverse events were reported. Conclusion The OHSCAP was fundamentally not implemented as planned, partly due to the national prison staffing crisis that ensued during the study period. Therefore, those receiving the OHSCAP did not experience improved outcomes compared to those who received TAU. Trial registration Current Controlled Trials: ISRCTN11841493 , 25/10/2012.Katrina ForsythRoger T. WebbLaura Archer PowerRichard EmsleyJane SeniorAlistair BurnsDavid ChallisAdrian HayesRachel MeacockElizabeth WalshStuart WareJenny ShawBMCarticleOldPrisonHealthSocial careAssessmentCare planningPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Old Prison Health Social care Assessment Care planning Public aspects of medicine RA1-1270
spellingShingle	Old Prison Health Social care Assessment Care planning Public aspects of medicine RA1-1270 Katrina Forsyth Roger T. Webb Laura Archer Power Richard Emsley Jane Senior Alistair Burns David Challis Adrian Hayes Rachel Meacock Elizabeth Walsh Stuart Ware Jenny Shaw The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial
description	Abstract Background Older people are the fastest-growing demographic group among prisoners in England and Wales and they have complex health and social care needs. Their care is frequently ad hoc and uncoordinated. No previous research has explored how to identify and appropriately address the needs of older adults in prison. We hypothesised that the Older prisoner Health and Social Care Assessment and Plan (OHSCAP) would significantly increase the proportion of met health and social care needs 3 months after prison entry, compared to treatment as usual (TAU). Methods The study was a parallel randomised controlled trial (RCT) recruiting male prisoners aged 50 and over from 10 prisons in northern England. Participants received the OHSCAP or TAU. A clinical trials unit used minimisation with a random element as the allocation procedure. Data analysis was conducted blind to allocation status. The intervention group had their needs assessed using the OHSCAP tool and care plans were devised; processes that lasted approximately 30 min in total per prisoner. TAU included the standard prison health assessment and care. The intention to treat principle was followed. The trial was registered with the UK Clinical Research Network Portfolio (ISRCTN ID: 11841493) and was closed on 30 November 2016. Results Data were collected between 28 January 2014 and 06 April 2016. Two hundred and forty nine older prisoners were assigned TAU of which 32 transferred prison; 12 were released; 2 withdrew and 1 was deemed unsafe to interview. Two hundred and fifty three 3 prisoners were assigned the OHSCAP of which 33 transferred prison; 11 were released; 6 withdrew and 1 was deemed unsafe to interview. Consequently, data from 202 participants were analysed in each of the two groups. There were no significant differences in the number of unmet needs as measured by the Camberwell Assessment of Needs – Forensic Short Version (CANFOR-S). The mean number of unmet needs for the OHSCAP group at follow-up was 2.03 (SD = 2.07) and 2.06 (SD = 2.11) for the TAU group (mean difference = 0.088; 95% CI − 0.276 to 0.449, p = 0.621). No adverse events were reported. Conclusion The OHSCAP was fundamentally not implemented as planned, partly due to the national prison staffing crisis that ensued during the study period. Therefore, those receiving the OHSCAP did not experience improved outcomes compared to those who received TAU. Trial registration Current Controlled Trials: ISRCTN11841493 , 25/10/2012.
format	article
author	Katrina Forsyth Roger T. Webb Laura Archer Power Richard Emsley Jane Senior Alistair Burns David Challis Adrian Hayes Rachel Meacock Elizabeth Walsh Stuart Ware Jenny Shaw
author_facet	Katrina Forsyth Roger T. Webb Laura Archer Power Richard Emsley Jane Senior Alistair Burns David Challis Adrian Hayes Rachel Meacock Elizabeth Walsh Stuart Ware Jenny Shaw
author_sort	Katrina Forsyth
title	The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial
title_short	The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial
title_full	The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial
title_fullStr	The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial
title_full_unstemmed	The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial
title_sort	older prisoner health and social care assessment and plan (ohscap) versus treatment as usual: a randomised controlled trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2d9fed384df8495398ccff4917c776b4
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The older prisoner health and social care assessment and plan (OHSCAP) versus treatment as usual: a randomised controlled trial

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