{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:13:20Z","timestamp":1777896800545,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002001","name":"Health Services and Delivery Research Programme","doi-asserted-by":"publisher","award":["hsdr05310"],"award-info":[{"award-number":["hsdr05310"]}],"id":[{"id":"10.13039\/501100002001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Sci Law"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Older adults are the fastest growing sub-group in prisons. They have complex health, social care and custodial needs and often the support they receive is sub-optimal. The Older prisoner Health and Social Care Assessment and Plan (OHSCAP) aimed to better meet these inter-related needs. As part of a wider study, a randomised controlled trial was conducted to evaluate the OHSCAPs effectiveness in meeting older prisoners\u2019 health, social care and custodial needs in comparison to treatment as usual. This article describes the nested qualitative study which aimed to explore the barriers and facilitators to the effective implementation of the OHSCAP. Semi-structured interviews were conducted with older adults (n\u2009=\u200914) and staff members t (n\u2009=\u200912). Data was analysed using the framework method. Three overarching key themes were identified. These were: (1) balancing care and custodial requirements; (2) prison, health and social care silos; and (3) rigid prison processes. Prison is an important opportunity to engage residents and improve public health. Cultural and strategic change is required for health, social care and custodial interventions, such as the OHSCAP, to be successfully implemented into prison settings.<\/jats:p>","DOI":"10.1177\/00258024221141641","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T02:21:57Z","timestamp":1669774917000},"page":"272-279","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Silos and rigid processes: Barriers to the successful implementation of the Older prisoner Health and Social Care Assessment and Plan"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9980-9464","authenticated-orcid":false,"given":"K.","family":"Forsyth","sequence":"first","affiliation":[{"name":"Health and Justice Research Network, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Daker-White","sequence":"additional","affiliation":[{"name":"Population Health, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Archer-Power","sequence":"additional","affiliation":[{"name":"Lancashire Police, Lancashire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Senior","sequence":"additional","affiliation":[{"name":"Health and Justice Research Network, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1139-6613","authenticated-orcid":false,"given":"D.","family":"Edge","sequence":"additional","affiliation":[{"name":"Equality, Diversity and Inclusion Research Unit, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.T.","family":"Webb","sequence":"additional","affiliation":[{"name":"School of Health Sciences, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Health and Justice Research Network, The University of Manchester, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"bibr1-00258024221141641","unstructured":"Walmsley. World prison population list 12th edition [Internet]. 2018 (cited 24 January 2020). https:\/\/www.prisonstudies.org\/sites\/default\/files\/resources\/downloads\/wppl_12.pdf."},{"key":"bibr2-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61053-7"},{"key":"bibr3-00258024221141641","unstructured":"Social Exclusion Unit. Reducing re-offending by ex-prisoners, HMG Cabinet Office \u2014 The Learning Journey [Internet]. 2002 (cited 11 April 2013). http:\/\/www.thelearningjourney.co.uk\/file.2007-10-01.1714894439\/file_view"},{"key":"bibr4-00258024221141641","first-page":"e1","author":"McLeod KE","year":"2020","journal-title":"Am J Public Health [Internet]"},{"key":"bibr5-00258024221141641","unstructured":"American Civil Liberties Union. At America\u2019s expense: the mass incarceration of the elderly | American Civil Liberties Union [Internet]. New York; 2012 (cited 17 June 2013). http:\/\/www.aclu.org\/criminal-law-reform\/report-americas-expense-mass-incarceration-elderly."},{"key":"bibr6-00258024221141641","unstructured":"Ministry of Justice. White paper on crime 2004: treatment of offenders [Internet]. 2004 (cited 14 June 2013). http:\/\/hakusyo1.moj.go.jp\/en\/50\/nfm\/mokuji.html."},{"key":"bibr7-00258024221141641","unstructured":"Uzoaba JHE. Managing older offenders: where do we stand? (Report No. R-70). Ottawa, Ontario, Canada; 1998."},{"key":"bibr8-00258024221141641","first-page":"1","volume":"115","author":"Grant A","year":"1999","journal-title":"Aust Inst Criminol Trends Issues Crime Crim Justice"},{"key":"bibr9-00258024221141641","first-page":"22","volume":"88","author":"Gautier S","year":"2011","journal-title":"Soins Gerontol"},{"key":"bibr10-00258024221141641","unstructured":"Prisons Strategy White Paper. 2021."},{"key":"bibr11-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxx020"},{"key":"bibr12-00258024221141641","unstructured":"Ministry of Justice. Offender Management Statistics Bulletin, England and Wales. London; 2019."},{"key":"bibr13-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1648"},{"key":"bibr14-00258024221141641","doi-asserted-by":"crossref","unstructured":"Fazel S, Yoon IA, Hayes AJ. Substance use disorders in prisoners: an updated systematic review and meta-regression analysis in recently incarcerated men and women [internet]. vol. 112, addiction. London: Blackwell Publishing Ltd, 2017. pp. 1725\u20131739. https:\/\/pubmed.ncbi.nlm.nih.gov\/28543749\/ (cited 18 May 2021).","DOI":"10.1111\/add.13877"},{"key":"bibr15-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1002\/gps.3761"},{"key":"bibr16-00258024221141641","unstructured":"Prison HMI of, Commision QC. Social care in prisons in England and Wales [Internet]. 2018. https:\/\/www.justiceinspectorates.gov.uk\/hmiprisons\/wp-content\/uploads\/sites\/4\/2018\/10\/Social-care-thematic-2018-web.pdf (cited 13 September 2019)."},{"key":"bibr17-00258024221141641","author":"Forsyth K","year":"2014","journal-title":"Ageing Soc [Internet]"},{"key":"bibr18-00258024221141641","volume-title":"The future organisation of prison health care [Internet]","author":"Joint Prison Service and National Health Service Executive WG","year":"1999"},{"key":"bibr19-00258024221141641","doi-asserted-by":"publisher","DOI":"10.3310\/hsdr01050"},{"key":"bibr20-00258024221141641","doi-asserted-by":"publisher","DOI":"10.3310\/hsdr05310"},{"key":"bibr21-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11965-5"},{"key":"bibr22-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1080\/14789949.2019.1672444"},{"key":"bibr23-00258024221141641","unstructured":"Grubin D, Carson D, Parsons S. Report on New Reception Health Screening Arrangements: the result of a pilot study in 10 prisons. Newcastle: University of Newcastle; 2002."},{"key":"bibr24-00258024221141641","volume-title":"An evaluation of the reception health screening process used within prisons in England and Wales","author":"Shaw J","year":"2009"},{"key":"bibr25-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"bibr26-00258024221141641","unstructured":"Srivastava A, Thomson SB. Framework analysis: a qualitative methodology for applied policy research [Internet]. 2009. https:\/\/papers.ssrn.com\/sol3\/papers.cfm?abstract_id=2760705 (cited 27 January 2020)."},{"key":"bibr27-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11965-5"},{"key":"bibr28-00258024221141641","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.1997.6.6.333"},{"key":"bibr29-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1177\/0269216310393058"},{"key":"bibr30-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1080\/14789940802377114"},{"key":"bibr31-00258024221141641","doi-asserted-by":"crossref","unstructured":"Bundred S. Solutions to silos: joining up knowledge. Vol. 26. Public Money and Management, 2006. pp. 125\u2013130.","DOI":"10.1111\/j.1467-9302.2006.00511.x"},{"key":"bibr32-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1111\/hojo.12159"},{"key":"bibr33-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2013.1190"},{"key":"bibr34-00258024221141641","first-page":"32","volume":"56","author":"Crawley E","year":"2004","journal-title":"CJM"},{"key":"bibr35-00258024221141641","unstructured":"HMPPS. HM prison and probation service workforce quarterly: June 2018 - GOV.UK [Internet]. 2018. https:\/\/www.gov.uk\/government\/statistics\/hm-prison-and-probation-service-workforce-quarterly-june-2018 (cited 13 March 2020)."},{"key":"bibr36-00258024221141641","volume-title":"Realistic evaluation","author":"Pawson R","year":"1997"},{"key":"bibr37-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1177\/1043986205282018"},{"key":"bibr38-00258024221141641","first-page":"283","volume":"34","author":"Senior J","year":"2011","journal-title":"Int J Law Psychiatry"},{"key":"bibr39-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afv171"},{"key":"bibr40-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2011.07.002"},{"key":"bibr41-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1016\/j.scaman.2011.05.004"},{"key":"bibr42-00258024221141641","doi-asserted-by":"publisher","DOI":"10.1177\/0141076814523949"}],"container-title":["Medicine, Science and the Law"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258024221141641","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00258024221141641","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00258024221141641","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T08:37:56Z","timestamp":1777624676000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00258024221141641"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,29]]},"references-count":42,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/00258024221141641"],"URL":"https:\/\/doi.org\/10.1177\/00258024221141641","relation":{},"ISSN":["0025-8024","2042-1818"],"issn-type":[{"value":"0025-8024","type":"print"},{"value":"2042-1818","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,29]]}}}