{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:00:33Z","timestamp":1790092833592,"version":"4.0.1"},"reference-count":42,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T00:00:00Z","timestamp":1734134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Currently, women make up only 5% of the prison population, with 3604 women in prison in the UK compared to 74,981 men. Risky drinking is highly prevalent in both the male and female prison population, however, significantly more females drink in a risky way prior to prison (24% compared to 18% of men). In addition to risky drinking, those entering the criminal justice system (CJS), particularly women, are more likely to suffer from inequalities in society. Such inequalities can be linked to the pains of imprisonment for women. The overall research methods discussed in this paper are qualitative interviews. The interviews were designed after two systematic reviews exploring: the gendered pains of imprisonment and the feasibility and acceptability of women and alcohol brief interventions (ABI) were conducted. Interviews were conducted in an open prison setting, with both female residents and relevant staff and stakeholders. To date there is a dearth of evidence in relation to delivering ABI\u2019s in prison, specifically with women. This research explored the feasibility and acceptability of delivering ABI to women in prison and found that when delivering ABI\u2019s in a prison setting, by underpinning the research with criminological theory, could help women capitalise on the \u201cteachable moment\u201d necessary to induce behaviour change. The findings of the interviews found the intervention was both feasible and acceptable and identified five themes highlighting the women\u2019s journey through prison chronologically to enable a more holistic ABI to be developed in future.<\/jats:p>","DOI":"10.3390\/ijerph21121671","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T06:48:39Z","timestamp":1734331719000},"page":"1671","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adopting a Holistic Approach to Alcohol Brief Interventions for Women in a Prison Setting in the UK: A Qualitative Exploration"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1719-269X","authenticated-orcid":false,"given":"Jennifer Louise","family":"Ferguson","sequence":"first","affiliation":[{"name":"Law, Policing and Criminology Department, School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough TS1 3BA, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,14]]},"reference":[{"key":"ref_1","unstructured":"(2024, November 11). Ministry of Justice and Her Majesty\u2019s Prison and Probation Service. Prison Population Figures: 2021, Available online: https:\/\/www.gov.uk\/government\/statistics\/prison-population-figures-2021."},{"key":"ref_2","unstructured":"(2024, November 11). Ministry of Justice and Office of National Statistics, Offender Management Statistics Bulletin, England and Wales. 2018, Gov.uk, Available online: https:\/\/assets.publishing.service.gov.uk\/media\/5b587e40e5274a3fcb8ecc58\/OMSQ-2018-Q1.pdf."},{"key":"ref_3","unstructured":"Prison Reform Trust (2019). Prison: The Facts\u2014Bromley Briefings, Prison Reform Trust."},{"key":"ref_4","first-page":"1359","article-title":"The Gendered Pains of Life Imprisonment","volume":"57","author":"Crewe","year":"2017","journal-title":"Br. J. Criminol."},{"key":"ref_5","unstructured":"BMJ (2020, October 22). BMJ Best Pratice: Alcohol Use Disorder. Available online: https:\/\/bestpractice.bmj.com\/topics\/en-gb\/198."},{"key":"ref_6","unstructured":"Drummond, C., Oyefesco, A., and Phillips, T. (2004). The Alcohol Needs Assessment Research Project (ANARP), National Alcohol Needs Assessment for England, Department of Health."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1111\/add.13757","article-title":"The relationship between different dimensions of alcohol use and the burden of disease\u2014An update","volume":"112","author":"Rehm","year":"2017","journal-title":"Addiction"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"91","DOI":"10.15288\/jsas.2002.s14.91","article-title":"Surveying the damage: A review of research on consequences of alcohol misuse in college populations","volume":"s14","author":"Perkins","year":"2002","journal-title":"J. Stud. Alcohol"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Sturmberg, J.P. (2017). Health System Redesign: How to Make Health Care Person-Centered, Equitable, and Sustainable, Springer.","DOI":"10.1007\/978-3-319-64605-3"},{"key":"ref_10","unstructured":"National Institute for Health Care and Excellence (2010). Alcohol-Use Disorders: Prevention, National Institute for Health Care and Excellence."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"361","DOI":"10.15288\/jsa.2005.66.361","article-title":"Alcohol screening and brief intervention in primary care settings: Implementation models and predictors","volume":"66","author":"Babor","year":"2005","journal-title":"J. Stud. Alcohol"},{"key":"ref_12","unstructured":"Scottish Government Edinburgh (2024, November 11). Local Delivery Plan Standard: Alcohol Brief Interventions. National\u00a0Guidance, Available online: https:\/\/www.scot.nhs.uk\/wp-content\/uploads\/2015\/06\/Alcohol-Brief-Interventions-ABI-National-Guidance-2015-16.pdf."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1503\/cmaj.140254","article-title":"Brief interventions for alcohol misuse","volume":"187","author":"Moyer","year":"2015","journal-title":"Can. Med. Assoc. J."},{"key":"ref_14","unstructured":"Babor, T., Higgins-Biddle, J.C., Saunders, J.B., Monteiro, M.G., and World Health Organization (1989). AUDIT, The Alcohol Use Disorders Identification Test, Guidelines for Use in Primary Health Care, World Health Organisation."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1055\/s-0032-1326348","article-title":"Prevalence of flat lesions in a large screening population and their role in colonoscopy quality improvement","volume":"45","author":"Reinhart","year":"2013","journal-title":"Endoscopy"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption","volume":"88","author":"Saunders","year":"1993","journal-title":"Addiction"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1001\/archinte.163.7.821","article-title":"Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): Validation in a female Veterans Affairs patient population","volume":"163","author":"Bradley","year":"2003","journal-title":"Arch. Intern. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/S0899-3289(94)90157-0","article-title":"Detection by the CAGE of alcoholism or heavy drinking in primary care outpatients and the general population","volume":"6","author":"Chan","year":"1994","journal-title":"J. Subst. Abuse"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1093\/alcalc\/37.1.61","article-title":"The FAST alcohol screening test","volume":"37","author":"Hodgson","year":"2002","journal-title":"Alcohol Alcohol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1097\/01445442-200305000-00013","article-title":"Motivational Interviewing: Preparing People for Change, J","volume":"25","author":"Miller","year":"2003","journal-title":"Healthc. Qual."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1136\/emj.18.2.99","article-title":"Improving detection of alcohol misuse in patients presenting to an accident and emergency department","volume":"18","author":"Huntley","year":"2001","journal-title":"Emerg. Med. J."},{"key":"ref_22","first-page":"66","article-title":"The Impact of Brief Aclohol Interventions in Primary Healthcare: A Systematic Review of Reviews","volume":"49","author":"Anderson","year":"2013","journal-title":"Alcohol Alcohol."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Barberet, R. (2014). Women, Crime and Criminal Justice, Routledge.","DOI":"10.4324\/9780203726440"},{"key":"ref_24","unstructured":"Sykes, G. (1958). The Society of Captives: A Study of a Maximum-Security Prison, Princeton University Press."},{"key":"ref_25","unstructured":"Ministry of Justice and Office for National Statistics (2020, April 09). Statistics on Women and the Criminal Justice System 2019, Available online: https:\/\/www.gov.uk\/government\/statistics\/women-and-the-criminal-justice-system-2019."},{"key":"ref_26","unstructured":"Light, M., Grant, E., and Hopkins, K. (2013). Gender Differences in Substance Misuse and Mental Health Amongst Prisoners: Results from the Surveying Prisoner Crime Reduction (SPCR) Longitudinal Cohort Study of Prisoners."},{"key":"ref_27","unstructured":"Prison Reform Trust (2020, April 09). Why Focus of Reducing Women\u2019s Imprisonment?. Available online: https:\/\/prisonreformtrust.org.uk\/wp-content\/uploads\/old_files\/Documents\/Women\/whywomen.pdf."},{"key":"ref_28","unstructured":"Prison Reform Trust (2020, April 09). Bromley Briefings Prison Factfile. Autumn 2016. Available online: https:\/\/prisonreformtrust.org.uk\/publication\/bromley-briefings-prison-factfile-autumn-2016\/."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"a1937","DOI":"10.1136\/bmj.a1937","article-title":"New MRC guidance on evaluating complex interventions","volume":"337","author":"Anderson","year":"2008","journal-title":"Br. Med. J."},{"key":"ref_30","unstructured":"Medical Research Council (2000). A Framework for Development and Evaluation of RCT\u2019s for Complex Interventions to Improve Health, MRC."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1080\/08870440903194015","article-title":"What is an adequate sample size? Operationalising data saturation for theory-based interview studies","volume":"25","author":"Francis","year":"2009","journal-title":"Psychol. Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.11648\/j.ajtas.20160501.11","article-title":"Comparison of convenience sampling and purposive sampling","volume":"5","author":"Etikan","year":"2016","journal-title":"Am. J. Theor. Appl. Stat."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Haighton, C., Newbury-Birch, D., and Kaner, E. (2013). Screening and Interventions in Medical Settings Including Brief Feedback\u2014Focused Interventions, in Interventions for Addiction, Elsevier.","DOI":"10.1016\/B978-0-12-398338-1.00030-0"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1037\/0003-066X.47.9.1102","article-title":"In Search of How People Change: Applications to Addictive Behaviors","volume":"47","author":"Prochaska","year":"1992","journal-title":"Am. Psychol."},{"key":"ref_36","unstructured":"Burkhart, K.W. (1973). Women in Prison, Doubleday."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1177\/0032885505279522","article-title":"\u201cYou Know Who You Can Go To\u201d: Cooperation and Exchange Between Incarcerated Women","volume":"85","author":"Severance","year":"2005","journal-title":"Prison. J."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1525\/si.2002.25.1.117","article-title":"Walking an Emotional Tightrope: Managing Emotions in a Women\u2019s Prison","volume":"25","author":"Greer","year":"2002","journal-title":"Symb. Interact."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1136\/bmj.38743.421574.7C","article-title":"Opportunistic screening for alcohol use disorders in primary care: Comparative study","volume":"332","author":"Coulton","year":"2006","journal-title":"Bmj"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1080\/16066350801900321","article-title":"A revised edition of the Readiness to Change Questionnaire [Treatment Version]","volume":"16","author":"Heather","year":"2009","journal-title":"Addict. Res. Theory"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e040636","DOI":"10.1136\/bmjopen-2020-040636","article-title":"A two-arm parallel-group individually randomised prison pilot study of a male remand alcohol intervention for self-efficacy enhancement: The APPRAISE study protocol","volume":"11","author":"Holloway","year":"2021","journal-title":"BMJ Open"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e014561","DOI":"10.1136\/bmjopen-2016-014561","article-title":"Alcohol Brief Interventions (ABIs) for male remand prisoners: Protocol for development of a complex intervention and feasibility study (PRISM-A)","volume":"7","author":"Holloway","year":"2017","journal-title":"BMJ Open"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/12\/1671\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:55:19Z","timestamp":1760115319000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/12\/1671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,14]]},"references-count":42,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["ijerph21121671"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21121671","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,14]]}}}