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Focus on Disability

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a final evaluati<strong>on</strong>. Progress is <strong>on</strong>-going and<br />

observati<strong>on</strong>s and reflecti<strong>on</strong>s are still being generated<br />

and analysed.<br />

‘Acti<strong>on</strong> research aims at improvement, it is<br />

problem focused and c<strong>on</strong>text specific, and it involves a<br />

research relati<strong>on</strong>ship in which those involved are<br />

participants in the change process’ 10 . Indeed, when<br />

used in stimulating organisati<strong>on</strong>al improvement ‘acti<strong>on</strong><br />

research has much to commend it’ 11 . Acti<strong>on</strong> research is<br />

said to empower professi<strong>on</strong>al groups (nurses, educators<br />

and pris<strong>on</strong> officers) to work together and solve<br />

problems.<br />

The l<strong>on</strong>g-term plan is to create a self-supporting<br />

structure robust enough to withstand anticipated<br />

resource shortages. In Model 1, an external NVQ<br />

assessor has been required for at least the initial cycle<br />

of training. In Model 2, the researcher / change agent<br />

has delivered the training. It was originally thought<br />

that a local employee could cofacilitate<br />

the workshop in a<br />

‘train-the-trainers’ style model,<br />

with the aim of leaving a<br />

structure in place. However, this<br />

has not been practical in the<br />

pris<strong>on</strong>s piloted so far, largely for<br />

resource reas<strong>on</strong>s. and because<br />

key staff did not feel c<strong>on</strong>fident<br />

delivering the material.<br />

Significantly, Model 1<br />

training is being carried out at<br />

HMP Shept<strong>on</strong> Mallet — a pris<strong>on</strong><br />

with a reas<strong>on</strong>ably static<br />

populati<strong>on</strong>. The points of<br />

learning and reflecti<strong>on</strong>s from this first interventi<strong>on</strong> have<br />

been significant and have informed the sec<strong>on</strong>d<br />

interventi<strong>on</strong> (Model 2). Clearly a six m<strong>on</strong>th course is<br />

impractical in pris<strong>on</strong>s with a higher populati<strong>on</strong> churn,<br />

such as local pris<strong>on</strong>s, and a shorter model needed to be<br />

developed.<br />

It was anticipated that the participants of the<br />

training would already work as either pris<strong>on</strong> buddies or<br />

in similar roles like Age UK assistants. In terms of<br />

selecti<strong>on</strong> it was felt that local staff had a good idea as<br />

to which pris<strong>on</strong>ers show an aptitude for care work and<br />

are appropriate for the role. In Model 1, a sample of<br />

four pris<strong>on</strong>ers was selected from a pool of applicants<br />

who were later passed at interview. All pris<strong>on</strong>ers<br />

underwent literacy and numeracy screening and will<br />

have to reach a defined level to be eligible for the<br />

training. The key stakeholders were staff occupying<br />

reas<strong>on</strong>ably fixed roles within the pris<strong>on</strong> and health care<br />

tax<strong>on</strong>omies. In Model 2, the participants were<br />

recommended by the disability liais<strong>on</strong> officer and the<br />

primary care manager; all were providing support for<br />

frail or disabled pris<strong>on</strong>ers.<br />

Numbers of participants undertaking training<br />

Model 1 4<br />

The l<strong>on</strong>g-term plan<br />

is to create a selfsupporting<br />

structure<br />

robust enough to<br />

withstand<br />

anticipated resource<br />

shortages.<br />

HMP HMP HMP<br />

Shept<strong>on</strong> Lewes Manchester<br />

Mallet<br />

Model 2 8 8<br />

Many of the pris<strong>on</strong>er-carers had fulfilled informal<br />

caring roles before they came into pris<strong>on</strong>. Their ages<br />

ranged from 23 to 55 years.<br />

Methods<br />

Data are being gathered<br />

using pre and post course<br />

questi<strong>on</strong>naires and semistructured<br />

interviews with<br />

stakeholders. Stakeholders<br />

include local staff, senior<br />

management groups, staff from<br />

the voluntary sector, from health<br />

care and operati<strong>on</strong>al roles,<br />

aiming at a 360-degree<br />

evaluati<strong>on</strong>.<br />

The interviews aim to gather<br />

data <strong>on</strong> the quality and relevance<br />

of the training, any differences to the delivery of the<br />

pris<strong>on</strong> regime and any differences to the delivery of<br />

health and social care.<br />

Data analysis<br />

The data generated to date have been analysed by<br />

highlighting quotes and categorising emerging themes<br />

from each individual interview using the principles of<br />

thematic analysis 12 . The transcripts were read and<br />

analysed several times to check that all the themes and<br />

sub themes had been identified and refined.<br />

Preliminary Findings<br />

As Model 1 training c<strong>on</strong>tinues, it is too early to<br />

state the overall outcomes, although some interesting<br />

and valuable data have been generated.<br />

10. Hart E and B<strong>on</strong>d M (1995). Acti<strong>on</strong> research for health and social care: a guide to practice. Open University Press, Buckingham.<br />

11. Hart E and B<strong>on</strong>d M (1995) as above.<br />

12. Ritchie J and Lewis J, (2003) Eds. Qualitative research practice: a guide for social science students and researchers. Sage publicati<strong>on</strong>s.<br />

Issue 195 Pris<strong>on</strong> Service Journal<br />

45

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