Transcript Document

The Development of a DVD for
Young Offenders
Wendy Macdonald
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Background
Needs of young offenders
Qualitative study
Changing Times DVD
Levels of need
• Chitsabesan et al., 2006
• 48% needs with peer and family
relationshiops
• 36% educational or work needs
• 35% needs relation to violence to people
and property
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31% mental health need
29% need because of risky behaviour
20% IQ below 70
30% assessed as borderline learning
disability
• Community vs Custody
• Significantly more needs
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Education
Risky behaviour
Relationships
Alcohol and drug misuse
• Between groups
– Female offenders
• Significant difference mental health – depression,
self-harm and post-traumatic stress
• Lack of research on physical health
• Adolescents generally value:
– Confidentiality, trust, and flexible service
• Marcell & Helpern-Felsher (2005)
• Health beliefs and intention to seek help
• GP most effective, trustworthy, and
confident in physical health
• Significantly less depression and sex
scenarios
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Context - high levels of need
Poor detection of needs
Services struggling to meet demand
Prison Service funded a qualitative study
to inform the development of a DVD
capturing the views of young people in
custody about health issues and their
experiences of coping whilst in custody
• 28 Young Offenders
• 4 YOIs and 2 secure local authority
children’s homes
• 23 males
• 5 females
• Interviews 30-45 minutes
• Constant comparison method of analysis
• Interviews
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Physical health
Mental health
Sexual health
Drugs and alcohol
Hopes and plans for the future
• Themes
– Physical health
• Diet, exercise
– Sexual health
• Parenting
– Drugs and alcohol
– Mental health and illness
– Coping strategies
• Communication, activities, exercise, positive
thinking, relationships, anger management
– Standards in health care