Melanie Jordan

Mental health/illness and prisons as place: Frontline clinicians׳ perspectives of mental health work in a penal setting

This article takes mental health and prisons as its two foci. It explores the links between social and structural aspects of the penal setting, the provision of mental healthcare in prisons, and mental health work in this environment. This analysis utilises qualitative interview data from prison-based fieldwork undertaken in Her Majesty׳s Prison Service, England. Two themes are discussed: (1) the desire and practicalities of doing mental health work and (2) prison staff as mental health work allies. Concepts covered include equivalence, training, ownership, informal communication, mental health knowledge, service gatekeepers, case identification, and unmet need. Implications for practice are (1) the mental health knowledge and understanding of prison wing staff could be appraised and developed to improve mental healthcare and address unmet need. Their role as observers and gatekeepers could be considered. (2) The realities of frontline mental health work for clinicians in the penal environment should be embraced and used to produce and implement improved policy and practice guidance, which is in better accord with the actuality of the context - both socially and structurally.

Employment of ex-prisoners with mental health problems, a realistic evaluation protocol

BackgroundOffenders with a mental illness are routinely excluded from vocational services due to their mental health. Employment has shown to be very important in improving mental health, reducing recidivism, and connecting people to society. This study examines the effectiveness of an established intervention which is relatively untested in this population, Individual Placement and Support (IPS), to help offenders with mental health problems into competitive employment. The overall research question is whether IPS is effective in gaining and sustaining competitive employment for offenders with a Severe Mental Illness (SMI). The context is an English criminal justice setting across different populations. The study will also measure non-vocational outcomes such as recidivism, mental health and social stability.Methods/DesignA Realistic Evaluation (RE) design will address the questions “What works, for whom, and in what circumstances?” This study includes pre and post comparisons for a cohort of approximately 20 people taking part in IPS, and a similar number of controls, over a one year period. The RE also consists of interviews with practitioners and offenders in order to understand how IPS works and develops within the criminal justice system (CJS). By applying this framework the research can go from discovering whether IPS works, to how and why (or why not) IPS works. This is achieved by examining where the intervention is occurring (Context (C)), the mechanisms (M) that create particular behaviours, and how the outcomes (O) from the intervention all come together (CMOs). Employment outcomes will also be examined for all participants.DiscussionBy applying RE the research will permit inferences to be drawn about how and why (or why not) IPS works, by examining context, mechanisms and outcomes. IPS has never been implemented within the CJS in the United Kingdom. As a result, this evaluative research will not only provide a novel insight into the core research areas, but also how the intervention can be improved for others in the future.

Method and methodological reflections concerning the conduct of interviews with NHS mental healthcare patients/prisoners in HM Prison Service, UK

Purpose – This paper aims to explore qualitative semi‐structured interviews – conducted with NHS mental healthcare patients/prisoners located in one HM Prison Service (HMPS) establishment. The methodological reflections, whilst not directly related to the content of the interviews, seek to offer a debate about interview data in relation to the processes of their creation.Design/methodology/approach – The dialogue is designed primarily for those who conduct, or have an interest in, mental health‐orientated research, particularly those who undertake studies in secure settings with mental health service users as participants.Findings – Regarding interview method as a tool for data collection/creation, methodological foci for discussion include the structure of interview questions, participant unfamiliarity with the process, body language and non‐verbal communication, plus discussions concerning conversational turn‐taking and interviewee agency.Originality/value – This article stems from a small‐scale empiric...

Capoeira for beginners: self-benefit for, and community action by, new Capoeiristas

ABSTRACT Capoeira could be defined as a Brazilian martial art and game to be played. This research explored how capoeira play might be considered to facilitate connectedness amongst newly-recruited persons, plus any other ramifications of capoeira involvement. A beginners’ course of capoeira was provided to participants, free of charge, in an English city in the West Midlands—new capoeiristas in a new venue for capoeira. Researchers attended classes to collect/construct overt non-participant observation data. In addition, semi-structured interviews were undertaken with the new capoeiristas post-course. This article explores researchers’ observation fieldnotes and interviewees’ narratives. These qualitative data-driven debates include the concepts: self, identity, escapism, multiparty endeavour, community, temporality, enjoyment, and transcending boundaries. Capoeira is theorised in a fresh manner that highlights social benefits of capoeira—for example as an enjoyable and supportive group endeavour which includes elements of social play and community-building—plus benefits for self that can transcend the boundaries of the class. Findings highlight how capoeira can be considered an inherently multiparty endeavour whereby social actors form, and experience, a community in order to embrace capoeira play. Data suggest capoeira can facilitate group playfulness, joviality, and laughter. Further, capoeiristas can enact and experience—some mode of—escapism via capoeira, whereby new place and pursuit can facilitate hedonistic diversion from the mundane. Capoeira appears to provide adventure and liberation into a relatively unburdened part of, or place in, social life. Corporeal and discursive boundary-empowerment can also be experienced by capoeiristas, fostering positive identity work in the wider world. Capoeira can be argued to facilitate mutuality (e.g. community experience and group work) and egoism (e.g. an individuals identity work) concurrently. This research suggests that modified capoeira for beginners can be beneficial for both the new capoeiristas themselves and for positive community action during and beyond class.

Mental Health Uncertainty and Inevitability

This concluding chapter considers the findings, analyses, and implications from across the book’s internal chapters to construct an overarching commentary; it also debates the concepts of uncertainty and inevitability in relation to mental health. The studies in this tome represent mental health work in prisons, hospitals, therapeutic communities, care homes, and community settings in the UK and the US. Some of the mental healthcare analysed is NHS commissioned and provided and some is privately provided care. The chapters’ analyses are based on empirical social science investigation with research methods including ethnographic work, quantitative data analysis, qualitative fieldwork, policy review, practice evaluation, and case study inquiry. Elements of formal healthcare provision are evaluated (e.g., resource constraints and structural barriers) but so too are informal and unplanned routes to therapeutic change (e.g., social interactions and collegial cultures).