Metzger Lia, Ahalt Cyrus, Kushel Margot, Riker Alissa, Williams Brie
Department of Medicine, Division of Geriatrics, University of California San Francisco , San Francisco, California, USA.
Department of Medicine, Center for Vulnerable Population, University of California San Francisco , San Francisco, California, USA.
Int J Prison Health. 2017 Sep 11;13(3-4):173-184. doi: 10.1108/IJPH-05-2017-0024.
Purpose The rapidly increasing number of older adults cycling through local criminal justice systems (jails, probation, and parole) suggests a need for greater collaboration among a diverse group of local stakeholders including professionals from healthcare delivery, public health, and criminal justice and directly affected individuals, their families, and advocates. The purpose of this paper is to develop a framework that local communities can use to understand and begin to address the needs of criminal justice-involved older adults. Design/methodology/approach The framework included solicit input from community stakeholders to identify pressing challenges facing criminal justice-involved older adults, conduct needs assessments of criminal justice-involved older adults and professionals working with them; implement quick-response interventions based on needs assessments; share findings with community stakeholders and generate public feedback; engage interdisciplinary group to develop an action plan to optimize services. Findings A five-step framework for creating an interdisciplinary community response is an effective approach to action planning and broad stakeholder engagement on behalf of older adults cycling through the criminal justice system. Originality/value This study proposes the Criminal Justice Involved Older Adults in Need of Treatment Initiative Framework for establishing an interdisciplinary community response to the growing population of medically and socially vulnerable criminal justice-involved older adults.
目的 当地刑事司法系统(监狱、缓刑和假释)中循环的老年人数量迅速增加,这表明包括医疗保健、公共卫生和刑事司法领域的专业人员以及直接受影响的个人、其家人和倡导者在内的不同地方利益相关者之间需要加强合作。本文的目的是制定一个框架,地方社区可以利用该框架来理解并开始满足涉及刑事司法的老年人的需求。设计/方法/途径 该框架包括征求社区利益相关者的意见,以确定涉及刑事司法的老年人面临的紧迫挑战;对涉及刑事司法的老年人和与他们合作的专业人员进行需求评估;根据需求评估实施快速反应干预措施;与社区利益相关者分享结果并收集公众反馈;让跨学科团队制定优化服务的行动计划。研究结果 为代表在刑事司法系统中循环的老年人制定跨学科社区应对措施的五步框架,是进行行动计划制定和广泛利益相关者参与的有效方法。原创性/价值 本研究提出了“需要治疗的涉及刑事司法的老年人倡议框架”,用于建立跨学科社区应对措施,以应对在医疗和社会方面易受伤害的涉及刑事司法的老年人群体不断增加的情况。