McCann Lucy J, Peden Jo, Phipps Emily, Plugge Emma, O'Moore Eamonn J
National Health and Justice Team, Public Health England, London, UK.
Oxford School of Public Health, University of Oxford, Oxford, UK.
Int J Prison Health. 2019 Aug 27;16(1):17-28. doi: 10.1108/IJPH-02-2019-0010.
There are significant health inequalities experienced by women in prison. They face distinct challenges and have particular and complex needs, specifically with regard to their physical and mental health. The purpose of this paper is to describe the approach taken to develop a set of health and wellbeing standards for the women's prison estate in England, which can be applied elsewhere.
DESIGN/METHODOLOGY/APPROACH: A structured literature review of standard healthcare databases and grey literature was used to inform development of suggested standards. A multidisciplinary expert panel provided consensus on the standards through an online survey and women with a history of contact with the criminal justice system were consulted through consensus groups.
A total of 549 papers were included in the final review. From this, 127 standards were identified for inclusion in the Delphi process. Consensus was achieved on all standards; this, combined with the analysis of qualitative feedback provided by both the survey and the consensus groups, resulted in the development of 6 overarching principles and 122 standards, across ten topic areas.
ORIGINALITY/VALUE: These standards are the most extensive that are known to exist for health and wellbeing of women in prison and the first to be developed in England. The process used ensures the standards have high validity, acceptability and feasibility and can be used to support those developing similar methodologies. There are few papers which document the development of standards to improve health and to the authors knowledge, only one other paper has been published detailing the development of health standards in prison settings specifically.
监狱中的女性面临着显著的健康不平等问题。她们面临独特的挑战，有特殊且复杂的需求，尤其是在身心健康方面。本文的目的是描述为英格兰女子监狱制定一套健康与福祉标准所采用的方法，该方法可应用于其他地方。
设计/方法/途径：对标准医疗数据库和灰色文献进行结构化文献综述，为建议标准的制定提供参考。一个多学科专家小组通过在线调查就标准达成共识，并通过共识小组咨询有刑事司法系统接触史的女性。
最终综述共纳入549篇论文。据此，确定了127项标准纳入德尔菲法流程。所有标准均达成共识；这与对调查和共识小组提供的定性反馈的分析相结合，形成了涵盖十个主题领域的6项总体原则和122项标准。
原创性/价值：这些标准是已知的关于监狱中女性健康与福祉最为全面的标准，也是在英格兰首次制定的此类标准。所采用的流程确保了这些标准具有高度的有效性、可接受性和可行性，可用于支持那些开发类似方法的人。记录改善健康标准制定过程的论文很少，据作者所知，仅有另一篇论文详细介绍了监狱环境中健康标准的制定。
