The Impact of Prison Hospice

Abstract

This study reports on a qualitative national telephone survey with coordinators of 14 prison hospice programs in 11 states. The rationale behind the survey was to learn about interdisciplinary collaboration between social work and criminal justice, using prison hospice as an exemplar of this collaboration. In addition to learning that all prison hospices in the study operate using an interdisciplinary team model and that most report high quality collaboration on the hospice team, the following additional five themes emerged: administrators and wardens are very supportive while correctional staff provides mixed support to team and program; greater collaboration with those outside prison hospice is critical; collaboration through prison hospice has a positive impact on dying prisoners; collaboration through prison hospice has a positive impact on prisoner volunteers; and, collaboration through prison hospice has a positive impact on the entire culture of the prison.     

Anti-oppressive Social Work Practice with Women in Prison: Discursive Reconstructions and Alternative Practices

Correspondence to Shoshana Pollack, Faculty of Social Work, Wilfrid Laurier University, Waterloo, Ontario, Canada N2L 3C5. E-mail: spollack{at}wlu.ca Summary An anti-oppressive practice (AOP) framework emphasizes issuesof power and oppression within the provision of social workservices themselves as well as within the lives of clients whohave been marginalized and oppressed (Preston-Shoot, 1995; Garciaand Melendez, 1997). AOP seeks to deindividualize clients’problems in order to see them within the wider social contextof their lives. In addition, this framework attempts to moveaway from an ‘expert’ model of service deliverytowards one that is more inclusive of clients’ experiencesand that incorporates a recognition of coping and resistenceto oppression. In this paper I discuss how an AOP frameworkcan contribute to our understanding of and interventions withwomen in prison. In particular, I will focus upon how we canbetter understand and respond to women’s mental healthissues and the experience of imprisonment. Peer support servicesare examined as an example of AOP programming for women in prison.     

Prison Welfare and Voluntary After Care

Summary Some findings of a survey into the experiences of men releasedfrom prison are reported, where they relate to their use ofprison welfare and after care services. These are discussedin the context of issues such as through-care, rate of take-up,and the factors which may be influential in determining whethera man makes use of after care on release from prison. It isproposed that for more isolated men the probation service shouldadopt a ‘reaching-out’ strategy.     

‘Unfit for reform or punishment’: mental disorder and discipline in Liverpool Borough Prison in the late nineteenth century

This article examines how Liverpool Borough Prison, opened in 1855 as one of the largest local prisons in England to adopt the separate system, categorized and dealt with mental distress and disorder amongst its prison population in the late nineteenth century. High prison committal rates in Liverpool, alongside high levels of recidivism, especially among female prisoners, led to severe overcrowding and encouraged a harsh disciplinary regime. Exacerbated by the poor physical and mental condition of the prisoners, this produced a challenging environment for maintaining the separate system of confinement and prisoners’ mental well-being. While official figures for the rates of mental disorder in local prisons are not readily available, Liverpool Prison’s diverse and under-exploited archives and official reports indicate that insanity caused prison officials and visiting justices great concern, and many prisoners were declared unfit for the rigours of prison discipline. Our article explores the implications of the ever more punitive, deterrent and physically taxing penal policy implemented in the late nineteenth century on the minds of prisoners. Despite the heavy toll on prisoners’ mental well-being, such cases were often retained by prison medical officers reluctant to acknowledge the failure of the prison to deter, reform and redeem.     

Strategic Planning for Support Services for Children with a Parent or Close Relative in Prison

It has long been recognized that children with a parent or close relative in prison are more likely to experience educational difficulties, emotional distress, family breakdown and a substantial reduction in family income (Boswell 2002; Smith et al. 2007; Morgan et al. 2013b; Morgan and Gill 2013). Consequently, children with a parent in prison are more likely to require support from statutory services, especially education and social care. However, statutory support for this group of children is sparse, and children of prisoners tend not to be identified as a priority group. The demand on local authorities to spend their limited budgets wisely means tough decisions have to be made. These decisions are not taken in a vacuum: they are taken in a context of local need, consumer representation, central and local politics; underpinned by the values and attitudes of individual members as well as by the ethos or culture of the local authority itself. In this article we apply Axford's typology (2009) of the different cultures which underpin local authority service provision to data from a research study carried out in 2011 in one local authority which explored support provision in schools for children of prisoners. We examine the contradictions and gaps within the local authority's attempts to synergize the different modules of service delivery into a coherent pattern of provision, and we explore how changes in strategic culture might lead to improvements being made in terms of service delivery to this group of ‘vulnerable’ children.     

Prison Experiences and Psychological Distress among Older Inmates

This study investigates relationships between older prisoners’ social experiences and their levels of distress. One hundred and seventy-three older prisoners (aged ≥ 50 years) from 8 Australian prisons were administered the Kessler Psychological Distress (K10) Scale, with additional information collected via individual interviews. Psychological distress scores were significantly associated with measures of self-reported safety (p < .001), prison victimization (p < .05), perceived social support from staff (p < .01) and inmates (p < .001), current employment (p < .05), and level of exercise (p < .001) among older inmates. Findings suggest that strategies for improving sense of safety, social support and level of exercise may ameliorate distress among older prisoners.     

Bar None: Extending Affirmative Action to Higher Education in Prison

Recognizing the intent of Affirmative Action to include historically marginalized citizens into institutions of higher learning, we stretch the limits of Affirmative Action to consider the role of higher education in prison. We present empirical findings of a 4-year, qualitative and quantitative participatory action research study of the impact of college in prison. Evidence is drawn from participant observations; individual and focus group interviews with participants of the college program, former inmates, prison administrators, corrections officers, and children of inmates; faculty surveys; and a quantitative analysis of recidivism rates. We address the psychological, academic, and crime-related impacts of higher education on women in prison, and document the benefits of broad-based access for inmates, prison environments, children of prisoners, and society-at-large.     

The impact of prison hospice: collaboration among social workers and other professionals in a criminal justice setting that promotes care for the dying

This study reports on a qualitative national telephone survey with coordinators of 14 prison hospice programs in 11 states. The rationale behind the survey was to learn about interdisciplinary collaboration between social work and criminal justice, using prison hospice as an exemplar of this collaboration. In addition to learning that all prison hospices in the study operate using an interdisciplinary team model and that most report high quality collaboration on the hospice team, the following additional five themes emerged: administrators and wardens are very supportive while correctional staff provides mixed support to team and program; greater collaboration with those outside prison hospice is critical; collaboration through prison hospice has a positive impact on dying prisoners; collaboration through prison hospice has a positive impact on prisoner volunteers; and, collaboration through prison hospice has a positive impact on the entire culture of the prison.     

Risk, Mental Disorder and Social Work Practice: A Gendered Landscape

Whilst the importance of gender for social work practice, riskand mental health has been recognized theoretically for sometime, few attempts have been made to explore this area empirically.This paper presents findings from a mixed-methods study of socialwork practice in relation to mental health service users perceivedto be ‘high-risk’. Findings suggest, first, thatthe concept ‘high-risk’ was gendered because theprimary focus in social work practice was on the risks posedby male service users to others. Second, female social workersin the present study were found to have more female serviceusers from their caseloads who had been defined as ‘high-risk’compared with their male counterparts. The paper goes on toexplore this apparent congruence between female social workersand female service users and highlights how the management ofrisk could be considered gendered because it reflects a worker’s(perceived) capacity in cultural terms to ‘decode’the nature of the risks that their clients face as genderedsubjects. The paper demonstrates how the intersections betweenrisk, mental disorder and social work practice can thereforebe understood as a gendered landscape. It concludes by highlightingthe implications of these findings for social work practiceand research.     

White Man's Magic Makes Black Deaths in Custody Disappear

Recent articles on Aboriginal deaths in custody appear to demonstrate that Aborigines and nonaborigines faced equal risks of dying in prison or police lockup over the period 1980–1988. A major criticism of the argument from which this conclusion is made, is the weight it places on a census of prisoners on one particular day during the nine years. In fact figures from such censuses are highly variable. The argument also ignores important risk factors such as sex, age, and exposure to prison of an individual, as well as variations between states, between locations within states, and between times of year. Apart from not convincingly demonstrating that day-to-day risks are similar for Aborigines and nonaborigines, the approach also does not attempt to assess the probability that an individual will ultimately die in prison. Using calculations based on recent research into the recidivisim of Western Australian prisoners, we show that the latter probability, for an Aborigine in Western Australia, is likely to be of the order of three or more times that of a nonaborigine. Such a disproportion may not be accounted for entirely by the over-representation of Aborigines in custody.     

Co‐production,governance and practice: The dynamics and effects of User Voice Prison Councils

Drawing on Bevir's (2013) decentered theory of governance, and Donati's (2016) theory of the relational subject, this article explores how User Voice Prison Councils in England have contributed to shifts in aspects of prison governance and practice. It discusses the cultural and policy context in which the Councils emerged and operate before exploring their perceived purposes, dynamics, and effects. User Voice Prison Councils represent an important example of different actors co‐producing alternative patterns of governance through innovations in democratic participation. Interviews with Prison Council participants, User Voice and prison staff revealed that the development of such “bottom–up” participatory governance practices require and restore interpersonal trust, the mechanisms of which are interactions underpinned by a distinct manner of relating and the establishment of a network of relations oriented to the common good. The effects include enhanced institutional legitimacy; improvements in prison officer‐prisoner relations; and greater quality of life for prisoners. Revealing the “how” of co‐production, from the “inside”, the argument advanced here is that while the effects of co‐production may be more ameliorative than transformative, such collaborative and dialogic approaches can enable differently situated people to forge new norms of interactions and forms of democratic participation to achieve collective goals.     

Stress and Opportunity in the Role of the Prison Welfare Officer

Summary The role of social workers within the penal system has beenthe subject of much discussion and heart-searching by probationofficers and others since the probation service took on responsibilityfor rilling prison welfare posts in 1966. Many officers havebeen reluctant to undertake secondment as Prison Welfare Officersbecause of the difficulties of applying their social work trainingand experience in a penal setting and their fears of absorptioninto a punishment-oriented culture. This article explores thenature of the stresses involved in the practice of social workin this setting, and argues the case for the positive contributionthat social workers can make, at present often ignored in discussingthe stress and conflict inherent in the situation. Stress, itis argued, may be a necessary function of effective work inthis context, and the attempt to reduce it by giving the PWOa more detailed role definition and a clearer position withinthe prison hierarchy is premature. The role is best definedas it emerges from the experience of good practitioners withinthe setting, a concept which has implications for the choiceof probation officers for this type of work and for their approach.They should be able to see and utilize the opportunities foreffective social work, and incorporate available research ina flexible and imaginative methodology     

The Use of Imprisonment on Groote Eylandt

The island of Groote Eylandt, in the Gulf of Carpentaria off the coast of East Arnhem Land, has a rate of imprisonment far higher than that prevailing in other local government areas of the Northern Territory and more than 25 times the national rate. Groote Eylandt prisoners are predominantly young, unmarried, Aboriginal males who are likely to be unemployed, have low levels of educational achievement, are highly likely to have been in prison previously, are dealt with by the Magistrates Court for offences involving property or alcohol and are likely to serve actual prison terms of under one year. This paper suggests that the use of correctional facilities in Darwin and elsewhere has little deterrent effect for these offenders and recommends the establishment of a small correctional facility on Groote Eylandt.     

Emotional Intelligence, Emotion and Social Work: Context, Characteristics, Complications and Contribution

Emotional intelligence (EI) has become one of the new management‘buzz’ terms. It is suggested that this is the missingingredient that separates average from top management or performance.However, despite its potential relevance for social work practice,there has been little investigation and few reports about itsapplication in social work settings. This paper seeks to stimulatedebate about the role of EI in social work practice by consideringits development, definitions and problematics. Whilst the empiricalevidence supporting the existence of a separate and measurableEI is ambiguous and emergent, the role of emotion in the organizationof human behaviour is more firmly established. The paper examinesthe role of EI and emotion in relation to five core social worktasks: engagement of users; assessment and observation; decisionmaking; collaboration and co-operation; dealing with stress.The paper situates itself in the rapidly changing context ofsocial work: the merger of social services departments withlarger more powerful bureaucracies; the movement towards integratedservice delivery; and the new social work degree. It is arguedthat social work needs to identify its claims to professionalcompetence at a time of such change, one of which is the abilityto use relationships to address users’ needs. This requiresthe capacity to handle both one’s own and others’emotions effectively.     

The Impact of the First Term of the New Labour Government on Social Work in Britain: The Interface between Education Policy and Social Work

Summary This paper considers how far the New Labour educational policyrepresents a clear shift in focus from the policies of the Conservativeadministrations of the 1980s and 1990s. As in other areas ofsocial policy, the paper concludes that current government policyowes as much—if not more—to ‘New Right’ideology than to that of the ‘Old Left’. With anew emphasis on social inclusion, the paper considers the contributionof, and implications for, contemporary developments in educationpolicy and practice for child and family social work in general,and education social work in particular.     

Young People, Risk Taking and Risk Making: Some Thoughts for Social Work

Policy makers, professionals and the public have become increasinglyconcerned with identifying and managing young people who arenot only troubled or at risk, but troubling or risky. Socialwork, however, has been relatively silent on the subject. Insocial work practice, young people have become largely ‘someoneelse’s problem’; in the academy, relatively littlecritical attention has been given to their risk taking, or tothe way we ‘make’ or construct it. This paper takesan exploratory rather than systematically comprehensive journey,across a range of discursive terrains, to open up the debate.Examining current concerns with youth and risk, it exploressome of the social and psychological theory bases whereby youthis constructed as a risky business. Drawing on empirical researchfrom several disciplines, it examines patterns and dynamicsof young people’s risk taking, and explores concepts ofrisk culture and cultural learning, identity capital and Bourdieu’snotion of ‘habitus’, to frame these. The discussionhighlights the need for critically reflective social work tounderstand the complex interplay of identity and agency, structure,culture and context that underpins young people’s risktaking. It encourages us to scrutinize our judgements of whatis acceptable or unacceptable riskiness, what within and whatbeyond the pale.     

Preventing Suicide: A Neglected Social Work Research Agenda

Social workers encounter suicidal clients; however, little isknown about social work’s empirical knowledge base forsuicide assessment and treatment. In the first comprehensivestudy of social work’s contribution to the suicide literature,the authors conducted systematic electronic and manual searchesfor suicide research published in peer-reviewed journals bysocial work investigators for the period 1980–2006, withthe purpose of ascertaining the state of clinical knowledgerelated to suicide risk factors and effective treatments. Thesefindings reveal that despite recent increases to the study ofsuicide by social work researchers, they have contributed limitedevidenced-based knowledge in the last twenty-six years on thetreatment or prevention of suicide or suicide-related behaviours.The article outlines the risk factors for suicide and discussesthe implications for clinical social work practice and research.     

Keyworkers Re-examined: Good practice, quality of care and empowerment in residential care of older people

Correspondence to Rosemary Bland, Department of Applied Social Science, University of Stirling, Stirling FK9 4LA, Scotland Summary Social work definitions of ‘good practice’ in residentialcare which were originally developed in work with children andyoung people have also been applied to residential settingsfor other user groups, including older people. However, anylink between such elements of practice and positive outcomesfor users has not always been demonstrated. The introductionof market principles and orientations into social welfare inthe 1980s re-defined the social work ‘client’ asa ‘consumer’ with the associated power to make choicesin the area of social care. The success with which such an approachcan be applied to services for people who are very often, notin a position to exercise much choice, is debatable. Alongsidethe notion of the ‘consumer’ or ‘user’of services has grown the ideology of ‘empowerment’of people who use social work services. Drawing on findingsfrom a recent study, this article explores the contributionof the keyworker role to good practice and the empowerment ofolder people living in residential homes. It concludes that,because their understanding of the concept and practice is largelyundeveloped, the role as currently interpreted is not consonantwith good practice and tends rather to reinforce the power ofstaff.     

An Unfinished Reflexive Journey: Social Work Students' Reflection on their Placement Experiences

The fieldwork placement is recognized as one of the major componentsof social work education and a major determinant of its quality.A key aspect of the learning process in the fieldwork placementis the exposition of practice encounters to the students’critical reflection. Given the importance of the process of‘reflection’ or ‘reflective learning’,a qualitative study based on the reflective logs of social workstudents was conducted to explore the meaning of social workfield education and the learning experiences of social workstudents during their placement. The study findings revealedthat disturbing events experienced by students in their fieldworkwere a catalyst to their reflective process. Meanwhile, theirundue concern with knowledge and skills application within acircumscribed knowledge frame suggests the dominant influenceof scientism and competence-based practice in social work, inwhich learning outcomes and instrumental and technical reasoningare highly emphasized. Discovery of ‘self’ was alsothe major premise in the students’ reflection logs, inwhich a majority of them took their prevailing self-identityas a constant state to be verified in interaction with othersin the fieldwork placement. Reflexivity is manifested in askingfundamental questions about assumptions generated by formaland practice theories; it addresses the multiple interrelationsbetween power and knowledge, and acknowledges the inclusionof self in the process of knowledge creation in social workpractice. Its realization in social work education requiresthe social work educators’ reflexive examination of thedynamics that influence the construction of curriculum, whichin turn construct our prospective social workers.     

Social Work, New Public Management and the Language of 'Service User'

The purpose of this paper is to offer insight into the possibleconsequences of language developed at the political level byan authoritative body for the purpose of designing social policythat is then adapted as discourse in social care. The focusis on the UK government’s policy toward the language of‘service user’ in the context of New Public Management(NPM). It begins with a brief introduction on the importanceof language. Next, it outlines the move towards NPM and changesthat have facilitated the shift from ‘client’ to‘service user’, presenting some of the implicationsthese changes have had on social work in Britain. Finally, itdetails the possible detrimental effects of labelling language,and discusses research from other countries on preferred termsof reference for individuals who use health and social careservices.