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Understanding the impact of Covid-19 on the delivery and receipt of prison healthcare: an international scoping review

Lookup NU author(s): Dr Sue BellassORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2023, Springer-Verlag GmbH Germany, part of Springer Nature. Background: People being held in prison are particularly vulnerable to Covid-19 infection, as places of detention are high-risk environments for spread of infection. Due to this risk, many prisons across the globe introduced measures to reduce the risk of Covid-19 transmission. The pandemic changed almost all aspects of prison life, including prison healthcare provision. We undertook a scoping review to understand what is known about the impact of the Covid-19 pandemic on the receipt and delivery of prison healthcare. This scoping review is part of a wider mixed-methods study focusing more specifically on the impact that Covid-19 had on prison healthcare delivery in England. Methods: We conducted an international scoping review of peer-reviewed articles published between December 2019 and January 2022, across six electronic databases. We also conducted a hand search of key journals and the reference lists of included articles. Results: Twelve articles met our inclusion criteria. The articles focused primarily on prisons in high-income countries and mostly explored the impact that the pandemic had on the provision of drug treatment services. Some aspects of drug treatment services were more impacted than others, with those delivered by external providers and preparations for release particularly hindered. Whilst prison mental health services were purportedly available, there were changes regarding how these were delivered, with group therapies suspended and most consultations taking place using telehealth. The articles reported both digital and non-digital adaptations or innovations to prison healthcare services to ensure continued delivery. Collaboration between different agencies, such as the prison itself, healthcare providers, and non-governmental organisations, was key to facilitating ongoing provision of healthcare to people in prison. Conclusions: Covid-19 impacted on prison healthcare internationally, but different treatment services were affected in disparate ways, both within and between countries. The published literature concentrates on the impact on drug treatment services. Prison healthcare providers rapidly adapted their processes to attempt to maintain service provision.


Publication metadata

Author(s): Hearty P, Canvin K, Bellass S, Hampton S, Wright N, Sheard L

Publication type: Article

Publication status: Published

Journal: Health and Justice

Year: 2023

Volume: 11

Online publication date: 17/10/2023

Acceptance date: 26/09/2023

Date deposited: 17/07/2025

ISSN (electronic): 2194-7899

Publisher: BioMed Central Ltd

URL: https://doi.org/10.1186/s40352-023-00242-9

DOI: 10.1186/s40352-023-00242-9

Data Access Statement: Data sharing is not applicable to this article as no datasets were generated or analysed during the current study.


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Funding

Funder referenceFunder name
Economic and Social Research Council UKRI’S Agile Research and Innovation Response to COVID-19 (Ref: EP/V058517/1)

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