PDF(Pubmed)
Abstract：
BACKGROUND: As populations age globally, cooperation across multi-sector stakeholders is increasingly important to service older persons, particularly those with high and complex health and social needs. One such population is older people entering society after a period of incarceration in prison. The \'ageing epidemic\' in prisons worldwide has caught the attention of researchers, governments and community organisations, who identify challenges in servicing this group as they re-enter the community. Challenges lie across multiple sectors, with inadequate support leading to dire consequences for public health, social welfare and recidivism. This is the first study to bring together multi-sector stakeholders from Australia to form recommendations for improving health and social outcomes for older people re-entering community after imprisonment.
RESULTS: A modified nominal group technique was used to produce recommendations from N = 15 key stakeholders across prison health, corrections, research, advocacy, aged care, community services, via online workshops. The importance and priority of these recommendations was validated by a broader sample of N = 44 stakeholders, using an online survey. Thirty-six recommendations for improving outcomes for this population were strongly supported. The key issues underlying the recommendations included: improved multi-stakeholder systems and services, targeted release preparation and practices that ensure continuity of care, advocacy-focused initiatives in the community, and extended funding for effective programs.
CONCLUSIONS: There is consensus across stakeholders on ways forward, with intervention and policy updates required at the individual, systems and community levels. These recommendations entail two important findings about this population: (1) They are a high-needs, unique, and underserved group at risk of significant health and social inequity in the community, (2) Multi-sector stakeholder cooperation will be crucial to service this growing group.
RESULTS: A modified nominal group technique was used to produce recommendations from N = 15 key stakeholders across prison health, corrections, research, advocacy, aged care, community services, via online workshops. The importance and priority of these recommendations was validated by a broader sample of N = 44 stakeholders, using an online survey. Thirty-six recommendations for improving outcomes for this population were strongly supported. The key issues underlying the recommendations included: improved multi-stakeholder systems and services, targeted release preparation and practices that ensure continuity of care, advocacy-focused initiatives in the community, and extended funding for effective programs.
CONCLUSIONS: There is consensus across stakeholders on ways forward, with intervention and policy updates required at the individual, systems and community levels. These recommendations entail two important findings about this population: (1) They are a high-needs, unique, and underserved group at risk of significant health and social inequity in the community, (2) Multi-sector stakeholder cooperation will be crucial to service this growing group.
摘要：
背景：随着全球人口老龄化，多部门利益攸关方之间的合作对服务老年人越来越重要，特别是那些有高度和复杂的健康和社会需求。其中一个人口是在监狱中被监禁一段时间后进入社会的老年人。全球监狱中的“老龄化流行病”引起了研究人员的注意，政府和社区组织，他们在重新进入社区时识别服务这个群体的挑战。挑战跨越多个部门，由于支持不足，对公共卫生造成了可怕的后果，社会福利和累犯。这是第一项将澳大利亚多部门利益攸关方聚集在一起的研究，为老年人在入狱后重新进入社区提供改善健康和社会成果的建议。
结果：使用了一种改进的名义组技术来产生来自监狱健康的N=15个关键利益相关者的建议，更正,研究,倡导，老年护理,社区服务,通过在线研讨会。这些建议的重要性和优先级得到了N=44个利益相关者的更广泛样本的验证，使用在线调查。关于改善这一人群结果的36项建议得到了大力支持。建议背后的关键问题包括:改进多方利益攸关方系统和服务，有针对性的释放准备和实践，确保护理的连续性，社区以宣传为重点的举措，并为有效计划提供更多资金。
结论：各利益相关者在前进道路上达成了共识，个人需要干预和政策更新，系统和社区层面。这些建议包含了关于这个人群的两个重要发现：（1）他们是一个高需求，独特,以及在社区中面临重大健康和社会不平等风险的服务不足群体，（2）多部门利益相关者的合作对于为这个不断增长的群体提供服务至关重要。
结果：使用了一种改进的名义组技术来产生来自监狱健康的N=15个关键利益相关者的建议，更正,研究,倡导，老年护理,社区服务,通过在线研讨会。这些建议的重要性和优先级得到了N=44个利益相关者的更广泛样本的验证，使用在线调查。关于改善这一人群结果的36项建议得到了大力支持。建议背后的关键问题包括:改进多方利益攸关方系统和服务，有针对性的释放准备和实践，确保护理的连续性，社区以宣传为重点的举措，并为有效计划提供更多资金。
结论：各利益相关者在前进道路上达成了共识，个人需要干预和政策更新，系统和社区层面。这些建议包含了关于这个人群的两个重要发现：（1）他们是一个高需求，独特,以及在社区中面临重大健康和社会不平等风险的服务不足群体，（2）多部门利益相关者的合作对于为这个不断增长的群体提供服务至关重要。
