Supporting women leaving prison through peer health mentoring: a participatory health research study.
Supporting women leaving prison through peer health mentoring: a participatory health research study.
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DOI：
10.9778/cmajo.20190106
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发表时间：
2020-01-01
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影响因子：
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通讯作者：
Martin, Ruth Elwood
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文献类型：
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作者：
McLeod, Katherine E;Korchinski, Mo;Martin, Ruth Elwood
背景：在监狱和社区之间的过渡期间，人们出现不良健康结果的风险大大增加。本研究描述了一个同伴健康指导方案，该方案在不列颠哥伦比亚省的一个省级惩教机构释放妇女后的头3天内为她们提供支持。方法：我们使用参与式健康研究框架来开发多方法流程来描述“打开大门同伴健康指导计划”。导师是有入狱经历的女性。2013年至2018年期间，从阿卢埃特女子惩教中心获释的女性被邀请参加该项目。所有的项目客户都被邀请参加调查和访谈。我们对调查和访谈数据进行分析，定量数据采用描述性分析，定性数据采用内容分析。结果：在研究期间，来自340名女性的346名项目联系人。对于每一次接触，都进行了一次电话采访。在346名接触者中，173名女性遇到了她们的导师，其中172名（99.4%）完成了接受和同意表格。在指导期结束时，共有105名女性（61.0%）完成了项目活动反馈调查。妇女确定了从监狱向社区过渡期间所需的一系列支助，包括获得服装、社会援助、住房和保健。参与者描述了围绕释放的各种情绪，包括兴奋、焦虑、希望以及对理解和支持的渴望。释放后3天内，49名参与者（46.7%）就诊于家庭医生，89名参与者（84.8%）就诊于至少1个社区资源。98名参与者（93.3%）报告说，他们的导师帮助他们获得社区资源。解读：同伴健康指导在帮助妇女获得健康和社会服务以及满足其基本需求方面提供了宝贵的、多方面的支持。在从监狱向社区过渡期间加强保健支助对于促进出狱妇女的健康和福祉至关重要。
BACKGROUND: During the transition between prison and community, people are at greatly increased risk for adverse health outcomes. This study describes a peer health mentoring program that supports women in the first 3 days after their release from a provincial correctional facility in British Columbia.METHODS: We used a participatory health research framework to develop multimethod processes to describe the Unlocking the Gates Peer Health Mentoring Program. Mentors are women with incarceration experience. Between 2013 and 2018, women released from Alouette Correctional Centre for Women were invited to access the program. All program clients were invited to participate in the surveys and interviews. We analyzed survey and interview data using descriptive analysis for quantitative data and content analysis for qualitative data.RESULTS: There were 346 program contacts from 340 women over the study period. For every contact, a telephone interview was conducted. Among the 346 contacts, 173 women met their mentor, of whom 172 (99.4%) completed the intake and consent forms. A total of 105 women (61.0%) completed a program activity feedback survey at the end of the mentoring period. Women identified a range of needed supports during the transition from prison to community, including access to clothing, social assistance, housing and health care. Participants described a mix of emotions surrounding release, including excitement, anxiety, hope, and a wish for understanding and support. Within 3 days of release, 49 participants (46.7%) had accessed a family physician, and 89 (84.8%) had accessed at least 1 community resource. Ninety-eight participants (93.3%) reported that their mentor assisted them in accessing community resources.INTERPRETATION: Peer health mentoring provides valuable, multifaceted support in helping women to navigate health and social services and to meet their basic needs. Strengthening health supports during the transition from prison to community is critical to promoting the health and well-being of women leaving prison.