ABSTRACT

The rising prevalence of dementia in the UK presents a public health and economic challenge. People over the age of 60 are the fastest growing age group in prison and the number of people in prison who experience dementia is rising. There is a lack of research focused on improving management and support for people in prison who may experience dementia, but growing awareness of the need for staff training in prisons to identify and support people showing symptoms of dementia. This paper reports the development of a theory and evidence-based training package for prison staff and peer carers to identify and support people in prison with mild cognitive impairment or dementia. Training content and format was informed by the literature on dementia training in prisons and analysis of qualitative and quantitative data from semi-structured interviews with prison staff and a survey administered to prison governors and healthcare managers, both of which explored current provision of dementia training and training needs. A stakeholder working group reviewed and revised the training during two interactive meetings. Future research to evaluate the effectiveness of the training in practice is required.

摘要

英国痴呆症患病率的上升给公共卫生和经济带来了挑战。60岁以上的人是监狱中增长最快的年龄组，监狱中患有痴呆症的人数正在上升。目前缺乏专注于改善监狱中可能患有痴呆症的人的管理和支持的研究，但人们越来越意识到需要在监狱中进行工作人员培训，以识别和支持表现出痴呆症症状的人。本文报告了为监狱工作人员和同伴照顾者开发的理论和基于证据的培训包，以识别和支持监狱中患有轻度认知障碍或痴呆症的人。培训内容和形式参考了有关监狱痴呆症培训的文献、对监狱工作人员半结构化访谈的定性和定量数据分析以及对监狱长和医疗保健管理人员进行的调查，这两项调查都探讨了当前痴呆症培训的提供情况和培训需求。利益相关者工作组在两次互动会议上审查并修订了培训内容。未来需要进行研究来评估实践中培训的有效性。