Welcome to Peers in Prison Settings (PiPS)
A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings.
The prison population has high levels of poor health and more needs to be known about effective interventions in this vulnerable population. Research indicates that peer-based approaches can be a mechanism for supporting healthcare delivery and health improvement in prison settings, but the evidence has not been systematically reviewed. This study will address this research gap and provide information to support decision making in the NHS by undertaking a synthesis of evidence on peer-based interventions.
The study has received approval from the National Offender Management Service National Research Committee.
The study (2012-13) is being funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research (NIHR HS&DR) programme Project Number 10/2002/13: http://www.netscc.ac.uk/hsdr/.
About the Study
The aims of the project were to conduct an evidence synthesis on peer-based interventions in prison settings, including young offender institutions (YOIs), and to provide research based information on types of intervention, outcomes, costs and benefits to aid decision making within the prison health service.
The main research question was: What is the effectiveness and cost effectiveness of peer-based interventions to maintain and improve health in prisons and young offender institutions?
The study objectives were to:
- Identify the effects of peer-based interventions on prisoner or staff health and the determinants of their health.
- Review and synthesise evidence for the cost and cost effectiveness of peer-based interventions in prison settings.
- Examine the positive and negative impacts of delivering peer-based interventions on health services within prison settings.
- Compare the effects of peer-based approaches to professionally led approaches.
- Produce a framework that identifies types of intervention, when provided (with reference to offender healthcare pathways), and outcomes.
For further information, please feel free to contact the research team via Sue Rooke, Project Administrator firstname.lastname@example.org
The study (2012-13) is being funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research (NIHR HS&DR) programme Project Number 10/2002/13: http://www.netscc.ac.uk/hsdr/
The views and opinions expressed are those of the authors and do not necessarily reflect those of the NIHR HS&DR programme or the Department of Health.
About the Peers in Prison Settings Expert Symposium
An Expert Symposium was held in May 2012 to gather expert opinion on whether and how peer-based approaches work within prisons and YOIs in England and Wales. The evidence heard at the symposium was able to supplement the data obtained from the systematic review of research studies and provide vital contextual information on the application of peer-based approaches within prison environments. Experts were be drawn from different fields including prison health services, National Offender Management Service, academic research and third sector organisations. A summary record of the discussions was produced and can be found at the outputs section of the website. An example of expert hearings using a similar methodology can be found at: http://www.leedsbeckett.ac.uk/health/piph/hearings.htm
Involving Service Users
All health service research needs to consider the views of patients and the public. In this study we consulted with prisoners (including those already acting in peer-support roles) about the findings from the systematic review. A series of listening exercises were held with prisoners at existing health forums in prisons in West Yorkshire as well as the Jigsaw Visitors’ Centre at HMP Leeds.
It is vitally important to get prisoners’ views as the desk-based research did not cover ‘real life’ issues in much detail. Speaking to existing prisoners helped us to produce the final report with practical information that can be used in developing health services in prisons.
Register your interest
We want to find out as much as possible about what is happening in practice and also give you the opportunity to link into our Study. Please consider joining our Register of Interest where we are inviting individuals and organisations to give brief details of any projects involving peer based interventions in prison settings.
The Research Team
- Professor Jane South (Principal Investigator), Institute for Health & Wellbeing, Leeds Beckett University
- Dr Anne-Marie Bagnall, Senior Research Fellow, Institute for Health & Wellbeing, Leeds Beckett University (lead for effectiveness systematic review)
- Dr Claire Hulme, Academic Unit of Health Economics, University of Leeds (lead for cost-effectiveness systematic review)
- Dr James Woodall, Senior Lecturer, Leeds Beckett University (lead for expert symposium)
- Karina Kinsella, Institute for Health & Wellbeing, Leeds Beckett University
- Dr Gary Raine, Institute for Health & Wellbeing, Leeds Beckett University
- Ben Mitchell, Policy Research Institute, Leeds Beckett University (Information Officer)
- Professor Rachael Dixey, Institute for Health & Wellbeing, Leeds Beckett University
- Bill Penson, Leeds Beckett University
- Dr Nick de Viggiani, University of West of England
- Dr Nat Wright, Clinical Director for Vulnerable Groups, NHS Leeds
- Dr Linda Harris, Chief Executive, Spectrum Community Health (providing clinical services in HMP Wakefield & HMP New Hall)
- Lee Stephenson, Jigsaw family centre, HMP Leeds
- Katherine Doran, Head of Health Care, HMP Bristol
- Caroline Thompson, previously Head of Learning and Skills, HMP/YOI Eastwood Park
- Prof Mike Kelly, Director, Public Health Excellence Centre, NICE
- Dr James Thomas, Institute of Education
- Dr Gerry Richardson, Senior Research Fellow in the Centre for Health Economics, University of York
The Final Report "A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings" has now been published in the HS&DR journal on the NIHR Journals Library website and can be downloaded here: http://www.journalslibrary.nihr.ac.uk/hsdr/volume-2/issue-35
The following outputs are also available:
To contact the research team, please refer your query as follows:
Faculty of Health & Social Sciences,
Leeds Beckett University,
Freephone: 0800 7311 170
Direct dial: 0113 812 1957