This article describes how a sample group of community managed offenders engaged with a range of health services. This is based on the findings from a pilot health needs assessment involving a representative sample of 183 offenders within two county-wide probation services. Health information was collected using a specially designed structured health needs assessment tool and complemented by exploratory interviews with probation workers. The results indicated that community offenders were found to have greater physical and mental health needs than the general population. Some problems were identified, particularly in engaging with dental and mental health services. Although many participants did not report any difficulty in accessing services, it would appear that offenders' engagement with health services was incommensurate with their likely level of need. There are clear implications for NHS joint commissioning groups who plan health services for this vulnerable group.
British Society for Disability and Oral Health ( 2000) Oral Health Care for People with Mental Health Problems: Guidelines and Recommendations. Report of a Working Party. London: BSDOH.
5.
Brooker,C., C. Fox, P. Barrett and L. Syson-Nibbs (2008) A Health Needs Assessment of Offenders on Probation Caseloads in Nottinghamshire and Derbyshire: Report of a Pilot Study. Lincoln: Centre for Academic and Workforce Innovation .
6.
Cardiff Research Centre (2006) Cardiff Bay Health Survey. Cardiff: County Council of the City & County of Cardiff.
7.
Care Services Improvement Partnership (2006 ) Health and Social Care in Criminal Justice. Brief Factsheet . Hyde: CSIP.
8.
Chitsabesan P., L. Kroll, S. Bailey, C. Kenning, S. Sneider, W. Macdonald and L. Theodosiou (2006) `Mental Health Needs of Young Offenders in Custody and in the Community', British Journal of Psychiatry. 188: 534-40.
9.
Department of Health (2006) Our Health Our Say. A New Direction for Community Care Services. London: Department of Heath.
10.
Department of Health (2007) Improving Health-supporting Justice: A Consultation Document. A Strategy for Improving Health and Social Care Services for People Subject to the Criminal Justice System. London: Department of Health.
11.
Department of Health (2008) Improving Access to Psychological Therapies. Implementation Plan: Equality Impact Assessment. London: Department of Health.
12.
Department of Health (England) and the Devolved Administrations (2007). Drug Misuse and Dependence: UK Guidelines on Clinical Management. London: Department of Health (England), the Scottish Government, Welsh Assembly Government and Northern Ireland Executive
13.
Dolan, M., J. Holloway and C. Smith (1999) `Health Status of Juvenile Offenders. A Survey of Young Offenders Appearing Before the Juvenile Courts', Journal of Adolescence22 (1): 137-44.
14.
Durcan, G. and K. Knowles (2006) Policy Paper 5: London's Prison Mental Health Services - A Review. London: The Sainsbury Centre for Mental Health.
15.
Ewing, E.M. (1984) `Detecting Alcoholism: The CAGE Questionnaire' , Journal of the American Medical Association252: 1905-7.
16.
Fazel, S., T. Hope, I. O'Donnell, M. Piper and R. Jacoby (2001) `Health of Elderly Male Prisoners Worse than the General Population, Worse than Younger Prisoners', Age & Ageing30: 403-7.
17.
Freeman, K. (2003) `Health and Well-being Outcomes for Drug Dependent Offenders on the NSW Drug Court Programme', Drug and Alcohol Review22: 409-16.
18.
Hagedorn, H. and M. Willenbring (2003) `Psychiatric Illness Among Drug Court Probationers' , The American Journal of Drug and Alcohol Abuse29(4): 775-88.
19.
Hatfield, B., T. Ryan, L. Pickering, H. Burroughs and R. Crofts (2004) `The Mental Health of Residents of Approved Premises in the Greater Manchester Probation Area: A Cohort Study', Probation Journal51(2): 101-15.
20.
Healthcare Commission (2006) Let's Talk About It: A Review of Healthcare in the Community for Young People Who Offend. London: Healthcare Commission .
21.
Hek, G., L. Condon and F. Harris (2005) Primary Care Nursing in Prisons: A Systematic Overview of Policy and Research Literature. Bristol: Faculty of Health & Social Care, University of the West of England.
22.
HM Chief Inspector of Prisons for England & Wales (2008) Annual Report 06/07.
Howerton, A., R. Byng, J. Campbell, D. Hess, C. Owens and P. Aitken (2007) `Understanding Health Seeking Behaviour Amongst Male Offenders: Qualitative Interview Study', British Medical Journal. 334: 303-6.
25.
Information Centre for Health and Social Care ( 2008) NHS Dental Statistics for England Quarter 2, 30 September 2007
26.
Jenkinson, C., S. Stewart-Brown, S. Petersen and C. Paice (1999) `Assessment of the SF-36 Version 2 in the United Kingdom', Journal of Epidemiology & Community Health53: 46-50.
27.
Keene, J., J. Janacek and D. Howell (2003) `Mental Health Patients in Criminal Justice Populations: Needs, Treatment and Criminal Behaviour', Criminal Behaviour & Mental Health13(3): 168-78.
28.
Lord Hunt (2008) Speech on the Interface between Coventry and Warwickshire Partnership Trust and Criminal Justice Agencies. Coventry . URL (accessed 11 August 2008): http://www.justice.gov.uk/news/sp080208a.htm
29.
Lowry, A., B. Kohler and J. Nicholl (1994) `Attendance at Accidents and Emergency Departments: Unnecessary or Inappropriate?', Journal of Public Health16(2): 134-40
30.
Mair, G. and C. May (1997) Offenders on Probation: A Research and Statistics Department Report. London: Home Office.
31.
Ministry of Justice (2007) Probation Statistics Quarterly Brief, July to September. England and Wales. URL (accessed 13 April 2008): http://www.justice.gov.uk/docs/q3brief-probation-2007.pdf
32.
Ministry of Justice (2008) Working in Partnership to Reduce Re-offending and Make Communities Safer: A Consultation . London: Ministry of Justice.
33.
Nacro (2007) Effective Mental Health Care for Offenders: The Need for a Fresh Approach. Mental Health and Crime Policy Briefing. London: NACRO.
34.
Nadkarni, R., B. Chipchase and K. Fraser (2000) `Partnership with Probation Hostels: A Step Forward in Community Forensic Psychiatry', Psychiatric Bulletin24: 222-4.
35.
Office of the Deputy Prime Minister (2005) Benefits Realisation of the Supporting People Programme. Working Paper 4: Offenders and Those at Risk of Offending. London: ODPM Publications.
36.
Plugge, E., E. Douglas and R. Fitzpatrick (2006) The Health of Women in Prison: Study Findings. Oxford: Department of Public Health, University of Oxford.
37.
Pope, C., S. Ziebland and N. Mays (2000) `Qualitative Research in Health Care. Analysing Qualitative Data', British Medical Journal320(7227): 114-16.
38.
Shah, S. and D. Cook ( 2008) `Socio-economic Determinants of Casualty and NHS Direct Use', Journal of Public Health30(1): 75-81
39.
Sheridan, J., M. Aggleton and T. Carson (2001) `Public Dental Health: Dental Health and Access to Dental Treatment: A Comparison of Drug Users and Non-drug Users Attending Community Pharmacies', British Dental Journal191: 453-7.
40.
Singleton, N., H. Meltzer, R. Gatwood, J. Coid and D. Deasy (1998) Psychiatric Morbidity amongst Prisoners in England and Wales. London: Stationery Office .
41.
Skeem, J.L. and J.E. Louden (2006) `Toward Evidence-based Practice for Probationers and Parolees Mandated to Mental Health Treatment', Psychiatric Services57(3): 333-42.
42.
Social Exclusion Unit (2002) Reducing Re-offending by Ex-prisoners. London: Social Exclusion Unit.
43.
Thomas, D.R. (2003) A General Inductive Approach for Qualitative Data Analysis. Auckland: University of Auckland. URL (accessed 28 April 2008): http://www.health.auckland.ac.nz/hrmas/resources/Inductive2003.pdf
44.
Vaughan, P.J. and S. Stevenson (2002) `An Opinion Survey of Mentally Disordered Offender Service Users', British Journal of Forensic Practice4(3): 11-20.
45.
Ware, J.E., M. Kosinski and J.E. Dewey (2000) How to Score Version Two of the SF-36 Health Survey . Lincoln, RI: QualityMetric Incorporated .
46.
Williamson, M. (2006) Improving the Health and Social Outcomes of People Recently Released from Prison: A Perspective from Primary Care. Sainsbury Centre for Mental Health. URL (accessed 16 July 2008): http://www.phrn.nhs.uk/workstreams/primarycare/RecentlyReleased.pdf
47.
Winterton, R. (2007) Written Answers in Hansard. URL (accessed 11 April 2008): http://www.publications.parliament.uk/pa/cm200607/cmhansrd/cm061206/text/61206w0029.htm
48.
World Health Organization (1946) Preamble to the Constitution of the World Health Organization as Adopted by the International Health Conference. New York: WHO.
