Post on 16-Dec-2015
Health Trainer Champions in a Health Trainer Champions in a Category A Prison in England:Category A Prison in England:
Lessons Learned for Health Improvement of OffendersDi Bailey
Nottingham Trent University
Health Trainer Champion Project Health Trainer Champion Project
6 HTCs recruited in first cohortRole is to offer basic healthy lifestyle
advice on a range of health issuesWork with other men in the jail on a 1:1
basisCompleted a 12 week training course
accredited by the Royal Society of Public Health
NTU Evaluation NTU Evaluation
Evaluation strategy tried and testedDraws from two modelsIncludes an evaluation of:
◦Context ◦Inputs◦HTCs’ reactions to the training they received◦Modification of attitudes and perceptions◦Outcomes
Outcome Evaluation Outcome Evaluation
Knowledge and skills
Change in behaviour and the organisation
Benefits for prisoners
1. What is the context in which the Health Trainer Champions (HTCs) initiative is being implemented?
2. How have the HTCs experienced the training?
3. What have the HTCs learned from the training?
4. Have the HTCs changed their views about their own lifestyles?
5. What knowledge and skills have the HTCs gained as a result of the training?
6. What do the men in Frankland think about the HTC role? Have they benefitted and if so how?
7. Has there been any change in in the behaviour of the HTCs and men in Frankland?
Data Collection Data Collection
Documentary analysisParticipant observation
of training sessionsInterviews
Focus groupsSatisfaction
questionnairesSTAR tool attitude
measure
Themes from the Documentary Analysis of Steering Group Minutes
HTCProject
Networks and Communication (22)
Recruitment (18)
Training Needs/Support (15)
External Networking (14)Communication within
the Prison (7)
Security (8) Retention (5) Recruitment and Selection (5)
Tapping into Existing Resources (10)
Ongoing Training Needs Analysis (TNA) (5)
Figure 2: Before and After Training Scores on the STAR Tool
Attitudes to Healthy Lifestyle
0
2
4
6
8
10
12
Alcohol Use ofTime
PhysicalHealth
Emotionaland Mental
Health
DrugMisuse
Offending Money Family
Sco
re o
n S
tar
To
ol
Before
After
Frequency of the Top 10 Issue Categories Being Presented to HTCs
The top 10 issues categories arising with Health Trainer Champions in HMP Frankland
0
2040
6080
100
HTC Role Fitness andExercise
HealthyEating
Form help GeneralHealth Chat
Accessinghealthcareservices
Prison life Smoking Target/goalsetting
MentalHealthIssues
Issue category
Freque
ncy of
issue arisin
g Frequency (no. of visits)
The type of help required from the Health Trainer Champion
0123456
Immediatehealth
problem
Long termgoal to behealthier
Didn't reallyknow
Wanted tofind out
more
Type of help
No. of
clients
Type of Help Wanted from HTCs
Prisoners’ Reactions to HTCs Interventions Prisoners’ Reactions to HTCs Interventions
Clients thoughts of the information given from HTC's
Definitely happy
Mostly happy
Not sure
Poor
Prisoners’ Ratings of Helpfulness of HTCsPrisoners’ Ratings of Helpfulness of HTCs
How helpful the clients found the Health Trainer Champions
Very helpful
Mostly helpful
Not sure
Not helpful
Figure 7: Return Visits Figure 7: Return Visits
Would the client return to the Health Trainer Champion in the future
Definitely yes
Probably yes
I doubt it
Definitely not
Did Prisoners Act on the Advice Given by HTCs?Did Prisoners Act on the Advice Given by HTCs?
Number of clients acting on advice given by Health Trainer
Champion
02468
101214
Yes No
Acting on advice
Num
ber
of
clients
SummarySummary
Extensive planning, strong leadership, good networking and communication
Continued involvement from stakeholders
HTCs needed to be trusted prisoners and security cleared
Role clarity for HTCs and information about their role within the jail
HTCs changed their attitudes to a healthy lifestyle
Prisoners found HTCs accessible and helpful
Good links with healthcare