Jake Hard
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View article: Critical illness in prisons: a multi-method analysis of reported healthcare safety incidents in England
Critical illness in prisons: a multi-method analysis of reported healthcare safety incidents in England Open
Prisoners have disproportionately poorer health and complex needs compared to the general population. Prisons should provide care that is equivalent to community care to achieve equitable health outcomes, which includes managing physical d…
View article: Improving primary care services for imprisoned women with severe mental illness (IP-SIS) Protocol Paper
Improving primary care services for imprisoned women with severe mental illness (IP-SIS) Protocol Paper Open
Background A gap exists in the provision of care for imprisoned women with Severe Mental Illness (SMI), both in prison and on release to mainstream primary care. Women in such settings tend to have complex mental health problems, often wi…
View article: Mental and physical health morbidity among people in prisons: an umbrella review
Mental and physical health morbidity among people in prisons: an umbrella review Open
Research Foundation-Flanders, Wellcome Trust, National Institutes of Health.
View article: Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review
Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review Open
Background High rates of health inequalities and chronic non-communicable diseases exist amongst the prison population. This places people in and/or released from prison at heightened risk of multimorbidity, premature mortality, and reduce…
View article: Preparing for end-of-life: learning from Do Not Attempt Cardiopulmonary Resuscitation decision-making during COVID-19
Preparing for end-of-life: learning from Do Not Attempt Cardiopulmonary Resuscitation decision-making during COVID-19 Open
During the COVID-19 pandemic, Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions were made differently. This included more prominent roles for specialties such as psychiatry and doctors in training. Concerns about inappropriat…
View article: The role of primary care in supporting imprisoned women with mental illness
The role of primary care in supporting imprisoned women with mental illness Open
WOMEN IN PRISONPeople with severe mental illness (SMI) have a life expectancy that is reduced by up to 20 years compared with the general population, and primary care has a key role in reducing this mortality gap. 1 Providing primary care …
View article: Equivalence, Justice, Injustice – Health and Social Care Decision Making in Relation to Prison Populations
Equivalence, Justice, Injustice – Health and Social Care Decision Making in Relation to Prison Populations Open
Prisons represent sites of singular healthcare need–characterized by high levels of distress and disorder. In many jurisdictions, practitioners are ethically charged with delivering healthcare that is “ equivalent ” to that available in th…
View article: Review of: "Long-term Condition Management for Prisoners: exploring prevalence and compliance with national monitoring processes"
Review of: "Long-term Condition Management for Prisoners: exploring prevalence and compliance with national monitoring processes" Open
Potential competing interests: The author(s) declared that no potential competing interests exist.The impact of the Quality Outcomes Framework has been well-recognised for community General Practice for many years.This paper provides a cle…
View article: Remote consultations in prison mental healthcare in England: impacts of COVID-19
Remote consultations in prison mental healthcare in England: impacts of COVID-19 Open
Summary Telemedicine has become increasingly used by prison mental health services throughout the COVID-19 pandemic. In this editorial, we explore the benefits and risks of the remote provision of forensic mental healthcare, with considera…
View article: OUD Care Service Improvement with Prolonged-release Buprenorphine in Prisons: Cost Estimation Analysis
OUD Care Service Improvement with Prolonged-release Buprenorphine in Prisons: Cost Estimation Analysis Open
Nat Wright,1 Jake Hard,2 Colin Fearns,3 Mark Gilman,4 Richard Littlewood,5 Rachael Clegg,6 Luxman Parimelalagan,3 Farrukh Alam7 1Spectrum Community Health CIC, Wakefield, UK; 2Royal College of General Practitioners, London, UK; 3Delphi Med…
View article: <p>OUD Care Service Improvement with Prolonged-release Buprenorphine in Prisons: Cost Estimation Analysis</p>
OUD Care Service Improvement with Prolonged-release Buprenorphine in Prisons: Cost Estimation Analysis Open
PRB can address limitations of OUD care in prisons and improve outcomes. Introduction does not increase cost of care in this predictive analysis. PRB may lead the transformation of prisoner OUD care.
View article: The effects of COVID-19 on self-harm in UK prisons
The effects of COVID-19 on self-harm in UK prisons Open
Self-harm is a major international public health concern and is especially prevalent among prisoners. In this editorial, we explore recent trends in prisoner self-harm during the coronavirus lockdown, and consider strategies for improving …