Nursing People in Prisons - Conference
- : Melbourne VIC 3000
High numbers of people are currently incarcerated in Australia’s prisons. Nurses play a crucial role in ensuring that while in prison these people receive healthcare that is equivalent to what they would receive in the community. An opportunity exists for nurses to take the lead and improve the physical and mental health outcomes for those who are incarcerated. A conference that addresses the holistic health needs of people in prison is timely. Topics include:
- Methamphetamines in prison
- How to de-escalate violence and aggressive behaviour
- Addiction and withdrawal in prisons
- Latest update on self-harm, suicide prevention and sexual assault
- Legal, ethical and professional responsibilities when providing nursing care for a prisoner
- Parenting and women's health in prison and much, much more...
CHAIRPERSON: DR LINDA STARR
8:30AM REGISTRATION FOR DAY ONE
8:30Registration and Refreshments
Dr Linda StarrBehind the Bars - Nursing People in Prisons
Nurses working in prisons require highly specialised skills to meet the vast array of professional challenges that exist. This session sets the scene by looking at some of the key professional issues most pertinent to nurses working, or considering working, in prisons. Includes:
- What are the major International Standards and local principles that exist for the provision of healthcare in prisons?
- What is the doctrine of equivalence and why is this so important?
- How does a nurse-led model of care work in prisons?
- What are core nursing responsibilities when working in prisons?
Dr Linda StarrA Common Cause of Tension? Custody Versus Caring
Practically providing health care in correctional facilities is surrounded by numerous challenges. While health promotion may be highly valued, security breaches causing lockdown often override clinical care opportunities. This session looks at this common tension that may be seen as a barrier to nursing care.
10:30 MORNING TEA
Ella SmithThe Relationship Between Mental Disorders & Crime
It is widely recognised that the relationship between mental disorder and crime is that of a complex nature. This discussion has sparked passion among many health professionals and will continue to do so for many years. But are all mental disorders linked with every crime? This session looks at the most common mental disorders affiliated with crime and the nursing implications.
- Brief outline of the Victoria Police Custodial Health Service
- Is there a direct link between mental disorders and crimes?
- What are the most common mental health disorders associated with crime and why?
- Static and dynamic factors for this population and how to reduce the “revolving door”
Associate Professor Louis RollerPsychotherapeutic Medicines and Their Use in Prisons
Medication management represents one of the major problems managed in nurse-led health clinics in prisons. Assessment, treatment and the provision of evidence-based education and advice are crucial to nurses’ practising in a safe manner where medicines are concerned. This session takes a detailed look at some of the most commonly seen medicines used in prisons and includes:
- What psychotherapeutic medicines (antidepressants, mood stabilisers, sedatives, analgesics, antipsychotics) are most commonly used in prisons?
- Aggression – are psychotherapeutic medicines the cause or the cure?
- What is the role of role psychotherapeutic medicines in chemical restraint?
- What nicotine replacement agents are being used and are they effective?
12:45PM LUNCH BREAK
Geoff AhernAssertiveness and the Nurse - Pearls of Wisdom
Assertion is often confused with aggression. Yet, assertion is a valuable form of communication in certain circumstances. Learn the difference between the two concepts and ensure you are never exposing yourself to undue risk.
- How do you know when to be assertive?
- Why does tone of voice and body language matter
- How can you balance assertiveness with softer styles of communication?
- Tips on finding the balance between assertiveness and aggressiveness
Geoff AhernDe-Escalating Aggressive Behaviour
It is known that during an aggressive or violent episode, asides from body language, what we say, but importantly how we say things is what makes a difference between a violent situation escalating or being defused. This may ultimately be the difference between a nurse being injured or staying safe. This helpful session will demonstrate verbal communication strategies to defuse violence during an aggressive situation. Includes:
- What are the physical and behavioural cues that may suggest violence may be about to occur?
- A review of the Stages of Aggression cycle and how to respond to each stage
- Practical, useful language to de-escalate and defuse aggressive situations
- Demonstration of how body language and other verbal communication strategies
3:15 AFTERNOON TEA
Geoff AhernAll Clear? The Post-Crisis Phase
The post-crisis phase is the period following a crisis situation which proceeds a violent or aggressive episode. Although it is likely to be perceived that the initial danger is over, it is still important to understand that during this phase a person may still be at risk of harming you, themselves or others. It is therefore incredibly valuable that nurses are given the knowledge and skills to appropriately act, communicate and respond to further triggers of aggression during this phase. This final session of day one will inform you of the following:
- Risk factors for further violence
- What interventions are most important during this phase?
- Behaviours that can indicate a person may be triggering again
- Essential de-escalation communication if a person re-triggers
- The role of post-crisis care plans
- De-brief and self-care following an event
4:30 CLOSE OF DAY ONE OF PROGRAM
CHAIRPERSON: DR LINDA STARR
9:00AM COMMENCEMENT OF DAY TWO
Stuart FentonNon-Judgemental Care - When Your Patients are Prisoners
What if you knew your patient had robbed a bank, was a sex offender or even a serial killer. Would it matter? Would the care that you provide change? As much as we’d like to answer no to this question, the reality is that working in correctional, justice and forensic settings means working with challenging people. When a person who has committed a crime is viewed in a disdainful manner by those who care for them it can result in rejection of the care offered. The impact of this may form a barrier separating the provision of care. This very practical session will draw on personal and professional wisdom to open up discussion of the following:
- Is empathy something I have or can it be developed?
- A balancing act - boundaries versus therapeutic relationship…
- The impact of reading about your patient’s crime…
- Communication, active listening and body language that oozes non-judgemental care
Dr John BankyOral Health for People in Prison
Oral health is important for everybody but particularly for those in prison. People who are in prison usually have significantly poorer oral health resulting in not only major oral health issues but also the effect on medical conditions. This session will increase your understanding of the relationship between oral health and medical conditions. Issues discussed are:
- The increasing numbers of links between oral health and medical conditions.
- Risk factors for poor oral health.
- Managing dental problems encountered in prison.
- Screening and risk assessment - what to look for.
10:30 MORNING TEA
Adele O’HehirSexual Assault - Focus on Forensics
Sexual assault can happen to anyone in the community. In correctional facilities, incidence may often be higher. Discussion includes:
- What are some of the myths and misconceptions associated with sexual assault?
- How is sexual assault managed forensically?
- What would make a nurse suspect a person may have experienced sexual assault?
- What are the ramifications for nursing practice?
Karyn SmithWomen’s Health in Correctional Care
Traditionally women’s health in prisons has received less attention than the health of males in prison. This may relate to the transient nature, shorter sentences and typically lower populations of women. However, women in correctional care such as prisons have unique physical and emotional health needs. Histories of drug and alcohol abuse, sexually transmitted infections, physical and or sexual abuse and mental illness all need to be considered. This session will:
- Provide a brief overview of healthcare for women in prison
- Look at the types of services offered
- Discuss any special considerations required when caring for the female prison population
Karyn SmithPregnancy and Parenting in Prison
At any point it is likely that a small proportion of women may be pregnant while in prison. As well, for some women, they may only learn that they are pregnant upon arrival at a correctional facility. Improving the prenatal care of these women and their babies may considerably improve outcomes during these high risk pregnancies. As well, the postpartum and parenting support provided to these women is crucial. This unique session discusses the range of considerations from pregnancy to the postpartum and parenting stages. Includes:
- What predisposes these women to having high risk pregnancies and how can these complex needs be best managed?
- Postpartum care - physical and mental health considerations
- Mother-infant attachment - is this possible if separation occurs shortly after birth?
- Contact visits, nurseries and parenting services - what’s possible and what occurs?
1:30PM LUNCH BREAK
Leanne BoaseDon’t Touch Me! Scabies, Lice and Other Skin Conditions
Prison creates an ideal environment for the transmission of skin infections. Many conditions that are not often seen in the community may be rampant in prisons. This session takes a look at some of these common conditions and the nursing management needed to control them:
- Skin infections and rashes - risk factors, assessment and control
- Assessing and treating scabies, lice and other infestations - latest evidence
- Education for personal hygiene practices
3:15 AFTERNOON TEA
Dr Linda StarrConfronting Ethical Dilemmas - Caring for Prisoners
There are numerous situations in prisons which may place nurses in a difficult position. This final session will look at the ethical dilemmas that nurses may face. This session provides a valuable opportunity to join a lively discussion and debate some of the ethical considerations that nurses working in this specialised setting will confront. It includes guidance on how to make correct decisions based on legal and ethical principles. Includes:
- Is it ethical to assist in the collection of forensic evidence?
- What type of situation would constitute a breach of confidentiality?
- What do you do when you see the wrong thing?
- What are examples of professional misconduct?
4:30 CLOSE OF DAY TWO OF PROGRAM
The Goal Need for Program
People in prisons have higher rates of many chronic health conditions as identified by the Australian Institute Health and Welfare (2012). Nurses have a professional duty to ensure the healthcare provided to prisoners is equivalent to that in the community. The opportunity for nurses to improve health outcomes through proactive prevention strategies, assessment, management and education all rely on sound knowledge of the latest evidence for a range of chronic illnesses. Education that is specifically tailored to nurses who work in this specialised area is crucial if the physical and financial burdens of chronic disease are to be reduced.Purpose of Program
The purpose of this conference is to improve the physical and mental health outcomes of people in prisons by enhancing nurses’ knowledge about latest evidence-based strategies to prevent, assess and manage chronic illnesses.Your learning outcomes:
Provide care to prisoners that is aligned to current standards of professional practice to reduce the burden of chronic diseases
Use practical communication startegies to de-escalate aggressive behaviour and violence
Improve health outcomes by implementing evidence-based practice to manage a range of chronic health conditions
Enhance professional accountability and maintain scope of practice by understanding legal and ethical considerations of working with prisonersPresenters
Dr Linda Starr is a general and psychiatric qualified Nurse, Lawyer and Associate Professor in the School of Nursing and ... Read More
Ella Smith is a Nurse Practitioner with the Custodial Health Service (Victoria Police). Ella has been working with Victoria ... Read More
Associate Professor Louis Roller, PhC, BPharm, BSc, MSc, PhD, DipEd, FPS, FACPP has been an academic at the Faculty of ... Read More
Stuart Fenton is a Gestalt therapist and counsellor and also a recovered drug addict whose primary drug of choice was ... Read More
Adele O'Hehir is a Forensic Nurse Coordinator at the Victorian Institute of Forensic Medicine (VIFM) in Melbourne, where she oversees ... Read More
Karyn Smith is an Outreach Clinical Midwife Consultant at the Sunshine Hospital providing collaborative midwifery care to vulnerable families in ... Read More
Leanne is currently working as a Nurse Practitioner and Business Manager in her own private practice in Melbourne. She also ... Read More
Geoffrey Ahern is a Senior Mental Health Clinician from Melbourne, who works with Victorian Police on a specialised mental health ... Read More
Dr. John Banky is a dental clinician with more than 40 years of clinical experience in both the private and ... Read More