269760 Participatory Research by Women in a Canadian Prison:–“What Housing do we Need?”

Monday, October 29, 2012

Ruth Martin, MD, UBC School of Population and Public Health , Collaborating Centre for Prison Health and Education, UBC Department of Family Practice, Vancouver, BC, Canada
James Harris, UBC Medicine Class of 2014 , Collaborating Centre for Prison Health and Education, UBC Department of Family Practice, Vancouver, BC, Canada
Heather Filek, UBC Medicine Class of 2014 , Collaborating Centre for Prison Health and Education, UBC Department of Family Practice, Vancouver, BC, Canada
Mo Korchinski , Collaborating Centre for Prison Health and Education, Women in2 Healing, Women's Health Research Institute, BC, Vancouver, BC, Canada
Kelly Murphy , Collaborating Centre for Prison Health and Education, Women in2 Healing, Women's Health Research Institute, BC, Vancouver, BC, Canada
Jane Buxton, MBBS, MHSc FRCPC , UBC School of Population and Public Health, UBC Associate Professor, Vancouver, BC, Canada
Vivian Ramsden, RN PhD , Collaborating Centre for Prison Health and Education, University of Saskatchewan, Vancouver, BC, Canada
Alison Granger-Brown, MA , Collaborating Centre for Prison Health and Education, Douglas College, BC, Vancouver, BC, Canada
Lara-Lisa Condello, MA , Collaborating Centre for Prison Health and Education, Department of Justice Studies, Nicola Valley Institute of Technology, Vancouver, BC, Canada
Ann C. Macaulay, MD , Department of Family Medicine, McGill University, Montreal, QC, Canada
Patti Janssen, PhD , School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
T. Gregory Hislop, MDCM , Collaborating Centre for Prison Health and Education, UBC School of Population and Public Health, Vancouver, BC, Canada
Purpose.

Housing is a basic determinant of health. Homelessness and unstable housing negatively influence health. During a unique prison participatory research project in a Canadian provincial women's prison, women's homelessness was identified as a cause of their recidivism. In addition, incarcerated women identified housing as a major health goal for them. The objectives of this presentation are: 1. to discuss previously unreported findings of a housing survey that was designed and conducted by incarcerated women; 2. to demonstrate the value of participatory research processes in determining incarcerated women's health goals, including their specific housing needs.

Methods.

The participatory action research project was conducted in the main short-sentence minimum/medium-security women's prison located in British Columbia, Canada. An ethnographic multi-method approach was used for all data collection and analysis, to explore the question, “What do women in prison say about their housing needs?” Quantitative data was collected by surveys and analyzed using descriptive statistics. Qualitative data was collected from orientation package entries, audio recordings and written archives of research team discussions, forums and debriefings, and presentations. These data and ethnographic observations were transcribed and analyzed using iterative and interpretative qualitative methods. Associations were examined between homelessness and socio-demographic factors, return to crime, and preferred housing type and location upon release. Additionally, open-ended survey responses and all other transcribed data were reviewed to identify themes and to illuminate the survey findings.

Results.

Incarcerated women peer researchers designed health surveys, collected data and conducted data analysis that elucidated nine health goals, one of which was housing. Lessons learned from the research processes were confirmed by common themes that emerged from thematic analysis of their ethnographic field data. Eighty-three women completed the housing survey (72% response rate). Of the 71 previously incarcerated, 56% stated that homelessness contributed to their return to crime. Most women described the main barrier to housing as financial. Although 83% of women preferred housing exclusively for ex-prisoners, there was no “one sort fits all” type of accommodation. Results of our multi-method analysis related to incarcerated women's specific housing needs and suggestions will be presented in detail.

Conclusions.

Incarceration provides a unique opportunity to engage women as expert partners alongside academic researchers through participatory research processes. Incarcerated Canadian women face a cycle of homelessness, poverty and crime for survival. In this study, incarcerated women voiced specific housing needs and suggestions that would improve their health and reduce recidivism.

Learning Areas:
Advocacy for health and health education
Public health or related research

Learning Objectives:
Discuss previously unreported findings of a housing survey that was designed and conducted by incarcerated women. Demonstrate the value of participatory research processes in determining incarcerated women’s health goals, including their specific housing needs.

Keywords: Women's Health, Prison

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently a medical student under the supervision of Dr. Ruth Elwood Martin through the UBC Department of Family Medicine. The focus of my research has been on housing and homelessness for incarcerated women, leaving prison.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.