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Table 13 Environment

From: Dementia care pathways in prisons – a comprehensive scoping review

Setting

Adaptations

References

Prisoners’ cells

Dementia-adapted

Prisons and Probation Ombudsman, 2016; Public Health England, 2017a

Single

Brown, 2016; Treacy et al., 2019; Inspector of Custodial Services, 2015

Accessible

Forsyth et al. 2020; Treacy et al., 2019; Public Health England, 2017a; Williams et al., 2012; Her Majesty's Prison & Probation Service, 2018; Maschi et al., 2012; Wilson & Barboza, 2010

On the ground floor

Treacy et al., 2019; Prisons and Probation Ombudsman, 2016; Public Health England, 2017a; Goulding, 2013; Department of Health, 2007; Gaston & Axford, 2018

Identifiable (use of colour, pictures, name tags)

Brown, 2016; Hodel & Sanchez, 2013

No mirrors

Alzheimer's Society, 2018, Her Majesty's Prison & Probation Service, 2018; Brown, 2014; Sindano & Swapp, 2019; Wilson & Barboza, 2010

Adjustable low beds

Brown, 2016; Treacy et al., 2019; Goulding, 2013; Williams et al., 2012; Department of Health, 2007; Inspector of Custodial Services, 2015; Gaston & Axford, 2018; Mistry & Muhammad, 2015

Extra bedding and clothing

Department of Health, 2007; Her Majesty's Prison & Probation Service, 2018; Wilson & Barboza, 2010

Using Velcro on clothing (du Toit et al., 2019)

 

Issuing slip-on shoes (du Toit et al., 2019)

 

A bathroom

Brown, 2016

An in-cell alarm system

Forsyth, Heathcote and Senior et al. 2020; Correctional Investigator Canada, 2019; Department of Health, 2007; Her Majesty's Prison & Probation Service, 2018; Welsh Government and Ministry of Justice, 2011

Bathrooms

Adapted, easy-to-access bathrooms

Brown, 2016; Treacy et al., 2019; Correctional Investigator Canada, 2019; Department of Health, 2007; Feczko, 2014; Gaston & Axford, 2018; Goulding, 2013; Maschi et al., 2012

Arrows to low toilets with different coloured seating

Brown, 2016; The King's Fund, 2013; Williams et al., 2012

Signs for handwashing

Brown, 2016

Use of commodes

du Toit et al., 2019

Handrails in showers

du Toit et al., 2019

Dining hall

Communal and homely dining halls that are easy to access

Brown, 2016; Treacy et al., 2019; The King's Fund, 2013; Hodel & Sanchez, 2013; Williams et al., 2012; Department of Health, 2007

Outside space and recreation areas

Accessible outside space

Brown, 2016; Treacy et al., 2019; The King's Fund, 2013; Goulding, 2013

Accessible recreation or social spaces

Brown, 2016; Treacy et al., 2019; The King's Fund, 2013; Goulding, 2013; Department of Health, 2007; Inspector of Custodial Services, 2015; Welsh Government and Ministry of Justice, 2011; Gaston, 2018

Overall general prison environment

(Natural) light

Brown, 2016; Forsyth, Heathcote and Senior et al. 2020; The King's Fund, 2013; Goulding, 2013; Cipriani et al. 2017; Moll, 2013; Alzheimer's Society, 2018; Feczko, 2014; Public Health England, 2017a; Maschi et al., 2012; Sindano & Swapp, 2019; Wilson & Barboza, 2010

Ease of navigation and clear signage

Brown, 2016; Forsyth, Heathcote and Senior et al. 2020; Treacy et al., 2019; The King's Fund, 2013; Prisons and Probation Ombudsman, 2016; Public Health England, 2017a; Her Majesty's Prison & Probation Service, 2018; Dillon et al., 2019; Moll, 2013; Alzheimer's Society, 2018; Feczko, 2014; HMP Littlehey, 2016; Brown, 2014; Gaston, 2018; Gaston & Axford, 2018; Goulding, 2013; Maschi et al., 2012; Murray, 2004; Sindano & Swapp, 2019; Wilson & Barboza, 2010

Hand/grab rails and assistive devices

du Toit et al., 2019; Forsyth, Heathcote and Senior et al. 2020; Treacy et al., 2019; Williams et al., 2012; Forsyth et al. 2020; Moll, 2013; Correctional Investigator Canada, 2019; Department of Health, 2007; Inspector of Custodial Services, 2015; Welsh Government and Ministry of Justice, 2011; Brown, 2014; Gaston, 2018; Gaston & Axford, 2018; Goulding, 2013; Maschi et al., 2012; Wilson & Barboza, 2010

Longhandled equipment

Forsyth, Heathcote and Senior et al. 2020

Level, matte, non-slip flooring

Brown, 2016; Treacy et al., 2019; The King's Fund, 2013; HMP Littlehey, 2016; Brown, 2014; Gaston, 2018; Goulding, 2013

Magnifying screens

Forsyth, Heathcote and Senior et al. 2020

White walls with colours identifying areas

du Toit et al., 2019; Treacy et al., 2019; The King's Fund, 2013; Her Majesty's Prison & Probation Service, 2018; Cipriani et al. 2017; Dillon et al., 2019; Moll, 2013; HMP Littlehey, 2016; Prisons and Probation Ombudsman, 2016; Brown, 2014; Goulding, 2013; Maschi et al., 2012; Wilson & Barboza, 2010

Wide corridors

du Toit et al., 2019; Inspector of Custodial Services, 2015; Public Health England, 2017a; Gaston & Axford, 2018; Goulding, 2013

Ramps, wheelchair accessibility and stair lifts

Forsyth, Heathcote and Senior et al. 2020; Treacy et al., 2019; Her Majesty's Prison & Probation Service, 2018; Dementia Action Alliance, 2017; Department of Health, 2007; Prisons and Probation Ombudsman, 2016; Welsh Government and Ministry of Justice, 2011; Gaston & Axford, 2018; Wilson & Barboza, 2010

Resting points and comfortable seating

Treacy et al., 2019; The King's Fund, 2013; Dementia Action Alliance, 2017; Department of Health, 2007; HMP Littlehey, 2016; Inspector of Custodial Services, 2015; Gaston, 2018

Large wing clocks and calendars

Brown, 2016; The King's Fund, 2013; Prisons and Probation Ombudsman, 2016; Public Health England, 2017a; Dillon et al., 2019; Brown, 2014; Hodel & Sanchez, 2013

Seasonal or nature-oriented art and age-appropriate memorabilia

The King's Fund, 2013

Noise reduction measures

Her Majesty's Prison & Probation Service, 2018

Temperature control

Goulding, 2013