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Peer Education in Prison: from the foundation to the roof. ACCESS Milan,5 October, 2012. Topics. The National Context Peer Education in Portugal: History Peer Education in Prison: a Pilot Experience Goals Criteria for recruitment Training course Intervention
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Peer Education in Prison: from the foundation to the roof ACCESS Milan,5 October, 2012
Topics • The National Context • Peer Education in Portugal: History • Peer Education in Prison: a Pilot Experience • Goals • Criteria for recruitment • Training course • Intervention • Monitoring the intervention • Evaluation tools • Results • Obstacles/limits
1. National Context: Population: 10.555.853 PrisonPopulation: 12.511 (11,9%) Nr. Prisons: 49 + 2 Occupancy Rate: 103,6%
1.1. Prison Population:* DGSP Statistics • Criminal Condition: Condemned: 10.074 Preventive: 2.437 (19,48%) • Gender: Male: 11.829 (94,5%) Female: 682 (5,4%) • Nationality: Portuguese: 9963 (79,6%) Migrant: 2548 (20,4%) • Crimes: Crimes AgainstProperty: 26,8% Crimes AgainstPeople: 27,8% Crimes Related to Drugs: 21%
Links 1.2. Links community / prison drug services 1.3. Links prison / external agencies: Articulation between Prison and IDT (National Institute of Drug Addiction) Articulation between Prison and Hospitals Prison Drug Services exist in 7 prisons (Drug free units) ach prison decides how to manage this articulation Articulation between Prison and NGOs, external health services Voluntary regime for NGOs Temporary employment agencies
2. Peer Education in Portugal: History (...) InPAR was an Experimental Project at national level in the area of Social Reintegration aimed at employment/training reintegration of people who use drugs, with close cooperation between Harm Reduction and Social Reintegration. This project was orientated towards the study and development of a methodology for the integration of active drug users, approached by harm reduction interventions, into work and/or trainning.
InPAR’s goals: • Integrate eight Drug Users as Peer Workers in Outreach Teams and evaluate the integration process; • Develop a social reintegration methodology, identifying facilitating factors and obstacles for the integration of Drug Users as Peer Workers; • Contribute to the recognition of the profession of Peer Worker.
3. Peer Education in Prison: a Pilot Experience In 2011, the VanGuarda Project, a project on the prevention of drug misuse and on health promotion, started to define and to implement a peer education activity, creating a methodology based on InPar, and adapted to the prison context a. Goals Promote the knowledge about drugs and related harms Improve the knowledge on infectious diseases related to risk behaviours (sexual, consumption, piercings and tattoos, other) Promote a healthy sexual life Promote a healthy exercise, hygiene and feeding.
Goals for PeerEducators • Promote the self-knowledge and self-esteem • Develop skills on decision making and on solving problems • Develop skills to dealing with anxiety, aggressiveness and frustration • Improve the knowledge on pedagogical strategies for peer education • Improve the knowledge on assertiveness and conflict management • Improve skills on team work and on participation at the public context
Criteria for recruitment • Profile (commitment, organisation, motivation, other personal and social skills) • Communication skills • Motivation for advocacy, support and teaching • Availability for participation • Assent of prison staff and direction • Long sentences
Certified Training coursePeer Education for Health Promotion • Schedule: from March 2011 to October 2011 • Training load: 185 hours • Training modules: • Communication and Interpersonal Relationships • Conflict Management and Team Work • Psychoactive Substances Use Prevention I • Psychoactive Substances Use Prevention II • Healthy Life Styles Promotion: Infectious Diseases • Healthy Life Styles Promotion: Feed, Hygiene and Physical Exercise • Healthy Life Styles Promotion: Piercings and Tattoos • Sexual Health Program • Counselling Skills • Peer Education I • Peer Education II • Education for Health • Intervention: Planning, Implementation and Evaluation • Citizenship, Civic Participation and Social Marketing • Intervention Design
Intervention andMonitoring • Individual intervention (contacts, provide information, support, long term accompaniment…) • Group intervention (organise campaigns, sessions to awareness, plan and implement diverse activities, invite speakers,…) • Weekly meetings with peer educators • Evaluate and adapt procedures • Reflect about the obstacles and difficulties on the intervention • Discuss alternative strategies to improve the intervention • Plan group sessions • Case discussion • Evaluation • Training sessions for new peers
Evaluation tools • Contact registration record • Logbook (diary) • Data base (quantitative evaluation) • Observation grids for prison staff • Structured questionnaires to peers, prison staff, peer educators (qualitative evaluation)
Results Quantitative Qualitative Impact on peer educators Impact on peers Impact on prison staff Tested methodology on peer education for Portuguese prisons
Obstacles/limits Difficulties in the kick-off of all activities Lack of rooms and other available spaces Flux of inputs and outputs high fluctuation on the work with peer educators Difficulties in recycling training for new peer educators continuity and sustainability of intervention Difficulties in the recruitment process Not-reimbursed work
Thankyou ligia.parodi @apdes.pt www.apdes.pt