Court-based participatory research: Collaborating with the justice system to enhance sexual health services for vulnerable women in the United States

Alexis Roth, J. Dennis Fortenberry, Barbara Van Der Pol, Joshua George Rosenberger, Brian Dodge, Janet Arno, Janine Waters, David Certo, Michael Reece

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

Background Although jail screening programs have an important role in the diagnosis and treatment of sexually transmissible infections (STI) and HIV among incarcerated individuals, many arrestees are not screened before release. Justice-involved women are at particularly high risk for these conditions because of individual risk behaviour as well as other network-level risk factors. Court-based programs could provide a critical bridge between these women, STI risk counselling and health services. This formative study explored the features of a program that would encourage STI testing among court-involved women. Further, we describe how community-based participatory research principles were adapted for use in a court setting and the resulting justicepublic health partnership. Methods: Using semistructured interviews and focus group discussions, we explored issues related to health-seeking behaviours, perceived gaps in services for high-risk women and the components of a court-based screening program. Results: Six focus groups were conducted with women with a history of commercial sex work and staff from the court, as well as local organisations providing HIV and social support services for high-risk women. Community-based participatory research (CBPR) principles facilitated development of relevant research questions and equitable processes, and assisted partners to consider individual and sociostructural sources of health disparities. Discussion: Although not every principle was applicable in a court setting, the CBPR framework was helpful for building cohesion and support for the project. We provide a description of how CBPR principles were operationalised, describe the key lessons learned and discuss the implications for CBPR projects in a community court.

Original languageEnglish (US)
Pages (from-to)445-452
Number of pages8
JournalSexual Health
Volume9
Issue number5
DOIs
StatePublished - Oct 24 2012

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Community-Based Participatory Research
Reproductive Health
Social Justice
Health Services
Research
Focus Groups
Health
Sex Work
Risk-Taking
Infection
Social Work
Social Support
HIV Infections
Counseling
HIV
Organizations
Interviews

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Roth, Alexis ; Fortenberry, J. Dennis ; Van Der Pol, Barbara ; Rosenberger, Joshua George ; Dodge, Brian ; Arno, Janet ; Waters, Janine ; Certo, David ; Reece, Michael. / Court-based participatory research : Collaborating with the justice system to enhance sexual health services for vulnerable women in the United States. In: Sexual Health. 2012 ; Vol. 9, No. 5. pp. 445-452.
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abstract = "Background Although jail screening programs have an important role in the diagnosis and treatment of sexually transmissible infections (STI) and HIV among incarcerated individuals, many arrestees are not screened before release. Justice-involved women are at particularly high risk for these conditions because of individual risk behaviour as well as other network-level risk factors. Court-based programs could provide a critical bridge between these women, STI risk counselling and health services. This formative study explored the features of a program that would encourage STI testing among court-involved women. Further, we describe how community-based participatory research principles were adapted for use in a court setting and the resulting justicepublic health partnership. Methods: Using semistructured interviews and focus group discussions, we explored issues related to health-seeking behaviours, perceived gaps in services for high-risk women and the components of a court-based screening program. Results: Six focus groups were conducted with women with a history of commercial sex work and staff from the court, as well as local organisations providing HIV and social support services for high-risk women. Community-based participatory research (CBPR) principles facilitated development of relevant research questions and equitable processes, and assisted partners to consider individual and sociostructural sources of health disparities. Discussion: Although not every principle was applicable in a court setting, the CBPR framework was helpful for building cohesion and support for the project. We provide a description of how CBPR principles were operationalised, describe the key lessons learned and discuss the implications for CBPR projects in a community court.",
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Court-based participatory research : Collaborating with the justice system to enhance sexual health services for vulnerable women in the United States. / Roth, Alexis; Fortenberry, J. Dennis; Van Der Pol, Barbara; Rosenberger, Joshua George; Dodge, Brian; Arno, Janet; Waters, Janine; Certo, David; Reece, Michael.

In: Sexual Health, Vol. 9, No. 5, 24.10.2012, p. 445-452.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Court-based participatory research

T2 - Collaborating with the justice system to enhance sexual health services for vulnerable women in the United States

AU - Roth, Alexis

AU - Fortenberry, J. Dennis

AU - Van Der Pol, Barbara

AU - Rosenberger, Joshua George

AU - Dodge, Brian

AU - Arno, Janet

AU - Waters, Janine

AU - Certo, David

AU - Reece, Michael

PY - 2012/10/24

Y1 - 2012/10/24

N2 - Background Although jail screening programs have an important role in the diagnosis and treatment of sexually transmissible infections (STI) and HIV among incarcerated individuals, many arrestees are not screened before release. Justice-involved women are at particularly high risk for these conditions because of individual risk behaviour as well as other network-level risk factors. Court-based programs could provide a critical bridge between these women, STI risk counselling and health services. This formative study explored the features of a program that would encourage STI testing among court-involved women. Further, we describe how community-based participatory research principles were adapted for use in a court setting and the resulting justicepublic health partnership. Methods: Using semistructured interviews and focus group discussions, we explored issues related to health-seeking behaviours, perceived gaps in services for high-risk women and the components of a court-based screening program. Results: Six focus groups were conducted with women with a history of commercial sex work and staff from the court, as well as local organisations providing HIV and social support services for high-risk women. Community-based participatory research (CBPR) principles facilitated development of relevant research questions and equitable processes, and assisted partners to consider individual and sociostructural sources of health disparities. Discussion: Although not every principle was applicable in a court setting, the CBPR framework was helpful for building cohesion and support for the project. We provide a description of how CBPR principles were operationalised, describe the key lessons learned and discuss the implications for CBPR projects in a community court.

AB - Background Although jail screening programs have an important role in the diagnosis and treatment of sexually transmissible infections (STI) and HIV among incarcerated individuals, many arrestees are not screened before release. Justice-involved women are at particularly high risk for these conditions because of individual risk behaviour as well as other network-level risk factors. Court-based programs could provide a critical bridge between these women, STI risk counselling and health services. This formative study explored the features of a program that would encourage STI testing among court-involved women. Further, we describe how community-based participatory research principles were adapted for use in a court setting and the resulting justicepublic health partnership. Methods: Using semistructured interviews and focus group discussions, we explored issues related to health-seeking behaviours, perceived gaps in services for high-risk women and the components of a court-based screening program. Results: Six focus groups were conducted with women with a history of commercial sex work and staff from the court, as well as local organisations providing HIV and social support services for high-risk women. Community-based participatory research (CBPR) principles facilitated development of relevant research questions and equitable processes, and assisted partners to consider individual and sociostructural sources of health disparities. Discussion: Although not every principle was applicable in a court setting, the CBPR framework was helpful for building cohesion and support for the project. We provide a description of how CBPR principles were operationalised, describe the key lessons learned and discuss the implications for CBPR projects in a community court.

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