Engager is an intervention which aims to support prison leavers with common mental health problems.
Using practical and emotional support intervention practitioner’s help participants develop and achieve goals before and after their release from prison. Our realist process evaluation, alongside a trial, focuses on individualised pathways and aims to establish ‘what works for whom and in what circumstances’ (Pawson and Tilley, 1997). The evaluation examined how the intervention was implemented and responded too by testing out an evidenced based logic model. We used a case-based approach to explore the non-linear ways in which participants responded to the intervention, conducting qualitative interviews with participants, family/friends, Engager/Other Service practitioners, and researchers.
This session will present case study findings which show varied delivery in the practical and emotional support offered, with some practitioners placing emphasis on the therapeutic aspects of their work while others prioritised practical help. Intervention effects were gauged through identifying hypothesised mechanisms of impact (e.g the participant develops an increased understanding of links between thoughts, feelings, behaviours and actions). We will discuss the range of responses to the intervention and consider how both implementation and contextual circumstances inform individual pathways.
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