Table 4

Illustrative quotations organised around themes

Analytical themesQuotations from participants in primary studies
1. The type of services accessed and challenges encountered“We don’t even know about half the stuff that they offer here” (Ahmed et al., 2016; p. 208).
“I’m sure there could be a lot of great resources for woman but when you’re asking for it and don’t see it, it’s kind of … unbelievable. Yeah, it’s very discouraging and tiresome” (Ahmed et al., 2016; p. 209).
“I only started getting them 3 days after I came in. I had to wait for my medical records from GGGG [name of prison from where the prisoner had just been transferred] and until that came they couldn’t give us any medication. Thing is, I’d been on Methadone there … Yeah, it’s different in different goals … like in GGGG, if you’re on a scripts on the ‘out’, they give you what they call a ‘maintenance script’ inside, of a smaller dose. Whereas I was on 50 ml on the outside, so in GGGG I was getting 30 ml of Methadone and a sleeping tablet. And that was it. That was doing it. But when I came here, they told me they don’t do Methadone … they don’t give you sleeping pills. It’s a total no-no. So I was ill, very ill.” (Bowen et al., 2009; p. 7).
“So, it wasn’t until I actually got to prison and I was forced to take my pills that things started to look good. And I thought, oh no, if I’d have done this years ago, I wouldn’t be here now” (Caulfield, 2016; p. 222).
“Helpful with [her] bi-polar. They gave me medications” (Jacobs and Giordano, 2018; p. 270).
“When you need to see a doctor you have to put in an application, you have to wait too long and mainly because I’m quiet and because I don’t fuss” (Plugge et al., 2008; p. e3).
“So we put in a request form but it never gets taken care of, so then people get sick [or] mad and sad or their mental health issues get worse” (Ahmed et al., 2016; p. 201)
2. A reduction in ability to self-manage mental well-being“… we can’t you know, take a cab and go to a medi-centre down the road and go, you know what I mean, by ourselves.” (Ahmed et al., 2016; p. 201).
“the doctor said that anti-depressants would help me” (Caulfield, 2016, p. 223).
“Because I’m on Valium-based medication – what everybody wants – I’m on Methadone. I kept giving a girl my Methadone all the time. She was bullying me into it” (Marzano et al., 2011; p. 877).
“I was on Trazadone and they [i.e. specifically the prison doctor] changed it to Venlafaxine … and that one I’ve forgot the name of, for the bi-polar, they just stopped them” (Bowen et al., 2009; p. 4).
“I didn’t bother. I was more concerned about taking my medication, and I didn’t want to say anything ‘cos I thought if I said anything they might just take me off it … So I just kept my mouth shut basically. I daren’t say anything. You know what they’re like” (Bowen et al., 2009; p. 6).
“He’s telling me he’s not giving no anti-depressants and I said “but I get it from my doctor” and he said “well, we’ll have to get in contact”… I’m telling him that antidepressants [are] what I take and he just says “no, no, no, you just want it because other people take it” (Plugge et al., 2008; p. e4).
“I’ve seen a psychiatrist for two-and-a-half, nearly three years I think, and he’s put me on medication, which I was quite happy to be on. It stopped when I come in here. Everything stopped and I’m a bit cheesed off” (Plugge et al., 2008; p. e4).
“I’ll just sit there thinking about my past, you know, how I’ve come to prison in the first place, I’ve let my kids down, you know and then I get really, really, really worked up and then I just have to see blood to, you know, relieve my pain” (Kenning et al., 2010; p. 278)
2. The erosion of privacy and dignity“I’ve read lots of request forms (giggle). I’m bad for it, but I mean like, if some girl has a sensitive issue why would she want to write that and let the guards read it [too]” (Ahmed et al., 2016; p. 209).
“I find it really upsetting because it’s just another indication of, that you’re not treated … as if you’re entitled to the same standard of health care that you would enjoy outside” (Plugge et al., 2008; p. e4).
“I’m serious about staying off drugs. I’m serious about all this stuff and I don’t want to sit here and read about ‘Sally and Joe’ and their little problems” (Ahmed et al., 2016; p. 212)
4. Strained relationships between women and prison staff“I just didn’t want to be around. I had enough of these [staff] pushing me and everything. I did” (Marzano et al., 2011; p. 877).
“They’re cold in their voice, they’re cold in the way they speak to you, they’re cold as in when you’re crying they just shut the door in your face” (Kenning et al., 2010; p. 280).
“Stop being stereotypical and thinking that we want drugs” (Plugge et al., 2008; p. e5).
“There’s so much coming and going, like people coming in, people leaving, people going to different wings, going to court, coming back – your file’s gone and it’s come back, it’s come up late. But I think some of it is not their fault, do you know what I mean, I’m not blaming it 100% on them” (Plugge et al., 2008; p. e6)

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