The rewards of being an occupational therapist in the prison

David began his career in occupational therapy in 1985, during the height of the HIV/AIDS epidemic, working in adult social care to support patients affected by the crisis. This early experience shaped his dedication to making a tangible difference in people’s lives, a passion that eventually led him to a unique and impactful role within the prison system. Over the next decade, he was focused on mental health, working as a self-employed occupational therapist with various charities. 

However, when COVID-19 hit in 2020, the nation faced lockdowns and social restrictions, his occupational visits became incredibly challenging. 

David says, “I decided it was time to explore new opportunities. I was initially hesitant about the transition to prison work, but it’s actually been a blessing. It brought me back to working in an interesting and fulfilling environment.” 

Being an occupational therapist in prison healthcare 

“I joined Practice Plus Group in April 2021 as an occupational therapist working in the health in justice sector at HMP Lewes, a Category B prison, and HMP Ford. I find my role incredibly motivating, despite the challenges that come with working in a prison environment. Our job is simple – to provide patients in prison with the same level of healthcare they would receive outside. 

A typical day for me can involve anything from helping patients with mobility issues to addressing severe mental health challenges: each day brings new opportunities to make a real difference. What we aim to do is promote people’s independence in daily life—things like washing, dressing, and engaging in meaningful activities that give us purpose, such as hobbies and work. 

As part of my role, I also run workshops and group activities. These sessions have been particularly successful in supporting mental health patients, allowing them to benefit from social interaction. With the impact of COVID-19, prisons have been locked down just like the rest of the world, and limited social interaction has significantly impacted mental health.  

The most rewarding aspect of my job is seeing the positive changes in the people I work with. Over the weeks and months, you really get to know your patients, and when you see them start to improve, it’s incredibly fulfilling. 

A collaborative work environment 

“Collaboration with a multidisciplinary team, including nurses, GPs, physiotherapists, opticians, and healthcare assistants, is the thing I value the most in my current role. The team in prison is incredibly supportive, and together, we work to ensure that inmates receive compassionate and comprehensive healthcare. There is tremendous potential for meaningful work to be done in prisons, and I’m proud to be part of it. 

In addition to my core responsibilities, I mentor occupational therapy apprentices. When you’re newly qualified, gaining broad experience in the early years of your career is invaluable, and I find mentoring to be particularly rewarding. Practice Plus Group supports this, offering a wide range of opportunities for growth and development.” 

Unlocking my best work life in prison healthcare 

I’m eager to expand my impact within the prison system. I’d like to run more group sessions to better understand how prisoners feel about receiving healthcare. Continuing to learn and adapt in this environment is crucial, and I’m keen to undertake further training to enhance both my skills and the care we provide. 

You witness the impact you can make in this sector. It’s a constant reminder of why I chose this career in the first place—to make a real difference in people’s lives, even in the most challenging environments. 

Join our team 

If you aspire to make a similar and significant impact in prison healthcare as an occupational therapist, join our team.

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