Transcript GUIN Study Visit - Scottish Drugs Forum

Drugs & Criminal Justice In
Scotland
June 24th 2004
Karen Norrie Addictions Advisor
Scottish Prison Service
Vision
• We will be recognised as the leader in prisons’
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correctional work which helps reduce recidivism
and there by offers value for money to the
taxpayer.
Deliver effective prisoner opportunities
Estate fit for purpose
High standard of service delivery
Professional staff
Value for money
The Scottish Prison Service
• Agency of the Scottish Executive
• Annual Budget £229 Million
• 16 Prisons
• 1 Private Prison
• Population – 7000
• Annual throughput of 30,000
• Staff 4,500
Background
One of the highest in Western
Europe
1992 – 5300
1995 – 5600
1998 - >6000
• Rate of imprisonment 2004 – 7000
Within 10 years >8000
• Rate of reoffending
Rate of 137 per 100,000
• Demographics of population
58 % of released prisoners are
13 X more likely in care as child
reconvicted within 2 years
•
Inappropriate
use
of
imprisonment
10 x more likely regular truant from school
13 x more likely to be unemployed
18 – 22 year olds 72%
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Fit
for
purpose
2.5 x more likely to have a family member convicted of a criminal offence
15 x more likely to be HIV positive
• Current debate in Scotland
Below nationalSPS
average
for Basic
skills
Created
in 1878
Reading
Writing 125 years
Numeracy
Organisationally not changed
Opportunity to review organisational arrangements
High prevalance
of mentalstructure
health issues
Integrated
to deal with offenders in custody and community
Inclusion in the SPS
By assessing and addressing needs & risk
we aim to put people back into society
“better equipped”, and more able to be part
of a community than when they went inside.
SPS – Making a Difference 2002
Policy Areas
• Addictions
• Learning, Skills & Employability
• Social Care
Principles for Addictions in SPS
• Based on assessed need
• Involve prisoners in agreeing care plans
• Access to relevant range of interventions
• Emphasis the importance of continuity of
care
• Promote the transitional care period
“Increased level of commitment
and an attitudinal shift from a
mainly punitive response towards
a treatment and integrated care
focus”
SPS Addictions Policy 2004
Influence on Policy Direction
OLD
Punitive
Zero tolerance
Fragmented Care
Addiction services isolated
Poor community Links
Little sharing of information
New
Supportive
Harm reduction focus
Promotes continuity of care
Encourages joined up approach
Integrated inclusion policy
Encourages community links
Sharing of information
Clinical prescribing options
Drug
Blood Borne
virusDogs
screening
Crisis Transitional Care
Ionscan
Immunisation
Transitional care
Anti retroviral
therapy
Memorandum
of understanding
Clinical
Liaison
Drug Action
Teams
MDMHT
MDT
CIP
Scottish Executive
Harm Reduction
DTTO
Scottish Drug Enforcement
DTTO’s
Casework
Agency
PR2
Staff
Vigilance
Alcohol Counselling
Police
Policy Pillars
• Treatment
• Availability
• Communication
• Integrated Care
I2NHS
intelligence system
Relapse prevention
1-1 supportTelephone
Local Authority
SW
monitoring
Individual care
plans sector
Voluntary
Smoke cessation
Internal
Addiction support areas
Addictions Performance Measures
• MDT % prisoners testing negative (in prison
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drug use)
No.prisoners identified taking up addictions
treatment assessment
% prisoners accessing transitional
care/attendance first appointment comm
% prisoners leaving establishments completing
National Harm Reduction Awareness Session.
In summary
Rehabilitation & Care
Greater
understanding
each others
roles
Shared vision
Co-operation and
Accountability
Safer
Scotland