Alcohol and Other Drugs – Corrections Health Service

Debbie Gell – Clinical Director

Department of Corrections

Department of Corrections Health Services – An Overview

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General Information

• Current Muster is:

• Nursing consultations: 17,500

• Emergencies: 100

• Reception Health Screens: 3000

Focus of Presentation

• What is the prevalence?

• How Health Services assesses people

• What treatment options are available

• Reducing Re-offending

Prevalence and Assessment

• 80 – 90%• 90% mental health disorder• Reception Health Screen

Mental Health, Drug intoxication, Drug withdrawal, Past medication, Current medication, Recent GP visits, Recent hospitalisations,

Recent trauma, Old trauma, Medical conditions, Suicidal thinking, Self Harm behaviour, Alcohol Intoxication, Alcohol Withdrawal, Disabilities, Pregnancy Current treatment programmes in the community (Methadone)

Smoking cessation support

Initial Health Assessment

Provide information about health servicesCheck that the prisoner can understand our languageTell the prisoner about their rightsCheck if they have any specialist appointsFamily HistoryMental Health ScreenDrug ScreenAlcohol ScreenCheck for: Diabetes Epilepsy Cancer Migraines Raise Blood Pressure Angina Stomach conditionsCheck medicationCheck Smoking cessation supportTake their blood pressureTake temperatureTake weight

Take pulseTake a urine sampleSupport with smoking cessationDisabilitiesDental problemsCheck for any disabilities (hearing, eyesight physical)Complete BMIGirth measurementPeak Flow measurement (if necessaryCheck nutritional requirementsWomen’s health check (smears, monograms)Check for communicable diseases (Hep B and C, HIV / Aids, Chlamydia, TB. Other sexually transmitted diseasesOffer testing for Hep B and C or HIVCheck past immunisationsTHENDevelop a plan of care for that person

ASIST TOOL

• Provides some real time information

• Provides an opportunity for education

• Provides clinical information to support care plan

• Provides information to other corrections staff

Treatment Options

• Brief Interventions• Brief Treatment Programme• Intermediate Treatment Programme• Drug Treatment Units (DTU’s)• Methadone Maintenance Therapy

Nicotine

• Assessment • Treatment Options• Step Down Processes• Exiting Prison

Conclusion

• The future changes• Links with community services• Visits - Information Centre's• Questions