Drugs & Criminal Justice In Drugs & Criminal Justice In ScotlandScotland

June 24June 24thth 2004 2004

Karen Norrie Addictions Karen Norrie Addictions AdvisorAdvisor

Scottish Prison ServiceScottish Prison Service

VisionVision

• We will be recognised as the leader in We will be recognised as the leader in prisons’ correctional work which helps prisons’ correctional work which helps reduce recidivism and there by offers reduce recidivism and there by offers value for money to the taxpayer.value for money to the taxpayer.

• Deliver effective prisoner opportunitiesDeliver effective prisoner opportunities• Estate fit for purposeEstate fit for purpose• High standard of service deliveryHigh standard of service delivery• Professional staffProfessional staff• Value for moneyValue for money

The Scottish Prison ServiceThe Scottish Prison Service

• Agency of the Scottish ExecutiveAgency of the Scottish Executive

• Annual Budget £229 Million Annual Budget £229 Million

• 16 Prisons16 Prisons

• 1 Private Prison1 Private Prison

• Population – 7000Population – 7000

• Annual throughput of 30,000Annual throughput of 30,000

• Staff 4,500Staff 4,500

BackgroundBackground

• Rate of imprisonment Rate of imprisonment

• Rate of reoffendingRate of reoffending

• Demographics of populationDemographics of population

• Inappropriate use of imprisonmentInappropriate use of imprisonment

• Fit for purposeFit for purpose

• Current debate in ScotlandCurrent debate in Scotland

One of the highest in Western Europe

1992 – 5300

1995 – 5600

1998 - >6000

2004 – 7000

Within 10 years >8000

Rate of 137 per 100,000

58 % of released prisoners are reconvicted within 2 years

18 – 22 year olds 72%

13 X more likely in care as child10 x more likely regular truant from school13 x more likely to be unemployed2.5 x more likely to have a family member convicted of a criminal offence 15 x more likely to be HIV positive

Below national average for Basic skillsReading Writing Numeracy

High prevalance of mental health issues

SPS Created in 1878Organisationally not changed 125 yearsOpportunity to review organisational arrangementsIntegrated structure to deal with offenders in custody and community

Inclusion in the SPSInclusion in the SPS

By assessing and addressing needs & riskBy assessing and addressing needs & riskwe aim to put people back into societywe aim to put people back into society““better equipped”, and more able to be partbetter equipped”, and more able to be partof a community than when they went inside.of a community than when they went inside.

SPS – Making a Difference 2002SPS – Making a Difference 2002

Policy AreasPolicy Areas

• AddictionsAddictions

• Learning, Skills & EmployabilityLearning, Skills & Employability

• Social CareSocial Care

Principles for Addictions in Principles for Addictions in SPSSPS• Based on assessed needBased on assessed need

• Involve prisoners in agreeing care Involve prisoners in agreeing care plansplans

• Access to relevant range of Access to relevant range of interventionsinterventions

• Emphasis the importance of continuity Emphasis the importance of continuity of careof care

• Promote the transitional care periodPromote the transitional care period

““Increased level of Increased level of commitment and an commitment and an

attitudinal shift from a mainly attitudinal shift from a mainly punitive response towards a punitive response towards a

treatment and integrated treatment and integrated care focus”care focus”

SPS Addictions Policy 2004SPS Addictions Policy 2004

Influence on Policy DirectionInfluence on Policy Direction

PunitiveZero tolerance

Fragmented CareAddiction services isolated

Poor community LinksLittle sharing of information

OLD

SupportiveHarm reduction focus

Promotes continuity of careEncourages joined up approach

Integrated inclusion policyEncourages community links

Sharing of information

New

Policy PillarsPolicy Pillars

• TreatmentTreatment

• AvailabilityAvailability

• CommunicationCommunication

• Integrated CareIntegrated Care

Clinical prescribing options

Blood Borne virus screening

Immunisation

Anti retroviral therapy

MDMHT

Harm Reduction

Casework

Alcohol Counselling

Relapse prevention

1-1 support

Individual care plans

Smoke cessation

Addiction support areas

Drug Dogs

Ionscan

Memorandum of understanding

MDT

DTTO’s

Staff Vigilance

I2 intelligence system

Telephone monitoring

Drug Action Teams

Scottish Executive

Scottish Drug Enforcement Agency

Police

NHS

Local Authority SW

Voluntary sector

Internal

Crisis Transitional Care

Transitional care

Clinical Liaison

CIP

DTTO

PR2

Addictions Performance Addictions Performance MeasuresMeasures

• MDT % prisoners testing negative (in MDT % prisoners testing negative (in prison drug use)prison drug use)

• No.prisoners identified taking up No.prisoners identified taking up addictions treatment assessmentaddictions treatment assessment

• % prisoners accessing transitional % prisoners accessing transitional care/attendance first appointment commcare/attendance first appointment comm

• % prisoners leaving establishments % prisoners leaving establishments completing National Harm Reduction completing National Harm Reduction Awareness Session.Awareness Session.

In summaryIn summary

Rehabilitation & Care

Safer Scotland

Greater understanding each others

roles

Shared visionCo-operation andAccountability