Prison Healthcare Project

Andy Graham

Nurse Specialist LD/ASD

Overview

• Background• Project Activity• Screening• Learning and Development• Networking• Summary• Questions

Background

• Identified need for project– SAY (ScotExec 2000) (rec 28)– On the Borderline (Myers 2004)– No one knows (PRT 2009)– Bradley Report (2009)– SAY Consultation 2120 (Alan et al)– SCLD SAY

• 2012 NHSGG&C submit bid to SG– 2/3 Years

• Research, Explore and Scope out programme of work to:– Increase awareness of LD/ASD within Prisons– Facilitate access to appropriate and evidenced based practice for PWLD/ASD in

CJ system– Inform the programme of work around Prison Healthcare Nationally

Project Activity

Develop and facilitate a revised proposed model of healthcare within Scottish

prisons (CJ system) that meets the needs of adults, women and young

offenders who have LD/ASD

• Lead on work required to complete the objectives of the LD Strategy CJ Work stream.

• Services mapping exercise

• Explore and understand the pathway for PWLD/ASD within the CJ system

• Explore missed opportunities for identification of PWLD/ASD within the CJ system.

• Review approaches to identifying and working with prisoners who have additional support needs due to LD/ASD

• Establish links with relevant individuals working in all CJ sectors

• Contribute to and support the review of Prison Health Improvement initiatives to ensure accessibility for PrWLD/ASD

• Via the LD strategy, determine the future role of Specialist Adult LD/ASD/Forensic LD Services in supporting PrWLD

• Ensure optimum onward planning for individuals before release from prison

Screening

Review screening tools in use to identify PWLD within prison settings across

NHSGG&C

• Prevalence

• Scoping exercise– No routine approach to screening for LD on admission– No Adaptive Behavioural Assessment– No formalised care pathway for PWLD– No formalised interventions or adapted re-offending programmes– No formalised LD service– Screening for LD in HMP Greenock on referral basis only

• Pilot new approaches or methods of identifying prisoners with additional support needs– Develop use of Hayes in HMP Greenock– Trial use of LDSQ in HMP Low Moss and Barlinnie

L&D and Networking

Identify training and development needs of Health Centre and SPS staff in

relation to LD/ASD

• Review the scope of the current L&D plan for LD/ASD within the 3 prisons and develop LD/ASD specifics.

• Develop the knowledge base of all healthcare practitioners and prison officers

• Provide opportunities to Identify and develop a network of Link Practitioners for LD/ASD

• Identify and disseminate links to information available on LD/ASD

• Be available as an LD/ASD expert clinical resource to be called on by the Prison Healthcare teams

Encourage practitioner attendance at various CJ, Prison, Forensic and Nursing related networks

• Develop a network of contacts

• Discover and share good practice

Summary

Emerging issues identified to date:

• Who should screen and when

• LDSQ v’s HASI

• What can we do when we identify PWLD in prison

• How can we improve the information flow between community agencies and prisons

• Develop performance framework/indicators

• Links with local LD services

• Throughcare and pre release planning

• Collaborative working with CLDT, FCLDT and AAT

Questions