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PRESENTATION ON THE PROGRAMME - CARE TO THE PROTFOLIO COMMITTEE
Presented by CDC Development and Care on
4 August 2009
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OUTLINE OF THE PRESENTATION
• Mandates • Understanding the Chief Directorate Personal Well-
Being• Sub-Branches and functions of the Chief Directorate• Establishment and Organograms• Budget Allocation per Directorate• Projects• Successes• Partnerships• Risks • Challenges• Envisaged strategies to address challenges
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MANDATES • Constitution - Bill of Rights – Chapter 2
• Section 7• Section 9 (equality)• Section 10 (human dignity)• Section 10 (life)• Section 12 ( Freedom and Security of the person)• Section 35 (Arrested, detained and accused persons)
• Standard Minimum Rules for the Treatment of Prisoners.
- Guides the provision of programmes and services to
offenders.
• White Paper on Corrections in South Africa. - Correction as a societal responsibility. - DCS as an Institution of Rehabilitation.
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Correctional Services Act (No 111 of 1998)
and the Amendment Bill states:
“The purpose of the correctional correctional
system is to contribute to the maintaining and
protecting of a just, peaceful and safe society
by –
(a) enforcing sentences of the courts in
the manner prescribed by this Act
(b) detaining all inmates in safe custody
whilst ensuring their human dignity.
(c) promoting the social responsibility
and human development of all sentenced
offenders”
MANDATES (Cont..)
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UNDERSTANDING THE CHIEF DIRECTORATE PERSONAL WELL-BEING
Commissioner
CDC Development & Care
DC Personal Wellbeing
DC Personal Development
Dir Psychological Services
Dir Spiritual Care Services
Dir Health Care Services
Dir HIV & AIDS
Dir Social Work Services
Dir Formal Education
Dir Skills Development
Dir Production Workshops & Agriculture
Dir Offender Sport, Recreation, Arts & Culture
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KEY STRATEGIES FOR THE CHIEF DIRECTORATE: PERSONAL WELL-BEING
PERSONAL WELLBEING:
• Compliance with Care policies, procedures, standards and applicable legislation
• Provision of comprehensive primary health care services to all offenders, awaiting trial detainees and babies of incarcerated mothers.
• Provision of needs based care services and programmes to offenders (Social Work Services, Spiritual Care and Psychological Services).
• Provision of comprehensive HIV and AIDS programmes and services to all offenders.
• Development and implementation of needs based Corrections, Development and Care programmes for special categories of offenders as defined in the White Paper (2005).
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SUB BRANCH - CARE
• The Chief Directorate Personal Well-Being provide needs based care programmes and services aimed at enhancing and maintaining the personal well-being of incarcerated persons in the department’s care by: – Creating an enabling environment for their rehabilitation – Belief that all incarcerated persons have the potential to change
• Provide services and programs relating to: – Health care– Spiritual care– Psychological care– HIV&AIDS– Social work
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FUNCTIONS: CHIEF DIRECTORATE PERSONAL WELLBEING
COMPONENT CORE FUNCTIONS
Social Work Services
To provide needs based Social Work Programmes and Services to enhance the adjustment, social functioning and reintegration of offenders into the community.
Health Care Services
To facilitate the provision of comprehensive Primary Health Care Service and Programmes (Health, Pharmaceutical, Nutrition, Personal and Environmental Services) to all inmates.
HIV and AIDSTo provide comprehensive HIV and AIDS programmes and services to inmates.
Psychological Services
To provide needs based Psychological Programmes and Services to improve offenders’ mental health and emotional wellbeing.
Spiritual Care Services
To provide needs based Spiritual Care Programmes and Services, in partnership with civil society organizations for the spiritual and moral development of offenders.
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ORGANOGRAM: HEALTH CARE SERVICES
SENIOR MANAGER HEALTH CARE SERVICES
DEPUTY DIRECTOR: NUTRITION, PERSONAL &
ENVIRONMENTAL HYGIENE
MR P RAMOROTHO
DD PHARMACEUTICAL SERVICES
DD MEDICAL SERVICESVACANT
SECRETARY
DEPUTY MANAGER PRIMARY HEALTH CARE
ASD NUTRITION
ASD PERSONAL HYGIENE
ASD ENVIRONMENTAL HYGIENE
ASSISTANT MANAGER COMMUNICABLE
DISEASES
ASSISTANT MANAGER NON-COMMUNICABLE
DISEASES
ASSISTANT MANAGERSPECIAL CAREMS S MASHIBINI
OPERATIONAL MANAGERCOMMUNICABLE
DISEASES
OPERATIONAL MANAGER NON-COMMUNICABLE
DISEASES
CO NUTRITION
SCO SPECIAL CARE
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CORE FUNCTIONS OF THE DIRECTORATE: HEALTH CARE
SERVICESCOMPONENT CORE FUNCTION
Primary Health Care
To facilitate the provision of comprehensive Primary Health Care Services (includes health promotion, disease prevention, curative and referral services) to all inmates.
Nutrition and Hygiene Services
To facilitate the provision of basic food services in line with the National Nutrition Guidelines as well as personal and environmental hygiene services to all inmates.
Pharmaceutical Services
To ensure implementation of the National Drug Policy and adequate supply of safe, cost effective drugs of acceptable quality and the rational use of medicines by prescribers, dispensers and inmates.
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ORGANOGRAM: HIV AND AIDS
DirectorHIV and AIDS
DD:Coordination Vacant
DD: Design & Dev
ASD: Care & Support ASD: Prevention
SCO: Care & SupportVacant
ASD: M & E
SCO: M & EVacant
Secretary
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CORE FUNCTION OF THE DIRECTORATE HIV AND AIDS
• To develop, manage and implement Comprehensive HIV and AIDS Programmes and Services for offenders
• Policy & Procedure development• Provide, implement, monitor & evaluate: applicable
legislation and programme• Provision of support to regions• Coordinate partnerships with external stakeholders• Financial Management (PEPFAR funded activities
included)
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ORGANOGRAM: SOCIAL WORK SERVICES
Director Social Work Services
DD: Programme Design and Development
Vacant
DD: Social Support Services
DD: Special Categories
Secretary
ASD: Monitoring and Evaluation
vacant
ASD: Research and Development
ASD: Youth Affairs vacant
ASD: Females, Aged and Disabled
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SCO: Female, Aged and Disabled
SCO: Youth Affairs
ASD: Monitoring and Evaluation
Special Categories
Administrative Support
Administrative Support
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CORE FUNCTIONS FOR SOCIAL WORK SERVICES
To provide needs based Social Work Programmes and Services in order to enhance the adjustment, social functioning and reintegration of offenders into the community.
NationallySocial Workers at Head Office are responsible for: Development of Policies and Procedures Development/ review of Programmes Development of Service Level StandardsConduct Monitoring and Evaluation Visits Resource Management (physical, finance, human and informationLiaison and networking of other departments and NGO’sGuide and initiate research undertaking
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CORE FUNCTIONS FOR SOCIAL WORK SERVICES (Cont..)
Manage services and programmes within the Department and ensure efficient and effective service delivery to all offenders, including special categories of offenders
Regionally
Social Workers at regional level are responsible for: Coordination of Social Work Services within the Region. Ensure that the Policies, Programmes and Service Level
Standards are implemented in the Region. Conduct Monitoring and Evaluation Visits in management areas Ensure commemoration of national days in Management Areas
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CORE FUNCTIONS FOR SOCIAL WORK SERVICES (Cont..)
SERVICES AND PROGRAMMES RENDERED
Services to offenders are provided through case work and group work
methods and those services are:
Assessment
Supportive (individual / group counselling
Crisis intervention
Therapeutic / Counselling
Administrative (reports writing and filing)
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CORE FUNCTIONS FOR SOCIAL WORK SERVICES (Cont..)
The following programmes are rendered:
Orientation
Life Skills (Free to grow)
Substance Abuse
Family and Marriage Enrichment
Anger Management
Sexual Offender
Youth Resilience Programme
Social Workers also participate in the following programmes:
HIV and AIDS
Pre-release
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ORGANOGRAM: PSYCHOLOGICAL SERVICES
DIRECTOR PSYCHOLOGICAL SERVICES
DD Programme Design and Development
DD Therapeutic and Counseling Services
ASD Research and Development (vacant)
ASD Therapeutic and Counseling Services Coordinator
(vacant)
SCO Monitoring and Evaluation (vacant)
Secretary
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CORE FUNCTIONS FOR PSYCHOLOGICAL SERVICES
To manage and ensure provisioning of needs based Psychological Services and Programmes to all offenders (including special categories of offenders) to improve their mental health and emotional wellbeing
Nationally Directorate at Head Office is responsible to: Development of Policies and Procedures Development/procure Programmes Development of Service Level Standards Conduct Monitoring and Evaluation Visits Resource Management (physical, finance, human and information) Liaison and networking of other departments and NGO’s Guide and initiate research
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CORE FUNCTIONS FOR PSYCHOLOGICAL SERVICES (Cont..)
Regionally
Psychologists at regional level are responsible for: Rendering of psychological services within the Region. Ensure that the Policies, Programmes and Service Level
Standards are implemented
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CORE FUNCTIONS FOR PSYCHOLOGICAL SERVICES (Cont..)
PSYCHOLOGICAL SERVICES AND/OR PROGRAMMES INCLUDE:
Assessment
Individual therapy
Group Therapy
Structured programmes (e.g. anger management, management of
stress, sexual offender programmes)
Crisis intervention
Administrative tasks (report writing to CMC, Parole Board and
NCCS, attendance of meetings, etc. )
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ORGANOGRAM: SPIRITUAL CARE SERVICES
IX DIR. SPIRITUAL CARE
IX DD PROGR. DESIGN & DEVELOPMENT
IX DD SPIRITUAL SUPPORT
IX CO I-III SECRETARY
IX ASD MONITOR & EVALUATION
IX ASDSPIRITUAL SUPPORT
IX ASDRESEARCH & DESIGN
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CORE FUNCTIONS OF SPIRITUAL CARE SERVICES
• Management of Spiritual Care Services • Compliance with policies and internal controls• Financial Management according to the PFMA• Building of Partnerships with Churches/faiths and relevant
stakeholders in the delivery of spiritual care services• Rendering of Need-Based Spiritual Care programmes to offenders• Development & Implementation of Individual management plans for
offenders• Ensuring provision of adequate facilities and resources for delivery
Spiritual Care Services • Liaison with churches/faiths and relevant role players to enhance
reintegration services
• Implementation of Moral Renewal Programme for offenders and
Officials
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PERSONNEL ESTABLISHMENT IN THE CHIEF DIRECTORATE PERSONAL WELL-BEING
(Nationally: as on 31/03/2009)
Directorate Establishment Filled Vacant
HIV & AIDS
(13 Management Area coordinator posts for offender programme funded by PEPFAR (Contract Posts)
52 32 20
Social Work Services 764 512 252
Psych Services 112 32 80
Spiritual Care(2 164 Spiritual Workers from 71 Faiths and denominations assist)
51 41 10
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PERSONNEL ESTABLISHMENT: DIRECTORATE HEALTH CARE SERVICES (National: on 31/03/2009)
Establishment Filled Vacant
Primary Health Care
1023 (Nurses)
48(Medical Practitioners)
8109
21339
Pharmaceutical Services
39 Pharmacists19 CSPs (in contract posts)
12 27
Nutritional Services 764 Food service officials
512 252
Environmental hygiene supervisors
12 2 10
Dietitians 0 0 0
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PERSONNEL ESTABLISHMENT: CHIEF DIRECTORATE
PERSONAL WELL-BEING (Nationally: as on 30/01/2007)
HEALTH CARE SERVICES ESTAB FILLED VACANT
FOOD SERVICE SUPERVISORS 47 589 636
DIETICIANS 0 0 0
PHARMACY ASSISTANTS 48 0 48
ENV. HYGIENE SUPERVISORS 313 73 386
PHARMACISTS 39 9 48
COMMUNITY SERVICE PHAR - 21 21
NURSES 350 676 1026
MEDICAL PRACTITIONERS 43 5 48
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BUDGET ALLOCATION: PER DIRECTORATE 2009/2010
DIRECTORATE ALLOCATION
HEALTH CARE SERVICES R41 645 000
HIV / AIDS R 2 892 000
SOCIAL WORK SERVICESR 4 262 000
PSYCHOLOGICAL SERVICES R 4 611 000
SPIRITUAL CARE SERVICES R 2 602 000
TOTAL
R 56 972 000(Consumes 12% of the original vote)
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PROJECTSCHIEF DIRECTORATE
• Offender Rehabilitation Path (ORP): The ORP is a translation into practice of components of the White Paper on Corrections. The central theme of this path is the promotion of corrections as a societal responsibility and the development of correctional Centres into institutions of rehabilitation
HEALTH CARE• Feasibility study on the outsourcing of Pharmaceutical Services• Feasibility study on the outsourcing of Food Services (value for
money study) • Health survey / assessment
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PROJECTS (Cont..)
SOCIAL WORK SERVICES Girl Guides Pilot Project (completed to be rolled out for
2009/2010): Thirty (30) Girls incarcerated at the Johannesburg Female Correctional Centre participated in the Girl Guides Pilot Project and the 33rd World Conference organized by the Girl Guides Association of South Africa (GGASA).
SNAP Survey (completed): The Directorate spearheaded the research project on Child Killings in conjunction with the Office on the Rights of the Child (ORC), awaiting submission of closing report by the service provider.
Baseline Survey on the needs of the Elderly Offenders (completed, awaiting presentation to Top Management): The Baseline Survey on the needs of the Elderly offenders conducted by the researcher in Gauteng and LMN Region, final presentation of the findings to be made to the Branch Development and Care.
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PROJECTS (Cont..) Procurement of Youth Programmes (completed, programme
implemented in Correctional Centres): The Directorate has procured the Youth Programme for youth in Community Corrections and Correctional Centres. 108 officials were trained on the procured youth programmes.
Training of Youth in Life Skills (planned for 2009/2010): Partnership was established with UMSOBOMVU to train 300 youth in the Life Skills. Youth offenders from Gauteng, KZN, LMN were nominated to be trained as facilitators in life skills.
Social Auxiliary Workers (SAW) (project unfolding): Social Work Services is in partnership with HRD in the project of the recruitment of SAW in DCS. The training course started on the 6 October 2008.
Research on Social Work in DCS as a Specialized Field (project unfolding): The Directorate has developed the conceptual document on Social Work in DCS as a specialized field. The first draft was submitted to SACSSP for inputs.
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SPIRITUAL CARE
• Implementation of the Spiritual Care Policy and Procedures
• Implementation of Comprehensive Spiritual Care Programme
• Implementation of new programmes:
– HEARTLINES 199 Facilitators (4 x management area)
– CHATSEC 40 facilitators
16 x CC (277 offenders and 61 personnel)
- SYCAMORE TREE Programme : 25 facilitators (Partner with
PFSA)
• Newly Developed Spiritual Care Programme:
- SC: Pre-release Programme
- SC: Anger Management Programme
PROJECTS (Cont..)
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• Review of training modules for “Correctional Ministry Course”
(UNISA)
• Training sessions for Spiritual Workers (Partner with CB Powell
Bible School UNISA): Every 2nd month of Saturdays: Focus on
pastoral counseling skills
• Developing of spiritual literature for offenders (partner with CLF)
– Task team establish for writing of material
• Empowering sessions with spiritual workers and spiritual care staff
of regions: EC and WC completed
• MRM awareness raising and projects in regions (National Task
Team)
PROJECTS (Cont..)
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PROJECTS (Cont..)
PSYCHOLOGICAL SERVICES
• Implementation of Psychological Services Policy and Procedures
• Roll out of newly procured Controlling and Management of Anger
Programme (CALM)
• Procurement of Specialized Assessment tools for psychologists
• Obtaining approval of Centres of Expertise for psychologists
HIV AND AIDS
• KAPB Assessment Tool – analysis of data
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SUCCESSES
SOCIAL WORK SERVICES
• Social workers in the 6 regions were trained on the approved social work policy, procedures and supervision guidelines
• Training of officials conducted on the procured Youth Programme which aim to address the needs of youth offenders
• The research finalized on the needs for elderly offenders with the view of streamlining services for elderly offenders
• Reach the ENE targets set for Social Work services• Child protection week been commemorated every year by the
Department
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SUCCESSES (Cont..)
HEALTH• Approved policies
– Nutritional Services– Health Care Services– Control of Tobacco and Smoking in Correctional Centres– Mental Health Care
• Approved Procedures– Control of Tobacco and Smoking in Correctional Centres
• Human Resources– 150 officials trained as Environmental Hygiene Supervisors– 54 officials trained in basic food service management– 291 health professional strained in Dispensing Course– 9 Medical Practitioners Appointed– 250 Health Professionals trained in medicine management
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SUCCESSES (Cont..)
PSYCHOLOGICAL SERVICES
• National Indaba held for all psychologists to discuss improvement of working conditions and creation of Centres of Expertise for psychologists
• Upgrading of salary levels for psychologists were approved in Nov 2008 (from level 8-10)
• Best recruitment strategy for psychologists are appointment of Community Service psychologists
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SUCCESSES (Cont..)
SPIRITUAL CARE SERVICES
– Implementation of the Spiritual Care Policy and Procedures
– Development of guidelines for Muslims, ATR, Rastafarians,
Buddhist, Shembe and ZCC: limited the complaints
– Implementation of Comprehensive spiritual care programme
– Implementation of 3 x new spiritual care programmes
– Operational Agreements signed: PFSA, New Life Behaviour,
Alpha in the provision of spiritual care programmes
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– Reached the ENE targets for Spiritual Care for the past three
years in succession
– Training of spiritual workers in partnership with UNISA (CB
Powell Bible School)
– Empowerment of spiritual care service providers on new
direction of DCS (held workshop with all service providers)
– Building of relationships with churches, faiths, CBO’s, FBO’s
and NGOs in the rendering of spiritual care services and
programmes (e.g. Bible Society donated R 600 000 worth of
Bibles ; 160 000 calendars for offenders)
SUCCESSES (Cont..)
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SUCCESSES (Cont..)
HIV AND AIDS:
• Comprehensive HIV and AIDS framework approved for both offenders and personnel
• 19 ARV sites accredited• ± 5 708 Offenders on ART• KAPB assessment tool piloted in six regions• Strengthened partnerships
PEPFAR – Funding Programmes• Conducted a HIV and Syphilis Prevalence survey in 2006.
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SUCCESSES (Cont..)
HIV AND AIDS (Cont..)
• Policies and Guidelines HIV and AIDS Policy and Procedure Correctional Centre Based Care Policy and Procedure Framework for Comprehensive HIV and AIDS Programmes and
Services for Offenders and Personnel Framework for Comprehensive HIV and AIDS Programmes and
Services for Offenders and Personnel World AIDS Day been commemorated every year by the
Department of Correctional Services. Awareness sessions held on HIV and AIDS for offenders in
2008/20009 = 13 133 and 72 846 offenders attend the sessions in 2008/2009.
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SUCCESSES (Cont..)
HIV AND AIDS
• Training• 150 nurses correctional centre based care• 169 nurses Comprehensive Management of HIV and AIDS• 658 Offenders trained as peer educators(HIV and AIDS)
• Procurement of medical equipment for Health Care Services • World AIDS day been commemorated by Department of
Correctional Services every year.• Awareness sessions on HIV and AIDS held in 2008/2009 for
offenders = 13133 and 72846 offenders did attend the sessions in 2008/2009.
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PARTNERSHIPS
SOCIAL WORK SERVICES
• Interdepartmental Coordinating Committee on Youth affairs (National Youth Commission)
• Intersectoral Committee on Child Justice (DoJ)
• National Children’s Rights Advisory Council (ORC)
• Technical Task Team Strategy to children with disabilities (DSD)
• National Child Protection Committee (DSD)
• Children’s Act Steering Committee (DSD)
• South African Older Persons’ Forum (DSD)
• Alternative Care Forum (DSD)
• Committee on Ecometric Policy (SACSSP)
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PARTNERSHIPS (Cont..)
SPIRITUAL CARE SERVICES
• UNISA: Certificate Course in Correctional Ministry & Training of Spiritual Workers in Counseling Skills
• HEARTLINES: Implementation of Heartlines Programme in DCS• SANDF: Training on CHATSEC Programme (Combating HIVAND
AIDS Through Spiritual and Ethical Conduct)• Bible Society of SA: Provision of Bibles to offender e.g. (Donation of
R600 000 worth bibles for offenders) • Prison Fellowship International: Training & Implementation of
Sycamore Tree Programme (STP): an Offender-Victim Reconciliation Programme
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PARTNERSHIPS (Cont..)
SPIRITUAL CARE SERVICES
• Christian Literature Fund: provision of calendars to offenders: Donated 160 000 worth of calendars for offenders
• South African Council of Churches: Provision of Capacity for Reintegration of offenders through Faith Communities
• Security Services Christian Advisory Board: Interstate Chaplaincy Forum
• Moral Regeneration Government Sector: Presidency: Implementation of Moral Renewal Programme in Correctional Services
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PARTNERSHIPS (Cont..)
HIV AND AIDS
• Centre for Disease Control• Department of Health• John Hopkins• DPSA
PSYCHOLOGICAL SERVICES• Department of Health
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RISKS
•Impact of HIV and AIDS on offenders (To mitigate the impact)•Management of Pharmaceutical Services (To improve compliance and availability of essential drugs)
•The registering of “Spiritual Workers Learnerships”, experiencing problem at SASSETA
•Implementation of the ORP steps (became a project and the
activities are controlled by the project team)
•Piloting of compulsory programmes (behind due to factors like the
development of policy procedures)
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CHALLENGES • Recruitment and/or retention of scarce skills (psychologists,
pharmacists, doctors, social workers, etc.).
• Infrastructure not conducive for rehabilitation
• Overcrowding that undermines the rights of offenders to conditions of detention which are consistent with human dignity (violation of privacy, spread of communicable diseases, etc)
• Information Management System (Performance Indicators)
• Inadequate monitoring, evaluation and reporting.
• Inadequate participation of offenders in work opportunities and programmes.
• Non-compliance to the OHS Act.
• Changing mindsets of officials and community regarding rehabilitation of offenders.
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CHALLENGES (Cont..)
• Poor compliance and inability to ensure compliance to legislation, policies, procedures and protocols due to lack of resources.
• Limited integrated planning
• The provision of Health Care Services in a Correctional setting– Inadequate management of acute, chronic and communicable
diseases such as diabetes, TB and other disease
• Unavailability of Dieticians to facilitate the provision of appropriate diets for specific patients.
• The inability to increase focus on outcome based health care.
• The increase in the burden of diseases which are becoming complex to manage e.g. MDR and XDR TB.
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CHALLENGES (Cont..)
• High turnover of awaiting trial detainees contributes to the inadequate management of diseases.
• Lack of strategies to address the shortage and empowerment of professionals (pharmacists, registered and psychiatric nurses, pharmacy assistants, dieticians, medical practitioners, food service managers, artisans, psychologists, etc)
• Unavailability of coherent systems that will ensure better accountability and reporting (MIS, Financial Systems, Linkage with the EMIS of the Department of Education in terms of national results of learners)
• Full participation of offenders in programmes • The issue of the criminal record that actually follows the offender
(stigma)
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CHALLENGES (Cont.)
• Most external administrative processes where offenders need to be referred to need ID’s and the majority do not have e.g. ARV”s, EPWP, Dept of Labour courses etc.
• Shortage of dedicated personnel to sustain HIV and AIDS Programmes in the Regions.
• Refining Comprehensive Framework for the implementation of HIV and AIDS Programmes for offenders and personnel in consultation with third parties.
• Payment of ARV drugs remains a challenge.
• Data quality is being compromised due to the absence of an electronic data system.
• Treatment and access of offenders to ARV treatment within
correctional centres.
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CHALLENGES (Cont..)
• Release of terminally ill offenders. incapability of some families to care for the terminally ill offender. Lack of hospice facilities within correctional centres. Insufficient facilities within communities for terminally ill
offenders.• Lack of mechanisms to address training needs for emerging diseases
and new treatment guidelines. • Dilapidated facilities and other existing facilities do not complement
health care and other service delivery needs.
• The Department’s health information system is not aligned to the National Health Information System of South Africa thus poor information management.
• Implementation of ORP with regard to assessment & reporting/ feedback on sentence plans
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CHALLENGES (Cont..)
High turn over of Psychologists and Social Workers impacts on service delivery.
Policy implementation for special categories of offenders is a cross cutting issue which will require training of all officials in the Department.
Allocation of separate budget for Special Category issues.
Utilization of LAN Social Work System – Training of newly appointed Social Workers, Installation of network points, Provision of computers.
Implementation of OSD’s for psychologists and social workers – Alignment of the structure, Budget for implementing OSD.
Lack of structures, systems, facilities and processes for the provision and presentation of Sport, Recreation, Arts and cultural and skills development programmes and activities.
Lack of offices and specialist venues to deliver services.
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ENVISAGED STRATEGIES TO ADDRESS CHALLENGES
• Intensifying and expanding partnerships with other government departments, organisations, and communities.
• Liaison with HR on alternative options for recruitment and retention of scarce skills.
• Integrated service delivery within the Department (e.g. ORP).
• Conduct a work study for HIV and AIDS posts establishment (e.g. Health professionals, Data captures).
• Funds made available for ARV’s.
• Expedite the implementation of an electronic data system. • Support from Management. • Support from Minister
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