Drugs

1
Drugs Criminal Justice In Scotland

• June 24th 2004
• Karen Norrie Addictions Advisor
• Scottish Prison Service

2
Vision

• We will be recognised as the leader in prisons
  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

3
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

4
Background
One of the highest in Western Europe 1992
5300 1995 5600 1998 - gt6000 2004 7000 Within
10 years gt8000 Rate of 137 per 100,000

• Rate of imprisonment
• Rate of reoffending
• Demographics of population
• Inappropriate use of imprisonment
• Fit for purpose
• Current debate in Scotland

58 of released prisoners are reconvicted
within 2 years 18 22 year olds 72
13 X more likely in care as child 10 x more
likely regular truant from school 13 x more
likely to be unemployed 2.5 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
skills Reading
Writing
Numeracy High prevalance of mental health issues
SPS Created in 1878 Organisationally not changed
125 years Opportunity to review organisational
arrangements Integrated structure to deal with
offenders in custody and community
5
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

6
Policy Areas

• Addictions
• Learning, Skills Employability
• Social Care

7
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

8
Increased level of commitment and an attitudinal
shift from a mainly punitive response towards a
treatment and integrated care focus

• SPS Addictions Policy 2004

9
Influence on Policy Direction
10
Policy Pillars
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 DTTOs Staff Vigilance I2
intelligence system Telephone monitoring
Crisis Transitional Care Transitional
care Clinical Liaison CIP DTTO PR2
Drug Action Teams Scottish Executive Scottish
Drug Enforcement Agency Police NHS Local
Authority SW Voluntary sector Internal

• Treatment
• Availability
• Communication
• Integrated Care

11
Addictions Performance Measures

• MDT prisoners testing negative (in prison 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.

12
In summary
Rehabilitation Care

• Greater understanding each others roles

Safer Scotland