Transcript Liaison and Diversion: Meeting the Concordat

Liaison and Diversion:
Meeting the Concordat Challenge
Dr Vicky Hancock
Coventry and Warwickshire
Partnership NHS Trust
Mental Health and Criminal Justice
• People in contact with the criminal justice system are at higher risk
of suicide than the general population
• Prevalence rates for personality disorder, psychosis, attention
disorders, post-traumatic stress disorder (PTSD) and self-harm are
notably higher than in the general population.
• Learning disability is more common in young people in custody; a
prevalence of 23-32%, compared to 2-4% of the general population
• Almost 50% of adult prisoners suffer from anxiety and/or
depression compared with 15% of the general population
• Prevalence of any personality disorder was 78% for male remand
prisoners, 64% for male sentenced and 50% for all female
sentenced prisoners
What is Liaison and Diversion?
‘Liaison and Diversion (L&D)
services are intended to improve the
health and criminal justice outcomes for children, young people and
adults who come into contact with the criminal justice system, where
a range of complex needs are identified as factors in their offending
behaviour. Liaison and diversion services should ensure that these
individuals can access appropriate interventions, in order to reduce
health inequalities, improve physical and mental health, tackle
offending behaviours including substance misuse, reduce crime and reoffending, and increase the efficiency and effectiveness of the
criminal justice system.’
Service Model
Background of Liaison and Diversion
• Outline Business Case Approved by HM Government in
partnership with NHS England, Ministry of Justice, Home
Office, Department of Heath, Youth Justice Board, Public
Health England, HM Courts and Tribunals Service
• £25 million investment
• 10 National Trial Sites
• National Operating Model
• Initial 12 month trial with a commitment to 24 month
• Further trial sites to be identified to be in operation for
April 2015
• Development of Full Business Case by late 2015
Future of Liaison and Diversion
Criminal Justice and Crisis
Why focus on offenders and those in contact with the
Criminal Justice system?
• Mental Health has led to offending
• Offence is a trigger for crisis
• Increase in stress related to offence/arrest/court may
be trigger for relapse of ongoing mental health issue
• Unmet need
Specific Care Concordat Principles
• Early Intervention
– Referrals from neighbourhood, response and specialist teams
– Benefits for individual and system
• Urgent and Emergency Access to Crisis Care
– Skills and Training
– Information Sharing
• Recovery
– Substance Misuse
– Ongoing contact with Criminal Justice
Working Together
• Challenges
– Cultures
– Understanding of Roles and Responsibilities
– Information Sharing
• Lessons Learned
– Build relationships
– Be honest about mistakes
Effective Partnerships
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Case Examples
Joint training
Safer Services
Co-location
– Communication
– Skills, Knowledge and Understanding