Transcript Screening and Brief Intervention in Custody in Plymouth

Screening and Brief Intervention in
Custody in Plymouth
 Moving
Forward…………
Mike Jarman – DAAT Alcohol Commissioner
Andy Maguire- Alcohol Service Manager
Partnership
SBI from March 07- March 08
Pilot Study Carried out by University of Plymouth, findings
Published July 2008
A Barton, G Squires
http://www.plymouth.ac.uk/files/extranet/docs/SSB/Alchohol%20Intervention%20final%20report.pdf
Headline Findings
 3900
Contacts made (AUDIT completed).
 Over
50% of contacts with 17-24 year olds
 Gender
 52
; 85% Male 15% Female
of 3900 ‘accessed the main service’
(no definition of ‘accessed’ provided).
 No Re-Offending data shared
Funding Ends For Pilot March 2009
 Harbour
brings the SBI ‘in house’ as part
of alcohol service
 It is reduced to weekends only (Pilot had
shown this was optimum contact time)
 Weekday contacts carried out by Custody
Drug Workers
Who is now seen?

any arrestee over 17 years where,
- offence motivated in some way by alcohol
OR
- offender intoxicated at time of arrest
OR
offender asks to see alcohol worker
OR
offender referred by medical provision.
Figures from Jan 09-Nov 09
 1315
seen so far
 Over 50% 17-24 Year Olds
 86% Male 14% Female
 23 attended Main Agency for Assessment
 13 Opened a Care Plan
No Data regarding re-offending, whether
locally or regionally is currently shared.
Issues

The only outcome measure available currently is
whether or not person comes into more structured
treatment (98% do not).

No capacity currently to run follow up programmes to
measure efficacy in consumption reduction, or to cross
check data between health and police to evidence
crime reduction.
How do you measure success?

Objectives should be broader than ‘getting into
treatment’ i.e. a reduction in alcohol related
re-offending, but also…

More holistic approach should perhaps include
substance misuse, access to other services such
as health checks, training and educational
needs, and addressing issues around
accommodation and family substance misuse.
What is Needed in Plymouth?

A joined-up approach is required. We need to agree
data sharing with Police and other partners to track
people through systems, and measure the efficacy of
interventions and services.

Clear pathway needs to be defined for alcohol linked
offenders with data managed within HALO, our
electronic case management software.

Pathway would include SBI, ATRs, alcohol interventions
& treatment delivered by probation service, through to
resettlement of offenders.
What Are We Doing?

Currently have drawn together a 15 strong project
group from Commissioning, Public Health, Criminal
Justice, and Treatment Delivery strata to review and
redesign the Alcohol Harm Reduction Strategy for
Plymouth.

Our first meeting has identified a priority need for the
sharing and harvesting of data that more clearly
informs Public Health Needs Assessment, supports the
development of services aligned to the Safer
Communities and Safeguarding agendas, and measures
the community response to these services.
What Are We Doing?
 It
is envisioned that the review of the Harm
Reduction Strategy will lead to the
implementation of a whole system for
alcohol intervention that can encompass
Health, Community Safety, and
Safeguarding objectives, with high quality
shared data as one of its’ foundations.
How Will It Be Done?
Questions?