Exploring Alcohol Service Demand and Provision Linked to the London Criminal Justice System [email protected]

September 2010 Offender Health

Overview

• Features of London Criminal Justice System Population • Numbers along Pathway • Case for Change • Literature Review • Needs • Service Provision • Rehabilitation Revolution • Resource links

Features of London Criminal Justice System Population

• • • • •

YOUNG

: Majority of Arrests, Probation Commencements & Prison Receptions < 40 years

MALE

: 85% Arrests, 88% Probation, 92% Prison

OF FAITH

(Prisons) : 48% Christianity, 26% none, 17% Islam

DIVERSE

: Probation 50-55% White through Police, Prisons &

SHORT PERIOD OF CONTACT

– Matter completes at police station following 51% of Arrests – 65% of sentenced prison receptions <12 months : – 30% London sentenced prison releases <28 days served

NUMBERS : LOCATION : LONDON 2009-10 C O M M U N I T Y POLICE 300,000 Arrests of which 56,000 Detained 73,000 on Bail 153,000 released of which 52,000 sanctioned 101,000 NFA COURT 129,000 N I T Y C O M M U PRISON 30,000 PROBATION 35,000 APPROVED PREMISES 855 C O M M U N I T Y Source: Profile Report on Police Detainees and Offenders in London

NOMS London / NHS London

C O M M U N I T Y

Case for Change

IBA & The Criminal Justice System • Offenders have high risk drinking patterns • IBA is quick and effective • IBA leads to 1 in 8 people reducing their drinking • IBA is a cheap intervention • IBA will improve health and offending outcomes

Literature Review

IBA & The Criminal Justice System • Scope included Police, Prisons, Probation • Good policy basis developed in Prisons and Probation • However, funding / access constraints particularly in Prisons • Few examples of London Police based projects, and some debate about who might provide in Police settings

Alcohol Need

• •

Police

– One London survey of 646 arrestees found 307 referred to FME (Police Doctor) and of these 202 recorded alcohol issue, suggesting at least

31%

prevalence (McKinnon 2010) > implies

93,000

arrests with alcohol issue

Probation

–

33.9%

of Probation OASys assessments indicate criminogenic need related to alcohol (2009-10). Range: 52.5% (Kingston) to 25.5% (Haringey) > implies

14,900

probation commencements with alcohol issue (2009-10) – More recent Probation caseload data indicates increased need at

36%

Alcohol Service Provision

Survey of 52 London Alcohol Provider Services

– 15% Tier 1 – 56% Tier 2 – 75% Tier 3 – 67% Tier 4 • 88% providing services to people who are or have been in the criminal justice system • 96% willing to provide to this group • 50% receiving referrals from Probation • 6% receiving referrals from Police or Prisons

London 2009-10: 1,994 Alcohol Treatment Requirements 2,726 Drug Rehabilitation Requirements

Rehabilitation Revolution

Ministry of Justice Business Plan

Structural Reform Priorities 1. Introduce a rehabilitation revolution

Create a system introducing greater involvement of the private and voluntary sectors in the rehabilitation of offenders, including use of payment by results, to cut reoffending

2. Reform sentencing and penalties

Ensure that the justice system reduces reoffending by introducing more effective sentencing policies and considering the use of restorative justice for adult and youth crimes

Detail:

Run as many rehabilitation pilots as possible, with sufficient scale to provide statistically significant results, including through funding by socially aware investors (social impact bond), and paying local, private sector and voluntary sector providers by results. Pilots will be targeted at offenders on community sentences and those released from prison, and young offenders

Green Paper on Rehabilitation and Sentencing Reform is imminent Reduced Re-Offending is driving outcome

RESOURCE LINKS Profile Report on Police Detainees and Offenders in London

http://lcjb.cjsonline.gov.uk/London/1233.html#LRRS

London Criminal Justice Liaison & Diversion reports:

http://www.gvagrimley.co.uk/x13183.xml

London Alcohol IBA Lit. Review, Case for Change & Service Survey:

http://www.offenderhealth.org.uk/OffenderCommunityHealth/Alcohol.aspx

Prison Population Statistics:

http://www.justice.gov.uk/publications/populationincustody.htm

Offender Management Caseload Statistics

http://www.justice.gov.uk/publications/prisonandprobation.htm

Dezlee Dennis

Drug and Alcohol Strategy Development Manager London Probation Trust

Questions

• How are we going to deliver the ‘Rehabilitation Revolution’ ?

• How can we improve recognition of needs in the Criminal Justice System in Alcohol Needs Assessments?

• What support do services need to work with people in the Criminal Justice System?