1. Drugs & Criminal Justice In Scotland June 24 th 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. 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 Deliver effective prisoner opportunities Estate fit for purpose Estate fit for purpose High standard of service delivery High standard of service delivery Professional staff Professional staff Value for money Value for money

3. The Scottish Prison Service Agency of the Scottish Executive Agency of the Scottish Executive Annual Budget £229 Million Annual Budget £229 Million 16 Prisons 16 Prisons 1 Private Prison 1 Private Prison Population – 7000 Population – 7000 Annual throughput of 30,000 Annual throughput of 30,000 Staff 4,500 Staff 4,500

4. Background Rate of imprisonment Rate of imprisonment Rate of reoffending Rate of reoffending Demographics of population Demographics of population Inappropriate use of imprisonment Inappropriate use of imprisonment Fit for purpose Fit for purpose Current debate in Scotland Current debate in Scotland One of the highest in Western Europe 1992 – 5300 1995 – 5600 1998 - >6000 2004 – 7000 Within 10 years >8000 Rate of 137 per 100,000 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 Addictions Learning, Skills & Employability Learning, Skills & Employability Social Care Social Care

7. Principles for Addictions in SPS Based on assessed need Based on assessed need Involve prisoners in agreeing care plans Involve prisoners in agreeing care plans Access to relevant range of interventions Access to relevant range of interventions Emphasis the importance of continuity of care Emphasis the importance of continuity of care Promote the transitional care period 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 Punitive Zero tolerance Fragmented Care Addiction services isolated Poor community Links Little sharing of information OLD Supportive Harm reduction focus Promotes continuity of care Encourages joined up approach Integrated inclusion policy Encourages community links Sharing of information New

10. Policy Pillars Treatment Treatment Availability Availability Communication Communication Integrated Care Integrated Care 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 DTTO’s Staff Vigilance I2 intelligence system Telephone monitoring Drug Action Teams Scottish Executive Scottish Drug Enforcement Agency Police NHS Local Authority SW Voluntary sector Internal Crisis Transitional Care Transitional care Clinical Liaison CIP DTTO PR2

11. Addictions Performance Measures MDT % prisoners testing negative (in prison drug use) MDT % prisoners testing negative (in prison drug use) No.prisoners identified taking up addictions treatment assessment No.prisoners identified taking up addictions treatment assessment % prisoners accessing transitional care/attendance first appointment comm % prisoners accessing transitional care/attendance first appointment comm % prisoners leaving establishments completing National Harm Reduction Awareness Session. % prisoners leaving establishments completing National Harm Reduction Awareness Session.

12. In summary Rehabilitation & Care Safer Scotland Greater understanding each others roles Shared vision Co-operation and Accountability