offender health exploring alcohol service demand and provision linked to the london criminal justice...
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Offender Health
Exploring Alcohol Service Demand and Provision Linked to the London Criminal
Justice [email protected]
September 2010
Overview
• Features of London Criminal Justice System Population
• Numbers along Pathway• Case for Change• Literature Review• Needs• Service Provision• Rehabilitation Revolution• Resource links
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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 : 48% Christianity, 26% none, 17% Islam (Prisons)
• DIVERSE : 50-55% White through Police, Prisons & Probation
• 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
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NUMBERS : LOCATION : LONDON 2009-10
COMMUNITY
POLICE
300,000 Arrests of which
56,000 Detained
73,000 on Bail
COURT
129,000
PRISON
30,000
PROBATION
35,000
APPROVED PREMISES
855
COMMUNITY
COMMUNITY
COMMUNITY
153,000 released
of which
52,000 sanctioned
101,000
NFA
Source: Profile Report on Police Detainees and Offenders in London NOMS London / NHS London
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
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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
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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%
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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
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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
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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
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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?
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