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Transitional Care. The Story so Far ………………. Transitional Care. In the beginning….there were DATS.. Responsible for local arrangements in the community…… Prisons…were left to fend for themselves with their own budgets. Containing the most problematic drug users in the country. - PowerPoint PPT Presentation
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Transitional CareTransitional Care
• In the beginning….there were DATS..
• Responsible for local arrangements in the community……
• Prisons…were left to fend for themselves with their own budgets.
• Containing the most problematic drug users in the country.
• Dats could not provide services to prisons.
Transitional CareTransitional Care
• In 1998 £90 million additional money.
• £10 million to SPS over 3 years.
• SPS devised a model of Casework and Transitional Care.
• Going places where (almost) no service had been before.
• Concerns generated re integration.
The ModelThe Model
• Casework - 50 staff in 14 prisons providing assessments, referrals and brief solution focussed work.
• Transitional Care – 28 staff in all areas providing a mentoring service post release.
Transitional CareTransitional CareObstacles to effective IntegrationObstacles to effective Integration
• Poor IntroductionPoor Introduction
• ProfileProfile
• TransparencyTransparency
• Overt hostility and resistanceOvert hostility and resistance
Transitional CareTransitional CareReferralsReferrals
0
500
10001500
2000
2500
3000
35004000
4500
5000
2003Stats
Referrals
Case conf
Pre release
Transitional Care 2003Transitional Care 2003Appointments KeptAppointments Kept
0
200
400
600
800
1000
1200
1400
1st Qtr
Ist appt
2nd appt
3rd appt
Cranstoun Drug ServicesKey Performance Indicators - Casework - 1st, 2nd, 3rd & 4th Quarter 2003
(Data Captured from 3rd January 2003 up to and Including 2nd January 2004)
5010
3838
5478
5587
996
4323
3570
5507
6959
867
4505
3429
5009
6639
1078
4527
3587
4770
4236
1246
4650
3780
5829
2790
2040
0
1000
2000
3000
4000
5000
6000
7000
8000
Referrals Total Assessments Processed One to One Review Referals To Transitional Care
Interventions
Nu
mb
er
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Target
s
Transitional CareTransitional Care
Sample per EstablishmentSample per EstablishmentAttendance at Post Release Transitional Care Appointments - October, Attendance at Post Release Transitional Care Appointments - October,
November & December 2003November & December 2003
HMP Perth
Total Percentage of Attendance
First Transitional Care Appointment Made 99
Attended First Transitional Care Appointment 52 53%
Second Transitional Care Appointment Made 48
Attended Second Transitional Care Appointment 36 75%
Third Transitional Care Appointment Made 30
Attended Third Transitional Care Appointment 22 73%
Fourth Transitional Care Appointment Made 12
Attended Fourth Transitional Care Appointment 9 75%
Referrals From Casework to Referrals From Casework to CommunityCommunity(Safety Net)(Safety Net)
0
200
400
600
800
1000
1200
1400
1600
1800
Oct-03 Nov-03 Dec-03
Effective Interventions UnitEffective Interventions UnitEvaluation of the Scottish Prison Service Transitional Evaluation of the Scottish Prison Service Transitional
Care InitiativeCare InitiativeINTERIM FINDINGS - Four Month Client InterviewsINTERIM FINDINGS - Four Month Client Interviews
June 2004June 2004• A research team from the University of
Stirling, TNS Social Research and the University of Kent was commissioned to evaluate the operation and effectiveness of the Transitional Care initiative. This includes an analysis of the process and outcomes of Transitional Care and the identification of potential areas where practice may be improved.
EIU Evaluation of Transitional CareEIU Evaluation of Transitional CareInterim Report –Client ViewsInterim Report –Client Views
• In general, those who had attended Transitional Care appointments said that their Transitional Care worker had linked them to the services that could meet their identified needs. In addition, people also reported that when meetings with other services had been arranged, they did in fact attend those meetings and found them very helpful.
EIU ResearchEIU ResearchClient ViewsClient Views
• Other Outcomes• Drugs• In general, there was no difference between those who had attended Transitional
Care appointments and those who had not in terms of: (a) the number of days they had used drugs in the previous month, or (b) the amount they had spent on drugs.
• However, there did appear to be an important difference in injecting behaviour. Only two (out of 28) of those who saw a Transitional Care worker were currently injecting compared with 14 (out of 51) of those who had not.
• Alcohol• There was a common perception amongst those who saw a Transitional Care worker
that they were drinking less now than in the month before prison. This perception was less common amongst those clients who had not seen a Transitional Care worker.
• Offending• In general, those who had attended Transitional Care appointments reported that they
had not committed a crime in the previous month. This was in contrast to those who had not attended. Roughly half of these individuals said they had committed a crime in the previous month.
Where Are we Now?Where Are we Now?
• Significant extensive links with the community services.
• Services which are flexible at local level.• Effective monitoring of all aspects of
the services.• Data which is transparent, published and
audited for accuracy.• End stages of EIU research re outcomes
indicate positive outcomes.
The Future?The Future?
• Depends on the Single Agency Model.
• Significant threats to the voluntary sector if the English model is adopted.
• Enhanced Throughcare has not yet kicked in.
• There is an election coming on.