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Transitional Care Transitional Care The Story so Far The Story so Far ……………… ………………

Transitional Care

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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

The Story so FarThe Story so Far………………………………

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

More interesting Than Transitional More interesting Than Transitional Care Stats!!Care Stats!!

And with his PalAnd with his Pal

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.

My WayMy Way Forward…… Forward……