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4.4.1 Each establishment has a substance misuse strategy. 188.8.131.52 Substance Misuse - Focus on Recovery a There is equity of access to effective treatment and rehabilitation services which promote recovery. b There is an evidence-based approach to planning, designing and delivery of services to promote recovery. c There are systems to enable effective communication and information sharing protocols in place ensuring prisoner consent. d Prisoner needs are central to the care planning process and are regularly reviewed to reflect progress made towards recovery. e Family involvement in the care planning and case conference decision-making process is encouraged where appropriate. f Establishments liaise with relevant organisations to ensure that drug-related deaths are reduced following release from prison. 184.108.40.206 Substance Misuse - Range of Services a Prisoners are offered an assessment in order that appropriate treatment and care services can be provided to meet their identified needs. b Clinical treatment and care will be provided in accordance with the Memorandum of Understanding (MOU) between SPS and NHS Boards. c Prisoners are provided with information at induction on how to access substance misuse and throughcare services whilst in prison and also on release. d There is a multi-disciplinary approach to the provision of substance misuse services with access to wraparound care. e Access is provided to peer led organisations as appropriate. f Education and awareness, approved activities and prisoner programmes specific to substance misuse are delivered in accordance with the SPS Intervention Strategy. g Prisoners are included in public awareness campaigns. h There is a safe and supportive environment to promote recovery where services can be concentrated and delivered to motivated prisoners. 220.127.116.11 Substance Misuse - Effective Integration a Prisoners are offered an integrated package of care based on their individually assessed needs. b Prisoners are encouraged to participate in the Integrated Case Management (ICM) process to address their problematic drug and alcohol use and offending behaviour issues. c The SPS Integrated Addictions Process is adopted as the model of care by joining up medical treatment with addiction services; whilst linking individuals to wider wraparound support and vital throughcare services to assist the recovery process. d Appropriate referrals are made to the relevant Child Protection agencies. e There is a consistent approach to service delivery and the provision of continuity of care across the prison estate. f Establishments work in partnership with NHS Boards, Local Authorities and Throughcare Addiction Services to achieve closer integration and a seamless transition from prison to the community. g Establishments optimise links with Criminal Justice Partners, including Community Justice Authorities (CJA's) and Alcohol and Drugs Partnerships (ADP's) to ensure that the prisoner population needs are recognised and linked into community based services on release. 18.104.22.168 Substance Misuse - Addiction Testing a Establishments must enable health management testing for the purpose of treatment and care by NHS Boards. b Prisoner management voluntary testing supports prisoner progression and is used to determine the levels of prevalence of illegal drugs. c Prisoner management mandatory testing is used for the purpose of risk assessment and suspicion, as defined by Section 93 of The Prisons & Young Offenders Institutions (Scotland) Rules 2011 and associated legislation. 22.214.171.124 Substance Misuse - Access to Information a Information is available in different languages for prisoners who either do not use English as a first language or have difficulty understanding written English. b Prisoners with learning difficulties and disabilities which prevents them from understanding verbal or written information are provided with support. c Cases with recognised and specific requirements regarding individual faith and religious observance are managed appropriately within the context of security and treatment. 126.96.36.199 Substance Misuse - Organisation, Training & Development a Establishments develop SPS staff to respond confidently to the concept of recovery in the delivery of services. b Establishments facilitate participation in effective, high quality national addictions training to enable staff and service providers to carry out their role. c Establishments work with service providers to develop ways of multi-agency working, maximising awareness of each other's roles and responsibilities to support referrals and information exchange. d Skills gaps are identified through regular training needs analyses and addressed through Continuous Professional Development (CPD) and Personal Learning and Development Plans (PLDP). e Access and facilitation is provided for evaluation and research initiatives that support the aims of the strategy. f A local action plan is devised to support the delivery of the substance misuse strategy. g Strategic and operational leads are identified to co-ordinate the implementation of the strategy and action plan, and also identify a lead person to monitor progress against performance outcomes through regular strategy meetings.How many prisoners are involved in the programmes (together and separately for each programme)?
Not availableHow many staff members are trained for work with addicted persons?
Not availableIf possible, please provide contact information for a person we could contact for more detailed information.
There is one main Addiction reduction programme under which as sub-programmes LPA Addiction Centre implements Atlantis and Pathfinder programmes.How many prisoners are involved in the programmes (together and separately for each programme)?
In total currently there are 53 inmates in the Addiction Centre. 8 in the Evaluation department, 24 in the Atlantis department, 11 in the Pathfinder department and 10 in the women department.How many staff members are trained for work with addicted persons?
Currently in the Addiction Centre there are 47 employees that have undergone training for work with addicted persons.If possible, please provide contact information for a person we could contact for more detailed information.
Treatment of drug addiction in Croatian prison system is integral part of the individual sentence plan of drug addicted prisoners and can be consisted of the following elements: a) Education in a field of drug addiction and drug abuse; b) Decreasing harmful consequences of drug abuse (counselling activities in a field of harm reduction and healthcare in a sense of improving general health condition and in a sense of treating communicable diseases connected to drug addiction); c) Opioid substitution therapy (OST) - methadone, buprenorphine; d) Treatment of psychiatric comorbidity (psychiatric treatment and pharmacotherapy); e) Abstinence control; f) Contingency management (CM); g) General treatment programs (involvement in working or occupational activities, organized free time activities, educational activities); i) Individual psychosocial treatment and counselling; j) Therapeutic community/supportive groups (modified Minnesota model); k) PORTOs – structured program of psychosocial treatment based on cognitive-behavioral approach (Offender Behaviour Program); l) Preparation of post penal admission/treatment in cooperation with institutions and NGOs registered for prevention and treatment of drug addiction. Croatian Prison System does not apply the policy of purchasing existing foreign Offender Behaviour Programs (OBP), as interpreting and standardising such programs as long and expensive with no guarantees that such programs will have actual effect on the reoffending rates in the national context. Instead, prison experts (practitioners), in cooperation with universities, develop and evaluate national OBPs, according to evidence-based literature / “What Works” principles. Such program, aimed at drug addicted prisoners, is PORTOs (Croatian abbreviation for Prevention of Drug Recidivism through Training and Enhancement). The program is based on cognitive-behavioural approach, comprising assessment of criminogenic risks and needs and application of corresponding interventions, including relapse prevention). It was developed and evaluated in cooperation of the Head Office of the Prison System Directorate and Department of Criminology of the Faculty of Education and Rehabilitation Sciences. PORTOs is administered once a week in small groups of 8-10 prisoners through 34 sessions in longer version, or 17 sessions in shorter version, each lasting 90 minutes, according to the corresponding manual. It is consisted of 5 phases: 1) Preparation phase (selection of participants, analysing documentation, motivational interview, co-signing of therapeutic contract and introductory sessions); 2) Phase of education, introspection and encouraging change of life style; 3) Phase of developing skills and enhancing change; 4) Relapse prevention; 5) Finishing the program, feedback and evaluation. It is facilitated by prison system treatment specialists - social pedagogues, psychologists and social workers who completed specific training for delivery of the program.How many prisoners are involved in the programmes (together and separately for each programme)?
In 2016, there were total of 819 convicted prisoners (+ 34 juveniles) with diagnosed drug addiction or harmful misuse and one or more of described interventions were applied to each of them. It is worth to mention that one or more interventions/programs can be applied to the same prisoner at the same point of time, or during different points of the sentence. In the field of psychosocial treatment, 272 prisoners were treated through modified therapeutic community / support groups moderated by specialist (traditional approach based on modified Minnesota model), 77 prisoners finished PORTOs and 490 prisoners were under individual psychosocial treatment and counselling. Each drug addicted prisoner was also under the medical doctor’s treatment, and more than 80% of them received OST.How many staff members are trained for work with addicted persons?
Around 60 members of prison staff (employed in treatment departments of the prisons and penitentiaries) have received different types of additional education in the field of working with drug addiction, while 29 prison specialists are trained as facilitators of the PORTOs program.If possible, please provide contact information for a person we could contact for more detailed information.
At the Head Office of the Directorate for Prison System and Probation, person responsible for organization of drug addiction treatment is Martina Baric, Service of special treatment programs, analysis, evaluation and prisoners’ records (e-mail: [email protected]).
12 Step Drug Use Prevention Program, which is primarily offered to those in detention who reach middle or high risk factor of drug consumption at detention. The program has been developed by our colleagues for internal use. It aims to lay down the foundations of living without drugs through objective information transfer, and it’s main purpose is relapse prevention. The exercises are mainly self-developed group tasks, and elements partly known from addiction treatment such as Thinking Map, Recognizing and Modifying Automatic Negative Thoughts, Psycho Educational Elements and Drama Therapy. The participation is voluntary, the program is currently available in 19 prisons. The programs are run by reintegration officers and social assistants, professional supervision and support is provided by the Central Institution of Professional Inquiry and Methodology.How many prisoners are involved in the programmes (together and separately for each programme)?
On an annual basis, we have about 250-350 people in average who participate at Drug Abuse Prevention Programs, it means that we organize a total of 25-35 groups. We have 43 staff members (reintegration officers and social assistants) who are trained to work with the program. This number means, that we have normally 2 staff members to work in the Program per Institution.How many staff members are trained for work with addicted persons?
To the above mentioned number of 43 staff members we need to add the psychologists and foundation members who work in cooperation with the prison services.If possible, please provide contact information for a person we could contact for more detailed information.
1."Lifestyle training" - This program targets abusers/addicts of addictive substances and compulsive gamblers in whom their addiction causes unlawful behavior. 2."Strength to change" - This is a motivational treatment program, the objective of which is to make participants understand behaviors related to abuse of addictive substances and to promote personal change. The program focuses on ways to refrain from using addictive substances, tackles anger and gratitude that supports change, and helps participants shape a new self-image. 3. "Minnesota twelve-step programm" - this programm is outsourced and the service is delivered by a private companyHow many prisoners are involved in the programmes (together and separately for each programme)?
In 2016: 1."Lifestyle training" programm - 375 convicted offenders and 18 persons in custody 2."Strength to change" programm - 17 convicted offenders (the programm was only launched in the middle of 2016 - hence the small number of participants) 3."Minnesota twelve-step programm" - we don't have the data Together in the first two programmes that are delivered by the prison service involved in 2016 410 prisoners, but the prisoners that participated the outsourced "Minnesota programm" are not counted in that number.How many staff members are trained for work with addicted persons?
Approximately 63 prison workers are trained to work with addicted persons.If possible, please provide contact information for a person we could contact for more detailed information.
Our contact person in the field of substance abuse rehabilitation work is: Velli Ehasalu - Adviser of the the Rehabilitation Division of the Prison Department [email protected] +372 620 8269
The Start360 AD:EPT service has been delivering Building Skills for Recovery (BSR) Programme since 2011 – this is a Home Office approved group programme addressing the link between substance use and offending behaviour. The AD:EPT service has recently introduced a Smart Recovery Support Group - delivered in Maghaberry at present – voluntary attendance (12 regular attendees and 30-40 on a waiting list). The group currently meets once a week. Would like to expand this within Maghaberry (run a second group) and across the other two sites. In addition to the programmes above, the AD:EPT service also delivers one to one case work, counselling, auricular acupuncture, pre-release support, harm reduction sessions, failed drug test reviews, induction programmes and family support. Start360’s AD:EPT2 service works with people in custody who have substance use issues, particularly alcohol, and who are coming to the end of their sentence. We work with them for six week pre-release and up to six months post-release. This service also provides family support.How many prisoners are involved in the programmes (together and separately for each programme)?
• BSR: One group per prison per year - 3 groups per annum with a max of 12 participants per group. • Max 36 per annum • Smart Recovery – once a week – 12 regular attendees.How many staff members are trained for work with addicted persons?
The Northern Ireland Prison Service has 24 staff within Adept/Start360 programmes/interventions) who are trained for working with individuals who have addictions.If possible, please provide contact information for a person we could contact for more detailed information.
AD:EPT Manager: Clare Connolly: [email protected]
Substance abuse rehabilitation in prison consists of a substance abuse rehabilitation needs assessment, substance abuse rehabilitation guidance, motivational instruction, relapse treatment, group-format rehabilitation programmes of varying intensity, personal therapy, the possibility of placement in an external substance abuse treatment facility, release training and networking services after release. Peer groups in prison (NA and AA groups) are important contributors to abstinence from substance abuse. Various forms of substance abuse rehabilitation are available in nearly all closed prisons. In 2017, there was an average of 80 prisoners each day receiving substitution treatment. We haven’t substance abuse programmes in probation services because clients can use the normal services. Substance Misuse programmes used in prisons must be approved through an accreditation procedure. Nowadays we have three accredited substance abuse programms: 1) Anti-addiction®-information programme is a short information and motivation group programme which aims to teach offenders the skills required to reduce or stop substance misuse. This programme was designed and developed for the prison by rehabilitation institution in outside prison. The programme length is 4-6 weeks, 1-3 sessions per week. 2) Behinds Bars -Substance Abuse Programme based on principles of cognitive behavioural theory. Programme aim to teach offenders the skills required reducing or stopping substance misuse. It was designed together Addiction Hospital and The Criminal Sanctions Agency. Length is 120-hour-long course. 3) Community treatment programme delivered in a therapeutic community milieu. Prisoners are encouraged to learn new behaviours, attitudes and values reinforced through peer and community modelling and support. Length is 6 - 12 months.How many prisoners are involved in the programmes (together and separately for each programme)?
In 2016: 1." Anti-addiction®-information programme 175 convicted offenders 2. Behinds Bars -Substance Abuse Programme 30 convicted offenders 3. Community treatment programme 40 convicted offenders.How many staff members are trained for work with addicted persons?
The rehabilitation is mainly undertaken by rehabilitative prison personnel: psychologists, instructors and social workers. We have about 50 instructors specifically engaged for substance abuse work in prisons.If possible, please provide contact information for a person we could contact for more detailed information.
Our contact person in the field of substance abuse rehabilitation work is Senior Specialist Ulla Knuuti, The Criminal Sanctions Agency, [email protected] +368 50 550 8894.
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The prisons in Schleswig-Holstein cooperate with external service providers (NGOs) in the field of drug addiction. The providers deliver their services based on different, needs- and responsivity oriented concepts. These concepts include individual as well as group counseling measures and, if necessary, placement in therapeutic settings. Three prisons (Neumuenster, Luebeck and Flensburg) provide specialized interventions for consumers of legal (gambling, alcohol) as well as illegal drugs (narcotics) whereas the rest of the penal institutions cover both forms of drug abuse within one concept.How many prisoners are involved in the programmes (together and separately for each programme)?
2016 Clients total: Legal drugs: Illegal drugs: Schleswig-Holstein total 1043 Juvenile detention Schleswig 103 no classification no classification Adult prison Itzehoe 33 no classification no classification Adult prison Flensburg 46 no classification no classification Adult prison Lübeck 222 85 137 Adult and juvenile prison/detention Neumünster 408 179 229 Adult prison Kiel 231 no classification no classificationHow many staff members are trained for work with addicted persons?
As the services are delivered by external providers public servants are not qualified as therapists or counselors in the field of drug addiction. Nevertheless skill enhancement concerning drug prevention and knowledge about substance abuse is provided for prison staff.If possible, please provide contact information for a person we could contact for more detailed information.
Majken Krause Ministerium für Justiz, Europa, Verbraucherschutz und Gleichstellung des Landes Schleswig-Holstein Referat Vollzugsgestaltung, II 202 Lorentzendamm 35, 24103 Kiel T +49 (431) 9883822 [email protected]
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Supported by the Justice Programme of the European Union