Synthesizing Promising Practices on Treatment in Prisons

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Synthesizing Promising Practices on Treatment in
Prisons

• Kathryn Leafe
• Cranstoun Drug Services

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Working in Prison Group

• Cranstoun Drug Services, UK and International
  Activities
• Iranian National Prison Organisation
• RS Ketergantungan Obat The Drug Dependence
  Hospital, Indonesia
• Centros de Integracion Juvenil A.C. Mexico
• Proyecto Hombre, Spain

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A Practice Guide on the Setting up
Implementation of Drug Dependence Treatment in
Prisons

• Maximise access to treatment
• What, why how
• International applicability
• Integrated and effective

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Methodology

• Review of provision and issues
• can do approach
• Key issues in provision in prison
• Research best practice examples
• The mechanics of delivery
• International guidelines
• references

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Working in Prison and Working with Prisons
Cranstouns Experience
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Key Issues

• Security
• Staff training
• Service Provision

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A prison is a prison .

• Security is paramount
• Drugs are a security issue
• Demand reduction and supply reduction must go
  hand in hand
• Behaviour change not substance use indicator of
  success
• Coercive treatment has a role

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Training

• Prison Warders
• Prison Managers
• Health and Drug Services Staff
• Attitudes and Beliefs about Substance Use
• Security inc confidentiality
• On the job
• Develop understanding
• Knowledge Skills Based

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Service Provision

• Prison Health is Public Health
• Equivalence
• Range of Treatment Provision treatment
  continuum, models of working
• Risk Reduction
• Prisoner Choice match of interventions
• Therapeutic issues in the prison context
• Diversity issues

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What Works

• Advice information services
• Assessment and referral
• Care planned counselling
• Counselling psychotherapy
• Substitution treatment
• Detoxification

• Prescribing
• Relapse prevention
• Social Life Skills
• Treatment Programmes TCs, CBT, 12 Step
• Drug Free Wings
• Drug Testing
• Peer Led Initiatives

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Experiences

• Think the unthinkable and encourage others to do
  the same
• Look for the similarities not the differences
• See things from others points of view
• Shared care
• Joint working with statutory services

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Issues

• Flexibility to try something different v what
  works
• Unrealistic expectations staff, prisons
• Gaining experience, takes experience to support
  delivery accessing this
• Not just abstinence
• Not just drugs
• HIV and Hepatitis

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How Cranstoun inc ENDIPP

• Conferences and seminars
• Training academies
• Service visits
• Study visits exchanges
• Networking regional, international criminal
  justice agencies
• Partnerships
• Mentoring

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kleafe_at_cranstoun.org.uk

• www.treatnet
• www.endipp.net