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Integrated Drug Treatment System lessons learned from implementation

Integrated Drug Treatment System lessons learned from implementation. Background. IDTS is a joint venture between criminal justice (Min of Justice) and Health (DH)

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Integrated Drug Treatment System lessons learned from implementation

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  1. Integrated Drug Treatment Systemlessons learned from implementation

  2. Background IDTS is a joint venture between criminal justice (Min of Justice) and Health (DH) In recent years there has been growing evidence that integrated drug treatment, including methadone maintenance, is effective in reducing crime and preserving life (NICE, 2007)

  3. Rule one Be sure of your timing

  4. Rule two Make sure your partners support you

  5. Rule three Be sure of why you are doing this

  6. One half of all prison suicides happen in the first 28 days of custody 62% of those who died were problematic drug users(HMP Safer Custody Internal Report 2002) Timing of 172 suicides by period of time in custody (DH 2003)

  7. Someone received into a prison is twice as likely to commit suicide in the first week of imprisonment if they are drug dependent

  8. In the week following release, prisoners are 37 times more likely to die of overdose than other members of the public. Women are 69 times more likely to do so.Opiates were involved in 97% of drug related deaths that occurred in the first two weeks of release from prison.(Home Office 2005)

  9. Death rates of drug users leaving prison(Dolan et al 2005) Rate of survival Left prison on methadone Left prison not on methadone months

  10. Rule 4 Fight to keep control

  11. Rule 5 Construct a local, regional and national structure

  12. IDTS Central Project Team CSIP H&SCCJ Programme Director (Kieron Murphy) IDTS Regional Steering Groups (9) CARAT Area Support Manager Area Drug Coordinator Regional HSCCJ CSIP Lead NTA IDTS Programme Manager (Fintan Hayes) NDPDU CARATs Support Managers (The Regional IDTS Lead may be either) SHA/ PCT Representative NTA Regional IDTS Lead ROM Representative DIP Regional Representative Central Project Team Representative Prison Health Clinical Lead … plus others as agreed locally IDTS Regional Development Manager (CSIP/ NTA) Establishment IDTS Implementation Group (for each First Wave prison)

  13. Rule 6 Make sure all policy components and funding are in place

  14. Rule 7 Invest heavily in training

  15. Rule 8 Enlist senior support

  16. Rule 9 Support the people in the middle

  17. Rule 10 Work with the people who want to make a difference

  18. Rule 11 Make for the mainstream

  19. Rule 12 Invest heavily in Big Research

  20. Rule 13 Do not complicate the complicated

  21. ‘None of us is as good as all of us’……

  22. Rule 14 …..Chose a slogan that more than 5% of the audience can understand

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