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Judicial Studies Board – 4 th June 2008

Judicial Studies Board – 4 th June 2008. RATSDAM – A FIVE YEAR REVIEW. Rapid Assessment and Treatment Service for Drug and Alcohol Misusers. Deirdre Noade . Background. Joint Initiative: PBNI & NICAS Funding: EDACT & NIO

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Judicial Studies Board – 4 th June 2008

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  1. Judicial Studies Board – 4th June 2008 RATSDAM – A FIVE YEAR REVIEW Rapid Assessment and Treatment Service for Drug and Alcohol Misusers Deirdre Noade

  2. Background • Joint Initiative: PBNI & NICAS • Funding: EDACT & NIO • Purpose: Provide fast track Drug Assessment & Treatment Service

  3. Background • Referrals: PBNI Assessment Unit Pre-Court • Suitability: Link between offending & substance misuse Motivation to address substance misuse • Treatment: 8 – 12 week Cognitive Behavioural Programme

  4. Overview of Statistics • 937 Referrals • 861 Rapid Assessments conducted • 544 Orders Made • 63 Custody Probation Orders • 286 Completed Treatment - 86% Retention Rates

  5. Client Profile • 95% Male • Average Age 30 • 29% assessed in custody • 86% unemployed • 89% self-reported mental health illness

  6. Client Profile – conti.. • Offenders: Theft (23%), Possession of Drugs or and intent to supply (20%), Armed Robbery (13%), Motoring (13%) • Current paramilitary threat – 20% • Previous paramilitary attack – 42%

  7. Drug History

  8. Use of Cocaine

  9. Use of Opiates

  10. Alcohol Dependency Results (N = 96)

  11. Drug Dependency Results (N = 66)

  12. Depression Symptomatology Results (N = 102)

  13. Case Scenario • Male, 33 years old, unemployed • Possession Class A & AOABH • MDC – Cocaine (12 g per week) Alcohol (max 120 units per week) • History of depression, paranoia, anxiety • History of self harm and suicide attempt • Goal of treatment: ‘Reduction in Drug and Alcohol Use & Harm Reduction’

  14. Future Directions • Mainstreaming of assessments within PBNI • Expansion throughout province • Funding difficulties

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