PRESENTATION ON THE PROGRAMME - CARE TO THE PROTFOLIO COMMITTEE Presented by CDC Development and Care on 4 August 20

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2. 2 OUTLINE OF THE PRESENTATION Mandates Understanding the Chief Directorate Personal Well-Being Sub-Branches and functions of the Chief Directorate Establishment and Organograms Budget Allocation per Directorate Projects Successes Partnerships Risks Challenges Envisaged strategies to address challenges

3. 3 MANDATES Constitution - Bill of Rights – Chapter 2 Section 7 Section 9 (equality) Section 10 (human dignity) Section 10 (life) Section 12 ( Freedom and Security of the person) Section 35 (Arrested, detained and accused persons) Standard Minimum Rules for the Treatment of Prisoners. - Guides the provision of programmes and services to offenders. White Paper on Corrections in South Africa. - Correction as a societal responsibility. - DCS as an Institution of Rehabilitation.

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6. 6 KEY STRATEGIES FOR THE CHIEF DIRECTORATE: PERSONAL WELL-BEING PERSONAL WELLBEING: Compliance with Care policies, procedures, standards and applicable legislation Provision of comprehensive primary health care services to all offenders, awaiting trial detainees and babies of incarcerated mothers. Provision of needs based care services and programmes to offenders (Social Work Services, Spiritual Care and Psychological Services). Provision of comprehensive HIV and AIDS programmes and services to all offenders. Development and implementation of needs based Corrections, Development and Care programmes for special categories of offenders as defined in the White Paper (2005).

7. 7 SUB BRANCH - CARE The Chief Directorate Personal Well-Being provide needs based care programmes and services aimed at enhancing and maintaining the personal well-being of incarcerated persons in the department’s care by: Creating an enabling environment for their rehabilitation Belief that all incarcerated persons have the potential to change Provide services and programs relating to: Health care Spiritual care Psychological care HIV&AIDS Social work

8. 8 FUNCTIONS: CHIEF DIRECTORATE PERSONAL WELLBEING

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10. 10 CORE FUNCTIONS OF THE DIRECTORATE: HEALTH CARE SERVICES

11. 11 ORGANOGRAM: HIV AND AIDS

12. 12 CORE FUNCTION OF THE DIRECTORATE HIV AND AIDS To develop, manage and implement Comprehensive HIV and AIDS Programmes and Services for offenders Policy & Procedure development Provide, implement, monitor & evaluate: applicable legislation and programme Provision of support to regions Coordinate partnerships with external stakeholders Financial Management (PEPFAR funded activities included)

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14. 14 CORE FUNCTIONS FOR SOCIAL WORK SERVICES To provide needs based Social Work Programmes and Services in order to enhance the adjustment, social functioning and reintegration of offenders into the community. Nationally Social Workers at Head Office are responsible for: Development of Policies and Procedures Development/ review of Programmes Development of Service Level Standards Conduct Monitoring and Evaluation Visits Resource Management (physical, finance, human and information Liaison and networking of other departments and NGO’s Guide and initiate research undertaking

15. 15 CORE FUNCTIONS FOR SOCIAL WORK SERVICES (Cont..) Manage services and programmes within the Department and ensure efficient and effective service delivery to all offenders, including special categories of offenders Regionally Social Workers at regional level are responsible for: Coordination of Social Work Services within the Region. Ensure that the Policies, Programmes and Service Level Standards are implemented in the Region. Conduct Monitoring and Evaluation Visits in management areas Ensure commemoration of national days in Management Areas

16. 16 CORE FUNCTIONS FOR SOCIAL WORK SERVICES (Cont..) SERVICES AND PROGRAMMES RENDERED Services to offenders are provided through case work and group work methods and those services are: Assessment Supportive (individual / group counselling Crisis intervention Therapeutic / Counselling Administrative (reports writing and filing)

17. 17 CORE FUNCTIONS FOR SOCIAL WORK SERVICES (Cont..) The following programmes are rendered: Orientation Life Skills (Free to grow) Substance Abuse Family and Marriage Enrichment Anger Management Sexual Offender Youth Resilience Programme Social Workers also participate in the following programmes: HIV and AIDS Pre-release

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19. 19 CORE FUNCTIONS FOR PSYCHOLOGICAL SERVICES To manage and ensure provisioning of needs based Psychological Services and Programmes to all offenders (including special categories of offenders) to improve their mental health and emotional wellbeing Nationally Directorate at Head Office is responsible to: Development of Policies and Procedures Development/procure Programmes Development of Service Level Standards Conduct Monitoring and Evaluation Visits Resource Management (physical, finance, human and information) Liaison and networking of other departments and NGO’s Guide and initiate research

20. 20 CORE FUNCTIONS FOR PSYCHOLOGICAL SERVICES (Cont..) Regionally Psychologists at regional level are responsible for: Rendering of psychological services within the Region. Ensure that the Policies, Programmes and Service Level Standards are implemented

21. 21 CORE FUNCTIONS FOR PSYCHOLOGICAL SERVICES (Cont..) PSYCHOLOGICAL SERVICES AND/OR PROGRAMMES INCLUDE: Assessment Individual therapy Group Therapy Structured programmes (e.g. anger management, management of stress, sexual offender programmes) Crisis intervention Administrative tasks (report writing to CMC, Parole Board and NCCS, attendance of meetings, etc. )

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23. 23 CORE FUNCTIONS OF SPIRITUAL CARE SERVICES Management of Spiritual Care Services Compliance with policies and internal controls Financial Management according to the PFMA Building of Partnerships with Churches/faiths and relevant stakeholders in the delivery of spiritual care services Rendering of Need-Based Spiritual Care programmes to offenders Development & Implementation of Individual management plans for offenders Ensuring provision of adequate facilities and resources for delivery Spiritual Care Services Liaison with churches/faiths and relevant role players to enhance reintegration services Implementation of Moral Renewal Programme for offenders and Officials

24. 24 PERSONNEL ESTABLISHMENT IN THE CHIEF DIRECTORATE PERSONAL WELL-BEING  (Nationally: as on 31/03/2009)

25. 25 PERSONNEL ESTABLISHMENT: DIRECTORATE HEALTH CARE SERVICES (National: on 31/03/2009)

26. 26 PERSONNEL ESTABLISHMENT: CHIEF DIRECTORATE  PERSONAL WELL-BEING (Nationally: as on 30/01/2007)

27. 27 BUDGET ALLOCATION: PER DIRECTORATE 2009/2010

28. 28 PROJECTS CHIEF DIRECTORATE Offender Rehabilitation Path (ORP): The ORP is a translation into practice of components of the White Paper on Corrections. The central theme of this path is the promotion of corrections as a societal responsibility and the development of correctional Centres into institutions of rehabilitation HEALTH CARE Feasibility study on the outsourcing of Pharmaceutical Services Feasibility study on the outsourcing of Food Services (value for money study) Health survey / assessment

29. 29 PROJECTS (Cont..) SOCIAL WORK SERVICES Girl Guides Pilot Project (completed to be rolled out for 2009/2010): Thirty (30) Girls incarcerated at the Johannesburg Female Correctional Centre participated in the Girl Guides Pilot Project and the 33rd World Conference organized by the Girl Guides Association of South Africa (GGASA). SNAP Survey (completed): The Directorate spearheaded the research project on Child Killings in conjunction with the Office on the Rights of the Child (ORC), awaiting submission of closing report by the service provider. Baseline Survey on the needs of the Elderly Offenders (completed, awaiting presentation to Top Management): The Baseline Survey on the needs of the Elderly offenders conducted by the researcher in Gauteng and LMN Region, final presentation of the findings to be made to the Branch Development and Care.

30. 30 PROJECTS (Cont..) Procurement of Youth Programmes (completed, programme implemented in Correctional Centres): The Directorate has procured the Youth Programme for youth in Community Corrections and Correctional Centres. 108 officials were trained on the procured youth programmes. Training of Youth in Life Skills (planned for 2009/2010): Partnership was established with UMSOBOMVU to train 300 youth in the Life Skills. Youth offenders from Gauteng, KZN, LMN were nominated to be trained as facilitators in life skills. Social Auxiliary Workers (SAW) (project unfolding): Social Work Services is in partnership with HRD in the project of the recruitment of SAW in DCS. The training course started on the 6 October 2008. Research on Social Work in DCS as a Specialized Field (project unfolding): The Directorate has developed the conceptual document on Social Work in DCS as a specialized field. The first draft was submitted to SACSSP for inputs.

31. 31 SPIRITUAL CARE Implementation of the Spiritual Care Policy and Procedures Implementation of Comprehensive Spiritual Care Programme Implementation of new programmes: HEARTLINES 199 Facilitators (4 x management area) CHATSEC 40 facilitators 16 x CC (277 offenders and 61 personnel) SYCAMORE TREE Programme : 25 facilitators (Partner with PFSA) Newly Developed Spiritual Care Programme: - SC: Pre-release Programme - SC: Anger Management Programme

32. 32 Review of training modules for “Correctional Ministry Course” (UNISA) Training sessions for Spiritual Workers (Partner with CB Powell Bible School UNISA): Every 2nd month of Saturdays: Focus on pastoral counseling skills Developing of spiritual literature for offenders (partner with CLF) Task team establish for writing of material Empowering sessions with spiritual workers and spiritual care staff of regions: EC and WC completed MRM awareness raising and projects in regions (National Task Team)

33. 33 PROJECTS (Cont..) PSYCHOLOGICAL SERVICES Implementation of Psychological Services Policy and Procedures Roll out of newly procured Controlling and Management of Anger Programme (CALM) Procurement of Specialized Assessment tools for psychologists Obtaining approval of Centres of Expertise for psychologists HIV AND AIDS KAPB Assessment Tool – analysis of data

34. 34 SUCCESSES SOCIAL WORK SERVICES Social workers in the 6 regions were trained on the approved social work policy, procedures and supervision guidelines Training of officials conducted on the procured Youth Programme which aim to address the needs of youth offenders The research finalized on the needs for elderly offenders with the view of streamlining services for elderly offenders Reach the ENE targets set for Social Work services Child protection week been commemorated every year by the Department

35. 35 SUCCESSES (Cont..) HEALTH Approved policies Nutritional Services Health Care Services Control of Tobacco and Smoking in Correctional Centres Mental Health Care Approved Procedures Control of Tobacco and Smoking in Correctional Centres Human Resources 150 officials trained as Environmental Hygiene Supervisors 54 officials trained in basic food service management 291 health professional strained in Dispensing Course 9 Medical Practitioners Appointed 250 Health Professionals trained in medicine management

36. 36 SUCCESSES (Cont..) PSYCHOLOGICAL SERVICES National Indaba held for all psychologists to discuss improvement of working conditions and creation of Centres of Expertise for psychologists Upgrading of salary levels for psychologists were approved in Nov 2008 (from level 8-10) Best recruitment strategy for psychologists are appointment of Community Service psychologists

37. 37 SUCCESSES (Cont..) SPIRITUAL CARE SERVICES Implementation of the Spiritual Care Policy and Procedures Development of guidelines for Muslims, ATR, Rastafarians, Buddhist, Shembe and ZCC: limited the complaints Implementation of Comprehensive spiritual care programme Implementation of 3 x new spiritual care programmes Operational Agreements signed: PFSA, New Life Behaviour, Alpha in the provision of spiritual care programmes

38. 38 Reached the ENE targets for Spiritual Care for the past three years in succession Training of spiritual workers in partnership with UNISA (CB Powell Bible School) Empowerment of spiritual care service providers on new direction of DCS (held workshop with all service providers) Building of relationships with churches, faiths, CBO’s, FBO’s and NGOs in the rendering of spiritual care services and programmes (e.g. Bible Society donated R 600 000 worth of Bibles ; 160 000 calendars for offenders)

39. 39 SUCCESSES (Cont..) HIV AND AIDS: Comprehensive HIV and AIDS framework approved for both offenders and personnel 19 ARV sites accredited ± 5 708 Offenders on ART KAPB assessment tool piloted in six regions Strengthened partnerships PEPFAR – Funding Programmes Conducted a HIV and Syphilis Prevalence survey in 2006.

40. 40 SUCCESSES (Cont..) HIV AND AIDS (Cont..) Policies and Guidelines HIV and AIDS Policy and Procedure Correctional Centre Based Care Policy and Procedure Framework for Comprehensive HIV and AIDS Programmes and Services for Offenders and Personnel Framework for Comprehensive HIV and AIDS Programmes and Services for Offenders and Personnel World AIDS Day been commemorated every year by the Department of Correctional Services. Awareness sessions held on HIV and AIDS for offenders in 2008/20009 = 13 133 and 72 846 offenders attend the sessions in 2008/2009.

41. 41 SUCCESSES (Cont..) HIV AND AIDS Training 150 nurses correctional centre based care 169 nurses Comprehensive Management of HIV and AIDS 658 Offenders trained as peer educators(HIV and AIDS) Procurement of medical equipment for Health Care Services World AIDS day been commemorated by Department of Correctional Services every year. Awareness sessions on HIV and AIDS held in 2008/2009 for offenders = 13133 and 72846 offenders did attend the sessions in 2008/2009.

42. 42 CONDOM DISTRIBUTION IN THE REGIONS-MALE

43. 43 CONDOM DISTRIBUTION FEMALE

44. 44 VOLUNTARY COUNSELLING AND TESTING (VCT)

45. 45 NUMBER OF KNOW HIV POSITIVE OFFENDERS (FEMALE)

46. 46 NUMBER OF KNOW HIV POSITIVE OFFENDERS (MALE)

47. 47 ARV TREATMENT

48. 48 ARV TREATMENT(CONT)

49. 49 ARV TREATMENT(CONT)

50. 50 PARTNERSHIPS SOCIAL WORK SERVICES Interdepartmental Coordinating Committee on Youth affairs (National Youth Commission) Intersectoral Committee on Child Justice (DoJ) National Children’s Rights Advisory Council (ORC) Technical Task Team Strategy to children with disabilities (DSD) National Child Protection Committee (DSD) Children’s Act Steering Committee (DSD) South African Older Persons’ Forum (DSD) Alternative Care Forum (DSD) Committee on Ecometric Policy (SACSSP)

51. 51 PARTNERSHIPS (Cont..) SPIRITUAL CARE SERVICES UNISA: Certificate Course in Correctional Ministry & Training of Spiritual Workers in Counseling Skills HEARTLINES: Implementation of Heartlines Programme in DCS SANDF: Training on CHATSEC Programme (Combating HIVAND AIDS Through Spiritual and Ethical Conduct) Bible Society of SA: Provision of Bibles to offender e.g. (Donation of R600 000 worth bibles for offenders) Prison Fellowship International: Training & Implementation of Sycamore Tree Programme (STP): an Offender-Victim Reconciliation Programme

52. 52 PARTNERSHIPS (Cont..) SPIRITUAL CARE SERVICES Christian Literature Fund: provision of calendars to offenders: Donated 160 000 worth of calendars for offenders South African Council of Churches: Provision of Capacity for Reintegration of offenders through Faith Communities Security Services Christian Advisory Board: Interstate Chaplaincy Forum Moral Regeneration Government Sector: Presidency: Implementation of Moral Renewal Programme in Correctional Services

53. 53 PARTNERSHIPS (Cont..) HIV AND AIDS Centre for Disease Control Department of Health John Hopkins DPSA PSYCHOLOGICAL SERVICES Department of Health

54. 54 RISKS Impact of HIV and AIDS on offenders (To mitigate the impact) Management of Pharmaceutical Services (To improve compliance and availability of essential drugs) The registering of “Spiritual Workers Learnerships”, experiencing problem at SASSETA Implementation of the ORP steps (became a project and the activities are controlled by the project team) Piloting of compulsory programmes (behind due to factors like the development of policy procedures)

55. 55 CHALLENGES  Recruitment and/or retention of scarce skills (psychologists, pharmacists, doctors, social workers, etc.). Infrastructure not conducive for rehabilitation Overcrowding that undermines the rights of offenders to conditions of detention which are consistent with human dignity (violation of privacy, spread of communicable diseases, etc) Information Management System (Performance Indicators) Inadequate monitoring, evaluation and reporting. Inadequate participation of offenders in work opportunities and programmes. Non-compliance to the OHS Act. Changing mindsets of officials and community regarding rehabilitation of offenders.

56. 56 CHALLENGES (Cont..) Poor compliance and inability to ensure compliance to legislation, policies, procedures and protocols due to lack of resources. Limited integrated planning The provision of Health Care Services in a Correctional setting Inadequate management of acute, chronic and communicable diseases such as diabetes, TB and other disease Unavailability of Dieticians to facilitate the provision of appropriate diets for specific patients. The inability to increase focus on outcome based health care. The increase in the burden of diseases which are becoming complex to manage e.g. MDR and XDR TB.

57. 57 CHALLENGES (Cont..)  High turnover of awaiting trial detainees contributes to the inadequate management of diseases. Lack of strategies to address the shortage and empowerment of professionals (pharmacists, registered and psychiatric nurses, pharmacy assistants, dieticians, medical practitioners, food service managers, artisans, psychologists, etc) Unavailability of coherent systems that will ensure better accountability and reporting (MIS, Financial Systems, Linkage with the EMIS of the Department of Education in terms of national results of learners) Full participation of offenders in programmes The issue of the criminal record that actually follows the offender (stigma)

58. 58 CHALLENGES (Cont.) Most external administrative processes where offenders need to be referred to need ID’s and the majority do not have e.g. ARV”s, EPWP, Dept of Labour courses etc. Shortage of dedicated personnel to sustain HIV and AIDS Programmes in the Regions. Refining Comprehensive Framework for the implementation of HIV and AIDS Programmes for offenders and personnel in consultation with third parties. Payment of ARV drugs remains a challenge. Data quality is being compromised due to the absence of an electronic data system. Treatment and access of offenders to ARV treatment within correctional centres.

59. 59 CHALLENGES (Cont..) Release of terminally ill offenders. incapability of some families to care for the terminally ill offender. Lack of hospice facilities within correctional centres. Insufficient facilities within communities for terminally ill offenders. Lack of mechanisms to address training needs for emerging diseases and new treatment guidelines. Dilapidated facilities and other existing facilities do not complement health care and other service delivery needs. The Department’s health information system is not aligned to the National Health Information System of South Africa thus poor information management. Implementation of ORP with regard to assessment & reporting/ feedback on sentence plans

60. 60 CHALLENGES (Cont..) High turn over of Psychologists and Social Workers impacts on service delivery. Policy implementation for special categories of offenders is a cross cutting issue which will require training of all officials in the Department. Allocation of separate budget for Special Category issues. Utilization of LAN Social Work System – Training of newly appointed Social Workers, Installation of network points, Provision of computers. Implementation of OSD’s for psychologists and social workers – Alignment of the structure, Budget for implementing OSD. Lack of structures, systems, facilities and processes for the provision and presentation of Sport, Recreation, Arts and cultural and skills development programmes and activities. Lack of offices and specialist venues to deliver services.

61. 61 ENVISAGED STRATEGIES TO ADDRESS CHALLENGES Intensifying and expanding partnerships with other government departments, organisations, and communities. Liaison with HR on alternative options for recruitment and retention of scarce skills. Integrated service delivery within the Department (e.g. ORP). Conduct a work study for HIV and AIDS posts establishment (e.g. Health professionals, Data captures). Funds made available for ARV’s. Expedite the implementation of an electronic data system. Support from Management. Support from Minister

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