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Drug and Alcohol Treatment for offenders – What Works?

Drug and Alcohol Treatment for offenders – What Works? . Mike Trace Chief Executive RAPt (Rehabilitation of Addicted Prisoners Trust) .

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Drug and Alcohol Treatment for offenders – What Works?

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  1. Drug and Alcohol Treatment for offenders – What Works? Mike Trace Chief Executive RAPt (Rehabilitation of Addicted Prisoners Trust)

  2. Reducing reoffending in the UK – what do we know after over30 years of investment?* Randomised Control Trials – NONE* PNC Studies – FEW (RAPt, Justice Data Lab)* Cohort Studies – MORE COMMON* Self-Report Evaluations - MANY

  3. What have we learnt from professional experience? • Significant proportion of offenders have substance misuse issues. • Substance misuse a key driver of reoffending. Causality as well as correlation. • Offenders with untreated substance misuse problems most likely to reoffend. • With the right interventions, reoffending rates can be brought down significantly. • Methadone maintenance and 12-step definitely, mutual aid and integrated approaches promising. • Building motivation, peer role models, and therapeutic relationship are crucial.

  4. Is the Justice Data Lab the answer? • Important attempt to understand real outcomes, in a comparable format. • Reoffending outcomes – one year reconviction, numbers and types, sustainability. • Slow start, but growing number of studies being processed. No or limited effect. • Need to process internal MoJ programmes. • Need to resolve the problem of comparison groups with substance dependence.

  5. So what are the lessons for Transforming Rehabilitation? • Tackling substance misuse is central to achieving any PBR targets. • A significant amount of what we have been doing has not been effective. DIP study interesting. • Great potential to make a step change in results. • Explore potential of recovery community concept within probation client group.

  6. RAPt PNC Study • 51% of offenders with drug problems who completed low intensity treatment reoffended in 12 months following release from prison. Compared to • 31% of offenders reoffending who completedRAPts 12-Step Intensive rehabilitation within the same period.

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