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Sussex Health and Criminal Justice Liaison and Diversion Scheme

Sussex Health and Criminal Justice Liaison and Diversion Scheme. Purpose of today. Introduce the Sussex Liaison and Diversion Scheme including aims, objectives, and processes Run through a case study to illustrate the scheme in action

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Sussex Health and Criminal Justice Liaison and Diversion Scheme

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  1. Sussex Health and Criminal Justice Liaison and Diversion Scheme

  2. Purpose of today • Introduce the Sussex Liaison and Diversion Scheme including aims, objectives, and processes • Run through a case study to illustrate the scheme in action • Provide an opportunity to ask questions and shape the proposals as we move forward

  3. Background Bradley report recommendations published in April 2009 Department of Health Development Network set up March 2010 £19.4m investment for 2012/13. Match fund investment 2013/14 Sussex successful in becoming one of 54 Pathfinder project sites for both Liaison and Diversion and Alternatives to Custody projects Feasibility study and independent evaluation of data collected by pathfinder sites will inform the business case – March 2013

  4. Sussex Liaison and Diversion Scheme • Past • Court Assessment & Diversion Scheme • East Sussex in September 1993 • West Sussex Scheme in 1996. • two Schemes merged to provide a Sussex-wide CAD service. • Mental Health Court pilot– 2009-2010 • Criminal Justice Mental Health Team 2010 – March 2011 • Present • Health and Criminal Justice Liaison and Diversion Scheme– 1st April 2012 - Date • Future • Criminal Justice Health Hub – Implementation April 2013

  5. Geographical Coverage Police Custody Suites Courts

  6. Linked initiatives • Families with multiple problems • YJLD • CRI / Test on Arrest • Police Health Care Commissioning • Patchwork • Integrated Offender Management • Reducing Reoffending Board

  7. Governance

  8. Liaison and Diversion Development of a positive identification model Access to Health and Criminal Justice IT systems Single Assessment Tool Ageless Liaison and Diversion Scheme Incorporating dual diagnosis of Mental Health, Learning Disability and Substance Misuse Co-Location of professionals involved Timely information sharing

  9. Alternatives to Custody Develop proposals for Alternatives to Custodial sentences Person centred approach to breaking the reoffending cycle Involvement of CVOs and Statutory Organisations to generate ideas for alternatives to custody Use of the Community Order and Specific Activity Requirements to address issues e.g. Thinking Ahead SAR in collaboration with INSPIRE Information sharing to gauge success

  10. Sussex Liaison and Diversion Outcomes Early intervention to identify underlying issues driving offending behaviour Consistent Pan-Sussex end to end Service which also addresses local needs Agreed single assessment process to reduce cost and repetition across organisations Key links into other professionals for in-depth assessment Timely access to primary, secondary and tertiary support services Clear links between Statutory and Community Services to identify intervention pathways Information sharing across all organisations involved

  11. Offender Journey – From Arrest to Rehabilitation William’s Story

  12. The Offence William was arrested and charged with offences of Common Assault and Battery against his ex-partner and her neighbour

  13. Presenting concerns William had police markers for schizophrenia and was distressed whilst remanded in the cells

  14. Criminal Justice Liaison Nurse (CJLN) Despite attempts to get William before the local magistrates court that afternoon, it was too late in the day. The CJLN spent more time with William and this eased his distress.

  15. CJLN Assessment The following morning, William had a further clinical assessment by a CJLN, and a full report was provided to the Court identifying William’s needs and the support required to address them.

  16. At Court William pleaded guilty to the offences and a pre-sentence report was requested to assist magistrates to determine the most effective sentence for him.

  17. Sentencing was adjourned for three weeks by the court to allow for the preparation of the report and William was remanded on conditional bail during this period. His bail conditions prohibited him from contacting the victim either directly or indirectly during this period Adjournment

  18. Probation The pre-sentence report was allocated to the Mental Health Criminal Justice Team, a specialist multi-agency team within Probation with well established links with mental health services. Information sharing between the CJLN, and Probation and with other agencies enabled a better understanding of William's needs.

  19. Breach of Bail Conditions During the adjournment period William breached his bail conditions by sending a text message to the victim. He was arrested, charged and again appeared at the local magistrates court.

  20. Avoiding further adjournment A CJLN reviewed the previous assessment and liaised with Probation who completed the report, recommending a Community Order. William was sentenced on the day and avoided potentially being remanded into custody where he may have been vulnerable to bullying and a risk to himself.

  21. Sentencing The magistrates sentenced William to a 12 month Community Order with a requirement of Supervision and an SAR of four sessions focused on addressing his use of cannabis. Plus a two year restraining order prohibiting contact, either directly or indirectly, with the victim.

  22. Post- Sentence William’s case was allocated to the same Probation Officer who had written his pre-sentence report for continuity

  23. On-going support • Probation are in regular contact with the • CJLN • William's GP, • Local CMHT • Rethink, This has encouraged William’s integration into the local community, reduced isolation and enabled development of a small but consistent support network.

  24. Success The scheme enabled interventions to be delivered that have helped William make positive changes to his life. Through effective partnership working William has achieved outcomes that may not have been possible otherwise.

  25. Next Steps • Implementation of a centralised hub • INSPIRE Co-ordinator to the team • Youth Workers • Criminal Justice Liaison Nurse to undertake specific SAR work • Case Administrators • Development of clear service level agreement and KPI’s • Creation of a database to monitor individuals and gather data

  26. Questions?

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