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Prison Healthcare Project

Prison Healthcare Project. Andy Graham Nurse Specialist LD/ASD. Overview. Background Project Activity Screening Learning and Development Networking Summary Questions. Background. Identified need for project SAY (ScotExec 2000) (rec 28) On the Borderline (Myers 2004)

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Prison Healthcare Project

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  1. Prison Healthcare Project Andy Graham Nurse Specialist LD/ASD

  2. Overview • Background • Project Activity • Screening • Learning and Development • Networking • Summary • Questions

  3. Background • Identified need for project • SAY (ScotExec 2000) (rec 28) • On the Borderline (Myers 2004) • No one knows (PRT 2009) • Bradley Report (2009) • SAY Consultation 2120 (Alan et al) • SCLD SAY • 2012 NHSGG&C submit bid to SG • 2/3 Years • Research, Explore and Scope out programme of work to: • Increase awareness of LD/ASD within Prisons • Facilitate access to appropriate and evidenced based practice for PWLD/ASD in CJ system • Inform the programme of work around Prison Healthcare Nationally

  4. Project Activity Develop and facilitate a revised proposed model of healthcare within Scottish prisons (CJ system) that meets the needs of adults, women and young offenders who have LD/ASD • Lead on work required to complete the objectives of the LD Strategy CJ Work stream. • Services mapping exercise • Explore and understand the pathway for PWLD/ASD within the CJ system • Explore missed opportunities for identification of PWLD/ASD within the CJ system. • Review approaches to identifying and working with prisoners who have additional support needs due to LD/ASD • Establish links with relevant individuals working in all CJ sectors • Contribute to and support the review of Prison Health Improvement initiatives to ensure accessibility for PrWLD/ASD • Via the LD strategy, determine the future role of Specialist Adult LD/ASD/Forensic LD Services in supporting PrWLD • Ensure optimum onward planning for individuals before release from prison

  5. Screening Review screening tools in use to identify PWLD within prison settings across NHSGG&C • Prevalence • Scoping exercise • No routine approach to screening for LD on admission • No Adaptive Behavioural Assessment • No formalised care pathway for PWLD • No formalised interventions or adapted re-offending programmes • No formalised LD service • Screening for LD in HMP Greenock on referral basis only • Pilot new approaches or methods of identifying prisoners with additional support needs • Develop use of Hayes in HMP Greenock • Trial use of LDSQ in HMP Low Moss and Barlinnie

  6. L&D and Networking Identify training and development needs of Health Centre and SPS staff in relation to LD/ASD • Review the scope of the current L&D plan for LD/ASD within the 3 prisons and develop LD/ASD specifics. • Develop the knowledge base of all healthcare practitioners and prison officers • Provide opportunities to Identify and develop a network of Link Practitioners for LD/ASD • Identify and disseminate links to information available on LD/ASD • Be available as an LD/ASD expert clinical resource to be called on by the Prison Healthcare teams Encourage practitioner attendance at various CJ, Prison, Forensic and Nursing related networks • Develop a network of contacts • Discover and share good practice

  7. Summary Emerging issues identified to date: • Who should screen and when • LDSQ v’s HASI • What can we do when we identify PWLD in prison • How can we improve the information flow between community agencies and prisons • Develop performance framework/indicators • Links with local LD services • Throughcare and pre release planning • Collaborative working with CLDT, FCLDT and AAT

  8. Questions

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