Care co-ordination workshop

1. Care co-ordination workshop National Treatment Agency, West Midlands Regional Office Stuart Haste, Chloe Baxter-Vickers, Lindsey Byrne 6 July 2010

2. Who is Swanswell Swanswell is a national charity that believes everyone deserves the chance to change and be happy Care co-ordination workshop

3. Birmingham Swanswell • Commissioned to provide primary care or ‘shared care’ drug service • with over 100 surgeries currently on the scheme • Provides drug treatment for Prolific and Priority Offenders (PPOs) • treatment workers are based in the four local policing units • Provides drug treatment for offenders post sentence, under supervision with Probation or as part of a community order • based in all eight Birmingham probation offices Care co-ordination workshop

4. The service • Three specialist care co-ordiator’s • One Referrals and Allocations team • 10 treatment teams • Use of a 12 week structured model for offenders • Access to five community based DIP clinics • 17 locality GP’s Care co-ordination workshop

5. The service • PPO specific in-reach worker • Access to bridging prescriptions, BBV and housing clinics • Access to community based CPNs • Clear processes for the allocation of service users • Clear treatment pathways from prison to shared care setting Care co-ordination workshop

6. Referral criteria • All offenders that have had drugs identified as impacting on their offending behavior via probation • All PPOs that have had drugs identified as impacting on their offending behavior • A transfer of treatment from a tier 2/3 drug provider, looking for low threshold interventions in a shared care setting. • A service user who is granted a Restriction On Bail (ROB) which is current under Swanswell referral criteria • A PPO granted a Required Assessment (RA) Swanswell follow up appointments (RAFU) • A service user who requires an appointment on release from custody, who has served 28 days or under Care co-ordination workshop

7. Referral pathways • Responsive • to the service user need • Clear • on what, when and why • Effective • is this the best treatment place for the service user • Informed • all agencies are aware of the pathways Care co-ordination workshop

8. Process • Clear • on what we require so we are able to process a referral effectively • Concise • on information we require • Timely • following agreed time scales on information gathering and 1st appointments offered • Feedback • on process and developments, keeping all parties up-to-date Care co-ordination workshop

9. Best practice • Continuity of care by focusing on service user needs • Pro-actively exploring safe guarding issues • Pro-actively exploring possible vulnerable adults • Attendance at multi agency meetings • Use of clear effective time focused processes • Innovative methods of communication and allocation methods • The use of up-to-date technology Care co-ordination workshop

10. Outcomes • Active involvement with wrap-around services • Continuity of care between prison and community • 67% retention of probation offenders in treatment • 78% retention of PPO offenders being in treatment • 71% reduction in drug related crime • 27% DNA rate • Reduce fear in the community • Family support • Positive treatment outcomes Care co-ordination workshop

11. Stuart Haste Criminal Justice Allocations Co-ordinator Chloe Baxter Vickers Shared Care Referrals Co-ordinator Lindsey Byrne PPO Treatment Co-ordinator Swanswell Ruskin Chambers 191 Corporation Street Birmingham B4 6RP T 0121 233 7400 F0121 233 7420 E stuart.haste@swanswell.org W www.swanswell.org Care co-ordination workshop