Probation Circular

SUBSTANCE MISUSE MODULES
PURPOSE
To inform Areas of plans to develop two substance misuse modules: one relapse prevention module to follow on from an accredited substance misuse and offending programme; and the other, a short module for addressing alcohol misuse as a stand alone module, or to enhance delivery of an accredited programme or other interventions. REFERENCE NO: 70/2005 ISSUE DATE: 25 August 2005 IMPLEMENTATION DATE: Immediate EXPIRY DATE: 25 August 2008 TO: Chairs of Probation Boards Chief Officers of Probation Secretaries of Probation Boards CC: Board Treasurers Regional Managers AUTHORISED BY: Sarah Mann, Head of Interventions Unit ATTACHED: Appendix A (part of Word file)

ACTION
Chief Officers should: (1) Bring the circular to the attention of the appropriate ACO with responsibility for interventions and/or substance misuse issues. (2) Express an interest in becoming a pilot site for the modules by completing the attached form.

SUMMARY
Two gaps in provision were identified when considering offenders' substance misuse needs around the delivery of the existing suite of accredited programmes. One pertains to ongoing relapse prevention work for offenders who have successfully completed a substance misuse and offending accredited programme. The other relates to addressing alcohol needs of offenders in three categories; those who are eligible to attend a general offending behaviour programme or other accredited programme that is not substance misuse related, those who might attend other interventions and are in need of some alcohol misuse focus, and those for whom a stand alone short duration module might constitute the intervention. NPD propose to develop and pilot two modules to fill the gaps and seek Areas interest in being involved. We are working with HMPS to ensure they are appropriately linked into the project.

RELEVANT PREVIOUS PROBATION CIRCULARS
PC119/2001, PC56/2003, PC41/2003

CONTACT FOR ENQUIRIES
Project Manager, Diane Anderson, 020 7217 8895 Head of Psychology, Danny Clark, 020 7217 0675 Senior Research Officer, Victoria Dawson-Wheeler, 020 7217 8815

National Probation Directorate
Horseferry House, Dean Ryle Street, London, SW1P 2AW

Context A large proportion of the Probation Service caseload has identified substance misuse needs linked to their offending, both alcohol and /or drug related. The development of Drug Action Teams nationally has resulted in agencies mapping and providing services for local need in relation to drug use. As members of local communities, offenders can access appropriate services in areas as well as, where suitable and eligible, accessing the substance misuse and offending related accredited programmes ASRO, OSAP and PRISM. These programmes are designed for delivery to alcohol and drug misusers, though the push to meet the demands of delivering DTTOs/ DRR has more usually seen drug misusers prioritised. NPD offending behaviour programmes team requested data analysis, via O-Deat, of OASys data regarding offenders' alcohol and drug needs. This included those who are ineligible for accredited programmes due to low OGRS, those suitable and eligible for the suite of accredited programmes, and those who could benefit from maintenance and relapse prevention work following on from attendance on ASRO, OSAP or PRISM. The findings demonstrate a significant number of offenders for whom access to some supplementary or alternative provision could be beneficial. We are working with HMPS to ensure they are appropriately linked into the project. Joint working would be is especially relevant to through the gateway delivery and the use of the relapse prevention module as consolidation of learning from substance misuse and offending programmes delivered in custody.

Relapse Prevention Module In keeping with good practice in work with substance misusers, NPD recognises the need to consolidate learning of completers of the substance misuse and offending accredited programmes. Whilst this is covered in expectations of work identified in the post programme report, a specific package of intervention that could be flexibly delivered to meet local area needs was identified as having significant benefits in maintaining offender progress, thereby reducing the risk of reoffending. NPD OBPT is therefore developing a module, building upon the work undertaken in the substance misuse and offending accredited programmes and based on the same theory and evidence basis. The final design is anticipated to be a sequential toolkit from which practitioners can select appropriate sessions for use with offenders. It is envisaged that areas can utilise this toolkit to deliver to groups or individuals, in whole or in part, depending upon their assessed need and organisational structures. In order to pilot all of the materials sufficiently the module needs to be delivered as a fixed sequenced intervention. Delivery in groups and with individuals would also be expected, although one area might utilise an individual approach, and another area a group approach, rather than both approaches being adopted in one area. It is likely this module could be taken forward to the Correctional Services Accreditation Panel, both in relation to NPS and HMPS substance misuse and accredited programmes. The project will be advised by a project board regarding any final decision and timing regarding submission for accreditation.

Lower Intensity Alcohol Misuse Module (LIAM) Offenders' drug misuse needs that are not sufficient to lead to a referral to ASRO, OSAP or PRISM are adequately met via local DAT provisions. Therefore offenders whose priority needs lead to referral to other accredited programmes, who are assessed as having drug misuse needs, can already access local services without the need to develop any alternative in-house provision. Similarly, this is also the case for offenders with OGRS too low to be eligible for accredited programmes generally. In contrast, alcohol needs do not currently benefit from the same level of mapped provisions for offenders to be referred to appropriate services. Some offenders will be suitable and eligible to access ASRO, OSAP or PRISM, as these programmes are designed for use with alcohol and / or drug misusers.

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NPD OBPT will develop a module to meet this gap. As with the Relapse Prevention Module, it will replicate the theory and evidence base that underpins the existing substance misuse and offending accredited programmes; however, its focus will be alcohol misuse. From the OASys data analysis there are strong links between the potential target group for the Lower Intensity Alcohol Module and those offenders who should be referred to accredited programmes, especially the violence and domestic violence programmes. It is envisaged this module could enhance the work on these programmes. The module could be undertaken before, alongside or after the accredited programme or other intervention delivery. Also it will provide an intervention for lower OGRS offenders who are not suitable or eligible to be referred to ASRO, OSAP or PRISM. Presently this module is envisaged as being a fixed sequenced intervention. The fixed sequential structure of the module will be reviewed following the pilot with a view to developing a more flexible sequenced toolkit approach. Throughout the project guidance will be sought via the project board about how best to proceed on the basis of pilot findings.

Participation in the Pilots Areas are asked to indicate their expressions of interest in being pilot areas for either, or both, of the modules using the attached form at Appendix A. The deadline for expressions of interest is Friday 30th September 2005. Further information about the project can be obtained from the project manager, Diane Anderson (diane.anderson3@homeoffice.gsi.gov.uk, 020 7217 8895). Pilot Areas will be expected to commit senior management resource to form part of the project management team, enabling the commitment of appropriate resources to assist in the delivery and evaluation of the modules. This will include access to staff delivering the programme for the purposes of assessing and reviewing progress throughout the duration of the pilot, as well as final evaluation work. Training of staff will be provided by NPD in preparation for delivery. Sufficient numbers of offenders through the modules are required for assessment and evaluation purposes. Time frames will similarly be dependent upon the level of throughput Areas are able to offer for the various models of delivery. In relation to options pertaining to enhancing accredited programme delivery the pilot will only be delivered alongside one of the general offending behaviour programmes. Guidance is anticipated being developed in relation to the use of LIAM with other accredited programmes before national release. Pilot areas and Programme Implementation Managers for the various programmes will be involved in this process as there may be further training implications for staff who deliver LIAM in conjunction with such programmes. Selection of Areas will be made via a sub-group of the NPD Offending Behaviour Programmes Board taking all information submitted into account. We expect that the Project Manager will be able to inform Areas of the outcome of this process by the end of October 2005.

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APPENDIX A INDICATION OF THE PREFERED MODELS OF DELIVERY BY AREAS IN PILOTING THE SUBSTANCE MISUSE MODULES Areas are invited to indicate their interest in being involved in piloting the Relapse Prevention Module (RP) and / or Lower Intensity Alcohol Module (LIAM). Probation Area: Full name of contact person: Job Title:

Office address:

Office Tel. no.

Please identify on the grid below the option(s) you are prepared to pilot and forecast the number of completions you anticipate being able to put through the pilot within a specified time frame.

Ref:

Option details

Interest please tick

Indication of numbers & timeframe

A

RP delivered in groups to completers of ASRO / OSAP / PRISM

B

RP delivered individually to completers of ASRO / OSAP / PRISM

C

LIAM delivered to low OGRS in groups (stand alone delivery)

D

LIAM delivered to low OGRS individually (stand alone delivery)

E

LIAM delivered in groups for offenders on GOBP (enhanced delivery)

F

LIAM delivered individually for offenders on GOBP (enhanced delivery)

Why would you like to be involved in this pilot?

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How do you envisage managing the pilot of the module(s)?

Supporting statement: Please add any information that you feel would support your submission.

Please return completed form by email or post to: Diane Anderson, Room 223, Horseferry House, Dean Ryle Street, London. SW1P 2AW (Diane.anderson3@homeoffice.gsi.gov.uk ) PC70/2005 – Substance Misuse Modules 5