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Synthesizing-Promising-Practices-on-Treatment-in-Prisons

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Synthesizing-Promising-Practices-on-Treatment-in-Prisons

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									 Synthesizing Promising
Practices on Treatment in
         Prisons
         Kathryn Leafe
    Cranstoun Drug Services
     Working in Prison Group
 Cranstoun  Drug Services, UK and
  International Activities
 Iranian National Prison Organisation
 RS Ketergantungan Obat The Drug
  Dependence Hospital, Indonesia
 Centros de Integracion Juvenil A.C.
  Mexico
 Proyecto Hombre, Spain
A Practice Guide on the Setting up
    & Implementation of Drug
Dependence Treatment in Prisons

 Maximise   access to treatment
 What, why & how
 International applicability
 Integrated and effective
            “Methodology”
 Review   of provision and issues
 „can do approach‟
 Key issues in provision in prison
 Research best practice examples
 The „mechanics‟ of delivery
 International guidelines
 references
 Working in Prison and
Working with Prisons –
Cranstoun‟s Experience
              Key Issues
 Security
 Stafftraining
 Service Provision
      A prison is a prison ….
 Security is paramount
 Drugs are a security issue
 Demand reduction and supply reduction
  must go hand in hand
 Behaviour change not substance use =
  indicator of success
 Coercive treatment has a role
                Training
 Prison Warders
 Prison Managers
 Health and Drug Services Staff
 Attitudes and Beliefs about Substance Use
 Security inc confidentiality
 On the job
 Develop understanding
 Knowledge + Skills Based
           Service Provision
 Prison Health is Public Health
 Equivalence
 Range of Treatment Provision – treatment
  continuum, models of working
 Risk Reduction
 Prisoner Choice + match of interventions
 Therapeutic issues in the prison context
 Diversity issues
                „What Works‟
   Advice & information        Prescribing
    services                    Relapse prevention
   Assessment and              Social & Life Skills
    referral                    Treatment
   Care planned                 Programmes – TC‟s,
    counselling                  CBT, 12 Step
   Counselling &               Drug Free Wings
    psychotherapy               Drug Testing
   Substitution treatment      Peer Led Initiatives
   Detoxification
             Experiences
 Think  the unthinkable and encourage
  others to do the same
 Look for the similarities & not the
  differences
 See things from others points of view
 Shared care
 Joint working with statutory services
                      Issues
 Flexibility   to try something different v „what
  works‟
 Unrealistic expectations – staff, prisons
 Gaining experience, takes experience to
  support delivery – accessing this
 Not just abstinence
 Not just drugs
 HIV and Hepatitis
 How – Cranstoun inc ENDIPP
 Conferences    and seminars
 Training academies
 Service visits
 Study visits + exchanges
 Networking – regional, international &
  criminal justice agencies
 Partnerships
 Mentoring
kleafe@cranstoun.org.uk
        www.treatnet
       www.endipp.net

								
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