Criminal Justice

A costing template helps services in estimating the local cost of implementing guidelines and public health guidance. This template allows individual NHS organisations and local health economies to quickly assess the impact guidance will have on local budgets.

A video tutorial is available explaining how to use the costing templates in Windows Media Player and Quick Time format.

http://guidance.nice.org.uk/CG115/CostingTemplate/xls/English

This form can be used to conduct a baseline assessment of a trust's current activity in relation to the NICE guideline on Alcohol dependence. Current activity can be included along with actions needed to meet the recommendations and the trust lead. The table can be adapted to include any other local information that is felt to be useful. When identifying actions you should refer to the support tools provided by NICE including a costing statement, audit support and slide set.

http://www.nice.org.uk/nicemedia/live/13337/53218/53218.xls

The three year Alcohol Improvement Programme (AIP) was established in April 2008 by the Department of Health (DH) to help reduce alcohol related health and social harm.

This paper summarises the work carried out across the region to reduce alcohol related harm in the East of England between April 2008 and March 2011. It encompasses the key findings and learning from work taking place in the region. In addition, it provides a summary of how performance has been monitored, the tools and guidance available to assist local areas and a description of the networks and mechanisms (including QIPP) that have helped to support the work which has taken place.

The Alcohol Culture Exchange was a knowledge transfer collaboration between Dr James Nicholls (Bath Spa University) and the South West Alcohol Improvement Programme funded by the Arts and Humanities Research Council.

The project brought together over 100 practitioners, policymakers, service providers and academics to explore the links between drinking cultures, alcohol policy and the planning of service responses. This report from the project presents some of the key issues that emerged in the ACE workshop discussions and subsequent interviews. It also outlines the findings of current research in those areas and makes some suggestions as to how existing knowledge might be applied effectively at a local level.

This NICE quality standard defines clinical best practice within this topic area. It provides specific, concise quality statements, measures and audience descriptors to provide the public, health and social care professionals, commissioners and service providers with definitions of high-quality care.

To access document please click link below

http://www.nice.org.uk/guidance/qualitystandards/alcoholdependence/home.jsp

This guide for commissioners provides support for the local implementation of NICE guidance through commissioning and is a resource to help commissioners, clinicians and managers to commission evidence based and quality services across England. This guide also aims to support joint commissioning and partnership working between NHS and partner organisations.

North East commissioning paper covering the following:

• review of alcohol services for problematic drinkers in the North East region;
• To identify current provision for offenders within those services;
• to map the needs of offenders in the community and in prison;
• To identify service provision and needs based on gender and age differences;
• To identify good practice;
• To identify gaps in service provision;

This report examines how well community orders are managed by the National Probation Service, in particular how well they have been implemented and whether they are meeting sentencing objectives.

"The report draws on inspection surveys of 13,000 prisoners between 2004 and 2009, 72 inspection reports between 2006 and 2009, and surveys of drug coordinators in 68 prisons in 2009. The data cover all kinds of prisons holding those over 18.

The survey results, particularly for the most recent year, are startling. Within the whole sample, 13% of prisoners surveyed reported having an alcohol problem when they entered their prison. In the most recent year, 2008-09, this rose to 19%, nearly one in five. It was even higher among young adults (30%) and women (29%). These figures almost certainly underestimate the scale of the problem, as many of those with alcohol problems will fail to recognise or acknowledge them."

• The British Crime Survey estimates that one in ten women have been sexually victimised since age 16 (Myhill and Allen, 2002).
• Many perpetrators have drunk alcohol immediately prior to the incident and/or have drinking problems (Grubin and Gunn, 1990).
• Perpetrator alcohol consumption is sometimes associated with increased sexual violation and physical aggression (Brecklin and Ullman, 2002).
• The tendency for drinking to be a shared activity, the pharmacological effects of alcohol and beliefs and expectations about the effects of alcohol are important in explaining why sexual violence is frequently committed by or against people who have been drinking (Testa and Parks, 1996; Abbey et al., 2001).
• Many victims develop drinking problems as a response to victimisation and problematic drinking is an early predictor of post-traumatic stress disorder development among victims (Darves-Bornoz et al., 1998).

• The British Crime Survey indicated that 32% of incidents of intimate partner violence were committed when the perpetrator was under the influence of alcohol (Mirrlees-Black, 1999).
• Offender-only drinking is common in incidents of intimate partner violence, whilst victim-only drinking is rare (e.g. Martin and Bachman, 1997).
• Alcohol abuse is common among perpetrators and 'problem' drinking predicts intimate partner violence over time (O'Farrell, 1999; White and Chen, 2002).
• Heavy drinkers are at increased risk of intimate partner violence victimisation (Mirrlees- Black, 1999). Many women develop alcohol 'problems' following victimisation (Roberts et al., 1997).
• Alcohol is likely to contribute to intimate partner violence in a variety of ways. Levels of consumption relate to the likelihood and severity of violence. Alcohol appears to be particularly important in escalating existing conflict (Quigley and Leonard, 2000; White and Chen, 2002).

This paper produced by the centre for mental health in collaboration with the South West region looks at how to improve the joint commissioning landscape for alcohol harm reduction in offender management. It examines some of the barriers to effective commissioning including economic impact, the extent of need, the evidence base for interventions, variation in commissioning practice, lack of equivalence between alcohol and drug commissioning. Recommendations include pragmatic and creative commissioning including stategic leadership and targeted integrated offender management, developing the evidence base, service user involvement, preventative mechanisms, alcohol awareness training and the utilisation of appropriate interventions.

The report of a jointly commissioned project by the Regional Public Health Group London and the Ministry of Justice (London Offender Health Team) to review existing practice in provision of support for offenders with alcohol related problems as they move through the criminal justice system, and to propose a case for change and the commissioning of Identification and Brief Advice (IBA) in Offender Health Settings. The documentation also includes a summary of the Alcohol IBA & Criminal Justice System London Provider Survey 2010 and a literature review developed to offer initial understanding of the guidance, strategies, and policies which exist to help localities with this work.

"Alcohol is a key issue for many offenders and has been shown to have a causal or enabling impact on a significant proportion of criminal offending. Provision of IBA at each point of the offending pathway is likely to have an impact on both the health and offending behaviour of a number of offenders."

The National Offender Management Service (NOMS) has developed best practice guidance for probation staff on the effective commissioning, management and delivery of a range of interventions for alcohol misusing offenders.

The guidance is likely to be of interest to all those who commission, manage or deliver interventions to offenders with alcohol problems. It is also provides comprehensive outlines of the various alcohol treatment and intervention approaches and their relevance to correctional services.

Presentation on using Health trainers to provide IBA training in Offender health settings. Workshop delivered by Sara Mitchell, Programme Lead Offender Health DH, Jim McNally Health Trainer, Sue Green, East of England Health Trainers, Brian Leigh, Health Trainer Lead Hampshire Prison, Eric Pudaloff, HIM, HMP Chelmsford. Dec 09.

More on IBA Offender Health