Offender Health
London Offender Health Needs Assessment
October 2010
[email protected]
OVERVIEW
• Population in contact with London Criminal
Justice System
• Numbers along pathway
• Needs
• Ethnicity
• What service functions are there ?
• What do we spend ?
• Why do anything different ?
• Resource links
DATA SOURCES FOR THE CJS
•Offender specific data through NTA
•DIR data
•Prison health & drugs needs assessments
•Prison data from NOMS ISMG
But this presentation is about:
Profile Report on Police Detainees and
Offenders in London
MoJ NOMS / NHS London
FEATURES OF THE LONDON CJS POPULATION
• YOUNG : Majority of Arrests, Probation Commencements &
Prison Receptions < 40 years
• MALE : 85% Arrests, 88% Probation, 92% Prison
• OF FAITH : 48% Christianity, 26% none, 17% Islam
(Prisons)
• SHORT PERIOD OF CONTACT :
– Matter completes at police station following 51% of Arrests
– 65% of sentenced prison receptions <12 months
– 30% London sentenced prison releases <28 days served
NUMBERS : LOCATION : LONDON 2009-10
POLICE
C
O
M
M
U
N
I
T
Y
300,000
COURT
PRISON
129,000
30,000
Arrests
of which
56,000
Detained
PROBATION
73,000
35,000
on Bail
153,000
released
of which
52,000
sanctioned
101,000
NFA
C
O
M
M
U
N
I
T
Y
APPROVED
PREMISES
855
C
O
M
M
U
N
I
T
Y
C
O
M
M
U
N
I
T
Y
NEED : LOCATION : LONDON
POLICE
C
O
M
M
U
N
I
T
Y
COURT
(n=646)
31%
Drug /
Alcohol
PRISON
LISARRT
?
?
PROBATION
11%
Injuries
OASys
McKinnion
2010
45% MH Flag
3,000 DSPD
C
O
M
M
U
N
I
T
Y
APPROVED
PREMISES
C
O
M
M
U
N
I
T
Y
C
O
M
M
U
N
I
T
Y
0%
Attitudes
Thinking and
Behaviour
Emotional WellBeing
Alcohol Misuse
Drug Misuse
Lifestyle and
Associates
Relationships
Financial
Management
and Income
Education,
Training,
Employability
Accommodation
Percent
London OASys Need 2009/10
(London Probation Trust)
90%
80%
70%
60%
50%
40%
30%
20%
10%
LISARRT NEED : LONDONERS : LONDON PRISONS 2009-10
Did you have a job/study before prison August 2009 March 2010
Unknown
6%
Accommodation type prior to custody August
2009 - March 2010
Don't Know
7%
Unknow n
5.4%
Temporary
15.5%
Hostel
2.9%
Traveller
0.3%
NFA
18.3%
Rough Sleeper
0.4%
Yes
33%
No
43%
Permanent
57.2%
Refused
11%
Main Income Source August 2009 - March 2010
30%
25%
20%
15%
10%
5%
Unknown
Student
Loan
Savings
Refused
Pension
Other
Family
Employment
Don’t Know
Crime
Benefits
0%
All Arrests in London 2009/10 by Ethnic Appearance
(MPS Data) Unknown
South European White
7%
1%
Asian
12%
Black
31%
North European White
45%
Chinese, Japanese or
SE Asian
2%
Middle Eastern
2%
Probation Commencements Ethnic Profile
Asian
9%
Black
23%
White
47%
Chinese or other
ethnic group
5%
Mixed
6%
Not Stated
10%
Prison Receptions August 2009 - March
2010: Ethnic Profile
Not Stated Other
0.2%
Asian
10.1%
Black
27.1%
White
55.4%
Chinese or Other
Ethnic Group
3.0%
Mixed
4.2%
SERVICE FUNCTIONS : LOCATION : LONDON
POLICE
C
O
M
M
U
N
I
T
Y
Police
Health
Service
COURT
PRISON
CJLD
Prison
Health
EBW
Transfer
Psych
Reports
CJLD
PROBATION
CJLD
C
O
M
M
U
N
I
T
Y
APPROVED
PREMISES
?
C
O
M
M
U
N
I
T
Y
C
O
M
M
U
N
I
T
Y
FUNCTIONS : LONDON : COST
CRIMINAL JUSTICE LIAISON & DIVERSION : £1m
PLACES
OF
SAFETY
?
POLICE
HEALTHCARE
£24m
PSYCH
COURT
REPORTS
?
ESCORTS
PRISON
HEALTHCARE BEDWATCH
£39m
PRISON
TRANSFERS
APPROVED
PREMISES
?
Need
£0.4m
£2.6m
MENTAL HEALTH, DRUGS & ALCOHOL SERVICES
TREATMENT ORDER REQUIREMENTS:
DRUGS (2726), ALCOHOL (1994), MENTAL HEALTH (310)
WHY CHANGE ?
CRIMINAL JUSTICE LIAISON & DIVERSION
SAFETY
Identification and assessment STARTING AT Police Custody will improve
risk management all the way through the system
ACCESS
Doing the right assessments on the right people at the right time will deliver
the right disposals and enable access to the right services
EFFICIENCY eg. we could have….
London wide agreement on efficient use of places of safety
Police Station services that deliver health outcomes
Diversion from CJS at an earlier stage, where this is appropriate
Fewer psychiatric reports to court, but on the right people
Fewer escorts from prison for treatment
More timely prison transfers, at lower cost
Fewer prison recalls as a result of treatment unavailability
Reduced re-offending and reduced crime
Fewer deaths in custody
RESOURCE LINKS
Profile Report on Police Detainees and Offenders in London
http://lcjb.cjsonline.gov.uk/London/1233.html#LRRS
London Criminal Justice Liaison & Diversion reports:
http://www.gvagrimley.co.uk/x13183.xml
London Alcohol IBA Lit. Review, Case for Change & Service Survey:
http://www.offenderhealth.org.uk/OffenderCommunityHealth/Alcohol.aspx
Prison Population Statistics:
http://www.justice.gov.uk/publications/populationincustody.htm
Offender Management Caseload Statistics
http://www.justice.gov.uk/publications/prisonandprobation.htm