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Our Services - Drug & Alcohol

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Approximately 16,000 people are received into custody each year in New South Wales. Of these:

  • 80% have committed drug related crimes.
  • 60% have history of injecting drug use.
  • 40% are current injectors.
  • 20% will continue to inject in prison.

The pattern of drug use highlights the importance of ensuring comprehensive screening and assessment of inmates on entry. The longer-term goals are to identify a treatment program to suit the needs of the individual and to facilitate continuity of care on both reception to and release from the correctional system.

Justice Health provides:

  • Risk assessment and management of intoxication and withdrawal from drugs and/or alcohol for all inmates on entry to the custodial system.
  • Longer term pharmacotherapies treatment programs such as Methadone, Naltrexone and Buprenorphine.
  • Referral to Department of Corrective Service's Drug and Alcohol services which include individual and group counselling and life style education.
  • Post release care is arranged routinely for any inmate on a long term pharmacotherapy such as Methadone or Buprenorphine to ensure continuity of care.

Current Projects

  • ADULT DRUG COURT PROGRAM
  • The Adult Drug Court of New South Wales has been in operation since February 1999 and Justice Health has been involved since the inception of this innovative court diversion scheme. This court diversion scheme brings together the judiciary, Legal Aid, The Department of Prosecution, Probation and Parole and The Department of Health with the aim of placing into treatment those drug dependent offenders who would otherwise be likely to serve a custodial sentence.

    Justice Health provides integral services to those offenders who are found eligible to participate in the program. These services are: detoxification, assessment and treatment, liaison with Drug and Alcohol Services in Area Health Services, and assessment and referral to a variety of rehabilitation centres. There are specific Drug Court Units in MRRC, Parramatta and Mulawa Correctional Centres. Further information on the Drug Court program is available through www.lawlink.com.au

  • CORRECTIONAL CENTRE RELEASE TREATMENT SCHEME PROJECT (CCRTS)
  • The Correctional Centre Release Treatment Scheme (CCRTS) Project has been refunded by the Drug Summit Initiative until June 2007. It is well known that post release inmates with Drug and Alcohol issues experience difficulties in the return from prison to the wider community. These include dealing with a range of negative experiences of imprisonment. These experiences are characterised by isolation, accommodation difficulties, financial and material constraints and a lack of significant emotional support.

    The CCRTS Project attempts to address these identified barriers. The project team aim to provide support, education and assistance with linking into community based health and welfare services to assist them in breaking the cycle of re-offending.

    The Aims of this Project are:

    1. Assessing the individual's post release needs prior to release and developing a post release care plan.
    2. Provide co-ordination between correctional centre care and community based health and welfare services in order to support former clients to stay in the community for longer.
    3. Support the re-integration of post release clients back into their family network where appropriate.
    4. Enhance support to individuals with drug problems post release.

    In 2003 - 2005:

    CCRTS Project provides services across three geographical areas:

    • Wellington-Dubbo.
    • Central Sydney Area Health (Aboriginal Inmates Only).
    • Western Sydney Area Health.

    In 2005 - 2007:

    The CCRTS Project will be expanding to include:

    • Mid North Coast Area Health.
    • Hunter Area Health.

  • IN-REACH PROJECT

  • The In-reach Project commenced in 2003 with the aim of achieving optimal post release outcomes for inmates through facilitating transfer from custody for those on opioid pharmacotherapy treatment programs.

    There are nine In-reach Project worker positions based in Area Health Services across the state. Each worker is responsible for the Adult Correctional Centres within their area. The worker is notified of an inmate who is due for release and who is on replacement pharmacotherapy treatment. The worker attends the Correctional Centre and conducts a comprehensive assessment of the client's health, social, employment and other needs, and then develops a plan encompassing these. A community dosing point is identified by the worker, who then arranges the transfer of the client's treatment post-release.

    The Justice Health State-wide Drug and Alcohol Discharge Planning Service continues to arrange community dosing points for clients being released from Correctional Centres where an In-reach worker is not available. In 2004 the In-reach workers managed 527 releases of inmates on pharmacotherapy treatments. A number of factors underpin the success of the project. One of the most important is maintaining the low number of unexpected releases so that a post release plan can be developed before the client leaves custody. A post release plan will assist the client in accessing services more readily upon release. The role of clinic staff is critical in identifying these clients and advising Irwin House staff as early as possible of the client's date of release.

Future Projects

  • COMPULSORY DRUG TREATMENT PROGRAM (CDTP)
  • This innovative program is funded to commence in December 2005. This program is a pilot program expected to run for two years and will service a maximum of 100 clients during this timeframe. As the name suggests it is a court mandated program that will be abstinence based in its treatment approach. The program is a phased process with clients graduating from phase one to phase three when they have reached the agreed goals or criteria. This program will be based at the Parklea campus.

 

 

last updated: Wednesday July 27 2005