13.07.2015 Views

Nacro's response to Breaking the Cycle Green Paper

Nacro's response to Breaking the Cycle Green Paper

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<strong>Breaking</strong> <strong>the</strong> <strong>Cycle</strong>: Nacro’s <strong>response</strong> | 13Q11 How can we use <strong>the</strong> pilot drug recovery wings <strong>to</strong> develop a better continuityof care between cus<strong>to</strong>dy and <strong>the</strong> community?Nacro supports <strong>the</strong> recommendations contained in <strong>the</strong> Patel Report. We must strive for ajoined-up approach which removes <strong>the</strong> bottlenecks created by dependent drug users beingheld in treatment for longer than is necessary as opposed <strong>to</strong> becoming drug/crime-free. Thisinevitably calls for <strong>the</strong> following:• The development of approaches which enable more drug-related offenders <strong>to</strong> be divertedfrom cus<strong>to</strong>dy and dealt with in <strong>the</strong> community and/or through residential rehabilitation.• Wider resettlement support <strong>to</strong> be available following drug treatment so that offenders areencouraged <strong>to</strong> live drug/crime-free, including help with housing, debt, training and employment.• A commissioning framework which encourages better provision for generic ‘move-on’services, predicated on payment by results.• Investment in provision for adult offenders who are currently sentenced <strong>to</strong> less than 12 months.Q12 What potential opportunities would a payment-by-results approach bring <strong>to</strong>supporting drug recovery for offenders?Nacro would support a payment-by-results system which increases <strong>the</strong> effectiveness ofservices in assisting people with drug problems <strong>to</strong> recover. We sense an appetite for using<strong>the</strong>se changes as an opportunity <strong>to</strong> encourage innovation and achieve better outcomes. Thereis recognition that in <strong>the</strong> current fiscal climate this will need <strong>to</strong> be achieved without increasingcosts and, where possible, while capturing savings elsewhere in <strong>the</strong> system.Recovery involves improvements in multiple areas including substance use, health,relationships, education, employment and housing – as well as reducing reoffending. We areacutely aware that, while <strong>the</strong> ultimate aim has <strong>to</strong> be one of abstinence, progress is often moreof a zigzag than a straight line, interrupted by lapses and relapses along <strong>the</strong> way. That said,recovery brings long-term benefits <strong>to</strong> <strong>the</strong> victim, <strong>the</strong> community, <strong>the</strong> offender and all thosearound him or her. The key <strong>to</strong> success <strong>the</strong>refore includes:• rewarding achievement of more than one social outcome• recognition of ‘distance travelled’ across a wide range of domains, with due regard <strong>to</strong>avoidance of ‘creaming’ and ‘parking’• rewards for sustained recovery over time <strong>to</strong> avoid an emphasis on acute provision asopposed <strong>to</strong> aftercare and ‘move-on’ provision. A report by Professor Lord Patel of Bradford, OBE, chair of <strong>the</strong> independent Prison Drug Treatment StrategyReview Group, was produced last year on drug treatment and interventions in prison and has been submitted <strong>to</strong>ministers in <strong>the</strong> Home Office, <strong>the</strong> Ministry of Justice and <strong>the</strong> Department of Health in <strong>response</strong> <strong>to</strong> <strong>the</strong> drug strategyconsultation. The report focuses on drug treatment and interventions for people in prison, people moving betweenprisons and <strong>the</strong> continuity of care for people on release from prison. The report outlines <strong>the</strong> evidence ga<strong>the</strong>red andwork carried out by <strong>the</strong> Review Group and summarises <strong>the</strong>ir conclusions and recommendations.

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