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MENTAL HEALTH RESPONSE TO NEEDS OF FEMALE OFFENDERS

MENTAL HEALTH RESPONSE TO NEEDS OF FEMALE OFFENDERS. ROSEMARY DUFFY HMP/YOI CORNTON VALE.

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MENTAL HEALTH RESPONSE TO NEEDS OF FEMALE OFFENDERS

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  1. MENTAL HEALTH RESPONSE TO NEEDS OF FEMALE OFFENDERS ROSEMARY DUFFY HMP/YOI CORNTON VALE

  2. ‘ There is a high individual and social cost to women’s offending in view of their role as mothers and carers, which is the most compelling justification for a distinct response with regard to the services and interventions required’. RCN

  3. DRIVERS FOR CHANGE HMIP/MWC REPORTS INTEGRATION TO THE NHS SCOTTISH GOVERNMENT POLICY/STRATEGY WOMENS COMMISSION MEDIA

  4. AIMS TAKE COGNISANCE OF DRIVERS FOR CHANGE DEVISE A SERVICE DELIVERY ACTION PLAN TO ENABLE A MEASURED COHERENT RESPONSE DEVELOP AN EVIDENCE BASED SERVICE WHICH CAN EFFECTIVELY MEET THE COMPLEX AND CHALLENGING MENTAL HEALTH NEEDS OF WOMEN OFFENDERS

  5. Multi disciplinary Working Clear protocols for the exchange of information/MDMHT & RMT Case management & Effective care planning Adopting the Care Programme Approach Forum to discuss individuals who use behaviours which challenge service provision or have complex care needs Training/education

  6. TARGETING THE USE OF THE MENTAL HEALTH TEAM Nursing team consists of RN(MH)/RN(LD) On admission – early identification of mental health issues and learning disabilities In Ross House/ First night in custody to establish mental health needs Allocation of a named nurse & associate to each house block to ensure continuity of care.

  7. ADDICTIONS • Focus on dual diagnosis • Addictions assessment • Recovery/rehabilitation • Through care • Case management • Supporting pregnant mothers (pre and post)

  8. Improve access to therapeutic & psychological interventions 1 CBT nurse therapist Nurses trained in MBT, CAT, EMDR psychotherapeutic approach for those with personality disorder. 1 Art Psychotherapist (funded by SPS) 1 Speech & Language therapist 1 Clinical Aroma-therapist (funded by SPS)

  9. Stepped Care Approach Promotion of mental health and well being Self help approaches e.g. Access to web based tools, living life to the full etc. High volume low intensity interventions/ Psycho-education Low volume High intensity.

  10. Access to specialist treatment Building relationships within health across all board areas Improved partnership working Effective interface with courts, sheriffs and PF’s

  11. Learning disability Identification Access to specialist nursing support in house Improved liaison with LD services externally Use of the Speech and Language therapist to mediate the difficulties individuals have in adjusting to the prison & improve engagement.

  12. Learning Opportunities Access to educational programmes PDLP Self directed learning as part of ongoing CPD. Mental health 1st Aid (for staff and prisoners) Bespoke programme on specific mental health issues for discipline staff

  13. Proactive community liaison Improved interface with community based service providers & NHS boards Actively encourage ongoing involvement whilst in custody Involvement of family or carers (where appropriate & with consent)

  14. Service user involvement • SRI 2 • WRAP • Focus groups

  15. Summary • WHERE TO NOW?

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