HMP Lewes2Brighton Project. Nikki Homewood Director, Homelessness - PowerPoint PPT Presentation

HMP Lewes2Brighton Project. Nikki Homewood – Director, Homelessness Services, BHT. Sean Carr – HMP Lewes2Brighton Co- ordinator

MEAM  Co-ordinated Services  Identify people experiencing multiple needs and exclusions and target support for them.  A co-ordinated response from local services, led by a lead individual or team.  A personalised and assertive approach to engagement  Consistent and trusted source of support.  Demonstrate financial savings.

Why - Needs Assessment  2001 – The need for a service for repeat offenders with personality disorder leaving HMP Lewes was “identified”.  2006 – A Needs Analysis in HMP Lewes and services in Brighton and Hove was carried out. Partnership between HMP Lewes and Revolving Doors Agency.  2007/8 – Pilot project to identify gaps in offenders accessing existing services on release. The model was defined. Partnership between HMP Lewes, revolving Doors and BHT.  2009 – 2010 - The first year of the Project.  The project is now in its third year, funded by HMP Lewes and the Henry Smith Charity.

Project overall aims  To improve health and social outcomes for repeat short-term prisoners with complex needs leaving HMP Lewes and returning to the City of Brighton and Hove.  Part of the Revolving Doors Agency National Development Programme, aiming to establish a network of projects to meet the needs of and to empower people caught in a cycle of crisis, crime and mental health problems, and to support people change their lives.

Criteria – identify client group. To engage those who are;  On remand or serving a sentence of less than 12 months who, because of the length of the sentence, are not subject to statutory supervision on release.  Cycle of repeat offending and custodial sentences returning to the city NFA. Prolific offenders.  Common mental health problems who do not meet the threshold to receive care and support from secondary mental health services e.g. Personality Disorders. Multiple needs including mental health, accommodation, health, substance misuse, financial.  Local Connection to the Brighton and Hove area.

How – Model – Lead Professional Model  A co-ordinated lead professional model approach through a series of co-ordinated interventions delivered within a multi disciplinary setting.  Targeted cases. (114 to date)  The Project Co-ordinator is responsible for assessing referrals, formulating a post release support plan with the individual prior to release, arranging and co-ordinating pre-release multi agency meetings, establishing the lead agency, and monitoring the delivery of the support plan in the community post release.  Case Co-ordination role / Lead Agency model remains throughout the process and future Lead Agency identified.

Model

Client A: Profile  Age : 35 years old  Accommodation history: medium / high support hostels  Accommodation on release: NFA  Current offences: racially aggravated offence and theft  Offending history: Robbery, Burglary Non- Dwelling x 3, Common Assault x 5, Assault PC x 2, Public Order x 5, Theft x 6, Reprimands x 3, Common Assault, Theft x 2

Client A: Profile  Custodial sentences: 30  Health: head injury, peptic ulcer  Mental health: Obsessive Compulsive Disorder, Post Traumatic Stress Disorder, Anxiety and Depression  Substance misuse: Alcohol dependent  Risk factors: Alcohol Misuse, Mental Health, Accommodation, Attitudes, Daily Structure, Lifestyle and Associates.

Co-ordination and Joint Care Planning:  Brighton and Hove City Council Housing Options Team  Hostel Support Worker  Substance Misuse Service / Alcohol Treatment Service  Anti-Social Behaviour Team  MENDOS (Mentally Disordered Offenders Service)  HMP Lewes In-Reach Team  Sussex Pathways Mentoring Scheme  GP  Friends Centre  Working Links

Outcomes:  Accommodation: Accommodated on release. High support hostel  Finance: Benefits established prior to release.  Mental Health: confirmation of attendance at appts, self report  Reduced custodial sentences: improvement from 3 months gap to 25 months+ (733% improvement). No new convictions  Tenancy sustainment: improvement from 2 months average to 25 months+ (1150% improvement)  Substance misuse: Alcohol free after prison detox, confirmation of alcohol treatment appts, midway reviews, reports from SMS.

Client B Profile  Age: 60 years old  Accommodation history: multiple evictions from social housing and hostels, rough sleeping  Accommodation on release: NFA  Current offences: breach of ASBO and Public Order  Offending history: Public Order x 8, Theft x 30, Breach of ASBO x 5, Assaults x 6  Custodial Sentences: 11

Client B Profile:  Health: leg amputee, hepatitis C  Mental Health: depression, Personality Disorder  Substance Misuse : Heroin dependent  Accommodation history : Rough sleeping  Risk Factors : Substance Misuse, Accommodation, Mental Health, Attitudes, Daily Structure, Lifestyle, Associates.

Co-ordination and Joint Care Planning  Rough Sleepers Street Services Team CRI  Brighton and Hove City Council Housing Options Team  Hostel Support Worker  Substance Misuse Service / Alcohol Treatment Service  GP  Integrated Offender Management Team  Anti-Social Behaviour Team Caseworker  Friends Centre

Outcomes:  Accommodation: Accommodated on release. High support hostel  Reduced custodial sentences: from 5 months gap to 19 months+ (280% improvement). No new convictions  Tenancy sustainment: from 7 months average to 19 months+ (171% improvement)  Finance: Benefits established prior to release  Health care: registered with GP, confirmation of attendance at appointments, self reporting, fitted with prosthetic leg  Substance misuse: Alcohol free after prison detox, confirmation of alcohol treatment appointments, midway reviews, reports from SMS.  Meaningful activity: attending pre-tenancy course / life skills course, attending literacy course.

Joint working protocols Accommodation services Local Authority (Brighton and Hove City Council) Rough Sleepers team Mental health services Physical health services Addiction services Benefits/finance services Police/ASB services Offender services (NOMS, Prison, Probation )

Partnership Group  HMP Lewes – Chair.  Revolving Doors Agency.  Brighton Housing Trust.  Brighton and Hove City Council.  Primary Care Trust.  Sussex Partnership Trust.  Mental Health Team.  CRI.  Sussex Police

Outcomes Targets  90% of pilot group to reduce re-offending.  40% reduction in re-offending for each offender.  90% of pilot group to increase tenancy sustainment.  60% increased tenancy sustainment for each offender.  85% accommodated on release.  60% engagement with identified Lead Agency on release.  60% referred into appropriate mental health service on release.  Number of service users in 12 months – min 35

Project Outcomes Year 1: Custody: o 88% (target 90%) of clients saw an increased gap between custodial sentences.  80% saw the gap between custodial sentences increase by 40% or more (92% of those with a gap). Tenancy:  75% (target 60%) of clients saw an increase in tenancy sustainment.  Of these, 82% saw an increase in tenancy length of 60% or more.

Project Outcomes Year 1 Homelessness:  94% of clients would have been homeless In Brighton and Hove on release. 91% (target 85%) had accommodation planned on release. 78% had accommodation on their day of release. Engagement:  91% (target 60%) of clients were engaged with identified Lead Agency on release. Mental Health:  Half of the clients needed a mental health referral – of these 93% (target 60%) were referred.

Project Outcomes Year 2 Custody:  75% saw an increased gap between custodial sentences.  Of these, 81% saw the gap between custodial sentences increase by 40% or more. Tenancy:  76% saw an increase in tenancy sustainment.  Of these 86% saw an increase in tenancy length of 60% or more

Project Outcomes Year 2 Homelessness:  81% (34 clients) would have been homeless in Brighton on release.  100 % of clients had accommodation planned on release: 91% had accommodation on the day of release. Engagement:  83% of clients were engaging on release. Mental health:  62% (28 clients) needed a mental health referral.  Of these 46% of clients agreed to referral.

Costs & savings by department per individual

Service user feedback  “(Until now) its been the same thing, living on the street, in a hostel, kicked out on the street, in prison, on the street, in a hostel…it has been the cycle – street, hostel, street and prison” (Client) o “I didn’t find out about it – he found out about me!” (Client) o “I guess he was part of that sort of team which helped me get where I am you know…..I think there was a bit of a team thing going on. Sharing information between the different departments……Its certainly done the trick for me.”