Learning Disability Health Network Changing perspectives Changing lives London Learning Disability Health Network 16 July 2012 Alison Giraud-Saunders E: alisongs@btinternet.com M: 07721 843290 Debbie Robinson Kaleidoscope Social Enterprise Ltd E: debbie.robinson@kaleido-scope.org.uk M: 07860 609079

Developing Person Centered Approaches for Learning Disabled Offenders within HMP Pentonville Focus on person centred approaches to improve outcomes around health, housing and employment Developing a partnership approach with the prison health team, local community learning disability team, prison education and day care staff, equality & diversity lead Process mapping Reasonable adjustments Resources to help with support Learning disability awareness training Case studies and good practice Resources & Training

Proposed project with Over representation of people with learning disabilities in system that are disadvantaged and made vulnerable with strong evidence of lack of reasonable adjustments. Strong evidence base and recommendations for change to support this group of offenders to achieve improved outcomes for life Bradley Report - outlines recommendations at various points along the pathway This group of offenders can draw on a significant proportion of local learning disability health and social care budgets There has been some change over the past two years – introduction of screening tools Not clear what then needs once someone has been identified as having a learning disability Lack of options in the context of a clear liaison and diversion pathway which can lead to inefficient use of resources Potential of improved partnership and joined up working across health and social care services Evidence Base: No One Knows Prisoners’ Voices – experiences of the criminal justice system by prisoners with learning disabilities and difficulties – Jenny Talbot (2008) Lord Bradley's review of people with mental health problems or learning disabilities in the criminal justice system – DH (April 2009) Bradley: pathway - community, police custody, courts, prison and resettlement) identifying key roles, relationships and outcomes. Outcomes: including better health, housing options and opportunities to live independently with support and to access education and/or paid employment. Change: Introduction and more widespread use of screening tools to identify people with learning disabilities but it is evident that more work needs to be done. It’s not clear what needs to be done in order to support people to either continue through the system as appropriate or for individuals to be diverted to more appropriate provision that would better meet their needs and promote options focused on reducing reoffending and increasing levels of independence, choice and control over how people live their lives. Resources - has become much more of a focus over the past twelve months with the significant reduction of local resources. services is an emerging area of need that warrants further exploration and targeted action if we are to make an impact on system change and improving the outcomes for this group of offenders Share learning - We have already seen some of the benefits, both to individuals and the system as a whole from other areas around the country that are trialing new services in this regard. London can access this body of evidence and learn from the experience of others about what works but also understand what is positive and possible.

Rationale for proposed project Maintain the momentum gained to date and to engage London prisons; To encourage a consistent, outcomes focused approach to be adopted across London; To provide information on service developments and emerging good practice, to up-skill stakeholders for managing and developing further provision and a range of options; To ensure that links are made with local community teams, local services and supports; To support the development of more effective pathways by enabling better informed staff at the appropriate and crucial times within the criminal justice system. Contribute to supporting reducing reoffending and increasing levels of independence, choice and control.

Evidence from elsewhere West Yorkshire: screening in police custody Leeds: secondment of learning disability nurse to mental health in-reach team North East Big Diversion Project: mapping Cambridge study of factors in offending W. Yorks: LDSQ acceptable and feasible, but challenges in terms of when/where/who does it. Pointed up need for better arrangements for appropriate adults and ongoing social support Leeds: people referred had numerous short sentences and unmet needs for housing, support, employment, behaviour management, relationships. Lack of clear pathways NE mapping: problems over eligibility for learning disability services, no clear pathways. Risk that courts are imposing sentences that offenders can’t comply with Cambridge: key factors that differentiated offenders from non-offenders (amongst people with learning disabilities) were: Broken social and emotional relationships Isolation Lack structured routines/occupation

What next …

Our contact details Alison Giraud-Saunders Email: alisongs@btinternet.com Mobile: 07721 843290 Debbie Robinson Kaleidoscope Social Enterprise Ltd 11-13 Cavendish Square | London | W1G 0AN Email: debbie.robinson@kaleido-scope.org.uk Mobile: 07860 609079