1. A WHOLE-PRISON APPROACH TO SUPPORTING PEOPLE WITH INTELLECTUAL DISABILITIES by Lisette Saunders

2. KEY CONSIDERATIONS Professional support | Interventions | Training Assessment Needed to be outcomes for any assessment Access to community Awareness training for staff Recruited a Learning Disability Nurse 1 x LD nurse in 2011 4 x LD nurses in 2014 LDSQ Separate tools for individual disability | difficulty Needed a tool that assessed for additional need Do IT Profiler

3.  Provides a picture of an offenders potential difficulties, strengths and weaknesses  Provides individually tailored advice and guidance for staff re: care planning and support strategies that is within context  Provides the offender with strategies to maximise their own potential and accessible resources  Identifies offenders that may benefit from further support and/or specialist assessment.  Suggests reasonable adjustments In the CJS context:

4. LDD screening tool  60 questions  4 sections consider skills in: Literacy and numeracy Attention and concentration Social and communication Co-ordination and organisation  Likely to take about 15-25 minutes – dependant on skills

5. Question examples Voiced

6. HMP & YOI PARC Do IT Profiler carried out within first 48 hours on Induction Support mentor used to facilitate this Those who hit high support need = case conference Includes - LD nurse - Residential staff - Offender supervisor - Activities Allocation

7. SUPPORTED LIVING PLAN TOOL KIT

8. MANAGEMENT PLAN

9. SUPPORT MENTORS Selected prisoners who have previously been Peer Partners Receive the following accredited training: - Assessing own, Personal, Learning & Thinking Skills Introductory Awareness of Inclusion & Disability Introduction to Learning Support Mentoring Skills Act as the interface between individual prisoners and the individual and staff Support by LD nurses Part of case management reviews

11. Disability  21% been diagnosed as having a Learning Difficulty (dyslexia, ADHD, ASD etc.) (cf YOI=30%)  18.5% described as having a LDD (YOI=25%)  15% some visual difficulties  9.5% had access to LD services (YOI=15%)  8% registered as disabled  4% some hearing difficulties

12. Social skills e.g.

13. Autism traits e.g.

14. * *****ADHD traits e.g.

15. ****Emotion e.g.

16. CASE STUDY Mr T Arrived 2011 Few social skills, poor hygiene standards Poor diet and nutrition Unable to read or write Disruptive on wing Afraid of his cell door being shut Now Servery worker Wrote letter home to mother Independent living skills Portfolio of awards and accreditations Learning how to cook Attends gym