1. Prison Healthcare Project Andy Graham Nurse Specialist LD/ASD

2. Overview Background Project Activity Screening Learning and Development Networking Summary Questions

3. Background Identified need for project –SAY (ScotExec 2000) (rec 28) –On the Borderline (Myers 2004) –No one knows (PRT 2009) –Bradley Report (2009) –SAY Consultation 2120 (Alan et al) –SCLD SAY 2012 NHSGG&C submit bid to SG –2/3 Years Research, Explore and Scope out programme of work to: –Increase awareness of LD/ASD within Prisons –Facilitate access to appropriate and evidenced based practice for PWLD/ASD in CJ system –Inform the programme of work around Prison Healthcare Nationally

4. Project Activity Develop and facilitate a revised proposed model of healthcare within Scottish prisons (CJ system) that meets the needs of adults, women and young offenders who have LD/ASD Lead on work required to complete the objectives of the LD Strategy CJ Work stream. Services mapping exercise Explore and understand the pathway for PWLD/ASD within the CJ system Explore missed opportunities for identification of PWLD/ASD within the CJ system. Review approaches to identifying and working with prisoners who have additional support needs due to LD/ASD Establish links with relevant individuals working in all CJ sectors Contribute to and support the review of Prison Health Improvement initiatives to ensure accessibility for PrWLD/ASD Via the LD strategy, determine the future role of Specialist Adult LD/ASD/Forensic LD Services in supporting PrWLD Ensure optimum onward planning for individuals before release from prison

5. Screening Review screening tools in use to identify PWLD within prison settings across NHSGG&C Prevalence Scoping exercise –No routine approach to screening for LD on admission –No Adaptive Behavioural Assessment –No formalised care pathway for PWLD –No formalised interventions or adapted re-offending programmes –No formalised LD service –Screening for LD in HMP Greenock on referral basis only Pilot new approaches or methods of identifying prisoners with additional support needs –Develop use of Hayes in HMP Greenock –Trial use of LDSQ in HMP Low Moss and Barlinnie

6. L&D and Networking Identify training and development needs of Health Centre and SPS staff in relation to LD/ASD Review the scope of the current L&D plan for LD/ASD within the 3 prisons and develop LD/ASD specifics. Develop the knowledge base of all healthcare practitioners and prison officers Provide opportunities to Identify and develop a network of Link Practitioners for LD/ASD Identify and disseminate links to information available on LD/ASD Be available as an LD/ASD expert clinical resource to be called on by the Prison Healthcare teams Encourage practitioner attendance at various CJ, Prison, Forensic and Nursing related networks Develop a network of contacts Discover and share good practice

7. Summary Emerging issues identified to date: Who should screen and when LDSQ v’s HASI What can we do when we identify PWLD in prison How can we improve the information flow between community agencies and prisons Develop performance framework/indicators Links with local LD services Throughcare and pre release planning Collaborative working with CLDT, FCLDT and AAT

8. Questions