Working Together to Make a Working Together to Make a DifferenceDifference

Edinburgh, Midlothian & Edinburgh, Midlothian & East Lothian DTTO IIEast Lothian DTTO II

DTTO Criteria DTTO Criteria

Dependant on or has a propensity to Dependant on or has a propensity to misuse drugsmisuse drugs

Dependency or propensity is Dependency or propensity is susceptible to treatmentsusceptible to treatment

Suitable personSuitable person The seriousness of the offenceThe seriousness of the offence The frequency/pattern of offendingThe frequency/pattern of offending

DTTO client group DTTO client group

85-90% male85-90% male Over 21Over 21 Entrenched drug useEntrenched drug use More than 10 previous convictionsMore than 10 previous convictions

Women Women

Young peopleYoung people

Who were we not Who were we not reaching?reaching?

DTTO IIDTTO II

The DTTO II is a pilot intervention Started on the 2nd June 2008 Extended DTTO to the Justice Courts Earlier Intervention Limit the damage that drug use does to

:- Individuals The Community Society

DTTO II Service UsersDTTO II Service Users

Female - 45-50%Female - 45-50% Under 21 - 15-20%Under 21 - 15-20% Pattern and Type of drug usePattern and Type of drug use Nature of offendingNature of offending Women 20-25% higher completion Women 20-25% higher completion

rate than DTTO female counterparts rate than DTTO female counterparts

What do we do that What do we do that makes a difference?makes a difference?

Specific Interventions for WomenSpecific Interventions for Women

PregnancyPregnancy Harm ReductionHarm Reduction Sexual Health adviceSexual Health advice Safety Planning Safety Planning WomenWomen’’s groupss groups Safe environmentSafe environment

Specific Interventions for Young Specific Interventions for Young PeoplePeople

Whole Systems ApproachWhole Systems Approach FlexibilityFlexibility CommunicationCommunication Safe environmentSafe environment Youth OffendingYouth Offending Throughcare & AftercareThroughcare & Aftercare Adolescent Substance Use ServiceAdolescent Substance Use Service

Partnership WorkingPartnership WorkingAccommodation providers

Supported

accommodatio

n

Benefit Agencies

Transition

GROW

MELD

General Practitioners

Specialist Health Agencies

Venture Trust

Venture Scotland

Fairbridge

Access to Industry

Volunteer Centre Bethany

Tenan

cy S

uppor

t

Other statutory

agencies

CJSW; Court;

Solicitors; C+F SW

Streetw

ork

Women's Aid

Counselling Services

Recovery Hubs

The Rock Trust

CHAI

The Advice Shop

CAB

Local Colleges

Gateway

Service User InvolvementService User Involvement

Progress ReviewsProgress Reviews Entry/Exit QuestionnairesEntry/Exit Questionnaires Service QuestionnairesService Questionnaires Planning and Delivery of GroupworkPlanning and Delivery of Groupwork

ChallengesChallenges

AssumptionsAssumptions

Young people are more likely to Young people are more likely to breach Orderbreach Order

Medical model of treatmentMedical model of treatment Consent only to avoid custody Consent only to avoid custody Coerced treatment Coerced treatment Undeserving clientsUndeserving clients

Case StudiesCase Studies

In groups please discuss the following:In groups please discuss the following: Challenges – how would you work with Challenges – how would you work with

this client?this client? What assumptions would you/other What assumptions would you/other

services make about their services make about their circumstances/lifestyle?circumstances/lifestyle?

What do you think the likely outcome What do you think the likely outcome was for this client?was for this client?