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The aim was to assess whether the pathways between probation and treatment services are operating effectively and to describe treatment outcomes. This work is motivated by the commitments made in the government’s drug strategy and the outcomes of the joint thematic inspection of community-based treatment and recovery work with people on probation. Methodology One of the main eligibility criteria for a court to issue an ATR or DRR is that the offender is willing to engage in treatment. The findings in this report suggest that many offenders do not access treatment. One explanation for this could be that the pre-sentencing reports (a requirement in the process for sentencing an offender to an ATR or DRR) do not accurately reflect the offender’s willingness to comply with the treatment requirement. The underlying reasons will need to be explored further. 7. Next steps We have teams on the ground in: East of England, the Midlands, London and South East, Northern, South West, Yorkshire and Humberside, Wales and Scotland.

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We developed statistical models to determine whether any known characteristics of these groups of offenders were associated with either accessing treatment or completing treatment successfully. By carrying out this project, we want to improve how services are provided to vulnerable adults. The analysis presented in this report focuses on whether the pathways between probation and treatment were operating as intended. While we need to do more work to verify the information between these national databases, we should attempt to discover why some pathways are not fully optimised. For this, we need to do qualitative research to build a richer understanding of the problem than we can gather from linked data alone. This would also help us to investigate any barriers to accessing treatment for people sentenced to ATRs or DRRs.As you can see in figure 13, characteristics associated with a decreased likelihood of successful completing treatment for people with an ATR include: This is done to preserve the anonymity of the people in that area, as some postcodes cover a very small area, sometimes a single building. So, in total, there were 15,121 offenders (38.9% of the available 38,895 records) who appeared to have either been in treatment on, or started treatment after, their sentence date.

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For more information, see the CDEI reports on public engagement for the BOLD programme. 8. Further information 8.1 Experimental statistics whether people were using the substances recorded on the TOP in the 28 days before starting treatment We will create a process for MOJ to receive information on people who do not access treatment after sentencing. This would enable MOJ to find any information they hold that can explain why people do not access treatment or highlight areas that can be improved. It could also help to verify the linked information. People who move to other systemsFigure 9: frequency of substance use for offenders sentenced to an ATR and categorised as ‘alcohol only’ in the 28 days preceding the TOP assessment Substance The treatment outcomes profile ( TOP) is an outcome monitoring form that provides information on the frequency of a person’s substance use in the 28 days before the assessment date.

Pathways between probation and addiction treatment in England

criminogenic characteristics (such as offence type, risk of serious reoffending and offender group reconviction scale ( OGRS), which is a predictor of reoffending based on age, sex and criminal history) The substance misuse demonstrator pilot includes a project where MOJ and DHSC are working together to explore the pathway into treatment when people receive ATRs and DRRs at court. Even though the proportion of people who reported using other substances was small (from figure 7), people in the later TOP review reported using other substances more often than at the start of treatment. These substances included: This report provides insight into how the probation and treatment systems respond to offenders sentenced to an ATR or DRR in line with section 177 of the Criminal Justice Act 2003. It focuses on the pathways into treatment in England. Partners in Public Health Wales and SAIL Databank will be focusing on pathways into treatment in Wales over the coming months. 1.3 Aims and objectives Given the sizeable minority of people who are already in treatment when they are sentenced, it would be helpful to know the date of their main offence. This will help analysts to determine more accurately when people start treatment, compared with the offence that triggered the sentence. Other community sentence requirementsAlcohol only: people who have problems with alcohol but do not have problems with any other substances.