Physical Activity wider links for falls prevention

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Supporting People to Withdraw from Polydrug Use within the Prison Environment Chris O'Sullivan, Senior Practitioner, NHS Addictions Support Team, & Robert Kerr, Interventions Officer, HMP Barlinnie

Establishments within NHS - GGC HMP Barlinnie • • • •

Opened in 1882. Scotland’s largest establishment. Holds all prisoner categories. Main purpose is to hold remand and short term prisoners sent by the West of Scotland courts.

Establishments within NHS – GGC HMP Greenock • • • •

Opened in 1910. Male and females prisoners. Remand, and short-term convicted prisoners. National facility for selected prisoners serving 12 years or over.

Establishments within NHS - GGC HMP Low Moss • • • •

Initially opened 1962, closed 2007 New facility opened in March 2012. Adult male, convicted and remand prisoners. Prisoners primarily from the North Strathclyde Community Justice Authority area.

Clinical Interventions Detoxification • Medical support for those who may experience withdrawal symptoms upon entry into establishment. • Usually lasting up to 7 days. Substitute Prescribing • Prescribing of a substitute medication to support individuals to withdraw from illicit opiate use. • Methadone and Suboxone.

Therapeutic Interventions NHS Addictions Support Team • Voluntary service providing 1-1 support – i.e. motivational interviewing and care planning. • Various group work options. • Establishing throughcare, links to community services. SPS Interventions • Number of different group work programmes at different sites including substance misuse programmes. • Providing access to other groups such as N.A and A.A

SPS Group Work Interventions

Addressing Polydrug Use Within the Prison Environment Possible Barriers • • • • • •

Interference from prison regime. Varied sentence length. Client motivation. Perception of service. Service capacity. Enforced changes to behaviour.

Addressing Polydrug Use Within the Prison Environment Possible Benefits • • • • • •

Captive audience. Access those with no history of engagement with services. Increased clarity of thought and motivation. Introduction of routine and stability. Change of environment and peer influence. Some degree of service integration.