Prison to Rehab Protocol

10. Alternative support: Turnaround Service

For some individuals, abstinence based residential rehabilitation may not be the appropriate choice immediately on release. We have included details of an alternative service available to individuals on release from prison, which may be more suited to their needs at that point in their recovery journey.

Location: 219 Glennifer Road, Paisley, PA2 8UL

10.1 Ethos

Turnaround commenced in 2007 targeting men in the justice system that have a history of prolific low tariff offending. The service was then redesigned in 2018 to include a Throughcare model.

Prior to admission to the residential programme Individuals are assessed for immediate risk and immediate need. A comprehensive assessment builds on the issues and needs identified through the referral process and helps our integrated health and social care staff understand the full nature of challenges affecting an individual's offending behaviour and the support required.

Referrals can be taken from community justice care managers or prison care managers and through Drug Testing Treatment Orders. The 6 week residential programme of change is very structured with individuals expected to engage in all aspects of daily activities, groups and one to one sessions. Following the residential programme, the Throughcare team offer additional support within the community for a period of up to 12 weeks to facilitate links with community-based support.

Treatment

6-8 week programmes include

• Stabilisation on MAT and detox from diazepam/alcohol
• SMART recovery groups
• Naloxone training and take home kits
• Facilities for mutual aid meetings
• Support to peer led Recovery cafes/events
• Overdose awareness
• Alcohol and behaviour
• Drug awareness
• Relapse prevention
• Individuals also receive criminal justice support and care for wider health needs.

Turning Point Scotland (TPS) takes a Citizenship approach to delivering services. Citizenship is a way of thinking about life in the community for people who access our services. TPS defines citizenship by a person's connection to the 5 R's (rights, responsibilities, roles, relationships and resources) of social life and community membership. Citizenship promotes community integration and social inclusion and recognises the skills assets and strengths of each and every individual.

The service provides a range of evidenced based interventions that are underpinned by therapeutic approaches. Motivational Interviewing (MI) and Solution Focused Therapy (SFT) are some of the methods facilitated by staff to help individuals understand the causes and impact of their behaviour on themselves and the wider impact on their family and community. We work with individuals on a one to one basis and within group work settings with each way allowing individuals to reflect, explore and challenge themselves around a range of life areas.

In addition to offending behaviour change, an asset based approach is adopted to help increase an individual's self-awareness, self-esteem and confidence. Self-development and reflection are key to an individual when putting into practice the skills and learning achieved within the service to help sustain their recovery and offending behaviour.

We measure success and identify areas for improvement in a number of ways, at a number of different levels. Individuals who meet their own outcomes and goals, the experience and feedback they give us about the service, internal TPS quality assurance systems, monitoring and evaluation reports required by Scottish Government and the Care Inspectorate yearly inspections are all ways in which the service is monitored and evaluated to measure success and impact.

10.2 Admission criteria and process

Referrals can be made to Turnaround via prison services or community care managers if an individual is at serious risk of breaching their current order in the community due to their current alcohol or other drug use. We work with males from the age of 18 years old and over who have a minimum of 6 months on a community order at the time of referral.

Medication criteria

Prison referrals will require to provide a comprehensive health assessment including agreed prescribed medication and drug screening results. The prison service would provide an up-to-date risk assessment (including health, self-harm, risk to self or others, risk from others, any license conditions, and any other relevant information).

Contact details

Gary Douglas or Eric McGarry
01505 810 800
GaryDouglas@turningpointscotland.com ; EricMcgarry@turningpointscotland.com

Please note: This service is not funded through the Prison to Rehab pathway as it is not abstinence based. Funding is provided centrally through an alternative funding stream. Full details are available by contacting TurnAround directly.