judicial studies board – 4 th june 2008 ratsdam – a five year review rapid assessment and...
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Judicial Studies Board – 4Judicial Studies Board – 4thth June 2008 June 2008
RATSDAM – A FIVE YEAR REVIEW
Rapid Assessment and Treatment Service for Drug and Alcohol Misusers
Deirdre Noade
BackgroundBackground
Joint Initiative: PBNI & NICAS
Funding: EDACT & NIO
Purpose: Provide fast track Drug Assessment &
Treatment Service
BackgroundBackgroundReferrals: PBNI Assessment Unit Pre-
Court
Suitability:Link between offending & substance misuseMotivation to address substance misuse
Treatment: 8 – 12 week Cognitive Behavioural Programme
Overview of StatisticsOverview of Statistics
937 Referrals
861 Rapid Assessments conducted
544 Orders Made
63 Custody Probation Orders
286 Completed Treatment - 86% Retention
Rates
Client ProfileClient Profile
95% Male
Average Age 30
29% assessed in custody
86% unemployed
89% self-reported mental health illness
Client Profile – conti..Client Profile – conti..Offenders: Theft (23%), Possession of
Drugs or and intent to supply (20%),
Armed Robbery (13%), Motoring (13%)
Current paramilitary threat – 20%
Previous paramilitary attack – 42%
Drug History
Chart showing client lifetime drug use
99.3
36.3
73.181.6
74.1
89.4
0.7
63.7
26.918.4
25.9
10.6
0
20
40
60
80
100
120
Alcoho
l
Opiates
Cocain
e
Ecstas
y
Ampheta
mines
Canna
bis
Drugs
Per
cent
age
of c
lient
s
UsedDid not use
Use of Cocaine
22.8
72.6
14.6
0
10
20
30
40
50
60
70
80
Did not use Cocaine Crack
Per
cent
age
of c
lient
s
Use of Opiates
41.1
20
38.9
0
5
10
15
20
25
30
35
40
45
Did not use Heroin Other opiates
Per
cent
age
of c
lient
s
Alcohol Dependency Results (N = 96)
Client alcohol dependency levels before and after treatment
29.736.3 34
67.7
27.1
5.2
0
10
20
30
40
50
60
70
80
Low Medium High
Level of alcohol dependency
Perc
enta
ge
Before treatmentAfter treatment
Drug Dependency Results (N = 66)
Client drug dependency levels before and after treatment
9
35.7 35.7
19.6
53
24.2
15.2
7.6
0
10
20
30
40
50
60
Low Moderate Substantial Severe
Level of drug dependency
Perc
enta
ge
Before treatmentAfter treatment
Depression Symptomatology Results (N = 102)
Client depression levels before and after treatment
30.8
8.8
29.6 30.8
58.8
13.715.7
11.8
0
10
20
30
40
50
60
70
Minimal Mild Moderate Severe
Level of depression
Perc
enta
ge
Before treatmentAfter treatment
Case Scenario Case Scenario Male, 33 years old, unemployedPossession Class A & AOABHMDC – Cocaine (12 g per week)
Alcohol (max 120 units per week)History of depression, paranoia, anxietyHistory of self harm and suicide attemptGoal of treatment:
‘Reduction in Drug and Alcohol Use& Harm Reduction’
Future DirectionsFuture DirectionsMainstreaming of assessments within PBNI
Expansion throughout province
Funding difficulties
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