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Community Provision
CRACMS - Community Risk Assessment and Case A new service for personality disordered offenders in NW England to support the work of multi agency public protection panels. Project Summary It will be a researched pilot community risk assessment and case management service (CRACMS) for released high risk prisoners. It will: • Be based in Merseyside. • Take referrals from Merseyside Multi Agency Public Protection Panels. • Provide a community based assessment and interventions service for level 2 & level 3 MAPPP (Multi Agency Public Protection Panel) cases, with a personality disorder. • The community based service will also provide in-reach services to prisons and hostels. • The interventions service will provide long-term support based on a social therapy model, with a high staff: participant ratio. • Participants will be tenants in dispersed, independent accommodation in the local area. • A core property will provide a base for staff, for programmes of work with offenders, and 24/7 out of hours service. • A short term crisis and relapse bed will be provided within Probation Approved Premises • Interventions will include housing support, employment/education/training, social network and psychiatric/psychological interventions to reduce risk, including substance misuse services. • The project will work to ensure the longer term support of the individuals at the end of the three-year pilot, including the development of Circles of Support and Accountability, to maximise the possibility of people remaining in the community and leading productive, offence-free lives. Research is integral to the project. This area of work is unresearched/poorly researched. The aim of this pilot is to establish whether a coordinated community psychosocial provision for Personality Disordered Offenders is effective in reducing re-offending and social exclusion, managing risk in the community and enhancing the quality of lives of individuals. For further information contact: Colin Dearden Moira Potier Peter Simpson NHS developments These aftercare arrangements will be heavily dependent on a much higher community infrastructure for individuals with a severe personality disorder. There are currently very few specific community services for those with a severe personality disorder who are or have been a risk to themselves or to others. To address this, a range of different community - based services are being located on medium secure unit sites to provide patient progression pathways. We will also be considering what services need to be developed in the prison service and what role the probation service could take in sharing aftercare. These pilot services will be used in the following ways initially: • To provide dedicated treatment for individuals with severe PD who are currently often excluded from treatment; • To develop local multi-agency networks, and work with a range of agencies to provide consultation, assessment, treatment, care and management of individuals with PD; • To develop care pathways to allow a continuum of care across all levels of security, and to negotiate the interface with general mental health services and prison mental health services. • To accept referrals from multi-agency public protection panels (MAPPPS) for the assessment of offenders with severe PD who are a risk to other; • To accept patients for assessment and treatment who do not meet the threshold for DSPD treatment; • To accept patients for eventual progressive care when they are ready to leave DSPD high secure hospital treatment units. It is currently planned that these pilots will form the first phase in the development of a much wider infrastructure for individuals and offenders with severe PD which will maximise the contribution of the health, prison and probation services. For further information contact: Nick Benefield
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