The work of the Drug Treatment and Testing Order II team. The focus is on an early intervention project which aims to positively intervene in the lives of service users to try to halt their journey through the criminal justice system. The project focuses on working with young people and women and engages them in treatment through intensive individual work, group work and on addressing social and welfare needs. The team is multidisciplinary and works in close partnership with a range of organisations. The workshop will look at the work of the team and will also challenge participants to examine their own views on this area of work. Contributor: City of Edinburgh Council

1. Edinburgh, Midlothian &
East Lothian DTTO II
Working Together to Make a
Difference

2. DTTO Criteria
 Dependant on or has a propensity to
misuse drugs
 Dependency or propensity is susceptible
to treatment
 Suitable person
 The seriousness of the offence
 The frequency/pattern of offending

3. DTTO client group
 85-90% male
 Over 21
 Entrenched drug use
 More than 10 previous convictions

4. Who were we not
reaching?
Women
Young people

5. DTTO II
 The DTTO II is a pilot intervention
 Started on the 2nd June 2008
 Extended DTTO to the Justice Courts
 Earlier Intervention
 Limit the damage that drug use does to :-
 Individuals
 The Community
 Society

6. DTTO II Service Users
 Female - 45-50%
 Under 21 - 15-20%
 Pattern and Type of drug use
 Nature of offending
 Women 20-25% higher completion rate
than DTTO female counterparts

7. What do we do that
makes a difference?

8. Specific Interventions for Women
 Pregnancy
 Harm Reduction
 Sexual Health advice
 Safety Planning
 Women’s groups
 Safe environment

9. Specific Interventions for Young
People
 Whole Systems Approach
 Flexibility
 Communication
 Safe environment
 Youth Offending
 Throughcare & Aftercare
 Adolescent Substance Use Service

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11. Service User Involvement
 Progress Reviews
 Entry/Exit Questionnaires
 Service Questionnaires
 Planning and Delivery of Groupwork

12. Challenges

13. Assumptions
 Young people are more likely to breach
Order
 Medical model of treatment
 Consent only to avoid custody
 Coerced treatment
 Undeserving clients

14. Case Studies
 In groups please discuss the following:
 Challenges – how would you work with
this client?
 What assumptions would you/other
services make about their
circumstances/lifestyle?
 What do you think the likely outcome was
for this client?