Edinburgh, Midlothian & East Lothian DTTO II   Working Together to Make a           Difference
DTTO Criteria   Dependant on or has a propensity to    misuse drugs   Dependency or propensity is susceptible    to trea...
DTTO client group   85-90% male   Over 21   Entrenched drug use   More than 10 previous convictions
Who were we not  reaching?     Women   Young people
DTTO II   The DTTO II is a pilot intervention   Started on the 2nd June 2008   Extended DTTO to the Justice Courts   E...
DTTO II Service Users   Female - 45-50%   Under 21 - 15-20%   Pattern and Type of drug use   Nature of offending   Wo...
What do we do thatmakes a difference?
Specific Interventions for Women   Pregnancy   Harm Reduction   Sexual Health advice   Safety Planning   Women’s grou...
Specific Interventions for Young             People   Whole Systems Approach   Flexibility   Communication   Safe envi...
Partnership Working                                                 Local Co                  ry                          ...
Service User Involvement   Progress Reviews   Entry/Exit Questionnaires   Service Questionnaires   Planning and Delive...
Challenges
Assumptions   Young people are more likely to breach    Order   Medical model of treatment   Consent only to avoid cust...
Case Studies  In groups please discuss the following:  Challenges – how would you work with                 this client?...
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Working together to make a difference (WS28)

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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.
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Working together to make a difference (WS28)

  1. 1. Edinburgh, Midlothian & East Lothian DTTO II Working Together to Make a Difference
  2. 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. 3. DTTO client group 85-90% male Over 21 Entrenched drug use More than 10 previous convictions
  4. 4. Who were we not reaching? Women Young people
  5. 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. 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. 7. What do we do thatmakes a difference?
  8. 8. Specific Interventions for Women Pregnancy Harm Reduction Sexual Health advice Safety Planning Women’s groups Safe environment
  9. 9. Specific Interventions for Young People Whole Systems Approach Flexibility Communication Safe environment Youth Offending Throughcare & Aftercare Adolescent Substance Use Service
  10. 10. Partnership Working Local Co ry lleges st a tuto Acco mmoOt her prov dation c ies t; Hu bs M idersagen ; Cour W overy ELD JSW rs; C+F B S Rec CHAI C enef ito nd Solic it Ag enci o tla es Fairbridge e Sc it ion tur Ve T rans V en ntu Bethany re er C entre The R Tr us e V olunt r k ock Tr ust t o e tw GRO tre Access to Industry t W S or Gene pp ral P Wom ractit ens Su ioner Aid s hop y ce S nc dvi Gateway CAB he A na T d n Te rte datio o o S p e c ia li s t H e S upp mm Couns a lt h A g e n c ie s ac co elling Servic es
  11. 11. Service User Involvement Progress Reviews Entry/Exit Questionnaires Service Questionnaires Planning and Delivery of Groupwork
  12. 12. Challenges
  13. 13. Assumptions Young people are more likely to breach Order Medical model of treatment Consent only to avoid custody Coerced treatment Undeserving clients
  14. 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?

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