DTTOS/DRRS ADVICE AND INFORMATION ABOUT

CHANGES AND FUTURE ARRANGEMENTS

Probation
PURPOSE
• To provide updated information about DTTOs, in particular an
amendment to the DTTO National Standard
Circular
• To advise areas about implementation of the Drug Rehabilitation
Requirement (DRR), which will replace DTTOs from April 2005 REFERENCE NO:
• To provide general advice about drug related issues that affect probation 55/2004
areas
ISSUE DATE:
ACTION 5rthNovember 2004
Chief Officers and Assistant Chief Officers (substance misuse) to note the
contents, distribute to all relevant staff and take actions summarised below. IMPLEMENTATION DATE:
Immediate
SUMMARY
This circular requires that relevant staff: EXPIRY DATE:
‰ Note and comply with the amendment to E6 of the DTTO National 4th November 2005
Standard and the clarification on contact time
‰ Comply with guidance on DTTO targets and performance monitoring TO:
‰ Ensure additional licence conditions to address offenders’ drug problems Chairs of Probation Boards
are considered in pre-release reports and note there is a presumption Chief Officers of Probation
that additional conditions will be included in licences for Prolific and other
Secretaries of Probation Boards
Priority Offenders (PPOs).
Lead ACOs – Substance Misuse
‰ Note the provisional plans for the DRR under the Criminal Justice Act
2003
CC:
‰ Note Drug Interventions Programme (DIP) (formerly CJIP) name change
‰ Understand the respective case management roles and responsibilities Board Treasurers
of DIP and NPS/NOMS Regional Managers
‰ Note the good practice reminder following a DTTO drug related death in DTTO SPOs/Managers
approved premises:
‰ Note the role of the Regional What Works Managers (RWWMs) in DTTO AUTHORISED BY:
performance management Claire Wiggins, Head of Intensive
‰ Note NPD Drug & Alcohol Team staff changes Interventions Team

RELEVANT PREVIOUS PROBATION CIRCULARS ATTACHED:

PC 6/2004, PC 47/2004, PC 49/2004, PC 51/2004 and PC 52/2004. Annex A to G

CONTACT FOR ENQUIRIES

Claire Wiggins tel: 020 7217 8646 claire.wiggins3@homeoffice.gsi.gov.uk
Robert Stanbury tel: 020 7217 0767 robert.stanbury@homeoffice.gsi.gov.uk

National Probation Directorate

Horseferry House, Dean Ryle Street, London, SW1P 2AW General Enquiries: 020 7217 0659 Fax: 020 7217 0660

Enforcement, rehabilitation and public protection

1. DTTO NATIONAL STANDARD AMENDMENT TO PERMIT A SHORT STABILISATION PERIOD IN EXCEPTIONAL
CIRCUMSTANCES
After three years of operational experience the National Probation Directorate (NPD), with the National Treatment Agency
(NTA), undertook a review of the DTTO National Standard to determine whether it was in line with emerging evidence
about drug treatment and if it contributed to or prohibited retention and successful outcomes.

Following this review, a set of proposals were developed which involved substantive changes to the contact requirement
of the Standard designed to introduce greater flexibility in the management of the order. Consultation with probation areas
took place through the NPD National Standards Reference Group. We also sought the views of sentencers (Lord Chief
Justice and the Sentencing Guidelines Council, Head of the Unified Bench, Magistrates’ Association).

In light of feedback from areas, it was decided that, as the proposed amendments involved a change in the level of
contact hours delivered under an order, it would not be helpful to introduce these changes at this late stage in the year
with one exception. This amendment, introduced with immediate effect, allows, in exceptional cases, an induction period
for offenders on the higher intensity version of the order. This change is being introduced now because evidence
suggests that some offenders may fail in the early phase of their order if they are required to attend an intensive
programme of activities before they have been stabilised. A stabilisation period, for some drug users, is linked to
improved retention and completion.

The second bullet of section E6 of the higher intensity Standard has therefore been amended (see Annex A) to allow for
an induction period of up to 8 weeks, where this is assessed as necessary to enable the offender to become stabilised
and where doing so is likely to improve retention on the order. This will require the approval of the line manager in all
cases. During the induction period offenders will report on a daily basis (five days per week) for a minimum of one hour.
This time should be used to stabilise their medication, address fundamental needs such as accommodation and/or
undertake a period of motivational work. It is anticipated that most offenders will not need an induction period and will
therefore commence the intensive phase immediately. Offenders who are assessed as needing induction will commence
the intensive phase no later than 8 weeks from when the order is made.

Where the PSR identifies that a stabilisation period is required, sentencers will be able to reflect this is in the length of the
order given. Overall, it is expected that offenders who require an induction period to remove barriers to successful
retention will be on a longer order and therefore undertake more total hours in treatment than those who are ready to
engage in intensive treatment from the outset of the order.

NTA are supportive of the proposed change, which is in line with evidence of what is effective in treating drug misusers
generally.

It is not planned to amend the monthly National Standard file read monitoring forms. Therefore, cases where an induction
period has been applied should be removed from cases identified for the monthly file read sample.

NPD will monitor the extent to which the induction period is used and with Home Office Research, Development and
Statistics (RDS), assess the impact on retention and, if research priorities allow, in the longer term on reoffending. We will
also apply any learning in the longer term to reviews of the new National Standards for the Drug Rehabilitation
Requirement (DRR).

This change to the Standard will be an interim arrangement until the DTTO is replaced by the DRR. A new set of
National Standards will be produced for all requirements of the community order including the DRR. The current
change should therefore be viewed as a transitional arrangement to improve retention.

2. NATIONAL STANDARDS MONITORING OF COMPLIANCE WITH DTTO CONTACT AND TESTING

REQUIREMENTS
HM Inspectorate of Probation (HMIP) and the National Audit Office (NAO) found an unacceptably low level of compliance
with the contact and testing requirements of the DTTO Standard but concluded that some of this may have been due to
poor recording rather than failure to meet the Standard. Compliance monitoring through the monthly NS file read reporting
(NSMART) shows little improvement and recent contact with a few areas about this suggests that, although there are
some concerns about levels of treatment provision available, inaccurate recording is likely to be a major contributory
factor. Where file reading is shown as “unclear”, this is counted as not having met the standard. Therefore, areas are

PC55 /2004 – DTTOs/DRRs Advice and information about changes and future arrangements 2
reminded of the need to enforce the provisions relating to contact and regular testing and, particularly, the importance of
timely and accurate recording.

The NAO also identified some inconsistency between areas as to what should be counted as a “contact” hour e.g. some
areas counted the time offenders spent in travelling to appointments whereas others recorded only the time spent in
supervised activities. To improve the consistency of performance reporting between areas, NAO recommended that NPD
“should specify clearly what activities can be counted towards the required number of contact hours set out in the
National Standard”.

Whilst it is not possible to provide an exhaustive list of what can be counted, areas should note that any activity/contact
which is included in an offender’s weekly contact log/programme, and for which there is a audit trail, can be counted as
contact hours. For example, this may include collection and/or consumption of medication. At an area’s discretion, where
travel time is in excess of half an hour each way, some or all of the additional travel time may be included as contact
hours if the level of demand made of the offender to keep appointments is high e.g. lengthy journey, poor transport routes
or multiple appointments. Where travel time is to count as contact time it should be clearly specified in the weekly contact
log/programme.

3. DTTO TARGETS AND PERFORMANCE MONITORING

DTTOs with a lower intensity treatment plan
Commencements of the lower intensity variant of the DTTO are low. Between April – September 2004 only 136 have
been made (annual target 1,000). Some areas have indicated their preference not to introduce the lower intensity variant
due to the cessation of DTTOs next year. However, areas who have not met their half-year DTTO target and who have
not introduced the lower intensity variant may want to re-consider this decision. It is anticipated that DRRs will allow
greater flexibility in treatment levels required and the use of the lower intensity variant now will, to some extent, prepare
the way for the introduction of DRRs. Those areas not introducing the lower intensity variant should ensure their Regional
What Works Manager is informed of this and that plans are in place to meet the combined target (lower plus higher
intensity versions) with only the higher intensity order.

It is not possible to count DTTOs with a lower intensity treatment plan as higher intensity orders for the purpose of
meeting DTTO targets.

In some cases it may be appropriate to change a DTTO, during the course of the order, from a lower intensity to a higher
intensity version of the order. Where discretion is used for this to happen (with management authorisation) such cases
should be removed from the cases that are part of an area’s monthly National Standards monitoring file read sample.

Profiled monthly area targets

NPD monitors DTTO commencement performance using a profiled monthly target. To enable areas to match their
performance achievement calculations with that produced by the NPD, the monthly profile, by area, is attached at Annex
B.

Case Transfers
Following the issue of PC 52/2004 (Case Transfer Instructions), clarification has been sought about which area counts a
DTTO commencement when the order is made for the treatment provision to be residential from the start of the order, and
where this will take place in an area that is outside the home and funding area. In making a decision about this issue, the
following criteria have been taken into account:
• DTTO commencements can only be counted once
• Residential treatment paid for by Community Care/DAT funding usually takes place outside the funding area
• Funding for residential treatment does not have to be made by the same area that holds the DTTO and carries
out the case management role
• Under PC 52/2004 cases must be managed by the area in whose address the offender is living; therefore that
probation area carries the workload

In cases where residential treatment is being arranged before the order starts, the PSR/home area will contact the area
where the provider is located to inform them that a proposal is being made and confirm that funding is being arranged by
the home area. As the Court will then make the order to the PSA in which the offender will reside, the new area will count
the DTTO for the purpose of national monitoring and counting towards the area’s target. If the offender subsequently

PC55 /2004 – DTTOs/DRRs Advice and information about changes and future arrangements 3
returns to the original area, the order will be transferred to the home area and this will be recorded on the monthly DTTO
monitoring.

Where a DTTO is made and an offender subsequently enters residential treatment out of their home area, the transfer
process (section 12Cii in PC52/2004) will apply. Although the order must now be transferred to the new area, this will only
count as a transfer on the monthly DTTO monitoring.

For general enquiries concerning PC 52/2004 contact Matthew Bird Tel : 020 7217 8058
E-mail: matthewc.bird@homeoffice.gsi.gov.uk

4. ADDITIONAL LICENCE CONDITIONS TO ADDRESS OFFENDERS’ DRUGS PROBLEMS

Areas will be aware that the Government’s Updated Drug Strategy 2002 aims to get drug-using offenders into treatment
at all stages of the criminal justice system. NPS staff should ensure that progress made in custody to address problematic
drug use is built on post release. Similarly prisons should build on any drug treatment undertaken in the community. Staff
are therefore reminded that where offenders are to be released on licence consideration should be given to relevant
additional licence conditions including:

‘comply with any requirements specified by your supervising

officer for the purpose of ensuring that you address, your alcohol/drug/sexual/gambling/solvent
abuse/anger/debt/offending behaviour problems/at the name of course/centre where appropriate’.

Whilst the above condition cannot require offenders to receive medical interventions, such as prescribing, it can be used
to require offenders to attend for assessment, accredited programmes and other cognitive interventions. National
Standards monitoring will be amended to show use of a condition to address drug problems as opposed to just general
‘additional conditions’. Probation areas will shortly be advised of changes in monitoring by the Regions and Performance
Unit at NPD.

Where drug misusing offenders are identified as Prolific and other Priority Offenders (PPOs), under the local Crime and
Disorder Reduction Partnerships (CDRP) PPO schemes, the expectation is that additional licence conditions to address
problematic drug use will be included in the licence unless there is a good reason not to do so. A separate Probation
Circular regarding licence conditions for PPOs will be issued shortly.

Drug misusing offenders released from custody without a licence or who have completed their licence should be referred
to the local Criminal Justice Integrated Team (CJIT) for assessment, interventions and case management.

5. CRIMINAL JUSTICE ACT 2003: INTRODUCTION OF DRUG REHABILITATION REQUIREMENT (DRR)

Under the new Community Order (Criminal Justice Act 2003,) scheduled to be introduced in April 2005, the DRR will
replace the DTTO. It is intended the DRR will bring a change of approach, matching treatment to need and using other
requirements, such as unpaid work, to restrict liberty. Final details concerning the Community Order and
requirements have not yet been agreed but an outline of the proposed model for the DRR is shown at Annex C.
This information is intended for planning purposes only and should not be viewed as the definitive version.

Transitional arrangements for DTTOs

DTTOs and Drug Abstinence Orders (DAOs)/Drug Abstinence Requirements (DARs) (pilot areas only) will continue to be
made until the implementation of the DRR. This will have the effect of orders made under the old legislation and the new
legislation being managed simultaneously. More detailed guidance about this will be issued later.

Interim advice about commissioning arrangements for DRRs

It is acknowledged that, without information about the National Standard requirements for DRRs and advice about funding
arrangements for 2005/6, there is uncertainty about commissioning arrangements for DRRs next year. In the absence of
this detail, we can provide the following interim advice:-

• Funding for treatment delivered under the DRR will be provided through the Pooled Treatment Budget (PTB). The
planning assumption should be made on the basis that offenders given a DRR are entitled to receive treatment in
their local area funded via the PTB.

PC55 /2004 – DTTOs/DRRs Advice and information about changes and future arrangements 4
• Treatment under the DRR should comprise of one or more of the main treatment modalities specified in “Models of
Care” (see Annex C regarding DRR). National Standards will be developed for all the new sentences but it is
envisaged that the amount of treatment should be determined by assessed need and that other requirements, such
as an activity requirement or unpaid work requirement, should be added to the DRR to make the order sufficiently
intensive to reflect the seriousness of the offence/offending and to address the full range of offender needs. (See
Annex C for detail).

• “Wrap around services” e.g. accommodation, employment or basic skills will usually be delivered through an activity
requirement.

• Testing will operate in a similar way as for DTTOs and continue to be funded via the PTB in 05/06.

• The 2005/6DTTO target (16000) is likely to be directly replaced by the equivalent DRR target and areas should
ensure sufficient treatment and testing capacity is commissioned to meet their local targets. The modalities of
treatment commissioned should be determined in conjunction with the DAT/JCG taking into account the assessed
needs of the local drug using population

For enquiries concerning Community Order and DRR implementation please contact:
Steve Woodgate Tel: 020 7217 0684 E-mail steve.woodgate@homeoffice.gsi.gov.uk
Megan Jones Tel: 020 7217 0770 E-mail megan.jone@homeoffice.gsi.gov.uk

6. CRIMINAL JUSTICE INTERVENTIONS PROGRAMME (CJIP) NAME CHANGE AND UPDATE

Change of CJIP name and list of contacts.
The Criminal Justice Interventions Programme (CJIP) has been renamed as the Drug Interventions Programme (DIP). It
is anticipated that the change of name will more accurately reflect the focus of the programme allowing easier
communication to the general public. Criminal Justice Integrated Teams (CJITs) will continue to be known by the same
name at present.

For details regarding the new DIP structure refer to Annex D.

DIP staff contact details are shown at Annex E.

NPS and working with CJITs

The 2004/5 area DTTO commencement targets are proving to be a challenge for many areas. CJITs should support
access to treatment under a DTTO and should not threaten delivery of DTTO targets. It is important that areas establish
local protocols with CJITs so that DTTOs/DRRs fit into identification and assessment processes via Arrest Referral and
CJITs. Arrest referral workers should advise arrestees about DTTOs; CJIT workers should assess for treatment suitability,
including for DTTOs, and where possible should enable an offender to begin their treatment before an order is made.
Assessment or commencement in treatment prior to sentence supports the making of a DTTO, is likely to promote
retention on an order and should not be seen as a barrier to a DTTO being made.

The Integrated Team Monitoring Data Form (ITMDF)

The ITMDF has been in use in the intensive CJIP DATs and was scheduled to be rolled out to the remaining 102 DATs
from October 2004. DATs have now been advised that this has been deferred until April 2005 so the form can be revised
to better meet the dual requirement of information exchange and data provision/monitoring. NPS has been included in the
consultation exercise about the ITMDF (see Annex F for details). DATs may decide to use the ITMDF informally in the
absence of a national form and to save the need to devise one locally.

7. CASE MANAGEMENT ROLES AND RESPONSIBILITIES OF DIP AND NOMS/NPS

NPD/NOMS, DIP and the Prison Service have reached a shared understanding about responsibilities for offender case
management. This agreement is shown at Annex G.

8. DTTO DRUG RELATED DEATH: GOOD PRACTICE REMINDER

The death of an offender subject to a DTTO whilst resident in approved premises has brought to our attention the need to
remind areas that they should ensure that relevant probation, treatment provider and approved premises staff are fully
aware of their responsibilities in minimising the risk of drug related deaths.

PC55 /2004 – DTTOs/DRRs Advice and information about changes and future arrangements 5
Communication between those responsible for supervision, residence and drug treatment is essential. Areas should
develop guidance for staff, alongside protocols between probation and partner agencies, to ensure that, as a minimum,
information on: risk assessment, risk management plans, test results, missed appointments and changed circumstances
is routinely exchanged.

Offenders placed on DTTOs and resident in approved premises should be made aware of exchange of information
arrangements prior to their admission. This guidance should be included in premises’ strategic plan for reducing sudden
deaths (PC 40/04 refers). Clarity about what is communicated and who is responsible for communicating it should be
included in protocols and service level agreements. If such agreements do not exist a separate agreement should be
produced.

Further information about reducing drug related deaths (e.g. the Advisory Council on the Misuse of Drugs Report into
Drug Related Deaths, 2000, the Government’s Response to that report, 2001 and advice issued by the NTA) can be
found on www.drugs.gov.uk and www.nta.nhs.uk.

9. PERFORMANCE MANAGEMENT OF DTTOS AND GENERAL DRUGS ENQUIRIES

Since the reorganisation of NPD in August 2003, the NPD Regional What Works Managers (RWWMs) and Regional
Managers (RMs) have become responsible for performance management of DTTOs and other drug related work. The
RWWMs now take an active role in the performance management of DTTO delivery and provide support to areas in
achieving their targets. RMs continue to be involved in DTTOs at strategic/policy and regional/ government office level.

Areas are therefore requested to refer any queries relating to DTTO performance or other drug related issues e.g.
concerning DIP to their RWWMs in the first instance. Regional colleagues will then contact NPD if appropriate and liaise
with Regional NTA Managers. It is envisaged this arrangement will expedite responses and will enable local solutions to
be identified wherever possible.

10. NPD DRUG & ALCOHOL TEAM STAFF CHANGES

Anne Williams has completed her secondment to NPD and returned to the London Probation Area as ACO for Croydon.

We will be advertising for a replacement in the first week of November. The post will be open to probation staff on a
secondment basis at ACO level and to Home Office employees at Grade 7. A second post will also be advertised to
project manage further work on drug testing.

PC55 /2004 – DTTOs/DRRs Advice and information about changes and future arrangements 6
PC55.2004 ANNEX A

NATIONAL STANDARD FOR DTTO WITH A HIGHER INTENSITY

TREATMENT PLAN

Second bullet of E6 of the Standard shall be replaced by:-

“Contact across all the requirements of the order shall usually be on five days per
week, for a total of twenty hours per week, for the first thirteen weeks of the order
with discretion for this to be reduced to a minimum of three days per week and
twelve hours per week thereafter, if the offender is responding well. The minimum
for the first thirteen weeks of the order shall be fifteen hours per week and nine
hours per week thereafter save in an exceptional case where stabilisation is
essential when the intensive phase will be delayed for a maximum of 8 weeks
during which time the offender must report daily for a minimum of one hour”.
PC55.2004 ANNEX B
Monthly Profiles (cumulative) by Area 2004-05: DTTO Starts
Profile
Apr-04 May-04 Jun-04 Jul-04 Aug-04 Sep-04 Oct-04 Nov-04

Avon & Some 23 46 71 99 124 150 179 205

Bedfordshire 9 17 27 38 47 57 68 78
Cambridgeshi 10 20 31 43 54 65 78 90
Cheshire 16 32 50 69 87 105 126 144
Cumbria 8 17 26 36 45 54 65 75
Derbyshire 16 32 49 69 86 104 124 142
Devon/Cornw 23 45 70 98 123 149 178 204
Dorset 9 19 29 40 50 61 73 83
County Durha 13 25 39 55 69 83 99 114
Essex 22 44 68 95 119 144 172 197
Gloucestershi 8 16 24 34 43 52 62 71
Hampshire 26 52 81 113 141 171 205 234
Hertfordshire 12 23 36 50 62 76 90 103
Humberside 18 36 56 78 98 118 141 162
Kent 24 47 73 102 128 155 186 213
Lancashire 28 56 86 121 151 183 219 251
Leicestershire 16 32 49 68 86 104 124 142
Lincolnshire 10 19 29 41 52 63 75 86
Norfolk 12 24 37 52 65 79 94 108
Northamptons 10 19 30 41 52 63 75 86
North Yorkshi 10 20 31 43 54 65 77 89
Nottinghamsh 21 42 65 91 114 138 164 188
Staffordshire 17 35 54 76 95 115 137 157
Suffolk 9 18 27 38 48 58 70 80
Surrey 10 20 31 43 54 65 77 89
Sussex 19 38 59 82 103 124 149 170
Teesside 15 29 45 63 79 95 114 130
Thames Valle 27 53 82 115 144 175 209 239
Warwickshire 7 13 21 29 36 44 53 60
West Mercia 16 33 51 71 89 108 129 148
Wiltshire 8 16 25 35 44 54 64 74
Greater Manc 58 117 180 252 316 383 458 524
Merseyside 35 69 107 149 187 227 271 310
Northumbria 32 64 98 137 172 208 249 285
South Yorksh 29 58 89 125 156 190 226 259
West Midland 60 121 186 260 326 395 472 540
West Yorkshir 46 93 143 200 251 304 363 417
London North 35 70 108 151 190 230 274 314
London West 35 70 107 150 188 228 272 312
London East 33 66 102 143 179 217 259 297
London South 37 74 115 160 201 244 291 333
Dyfed/Powys 8 16 24 34 43 52 62 71
Gwent 12 24 38 53 66 80 96 110
North Wales 11 23 35 49 61 74 89 102
South Wales 26 52 80 112 140 170 203 232

England & 926 1,856 2,861 4,003 5,017 6,078 7,259 8,320
Dec-04 Jan-05 Feb-05 Mar-05

232 257 286 321

89 98 109 123
101 112 125 140
163 181 201 225
84 93 104 116
161 179 198 222
230 255 284 318
94 104 116 130
129 143 159 178
222 247 274 307
80 89 99 111
265 294 327 366
117 130 144 162
183 203 226 253
240 267 297 332
284 315 350 392
161 178 198 222
97 107 119 134
122 135 150 168
97 108 120 134
100 111 124 139
213 236 263 294
178 197 219 246
90 100 111 125
100 111 124 139
193 214 237 266
147 163 182 204
271 300 334 374
68 76 84 95
167 186 207 232
83 92 103 115
593 658 731 819
351 389 432 485
322 357 397 445
293 325 362 405
611 678 753 844
471 522 581 651
355 394 438 491
353 392 435 488
336 372 414 464
377 418 465 521
80 88 98 110
124 137 153 171
115 128 142 159
262 291 324 363

9,405 10,432 11,596 13,000

PC55.2004 ANNEX C

DRAFT PROPOSALS – FOR INFORMATION ONLY

DRUG REHABILITATION REQUIREMENT

Criminal Justice Act 2003 sentencing framework

The Drug Rehabilitation Requirement (DRR), one of twelve requirements of the new
Community Order and Suspended Sentence Order to be introduced in April 2005,
will replace the DTTO (of both higher and lower intensity).

The new legislation requires the purpose of sentencing to be defined i.e.

punishment, reparation, rehabilitation or protection. DRRs fall into the rehabilitation
category. Alongside this, the level of intervention ordered under the Community
Order will take into consideration the seriousness of the offence and the level of
intervention required to meet the appropriate community sentence band (high,
medium or low).

Reasons for the proposed DRR model

At present, a DTTO is the only drug treatment option available to sentencers but the
National Standard requires the same high level (20 hours in the first thirteen weeks
or 12 hours for the lower intensity variant) of treatment contact for all drug misusing
offenders given this sentence. Whilst this level of treatment will be appropriate for
many problematic drug misusers, in some cases lower level provision may be more
suitable. Currently there is a risk of “over-treating” some offenders placed on a
DTTO.

As a high intensity order, the DTTO is frequently imposed as an alternative to

custody. Under the new Community Order, the DRR can be imposed to meet
rehabilitation needs and other requirements can be added to meet punishment
needs.

Principles underlying the proposals

The NHS ‘Models of Care’ for drug treatment provides a framework for matching
treatment to the treatment needs of an individual through an assessment process.
To bring drug treatment delivered under a court sentence into line with Models of
Care, DRRs need to have more flexibility than DTTOs in their ability to plan the level
of treatment required under the order. Increasingly, this may be treatment that has
already been agreed, care planned and started pre-sentence under a criminal justice
initiative (e.g. Arrest Referral or through Criminal Justice Integrated Teams).

The proposed model for DRRs

The treatment provided under a DRR would be made up of one or more of the four
main treatment modalities defined in Models of Care:

• Prescribing (residential detox, community reduction and maintenance)

 • Structured Day Care
• Residential Rehabilitation
• Care Planned Counselling

The DRR could be made up of one or more of the above modalities, as appropriate,
to meet the offender’s treatment needs. This will give clarity to the DRR from a
treatment or sentencing perspective. The level of intervention needed to meet the
sentence level i.e. to match the overall restriction on liberty with the seriousness of
the offence can be achieved by adding other requirements to the Community Order
such as an activity requirement or unpaid work requirement. It will therefore still be
possible for the Community Order to be as intensive as a DTTO and to place a
similar restriction on liberty. The main difference is that the order can be made up of
a number of requirements to achieve this. If the treatment needs are low other
requirements can be added to reflect the seriousness of the offence.

Alternatively, a long DRR, with intensive treatment input e.g. structured day care or
residential rehabilitation, may give the required restriction on liberty without the need
for other requirements.

It is envisaged that DRRs will usually be accompanied by a requirement for

supervision.

A programme requirement without a DRR may be suitable when:

• The offender is assessed as not needing/suitable for any of the four treatment
modalities
• Consent to a DRR is refused by the offender

It is anticipated that drug testing and review court hearings will operate in a similar
way as for DTTOs.

Full details will be provided in the Criminal Justice Act Training programme which will
commence early in the New Year.
 DIP Structure October 2004
Peter Wheelhouse
Head of Unit

Lucinda Patt Gillian Radcliffe

PS Comms support

Sal Edmunds Andy Blacksell

Deputy HoU

Jo Grinter Anne Taylor Shereen Sadiq Ruth Pope Ian Clements Prog Mgr Peter Grime

Adult Drug Testing CJITs Aftercare Young People Performance Mgt Programme Mgt Bill
Alcohol policy/pilots PPOs Housing Best practice MIS/data RoB pilots
Cond Caution P2W Pm stocktakes Briefing/PQs Legislation
NOMS Finance overview Drug Courts
PC55.2004 ANNEX E
DIP Telephone List

Peter Wheelhouse Grade 5 (Head of Room 122 020 7273 3360

Unit) Queen Anne’s Gate
Lucinda Patt Personal Secretary Room 125 QAG 020 7273 3335

Andy Blacksell Grade 6 Room 125 QAG 020 7273 4007

Sally Edmunds Grade 6 Room 116 QAG 7273 3439
Gillian Radcliffe Consultant 07957 446659

Performance Management

Stan Bates Detective Chief Room 125 QAG 07810 790817

Inspector (DCI)
Ian Clements Grade 7 Room 125 QAG
Martin Fanner DCI Room 125 QAG 020 7273 3431
Phil Skillen Consultant Room 125 QAG 020 7273 4649
Mary Calvert Senior Executive Room 125 QAG 07990 776635
Officer (SEO)
Judith Cooper SEO Room 118 QAG
Shelagh Hetreed SEO Room 125 QAG 07867 500583

CJIT, PPOs & Conditional Cautioning

Anne Taylor Grade 7 Room 125 020 7273 4623

QAG
Dexter Coombe SEO Room 125 020 7273 2476
QAG mobile: 07990 698722
dexter.coombe@ukonline.co.uk
Grant Oliver SEO Room 125 020 7273 3602
QAG
Bernadette Bruton SEO Room 125 020 7273 2476
QAG

Aftercare/NOMS

Shereen Sadiq Grade 7 Room 125 QAG 020 7273 2277/

07990 698721
Beverly Love SEO Room 125 QAG 020 7273 2160
Jake Hawkins SEO Room 125 QAG 020 7273
2377/07967
054584
Programme Management

Karen Whitham SEO Room 116 QAG 020 7273 4045

Suzy Twigg Higher Executive Room 116 QAG 020 7273 3221
Officer (HEO)

Restriction on Bail/Bill Team

Peter Grime Grade 7 Room 118 QAG 020 7273 4132

Marilyn Blomfield SEO Room 125 QAG 020 7273 2287
Shimon Fhima HEO(d) Room 125 QAG 020 7273 3628

Drug Testing and Alcohol

Jo Grinter Grade 7 Room 118 QAG 020 7273 3669/

07950 300998
Chris Ashley SEO Room 118 QAG 020 7273 2578
Alan Robinson HEO Room 118 QAG 020 7273 3302
Natalie Wood HEO Room 118 QAG

Young People

Ruth Pope Grade 7 Room 114 QAG 020 7273 2490

Liz White SEO Room 114 QAG 020 7273 4101
Amie Shallcross HEO Room 114 QAG 020 7273 2656
Kim Brown SEO Room 114 QAG 020 7273
2424/07887 778807
PC55.2004 ANNEX F

+
th
Crime Reduction and Community Safety Group 5 Floor, Hannibal House
Drug Strategy Directorate Elephant & Castle
Criminal Justice Interventions Programme (Drugs Unit) London SE1 6TE
Room 125 50 Queen Anne's Gate, London SW1H 9AT Tel 020 7972 2236
Switchboard 020 7273 4000 Fax 0207 273 3100 Fax 020 7972 2248
Direct Line 020 7273 3160 Email: rosanna.o’connor@nta-nhs.org.uk
Email: peter.wheelhouse2@homeoffice.gsi.gov.uk www.nta.nhs.uk
www.drugs.gov.uk

27 September 2004

Government Office Drug Team Regional Managers and CJIP leads and
NTA Regional Managers

Dear Colleagues

PROPOSED ROLL-OUT OF THE ITMDF FROM APRIL 2005

Rosanna O’Connor and I wrote to you on 14 July 2004 about the “Quarterly
update on progress in 102 DATs for Throughcare and Aftercare” and also
referred to plans to introduce use of Section B and C of the ITMDF to support
continuity of care in the non-intensive DAT areas.

This note is to:

• update you about those plans

• tell you that roll-out of a revised ITMDF to all areas is now scheduled for 1
April 2005
• ask you to communicate these messages to all DATs in your area.

CJIP and NTA have been working with Prison and Probation colleagues to
amend the current continuity of care guidance and had intended that the
expansion of use of Sections B and C of the ITMDF would take place in
October 2004. However, the revision of the guidance and related discussions
with colleagues around a broad range of policy, practice and data issues have
led us to the conclusion that a more comprehensive review of the content and
use of the ITMDF, followed by its full adoption in all areas, is more
appropriate.

The ITMDF has been a very useful tool since its introduction in the intensive
CJIP areas in February. It has enabled us to gather more meaningful
information about how we are engaging with our client group and to improve
their continuity of care. Its first months of use have also identified some
aspects on which we could improve, to respond to the concerns of
practitioners and to ensure it reflects the current policy context and monitoring
priorities.

Some issues which have already been identified as requiring attention are:

• Lack of consistency in interpretation of certain fields, leading to less robust

monitoring data
• Changes to monitoring requirements eg need for detailed reasons for
refusal of assessment
• Degree of repetition between Sections A and B
• Practical impact of information from Section A, especially basic details of
drug use, not being available to prison-based colleagues
• Need to explore options around informed consent to facilitate information
sharing in general and to respond to new work, such as building
relationships between CJITs and Prolific and other Priority Offender (PPO)
schemes.

With our prison and probation partners, we have taken the decision that rather
than rolling out the use of Section B, when we are all agreed that a more
general review is already required, we will delay roll-out until April 2005 and
will at that stage be able to introduce a new form in all areas.

This is, as I am sure you will understand, a major piece of work. In order to
get this right, we are establishing a small working group, including regional
and local representation, and will need to consult with you all on some issues;
a wider consultation exercise will be embarked upon following this letter.

We are aware that a number of non-intensive areas are already using Section
B and C, in order to improve continuity of care for those entering and leaving
custody. Prisons colleagues find this very helpful in offering continuity of care
to CJIP offenders, and we have no intention of hindering this. Therefore:

• For CJIP-intensive areas, there is no change to current practice and they

should continue using all sections of the ITMDF
• Those non-intensive areas already using the ITMDF Sections B and C
may continue to do so
• Any non-intensive areas wishing to begin using Sections B and C now,
may do so
• Any non-intensive areas wishing to wait until formal roll-out, which will be
fully supported by guidance and a training programme, should not be put
under any pressure to use the ITMDF at this stage

• In order to ensure continuity of care , those non-intensive areas not yet

wishing, or feeling able, to use the ITMDF, still need to share information
with the prison treatment teams. Annex A contains the information which
the Healthcare and CARAT teams would find most useful and which
would avoid duplication of information gathering.
I hope this new plan does not cause too much disappointment or
inconvenience and that it will, by April, result in a user-friendly, comprehensive
monitoring and continuity of care tool with which we can all be satisfied.

Thank you as always for your continuing support and co-operation.

Yours sincerely

Peter Wheelhouse Rosanna O’Connor

CJIP (DU) National Treatment
Agency
ANNEX A

SET OF USEFUL INFORMATION TO BE PASSED FROM CJITs TO

PRISONS HEALTHCARE AND CARAT TEAMS

Date referred to CARATs:

CJIP (community drug worker) Contact name and Address

Tel:
Fax:

Client details:
• Full name
• Address inc NFA status
• Age
• Gender
• Ethnicity
• Accommodation – key issues
• Treatment history-including details of current prescriber if appropriate
• Current drug use
• Legal details inc likely outcome of charge /conviction e.g. remand
• Health Issues
• Social Support
• Likely outcome of arrest charge
• Any immediate issues – especially in relation to self-harm or harm to
others
PC55.2004 ANNEX G
DIP AND NOMS CASE MANAGEMENT OF OFFENDERS:
AGREEMENT BETWEEN NPD/NOMS, DIP AND PRISON SERVICE

SUMMARY

This document aims to clarify the respective roles of NPS/NOMS and the Drug Interventions
Programme (DIP) in the management of drug misusing offenders.

Criminal Justice Integrated Teams (CJITs) in 47 Drug Action Team (DAT) partnerships with
high acquisitive crime provide a clear focus in the community for referrals and assessments
needed for drug misusing offenders in the criminal justice system and those leaving
treatment. CJITs should work closely with probation in statutory cases and this will form the
basis of developments under NOMS.

Where there is a statutory order or licence, overall responsibility for offender management
will be NPS/NOMS. CJITs can provide support for drug-related needs. On completion of
statutory contact, the offenders drug treatment needs will be managed by a named CJIT
worker.

When NOMS is implemented, it is envisaged that the Regional Offender Managers (ROMs)
will be responsible for ensuring links between CJITs and offender managers.

BACKGROUND

CJIT will allocate a worker after a drug misusing offender has been assessed and it has
been agreed that he/she will be taken onto the CJIT caseload. This can happen at any point
in the criminal justice system or on leaving treatment. The CJIT worker will develop a care
plan with the offender and link with appropriate interventions.

a. Pre sentence

Where CJIT have identified an individual who is then remanded in custody, and consents to
information being passed, they will fax the assessment to the Counselling, Advice, Referral,
Assessment and Throughcare services (CARATs) team. Other CJIT clients will be identified
by CARATs and, with consent, will be notified to the relevant CJIT. CARATs will undertake
responsibility for managing treatment whilst the offender is in prison through further
assessment and work as required. CARATs will inform CJIT of further assessments and
significant treatment events. CJIT are responsible for tracking the individual through the
courts and informing CARATs if/when a release from court occurs.

When a PSR is prepared, on an offender known to CJIT or CARATs, the PSR author will
liase with them to ensure the proposed plan for supervision addresses drug treatment needs.
This could lead to a proposal for a DTTO or other community sentence. If an offender
becomes a statutory case, management of the order will be held by NPS/NOMS

b. Community sentence

Where an offender is subject to a community sentence, except for a DTTO, and there is an
unmet drug treatment need, the supervising officer/NOMS case manager can approach the
CJIT in accordance with locally agreed protocols to make a referral. NPS/NOMS retains
overall responsibility for delivery and enforcement of the order, although CJIT may broker or
deliver drug treatment interventions. The offender may or may have not been known to CJIT
pre sentence, but the order will nonetheless continue to be case managed by NPS/NOMS.

Not all drug treatment will be organised via CJITs. If an offender is sentenced to a DTTO,
this treatment will have been commissioned via the DAT and will be case managed by
Probation/NOMS. Referral to CJIT by Probation/NOMS may however be appropriate before
termination of statutory contact where there is on going treatment need. Offenders who
decline referral to CJIT, will have their drugs needs addressed through the NPS/NOMS case
management.

c. Prison sentences of 12m or more or young offenders aged over the age of 18

The process described at the pre-sentence stage may have already occurred for prisoners
who were previously remanded. If it has not taken place pre-sentence, it will be carried out
for those newly sentenced. If CJIT have been involved pre-sentence they will liase with the
CARATs team. CARATs will be involved as described above.

CARATs will liase with CJIT when preparing release plans and inform CJIT of release dates.
CARATs are also required to liase with sentence planning and resettlement teams in the
prison. CARATs will oversee drug treatment delivered in prison, refer to CJIT and will make
contact with the CJIT worker in the offender’s home area to ensure consistency of drug
treatment provision post release. NPS/NOMS will advise on resettlement arrangements and
licence conditions at least 6 weeks prior to discharge, including drug treatment needs. The
NPS/NOMS case manager is required to prepare an updated supervision plan within 15 days
of the offender release. One component of this supervision plan may include interventions
accessed/delivered by CJIT. At the end of statutory supervision NPS/NOMS will liase with
CJIT to enable ongoing drug treatment needs to be addressed and CJIT will take over case
management.

Arrangements for addressing continuing drug treatment or other needs should be specified
by NPS/NOMS in the final supervision plan review.

d. Offenders sentenced to less than 12 months imprisonment

The same processes will be followed by CARATs and DIP as for those sentenced to more
than 12 months imprisonment. Working with CARATs, CJITs will identify and broker access
to resettlement agencies on release and provide on going support and co ordination.