WHAT DO YOU MEAN BY THE SECURE ESTATE?
WHAT DO YOU MEAN BY CARERS WHO NEED SUPPORT?
In the Western Bay area, there are three main such “secure” establishments – two prisons (one in Swansea and one in Bridgend) and one secure Children’s Home in Neath Port Talbot, It is important that the care and support needs of people living in the secure estate are met both when people are in those establishments, and that plans are in place to also ensure people access the care and support they may need when they are released to live within the wider community
HER MAJESTY’S PRISON (HMP) AND YOUNG OFFENDER INSTITUTION
(YOI) PARC, BRIDGEND
HER MAJESTY’S PRISON (HMP) AND YOUNG OFFENDER INSTITUTION (YOI) PARC, BRIDGEND
HMP and YOI Parc can accommodate up to 2,000 Category B male prisoners.
There are two main sections:
A young person unit for males aged 15-17
Main prison for young offenders aged 18-21 and adult offenders
WHO IS AFFECTED AND HOW?
Under 21
166
50 to 59 Years
115
21 to 29 Years
578
60 to 69 Years
53
30 to 39 Years
498
70 Plus years
19
40 to 49 Years
239
Maximum Age: 89
0
The majority of prisoners are serving sentences in excess of 2 years, with 580 (35%) serving a sentence of between 4 and 10 years.
The Young Persons Unit at HMP & YOI Parc accommodates up to 64 males aged 15-17
WHO IS RECEIVING HELP AND WHAT SUPPORT IS AVAILABLE?
THE PRISON DIRECTLY PROVIDES SUPPORT FOR:
Education
Substance Misuse
Industries
Offender Management
Vocational Training
Interventions Programmes
A NUMBER OF PRISONERS ARE RECEIVING PRIMARY AND SECONDARY CARE SERVICES. OF THOSE:
222 prisoners with an initial diagnosis of mild to moderate mental health conditions accessing doctors services/primary care.:
There are 38 with diagnosed and assessed serious mental health conditions accessing specialist mental health services/secondary care.
EMOTIONAL HEALTH AND WELL BEING – SUICIDE AND SELF HARM
QUARTER
Jul-Sep 2015
Oct-Dec 2015
Jan-Mar 2016
Apr-Jun 2016
SELF HARM INCIDENTS
204
213
330
400
AVERAGE POPULATION
1684
1670
1665
1657
PERCENT OF SELF-HARM AGAINST POPULATION
%
%
%
%
WHAT CHANGES DO WE HAVE TO PLAN FOR?
There is evidence that offending increases during periods of economic recession.
There is an increase in prison population across the UK which means increased demand for services at Parc if population there increased to full capacity.
There is no extra funding for social care for prisoners in Wales as it is within the allocation for Local Authorities to implement the Act.
HILLSIDE
HILLSIDE
Hillside is a secure children’s home for boys and girls, providing full residential care, educational facilities and healthcare provision.
Young people at Hillside are at crisis point and cannot be supported safely on other places.
WHO IS AFFECTED AND HOW?
Secure Children’s Homes provide placements for boys and girls including full residential care, educational facilities and healthcare provision. A very high level of intensive help is offered to each young person. Staff in Secure Children’s Homes work closely with multi-agency partners to deliver individualised care plans.
There are 14 individually managed Secure Children’s Homes in England and 1 in Wales. Hillside, a Secure Children’s Home opened in Neath in 1996
WHO STAYS IN HILLSIDE?
MALE
2013 – 2014
2014 – 2015
2015 – 2016
FEMALE
2013 – 2014
2014 – 2015
2015 – 2016
On average young people stay in Hillside for 3-4 months.
WHO IS RECEIVING HELP AND WHAT SUPPORT IS AVAILABLE?
SUPPORT PROGRAMMES AT HILLSIDE INCLUDE:
Suitable ‘Move on’ Accommodation
Education, Employment and Training
Finance, Benefit and debt advice
Health and well being advice support
WHAT DO YOUNG PEOPLE AT HILLSIDE NEED HELP WITH?
WHAT CHANGES DO WE HAVE TO PLAN FOR?
There is demand for a transition service to support young people leaving the provision.
Hillside is planning to develop its own secure transport service to meet the needs of Local Authorities placing children and young people.
Need trauma informed workforce that understands implications of adverse childhood experiences.
There is emerging pressure on capacity.
HMP SWANSEA
HMP SWANSEA
HMP Swansea is a Category B prison and can accommodate up to 515 men.
WHO IS AFFECTED AND HOW?
AGE PROFILE
- Under 21 7%
- 21 to 29 years 35%
- 30 to 39 years 36%
- 40 to 49 years 16%
- 50 to 59 years 5%
- 60 to 69 years 1%
HOW LONG DO PEOPLE STAY?
- Less than 1 month 37%
- 1 to 3 months 31%
- 3 to 6 months 21%
- 6 months to 1 year 9%
- 1 to 2 years 2%
- Total 100%
HEALTH PROFILE
Prisoners with Diabetes
Prisoners with Epilepsy
Prisoners with Coronary heart disease
DISABILITIES
Severe Disfigurement
Progressive Condition
Visual Impairment
Reduced Physical Capacity
Reduced Mobility
Dyslexia
Learning Disability
Other Disability
Mental Illness
WHO IS RECEIVING HELP AND WHAT SUPPORT IS AVAILABLE?
SUBSTANCE DEPENDENCY REDUCTION
Referrals to the prison drug service, Counselling Assessment, Referral and Through care (CARAT).
MONTH
April
77
May
89
June
95
July
109
Heroin (149 cases) and Alcohol (107) accounted for the majority of referrals received between April and July 2015.
OTHER SUPPORT INCLUDES
Smoking Cessation
Health Care and Mental Health services
Pact (Familiy Support)
Resettlement and Education Services
WHAT CHANGES DO WE HAVE TO PLAN FOR?
Early implementation of the Act suggests that support relating to resettlement may be priority.
A multi-agency response is needed to meet prevention requirements.
Future joint commissioning strategies need to include prevention requirements of people in secure estate.
Treatment pathways for those using novel psychoactive substances.
Counselling should be made available for prisoners serving longer sentences.
Additional training for primary care staff is needed in sexual health and substance misuse.
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