A WHOLE-PRISON APPROACH TO SUPPORTING PEOPLE WITH INTELLECTUAL DISABILITIES

by Lisette Saunders

KEY CONSIDERATIONS

Professional support | Interventions | Training

Assessment

• Needed to be outcomes for any assessment• Access to community• Awareness training for staff• Recruited a Learning Disability Nurse• 1 x LD nurse in 2011• 4 x LD nurses in 2014

• LDSQ• Separate tools for individual disability | difficulty• Needed a tool that assessed for additional need• Do IT Profiler

Provides a picture of an offenders potential difficulties, strengths and weaknesses

Provides individually tailored advice and guidance for staff re: care planning and support strategies that is within context

Provides the offender with strategies to maximise their own potential and accessible resources

Identifies offenders that may benefit from further support and/or specialist assessment.

Suggests reasonable adjustments

In the CJS context:

LDD screening tool

60 questions

4 sections consider skills in:• Literacy and numeracy• Attention and concentration• Social and communication• Co-ordination and organisation

Likely to take about 15-25 minutes – dependant

on skills

Question examples Voiced

HMP & YOI PARC

• Do IT Profiler carried out within first 48 hours on Induction

• Support mentor used to facilitate this

• Those who hit high support need = case conference

Includes - LD nurse- Residential staff- Offender supervisor- Activities Allocation

SUPPORTED LIVING PLAN TOOL KIT

Condition & Disability

Issue or Problem:

Intervention:

Contact:

Reduced Mobility/ Reduced Physical Capacity

Risk of Falls Risk of COPD Risk of incontinence Deficits in addressing

personal hygiene Risk of burns/scolds Risk of poor diet/fluid intake

Falls Prevention Chair based aerobics Equipment for easy access to toilets Equipment to support showering Assessment of need/access to Buddy Weight/fluid monitoring/access to Buddy

Gymnasium Staff Gymnasium staff DLO/Healthcare DLO/Healthcare DLO/Wing Manager DLO/Wing Manager/Healthcare

Learning Disabilities

Deficits in Social functioning

Poor coping skills Deficits understanding

rules/requirements Vulnerability Immature emotional

responses Challenging

Behaviour/non-compliance Susceptible to Mental

Health issues

Case Conference Access to easy read information Behaviour Management Plan Access to Support mentor Access to Peer partner Access to Secondary health and Social care Access to education/Work Mentor Education (specific to individual need)

Wing Manager Wing manager LD Team healthcare Wing manager/Healthcare LD Education LD Team Healthcare Education/Industries LD Team Healthcare

Learning Difficulties

Challenging behaviour/non-compliance

Processing difficulties Vulnerability Takes information literally Sensory sensitivity Hyper-activity

Case conference Access to Support Mentor Access to Peer Partner Behaviour Management Plan Access to secondary Services Access to education/Work Assessment and adjust environment Mentor Education ( specific to individual need)

Wing manager Wing Manager/Healthcare LD Education LD Team healthcare LD Team Healthcare Education/Industries Healthcare/Wing manger LD Team Healthcare

MANAGEMENT PLAN

Time Monday Tuesday Wednesday Thursday Friday 08.00 – 09.00

Cleaning Tables

Cleaning Tables

Cleaning Tables

Cleaning Tables

Cleaning Tables

09.30 – 10.00

Toe by Toe

Toe by Toe

Toe by Toe

Toe by Toe

Toe by Toe

10.00- 11.00

Money Management

Money Money Money Money

11.30 – 12.30

Serving

Serving

Serving

Serving

Serving

16.00 – 16.30

Cleaning Tables

Cleaning Tables

Cleaning Tables

Cleaning Tables

Cleaning Tables

17.00 – 17.30

Serving

Serving

Serving

Serving

Serving

SUPPORT MENTORS

• Selected prisoners who have previously been Peer Partners

• Receive the following accredited training: -• Assessing own, Personal, Learning & Thinking Skills• Introductory Awareness of Inclusion & Disability• Introduction to Learning Support• Mentoring Skills

• Act as the interface between individual prisoners and the individual and staff

• Support by LD nurses

• Part of case management reviews

Disability

21% been diagnosed as having a Learning Difficulty (dyslexia, ADHD, ASD etc.) (cf YOI=30%)

18.5% described as having a LDD (YOI=25%) 15% some visual difficulties 9.5% had access to LD services (YOI=15%) 8% registered as disabled 4% some hearing difficulties

Social skills e.g.

Autism traits e.g.

******ADHD traits e.g.

****Emotion e.g.

CASE STUDY

Mr T•Arrived 2011•Few social skills, poor hygiene standards•Poor diet and nutrition•Unable to read or write•Disruptive on wing•Afraid of his cell door being shut

Now•Servery worker•Wrote letter home to mother•Independent living skills•Portfolio of awards and accreditations•Learning how to cook•Attends gym