Other Research, Evaluations and Analysis

Evaluation of Drug Testing on Arrest in Essex

In partnership with Essex University, Therapeutic Solutions undertook an evaluation of drug testing on arrest across Essex. The study found that stakeholders broadly perceived clear benefits from drug testing at the point of arrest in terms of early intervention/addressing relapse although there were some concerns over the initial operationalisation of drug tests and some ‘fatigue’ over “revolving door” offenders. Interviews with offenders highlighted the importance of early interventions with the importance of rapport with treatment staff a key factor underpinning behavioural change. Interviews also stressed the impact on the immediate family. The study suggested developing cognitive tools aimed at addressing the family impact of offending at this point in the criminal justice process.

Review of the Drug Rehabilitation Requirement

Therapeutic Solution was commissioned by the National Offender Management Service (NOMS) part of the Ministry of Justice with the aim of reviewing the Drug Rehabilitation Requirement (DRR). The study had three main phases:

  • Phase I incorporated a national survey of all 42 Probation Trust areas (as at the time) to initially assess effectiveness and perceptions of how the orders are being managed;
  • The information derived from the national survey was then used as a sampling frame in Phase II to examine in-depth stakeholder’s perceptions including views from offenders themselves. In total over 400 stakeholders were interviewed including operational and strategic staff; magistrates; offenders and other local stakeholders
  • A final phase examined the cost-effectiveness of delivering treatment to offenders. The aim of this component will be to assess the feasibility of developing a balanced scorecard approach to measure the effectiveness of an order. This approach will use a variety of quantitative indicators including financial costs, staff and service user perspectives alongside assessments of the levels of reductions in offending experienced following imposition of an order.

Recovery Services

We have offered a range of services to support the development of recovery services across the substance misuse sector including a number of reports and academic peer-reviewed papers. We have a paper written in partnership with Birmingham University on influences to 12-Step mutual self-help groups published in the European Addiction Research in September 2014.

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Our Services

We have developed a range of analytical and methodological approaches aimed at understanding the health and substance misuse needs of individuals including extensive interviews with a cross-section of service users in contact with healthcare and other related services. We have also worked to develop methods aimed at understanding the nuances of prisoner satisfaction of clinical services received. Our paper testing use of SERVQUAL as a mechanism for understanding ‘real’ satisfaction rates has been published here.

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Studies and Assessments

We have undertaken over 50 health and substance misuse specific needs assessments since 2006. These have included studies across community settings and across the criminal justice system (including detainee needs in police custody; service users in contact with Sexual Assault Referral Centres (SARCs) and prisoners in contact with health services in secure settings).

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