Manchester
Offenders:
Diversion
Engagement
and Liaison
(MO:DEL)
Chris Martin
Butler Trust Workshop
September 2013
WHO ARE WE?
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NHS funded mental health team
Work across CJS
Focus is improving health and social care outcomes
Service developed from Pilot project, Bradley Report
recommendations
MO:DEL
Manchester - Cover city of Manchester
Offenders - In contact with CJS
Diversion – Police diversion, Diversion panels,
Magistrates Court diversion
Engagement - Case management (brief
intervention)
Liaison - Advice, navigation, access
Who can ACCESS MO:DEL?
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Residents of Manchester, including NFA who consider
themselves Manchester residents
16 +
Currently involved in CJS
Diagnosed or probable diagnosis of mental disorder
Complex co-morbidities e.g. personality disorder,
homelessness, substance misuse
History of exclusion from services/poor engagement
Aims of the Service
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Provide inclusive service to client group, targeting those
who would otherwise be excluded
Work within “Recovery Model” to support and encourage
clients back into mainstream services
Reduce criminal activity by addressing underlying mental
health issues
Improve clients mental health
Assess and reduce risk to self and others
Support clients to make significant lifestyle changes
breaking the cycle of offending behaviour
MO:DEL Team Structure
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Clinical Lead
Administrator
Mental Health Nurses
Mental Health Social Worker
Consultant Psychiatrist (x 0.1)
Adjunct recovery service (personal recovery) led by
Probation Officer
Vision & Philosophy
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To promote equality of access to the Health and Social
Care Services to which mentally disordered offenders are
entitled.
We promote equivalence by providing equitable access
to Health and Social Care Agencies, working within a
socially inclusive framework. We facilitate multi-agency
working to bridge the gaps between Mental Health,
Criminal Justice and Social Care Agencies.
We are flexible to meeting the multiple needs of the
service user, balancing the recovery goals of the
individual and the need to reduce risk to self and others.
We apply best evidenced practice sharing a culture of
lifelong learning, education and research.
What we do
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Mental health assessment and intervention
Risk assessment
Case management - up to 6 months
Facilitate access to mainstream mental health services
Mental health screening at Court
Engagement Services in Police Custody Cells
Facilitating “Mental Health Activity Requirement” for
Probation Service
Engage with Targetted Services Court
CASE STUDY - DIVERSION
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Client A – 38 yr old female
Arrested for Public Order Act Offence
Concerns around mental health, safeguarding of children
Arrest/assessment made more difficult by language
barrier
Arranged assessment/interpreter
Charge held until assessment had been completed
Longer term referrals completed, Criminal Justice action
ceased
Case Study –
ENGAGEMENT/RECOVERY
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Client B - 48 year old male
Referred by drugs worker.
Referral reason - low mood, hearing voices, panic
attacks and memory loss. Client A had additional
substance misuse needs and was on a Methadone
prescription
Following assessment, client was referred to:
Bereavement Counselling
CMHT
HOPE
Client’s areas of need
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Social isolation/institutionalised (7 years prison)
Long history of substance misuse (heroin)
Difficulty in engaging with healthcare professionals i.e.
G.P
Unresolved bereavement and grief (mother)
Supporting responsibilities with caring for pets (budgie)
Low Mood/Depression
Hearing Voices
Dental problems (contributing factor to client’s low self
esteem)
Intervention
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The focus was on encouraging Client B to attend
appointments, build a daily structure, develop caring
responsibilities, build a social network and to improve
clients health
Supported client when attending GP, Dentist to obtain
dentures and other additional appointments
Supported client to maintain caring responsibility for pet
by regularly visiting vet
Supported client when attending his appointments at
with drug services, and liaised with drugs worker
Encouraged involvement with HOPE recovery service to
improve social skills and to reduce social isolation
During the intervention, Client B was referred and
accepted to CMHT for longer term care coordination