Youth Justice Liaison and Diversion Scheme YJB and Department of Health lead by Sainsbury Centre for Mental Health YJLD Pilot Site The Youth Justice Liaison and Diversion (YJLD) pilot scheme was developed in 2008 to enhance health provision within the youth justice system and facilitate help for children and young people with mental health and developmental problems, speech and communication difficulties, learning disabilities and other similar vulnerabilities at the earliest opportunity. Objectives for the Pilot Sites The specific objectives of the YJLD pilot scheme are: To improve early identification at the point of entry into the youth justice system (YJS) (usually the police custody suite) of under 18 year olds with mental health, learning, communication difficulties or other vulnerabilities affecting their well being; To enhance access for these groups of vulnerable young people in the YJS to multi agency support equipped to meet their needs; As appropriate, to divert young people either from the YJS towards personalised packages of health and social care or, within the YJS, to services better equipped to meet their health, emotional well being and welfare needs; Objectives for the Pilot Sites To promote more timely and cost effective disposal of cases within the court system and quicker and earlier linkage to appropriate services; To reduce longer term offending; To reduce health inequalities To support joined-up working between the YOS, the police, the local authority, the CPS, magistrates, the PCT, CAMHS, and the voluntary sector. Pilot Sites Halton & Warrington Wolverhampton Royal Kensington & Chelsea Peterborough South Tees Lewisham HWYOT Criteria First time entrants Young People who have received a Reprimand or Final Warning who may not have been involved with the police for at least 2 years Young people who have been dealt with by Restorative Justice 10 -17 Years of age HWYOT Referrals Referrals are received from the following sources The Police for young people in custody or being processed via Green Book CAVA’S / PENY’S / Restorative Justice The Courts / YOT Court Team Social Care and other agencies HWYOT What Happens Next? Social Care / CAF and Camhs checks completed. Divert Worker contacts the Parent / Young Person and arranges a home visit. Assessment is completed and any issues/needs identified. Referrals made to relevant agencies for additional support if appropriate. Feedback to be provided to the police via Atlas prior to a disposal decision being made. HWYOT Partnerships. Signposting to other agencies Liaising, updating and informing partner agencies. Working closely with the police HWYOT Interventions The Diversion Project can provide interventions covering areas such as – Consequential Victim The thinking awareness Law Drug & Alcohol Issues Anger management University of Liverpool Evaluation Report Vulnerability area Behavioural Social Safeguarding Mental health Developmental (exc. LD) Wellbeing/confidence Substance misuse Suspected LD Physical health Other issues None Total N 709 530 377 291 149 124 120 48 10 18 117 2493 % 28 21 15 12 6 5 5 2 <1 <1 5 100 * ADHD (49%), Conduct Disorder (19%), Autism Spectrum (19%), Depression (15%) Example Anger/aggression Family conflict Domestic violence Suspected diagnosable MH problem * Poor school attendance Low self-esteem Re-offending Findings Results from findings found no statistical differences in reoffending between YJLD and control sites. However, findings found statistically significant results to desistance/time to re-offending. There is a significantly longer time that elapses to the first re-offence for YP who have been through the YJLD scheme compared to the control sites. This raises the prospect of reductions in societal and monetary costs of offending Re-offending Limitations of Research Sample Small sample sizes in individual comparisons Low numbers to enable correlations re what works for whom 4 sites only Limited matching between YJLD sites and control groups. No calculated predicted reconviction rates (no Asset or Onset info) Other potential confounding factors not taken into account (e.g. police, courts, CPS, YOS practice; other interventions) Service User Views – Research Study 24 in depth face to face interviews (Feb-Sept’11) YP: male (n=16), female (n=8); average age 14.5 (11-17) 11 interviews at YP’s home, 13 at YJLD office and 2 at school Service Users Emerging Themes Social strain, areas of multiple socio-economic deprivation, single parent families, household disharmony (incl. as a result of their contact with the YJS) Disruption of education and difficulties with ‘mainstream’ schools Offending appears to be relatively ‘normal’ within YP’s peer groups Majority report not using alcohol and/or drugs Small minority - excessive alcohol consumption related to outbursts of serious violence. A large number of YP reported difficulties in controlling anger, often with violent consequences. Service Users - Emerging Themes YP in contact with and/or receiving services from a wide range of professional agencies, e.g. YOT, CAMHS, social services. YP appear confused about their contact with the YJLD (and the YJS in general) YJLD - positive, as it appears to meet their desire to be understood and helped, especially through focused attention and periods of one-to-one contact with YJLD practitioners. Stakeholders Views – Emerging Themes All of the professional staff interviewed recognised the importance and value of diversion. Effective referral mechanisms to the YJLD scheme are critical for its success. Greatest barrier to the implementation of the YJLD scheme derived from different competing priorities and agendas of partners involved in the delivery of the project. Different degrees of ‘buy in’ from partners, even though all signed up originally to the scheme. Stakeholders Views – Emerging Themes Relationships with CAMHS were seen as essential to addressing mental health, learning disabilities and specific vulnerabilities for young people referred to YJLD. Universal support for making diversion systematic or compulsory within police practice. Strong expression of opinion that the police should be trained to identify, appreciate and understand the significance of mental health issues in young people. Research Recommendations Develop a clear and uniform diversion policy and practice Integrate diversion scheme with existing services Facilitate appropriate training to YJLD staff Promote systematic screening and assessment Match interventions to YP’s characteristics Incorporate youth diversion into police practice Promote an outreach, family and community centred approach Monitor progress and effectiveness Encourage dissemination of current results HWYOT Divert Project - Future HWYOT along with the other 5 Pilot Sites became one of 37 Pathfinder Sites across the country at the end of 2011. These sites continue to receive funding from the department of Health whilst the Business Case for national rollout is developed and presented to the to the Ministers.