Case study summary
Essex: Supporting people with offending behaviour to live in the community.
Essex Transforming Care Partnership (TCP) have set up an enhanced community forensic service to allow people with offending behaviour or who are at risk of offending to live in the community with extra support.
Essex identified that a barrier to discharge was not having the right support for people with a high risk of offending behaviour, and that existing services did not have the capacity or confidence to manage these risks within the community.
The new service has capacity for 20 people to receive targeted individual support. Each person has a robust risk assessment to identify the intensive support that they need and the team ensures that appropriate risk management strategies are in place. The people receive therapies to address the root causes of their offending behaviour, including support on relationships, alcohol and substance abuse, and anger management. The team work closely with social care services to ensure that risk management strategies are being used successfully and safely.
The team consists of nursing staff, a psychologist, a psychiatrist, an occupational therapist and speech and language therapist, and works alongside the Partnership’s specialist social work and behaviour advice teams.
They also work closely with the existing community learning disability teams, giving them with support and advice so they can work with a further 50 people who present risks and will be supported in the community.
Ten people who are currently living in hospital require the service to enable a safe discharge to the community. The first discharges are planned for spring and summer 2017 and these would not be possible without the new service in place. A further thirteen people who are living in the community have also been referred into the service and Essex believe that without the new service there would be a high risk that these people could be admitted to secure hospital services.
The service was jointly developed by the CCGs and local authorities of Essex and has been in place since December 2016. The pilot was set up with up with funding from the national Transforming Care programme and match-funded by the local partnership who provide the dedicated social workers to work alongside the service. Essex TCP plan to incorporate the service into their core learning disability health contracts from October 2018 so the national funding is transitional and not on-going.
Phil Brown, Philip.Brown2@essex.gov.uk