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We will create a process for MOJ to receive information on people who do not access treatment after sentencing. This would enable MOJ to find any information they hold that can explain why people do not access treatment or highlight areas that can be improved. It could also help to verify the linked information. People who move to other systems We present details on the records from nDelius and the overall rate of linkage (or detection) to the NDTMS data set.

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We used this information to link these systems using deterministic and probabilistic approaches. More information on the approaches we took in this report is available in the methodology report. For offenders accessing treatment, we saw substantial reductions in their main substance of use and in the frequency they reported using these substances. Limitations

MOJ manages the probation data capture system nDelius. Alongside demographic data, nDelius captures information needed for probation supervision and includes court reports. To put these results in context, it is useful to consider the latest national statistics on alcohol and drug misuse treatment for adults, which records the treatment exits of people who left treatment in that year. The 2021 to 2022 report showed that people completing treatment successfully accounted for 48.5% of all those who left. To seek the views of people who use treatment services to help improve and refine projects that we identified in our discovery phase. For more about this objective, see section ‘7.3 Engaging with stakeholders’ below. As we show in figure 6, the problem substance profile indicates that around a third (32%) of offenders sentenced to an ATR have substantial drug-related problems. Also, most offenders sentenced to a DRR are in the opiate group (68%). being sentenced to an ATR with a main offence category of drink driving (compared with those with a main offence category of violence)

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In the combined group of people who left treatment after having an DRR or ATR, 47.6% completed their treatment successfully. This indicates that the combined group achieved slightly worse outcomes than the general treatment population. To develop the evidence base on the pathways between probation and treatment, including assessing treatment outcomes for those offenders who engage with treatment services. This report is part of this objective. This is broken down as 8,065 offenders (45.9%) with an ATR who appear to have engaged in treatment on or after their sentence date, compared with 7,056 offenders (33.1%) with a DRR. Further detail for people already in treatment on or after their sentence date is available for the ATR and DRR groups in the data tables (tables 5 and 6).

To adjust for this possibility, we put a time limit on people seeking access to treatment. This time limit focused on if a person was either in treatment at their sentence date or if they accessed treatment within 3 weeks of their sentence date. We applied the same kind of multilevel logistic regression to offenders sentenced to a DRR. The results are in figure 3. Almost 40% of people did not report being referred from the criminal justice system ( ATR: 39%; DRR: 40%). This finding shows that the ‘referral source’ data in NDTMS may be less accurate than previously assumed.

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For Scotland, 2011 data is shown (update coming soon, the Scottish census was delayed by a year unlike the rest of the UK). The census collection is designed so that each group of postcodes should contain at least 100 people (50 in Scotland).

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The treatment outcomes profile ( TOP) is an outcome monitoring form that provides information on the frequency of a person’s substance use in the 28 days before the assessment date.

Pathways between probation and addiction treatment in England

Under revised ISA 701, auditors must now include the threshold set for overall materiality and performance materiality in the auditor’s report, as well as an explanation of the significant judgements made by the auditor in determining both overall materiality and performance materiality. This might include, for example, the rationale for the determination of performance materiality, as well as the rationale for a change in basis or any significant revisions to both overall and performance materiality through the course of the audit. Given the profound impact COVID-19 has recently had on businesses, this may be particularly relevant in the current environment. When do the revisions take effect? Full details of the outputs from this statistical model are available in the data tables (table 16). A more detailed profile, broken down by offender characteristics, of people sentenced to an ATR or DRR and who had at least one treatment record is available in the data tables (tables 1 and 2). 3.3 Pathways between probation and treatment Treatment status of people sentenced to an ATR or DRRWe found a higher proportion of offenders with a DRR who accessed treatment were in the ‘18 to 32 years’ age group than those with an ATR (37% vs 28%). And we saw a lower proportion of offenders with a DRR in the ‘42 years and over’ age group, compared with those with an ATR (26% vs 42%). Overall, 38.9% of offenders with ATRs or DRRs were engaged with treatment services on the dates they were sentenced or after being sentenced. By carrying out this project, we want to improve how services are provided to vulnerable adults. The analysis presented in this report focuses on whether the pathways between probation and treatment were operating as intended. While we need to do more work to verify the information between these national databases, we should attempt to discover why some pathways are not fully optimised. For this, we need to do qualitative research to build a richer understanding of the problem than we can gather from linked data alone. This would also help us to investigate any barriers to accessing treatment for people sentenced to ATRs or DRRs. Looking at 3 weeks after the sentence date, 26% of offenders with an ATR were identified in treatment, compared with 20% of offenders with a DRR. MOJ had a total of 40,353 records of people receiving ATRs and DRRs to DHSC, covering the period August 2018 to March 2022.