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Contact with treatment services among arrested drug users

Drug & Alcohol Service,The Mill House, Brookfields Hospital, 351Mill Road, Cambridge CB13DF

JUAN CANITROT, Visiting Psychiatrist

Alvarez Hospital, Buenos Aires, Argentina

ADRIAN DZIALDOWSKI, Clinical Psychologist

Drug & Alcohol Service, Brookfields Hospital, Cambridge

ROBERT BATES, Specialist Registrar in Forensic Psychiatry

South Birmingham Mental Health Trust

ALAN GWYNN, General Practitioner and Police Surgeon

Brookfields Health Centre, Cambridge

AIMS AND METHOD

To identify the proportion of arrested drug misusers with prior contact with treatment services, police surgeons' records were examined over a 12-month period and compared with the records of the local drug misuse services. Both referrals and those who attended with face-to-face contact were noted.

RESULTS

Sixty-seven per cent of drug-related cases had been referred to services prior to arrest and 58% had attended with face-to-face contact on at least one occasion. Homeless and male drug users were more likely to have had no past contact. Police surgeons treated three-quarters of the cases for opiate dependence. Drug misusers were much more likely to have had past contact with services than arrested alcohol misusers, and were more likely to reoffend.

CLINICAL IMPLICATIONS

The evidence base for motivational enhancement in the transient coercive setting of police custody is not established, and arrest referral schemes might not be cost-effective in areas where most cases have had previous contact with services. Local research may contribute to more informed decisions about these treatment-related criminal justice initiatives.