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The model measures associations between these characteristics and the likelihood of being in treatment either on the date of sentencing or engaging in treatment after sentencing. The model produces adjusted odds ratios ( AOR). These ratios show how one characteristic compares with another, while adjusting for all other characteristics in the model. For example, women were around 10% less likely to be in treatment either on or after their sentencing date compared with men ( AOR 0.89 (95% confidence interval 0.79 to 0.99)). The confidence interval is important because it shows the range of values within which we are 95% confident the true value lies. So, we are 95% confident women engage in treatment 1% to 21% less often than men. ATR characteristics associated with accessing treatment Figure 11: frequency of substance use for offenders sentenced to a DRR and categorised as opiates Substance ICAEW Technical Releases are a source of good practice guidance on technical and practice issues relevant to ICAEW Chartered Accountants and other finance professionals. The analysis in this report is the start of the evidence we can gather by linking probation and specialist addiction treatment data sets. For the first time, we were able to show that it’s possible to link all ATRs and DRRs recorded on the probation information system (nDelius) with information from the NDTMS. However, we cannot fully outline the implications at this stage and further work is required (see section ‘5. Strengths and limitations’ below). BOLD is a 3-year cross-government programme led by the Ministry of Justice ( MOJ). It was created to show how people with complex needs can be better supported by linking and improving the government data held on them in a safe and secure way.

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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. We report the TOP completed at the start of treatment as well as the latest TOP completed in the offender’s treatment journey. This could be the person’s final TOP review, or the latest one for those who were still in treatment. For offenders sentenced to an ATR, there was an average of 228 days between these 2 assessments. For offenders sentenced to a DRR, this average was 363 days. 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. Given the sizeable minority of people who are already in treatment when they are sentenced, it would be helpful to know the date of their main offence. This will help analysts to determine more accurately when people start treatment, compared with the offence that triggered the sentence. Other community sentence requirements The substance misuse demonstrator pilot’s focus on ATRs and DRRs is motivated by the government’s drug strategy and the joint thematic inspection of community-based treatment and recovery work with people on probation. The drug strategy emphasises improving the criminal justice response to illegal drug use. It also specifically identified the use of community sentences to reduce crime and reoffending. The thematic report found a sharp decline in DRRs and highlighted weaknesses in joint working between probation and treatment services.

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For offenders sentenced to an ATR (as shown in figure 4 below), being sentenced in 2019 to 2020 or 2020 to 2021 was associated with being more likely to access treatment within 3 weeks, relative to those sentenced in 2018 to 2019. There was no statistical difference between 2018 to 2019 and 2021 to 2022. Only the significant associations are displayed. The data is available in the data tables (see table 9). Figure 9: frequency of substance use for offenders sentenced to an ATR and categorised as ‘alcohol only’ in the 28 days preceding the TOP assessment Substance

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It is important to note that there may be individuals who appear in both data sets, but we could not confidently identify their records when we linked the data sets. So, there could be more people in treatment that we could not find. It is also worth investigating whether the stipulated length of the ATR or DRR is associated with either accessing treatment or the discharge status for people who engage in treatment. 7.2 Qualitative research with service providers and users The report Substance misuse treatment for adults: statistics 2021 to 2022 showed 607 people starting treatment with an ATR and 1,118 people starting treatment with a DRR in England. However, the referral source is self-reported by people accessing treatment. This report uses statistics on alcohol and drug misuse treatment for adults from the NDTMS. 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).

DHSC and MOJ will work together to ensure that the following data elements are available in the next phase of this project. They will begin to regularly share data and refine their methodology for linking and analysing the information. They will also make sure they can evidence any progress being made in the pathways between probation and treatment services – for example, the proportion of people with an ATR or DRR engaging with treatment within a particular time. Which courts sentence people to ATRs and DRRs