Prison drug and alcohol services

HMP Downview

Downview is a prison for women located in Sutton, Surrey.

Forward delivers substance misuse programmes at the prison including:

Clinical Services

Medical interventions provided by a nurse/doctor such as opiate substitution therapy (OST) and detoxification. The aim is to improve physical and psychological functioning, improve quality of life and support recovery.

All service users who receive clinical interventions also receive psychosocial support and can access Forward’s low-medium intensity, non-abstinence based group workshops/programmes.

Case Management

Forward’s Case Management services involve:

  • Comprehensive assessment of needs
  • Needs-led care planning
  • Individual key working sessions
  • Motivational enhancement
  • Delivery of low-medium intensity psychosocial group workshops
  • Relapse prevention
  • Release planning

Stepping Stones

Stepping Stones is a low-medium intensity four week, 20-session psychosocial intervention for those drinking alcohol or using drugs at harmful or dependent levels. It comprises four core modules/topics focused on learning and practising coping skills to stay safe and manage triggers, cravings and symptoms of anxiety and trauma which, if left unaddressed, would be likely to undermine recovery. Stepping Stones is accessible to service users undergoing clinical interventions (e.g. opiate substitution treatment).

The Rapt Bridge Programme

The Bridge is an intensive, six week abstinence-based programme. Completion of Step One of the Twelve Steps of Narcotics Anonymous is complemented with elements of Motivational Enhancement Therapy (MET) and trauma-informed CBT (Seeking Safety). Continuous elements of the programme include: group therapy; peer support; AA/NA meetings and literature readings and individual key work sessions.

Bridge is primarily aimed at offenders with a medium-high risk of reoffending and a history of substance dependence. It is intended to be run in prison settings, and ideally on dedicated residential units.