Prison drug and alcohol services

HMP Swaleside

Swaleside is a Category C prison within the Sheppey Cluster located on Isle of Sheppey, Kent.

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 Substance Dependence Treatment Programme (SDTP)

The SDTP is a three-phase, 16-to-21-week, abstinence-based programme based on the Twelve Step principles of Alcoholics/Narcotics Anonymous (AA/NA). The Twelve Step ethos is complemented by other evidence-based approaches, including Motivational Enhancement Therapy (MET) and trauma-informed CBT (Seeking Safety).

The focus of Phase One is building motivation and practising safe coping skills. Phase Two (the Primary Phase) is a rolling treatment phase which involves working through the first five steps of AA/NA. Phase Three is focused on relapse prevention and consolidating learning from the previous phases. 

The SDTP 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.