There is a 24-hour clinical presence in each of the young offender institutions, and in Oakhill secure training centre, which experiences and manages the greatest number of cases of drug and alcohol dependence among young people. All other secure training centres and secure children's homes have arrangements in place to identify and manage, often with the assistance of local NHS substance misuse services, cases of substance dependence.
The Youth Justice Board, Department of Health and the National Treatment Agency for Substance Misuse are about to issue jointly developed clinical guidance for the treatment of substance dependence among young people in secure settings. This will be the first document of its kind in the world.
The guidance has been piloted in five young offender institutions (Ashfield, Downview, Hindley, New Hall and Wetherby), one secure training centre (Oakhill), and two secure children's homes (Vinney Green and Aycliffe).