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JOHN'S STORY
John, 42, was serving a four-year sentence. He could not recollect the exact number of times he had been to prison, only that in most years since turning 18 he had spent at least a few months inside. As a child John had spells in care and when he was 14-years-old he stopped attending school. He was introduced to drugs by an uncle when he was about 11, and several members of his family had drug and alcohol addictions. Throughout his teenage years John was committing offenses, mainly minor theft, and he was first imprisoned aged 18.John had not had a permanent home in more than five years. He lived mostly in squats, slept on friends' floors and sofas, and spent short periods sleeping on the streets. He felt that he had mental health problems but had never received help for them. He found it difficult to cope with life outside because he had never worked, and it was only in prison that he had experienced having a routine.
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Aaron was 17 and in his third spell at a young offenders' institute. He had seen Child and Adolescent Mental Health Services (CAMHS) on and off since he was ten. During his previous spell in custody he had seen the mental health team and been referred to both CAMHS and substance misuse services upon release. The substance misuse service could not see him for two weeks, and when he arrived at the CAMHS clinic he found that his appointment had been cancelled. Aaron felt let down and did not attend any further appointments with either service.
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Katie was arrested and charged with GBH (grievous bodily harm) with Intent at the age of 16. Following her arrest, a Liaison and Diversion worker conducted a mental health assessment, and spoke to Katie's mother about her behavior. The family had been under considerable stress due to family illness and bereavements, and Katie was feeling very "angry with the world," becoming very argumentative at home and with peers, and she was beginning to self-harm. She had also lost two friends on separate occasions, following car accidents, and her older brother had recently left the family home.The worker set up individual counseling sessions to help Katie address her feelings and provide her with better coping strategies. She attended six sessions, where she explored her emotions and made positive changes to her social patterns and peer groups. Her attitude and actions were more under control, and family relationships improved. She learned how to talk rather than fight when she was upset or angry. Katie's school later provided weekly counseling sessions for her and she progressed well in her studies. She began a work placement at a school exclusion center, got a weekend job, and regularly babysat for family members.
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