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HM INSPECTORATE OF PROBATION

EFFECTIVE SUPERVISION INSPECTION


SIGNIFICANT OTHER FORM

Please complete this form in black ink, in the same way as the case manager interview form. For questions with multiple choice answers, please shade in the circle relating to the appropriate response.

If further copies of this form are required, please contact 0161 869 1300. Please do not use photocopies.

1. Full name of  offender
2. Interview: In Person
    by Phone
3. Name of interviewer
4. Date of Interview
    (dd/mm/yy)
     
5. Interviewee is
    Accredited program tutor
    Non-accredited groupwork tutor
    CPO supervisor
    Approved premises staff
    Other staff in area
    Partnership agency
    Police
    Other MAPPA agency
    Other
       
6 If partnership directed to particular criminogenic factor what
    Accommodation
    Basic Skills
    Drugs/solvents or alcohol
    Employment
    Other
       
7 If interviewee is an area staff member, grade
    PSO
    Sessional supervisor
    Other
       
8. Name of Interviewer
    HMIP
    Area assessor
 

 

B3: Case management

 

N/A

0

Poor

1

Not Sufficient

2

Sufficient

3

Excellent

B3.1 

Are liaison responsibilities with the case manager and any other relevant staff clearly defined

 

C1: Managing attendance and enforcement

 

N/A

0

Poor

1

Not Sufficient

2

Sufficient

3

Excellent

C1.1 

[Please refer to guidance for question C1.1 on case manager interview form by clicking here]

(If relevant) is the frequency of appointments/work sessions arranged at the intervention concerned sufficient to meet planned objectives and any risk of harm considerations

C1.2 

Are arrangements for handling any absences from the intervention, assessing acceptability, and for dealing with any unacceptable behaviour, clear and appropriate?

C1.3 

Have all absences or unacceptable behaviour been reported to the case manager?

 

C2: Managing attendance and enforcement

 

N/A

0

Poor

1

Not Sufficient

2

Sufficient

3

Excellent

C2.1 

[Please refer to guidance for question C2.3 on case manager interview form by clicking here]

(Not for CPOs)

Does the timing and sequencing of the intervention appropriately reflect the offender's likelihood of re-offending and/or risk of harm?

C2.2 

(Not for CPOs)

Is the work in this intervention directed at community re-integration?

C2.3 

[Please refer to guidance for question C2.11 on case manager interview form by clicking here]

(Not for CPOs)

From interviewee’s perspective, how actively has case manager motivated offender by reinforcing work on this intervention?

C2.4 

[Please refer to guidance for question C2.11 on case manager interview form by clicking here]

(Not for CPOs)

From interviewee’s perspective, how actively has case manager liased with the interviewee to support the intervention?

C2.5 

(Not for CPOs)

Does the intervention challenge the offender to accept responsibility for the offence and its consequences?

C2.6 

(Only for CPOs and CPROs)

Does the work occupy the offender fully and is it demanding?

 

C3: Diversity Needs

 

N/A

0

Poor

1

Not Sufficient

2

Sufficient

3

Excellent

C3.1

(Where relevant) Have issues of literacy and dyslexia been appropriately addressed in the intervention?

C3.2

[Please refer to guidance for question C3.2 on case manager interview form by clicking here]

Does the intervention take account of any race equality or other diversity issues (group work v individual CP placements; use of interpreters/ translators; use of partnerships and suitable accommodation for women; disability issues)?

 

C4: Responsivity

 

N/A

0

Poor

1

Not Sufficient

2

Sufficient

3

Excellent

C4.1

[Please refer to guidance for question C4.1 on case manager interview form by clicking here]

On learning style, has consideration been given (by interviewee and/or case manager) to the methods likely to be most effective with this offender?

 

C5: Management of risk of harm

 

N/A

0

Poor

1

Not Sufficient

2

Sufficient

3

Excellent

C5.1

[Please refer to guidance for question C5.1 on case manager interview form by clicking here]

Where the intervention relates to management of risk of harm)

Is the level of intervention appropriate to assessment of risk of harm?

C5.2

[Please refer to guidance for question C5.2 on case manager interview form by clicking here]

(Where the intervention relates to management of risk of harm)

How well is the intervention contributing to successful management of risk of harm?

C5.3

[Please refer to guidance for question C5.3 on case manager interview form by clicking here]

(Where the intervention relates to management of risk of harm)

From the interviewee's perspective:

(a) is the probation area’s contribution to the MAPPA on this case appropriate?
(b) is there effective liaison by the area with the other MAPPA partners?
(c) has a good quality risk management plan been produced under the MAPPA or other inter-agency arrangement?
(d) Is this risk management plan being executed appropriately, with effective liaison between the agencies, including on accommodation issues?

 

D1: Management of risk of harm

 

N/A

0

Poor

1

Not Sufficient

2

Sufficient

3

Excellent

D1.1

[Please refer to guidance for question D1.4 by clicking here] and [to question D1.7 on case manager interview form by clicking here]

What outcome(s) are/have been achieved to date from the intervention (where relevant):

Positive change in psychometric scores. Positive change in criminogenic factors (reduced drug misuse, employment). Positive measurable change in attitudes, beliefs or behaviour towards offending and awareness of effect of offence on victims.Measurable improvement in community ties and social circumstances

(Give one score for these outcomes overall)

 

 

 

C5: Management of risk of harm

 

N/A

0

Poor

1

Not Sufficient

2

Sufficient

3

Excellent

D2.1

[Please refer to guidance for question D2.1 on case manager interview form by clicking here]

What indications does the interviewee have that any positive outcomes from the intervention will be sustainable?

 

 


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