The in-reach team holds a caseload of about 50. New assessments are normally slotted into prearranged out-patient Clinics if the new assessments are generated from the referral system. All referrals are triaged by the In-Reach Team. On average, 2-3 assessments per week are requested as an emergency from the wings or segregation unit. Substance misuse service: The IDTS (Integrated Drug Treatment Service) is integrated along with mental health and primary care to provide a fully integrated health and wellbeing model of care. The primary aim being to provide better-integrated care for prisoners with closer collaboration between teams and a reduction in duplications of assessments and a more rapid access to care. The substance misuse service currently consists of a lead consultant dually trained in addictions and forensic psychiatry, working part time, an addictions specialist psychiatrist and a visiting addictions trainee psychiatrist ST 7 supported by a team of substance misuse nurses. The service has additionally recruited 1.5 NMPs to support the addictions team. The clinical IDTS service works hand in hand with CGL who provide the psychosocial/recovery input to the prison.