4. Families with multiple problems Improving Futures will make a major contribution to solutions
5. Prevalence of multiple disadvantage (2006) 55% have 0 or 1 disadvantage 45% have multiple disadvantages Number of disadvantages % of families
6. Children from families facing multiple disadvantages are at greater risk of a range of negative outcomes Source: Families and Children Survey (2004 and 2005)
31. Programme Outcomes Health and wellbeing Emotional and behavioural development Educational outcomes Safeguarding and social care Crime and ASB Parenting skills and confidence Health and wellbeing Educational outcomes Safeguarding and social care Crime and ASB Family functioning and relationships Financial wellbeing and security Secure and safe environment Social networks and belonging Strategic Benefits Strategic influence over UK policy Leverage over external resources Synergy with other programmes Knowledge transfer Replication of effective practice Programme Impacts Net improvements to children’s life chances Net risk reduction for families with complex needs Net attributable social cost savings Programme Effectiveness Programme-level Effectiveness of programme design, development and implementation Project-level Effectiveness of governance; partnerships; strategy and planning; user involvement and delivery Quality of provision Sustainability Children Adults Families Evaluation Framework
But what we’re really interested in is multiple disadvantage, that is, families who experience 2 or more problems The slide here shows the prevalence of multiple disadvantage among families with children. The way we did this was to simple count up the number of disadvantages that families experience from our basket of 18 indicators Along the horizontal axis... Around 55% of families do not experience multiple disadvantage But just under half do – these proportions may be considered relatively high but this is a reflection of the large number of indicators we are using Caveat – assumes that multiple disadv is additive, i.e., implies that having 3 disadvs is worse than 2 02/01/12
The Dundee Early Intervention Team, represents a unique partnership between four of the largest children’s charities in Scotland: Aberlour, Action for Children Scotland, Barnardo’s Scotland and CHILDREN 1 st . The partnership will, for the first time, involve these charities working together; pooling expertise and resources to deliver an early intervention service to bring about improved outcomes for children across Dundee City.
Firstly a bit of background: The commitment to collaboration amongst these four organisations – we have been referred to as the Big4 in Dundee, goes back to 2008 following an initial meeting with the Social Work Department, Head of Children’s Services. At that time the organisations were tasked with ensuring that we reduced overlaps or duplication of services in Dundee, particularly in relation to children affected by parental substance misuse The Scottish Government’s Children’s Summit in 2010, resulted in a commitment from Scotland’s largest children’s charities (that’s the four here plus Quarriers) to work more collaboratively in support of the ‘pledge for Scotland’s children’ to improve children’s services and progress the necessary shift towards early intervention. Very soon following the Children’s Summit, The Director of Social Work in Dundee arranged a meeting with CEOs of the Big4 to discuss how their greater collaboration could be achieved and particularly help to address the challenges facing the City Council. The need to do things differently was highlighted, particularly in relation to two key areas: Developing cost effective provision to keep troublesome and troubled adolescents within their families and communities Developing a different approach to Family Support Centres The response from the Big4 was a proposal to establish a pooled resource established from within their existing services that would provide single shared assessment, early engagement and intensive support to children and young people and their families including kinship and foster carers with the aim of keeping them in their own homes and communities. Three key themes emerged from this proposal It had a strong fit with the Getting It Right For Every Child framework and delivery model It would be preventative and have an early intervention focus It had the potential to be replicated in other local authorities Some may say that we had a crystal ball, and I think you’ll see where I’m going here - because …..
The opening of the Big Lottery Improving Futures fund in Spring last year, provided a valuable opportunity and a platform to turn our earlier proposal into establishing a more robust service, increasing the potential for not only doing things differently, but building lasting positive outcomes for children and families across Dundee. Because of our earlier collaboration the Big4 was very well placed to capitalise on Improving Futures which would fund partnerships led by voluntary organisations that can offer joined-up support and provision for families with multiple and complex problems at a local level and meet the three outcomes of the Improving Futures programme. Improved outcomes for children in families with multiple and complex needs New approaches to local delivery that demonstrate replicable models which lead to more effective, tailored and joined up support Improved learning and sharing of best practice between public services and voluntary and community sector organisations And so developed the Dundee Early Intervention Team.
Strategically we have located this service within Dundee’s Integrated Children’s Services structure below the threshold for statutory services.This will be a very GIRFEC principles driven service, delivering real culture, systems and practice change towards ensuring that Dundee’s children are safe, healthy, active, nurtured, achieving, respected, responsible and included. The service will work with families across Dundee where the oldest child is aged 5-10, tackling problems before they reach or are at the point of crisis reducing the need for additional or targeted supports or statutory interventions. Through our existing opportunities for engaging with families, we have explored with them what such a preventative service should look like. They have told us the kind of supports they want, when they would need it most and for how long. It will provide managed, phased and outcomes focussed supports addressing multiple and complex or complicated social, health, relationship or parenting difficulties. Supports will be strength’s based, we’ll adopt a Team Around The Child And Family approach and apply Social Pedagogical practice; valuing children and using head, hands and hearts in our interactions with children, their parents and carers and the wider community. A unique feature of the service is that it will work outwith the standard traditional hours of Monday to Friday 9.00am to 5.00pm because that’s not how families lives work. We will provide supports between 7.00am and 10.00pm including where necessary weekends, through a staff team of 6 FTE workers supplemented by a pool of volunteers and access to 24/7 telephone support. Real added value will be brought to the service by the combined resources of the Big4 charities, providing a single point of access to the support from the early intervention team as well as where appropriate to the range of services and interventions provided by the individual charities. Each of the partners have further committed to provide their resources as contributions in kind, supplementing the funding from Big Lottery in order to maintain a fully effective service. Examples of the resources committed include from: Barnardo’s – an outcomes monitoring framework Action for Children – 24/7 telephone support CHILDREN 1 st – Office accomodation Aberlour – Social Pedagogy and other specialist training and support
So who do we intend to target … It’s the children of families where parents express they are at the point of crisis and need help It’s the children and families whom professionals see as in need of support And it’s the children and families who need help and support but don’t meet the criteria for access to targeted additional support. These will be the children and families identified through Health Visitor led Family Health Needs Assessments, that meet the health plan indicator for Additional Support – currently numbering 2,300 children throughout Dundee
Families will be able to seek help and support from the service directly. The aspiration is that the service will become seen by families as the service to turn to if extra help is needed and crisis is to be averted. All agencies working with and coming into contact with children and families can refer families to the service – using established Integrated referral tools. But we intend to foster a recognition in all services, that the Early Intervention Team is ‘integral’ to the supports provided by other services, so rather than talking to families about “referring on to another service” we want the dialogue to be “ we have a service that can help you”. We will also establish seamless collaboration between Health Visiting Teams and the early intervention service to facilitate families access to the service in the same way. Linked/named staff from the Early Intervention Team will be aligned to Health Visiting Cluster Teams (comprised of Health Visitors, Community Midwife, Staff Nurse, Early Years Worker, Child Protection Link Nurse).