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A Community Budget for
Supporting Leicestershire’s
Troubled Families
Strategic Outline Case


              Key Messages
Leicestershire’s Ambition for Our
               Troubled Families
1. Significantly improving outcomes for families and their
   children

2. Reducing the current costs of public services

         “Our heart tells us we can’t just stand by… Our head
             tells us we can’t afford to keep footing the
          monumental bills for social failure. we have got to
            take action to turn troubled families around”

                 David Cameron, 15th December 2011
                                                                2
National Update




                  3
Prevalence of Troubled Families in
         Leicestershire



                                     4
5
6
7
Troubled Families Profile: 1300

   49% of households have some                         64% have educational risks
  form of mental health problem                        truancy, >15%, SEN, exclusions,
Rises to 81% with Alcohol & Drug misuse                     class behaviour, PRU



 1 in 2 families involved in                   57% solely or heavily reliant upon
         crime / ASB                                     state benefits
                                                 75% actually in receipt of benefits



 96% have at least one family
                                                  36% of families have a physical
      dysfunction risk
DV, Behaviour, Poor Parenting, Safeguarding,             health condition
         unstable relationships etc                                                    8
Troubled Families make up…

77% of Domestic Violence                 70% of families assessed by
       Casework                            children’s social care
 Sourced from pilot work Summer 2010   are either TF or Threshold (Initial or Core)




  79% of Youth Offending                          96% of CAF Cases
                                                  TF (69% of casework)
    Service Casework                           Threshold (27% of casework)




   48% of Attendance                      100% of Probation Casework
Improvement Service cases                      where probationer is a parent

                                                                                      9
District prevalence of TF families across
                     domains (1300)
              Families with Criminal Justice Issues        Families with Employment Issues
              Families with Education Issues               Families with Family Functioning Issues
              Families with Mental Health Issues           Families with Physical Health Isssues
450

400

350

300

250

200

150

100

 50    80             431               66             277             127            235             68
  0
      Blaby        Charnwood       Harborough         Hinckley &      Melton       North West        Oadby &   10
                                                      Bosworth                    Leicestershire     Wigston
Services that know families with
                       crime/ASB issues
      Common Assessment Framework         Youth Offender Service       Probation Data
      District Council                    Children's Centre            Family Intervention Project
      Frameworki Children's Social Care
350

300

250

200

150

100

 50

  0
       Blaby             Charnwood   Harborough       Hinckley &   Melton      North West            Oadby &
                                                      Bosworth                Leicestershire         Wigston   11
What we learned from the Insight Phase…
         Common issues for Families

   Confusing landscape of public          Difficulties maintaining relationships
    services                                (incl. family, friends, peers, isolation
   Isolation in their communities          & social marginalisation)
   Public services ‘do to them’           Lack of resilience (incl. capability,
   Lack of or limited choice/control       capacity, confidence & inability to
                                            cope)
   Public services in then out            Poor/overcrowded housing (incl.
   Adverse effect on aspirations/          homelessness)
    perception of social mobility          High risk behaviours (incl. substance
   Domestic violence                       misuse)
   Poor parenting                         Poverty (incl. debt & unemployment)
                                           Health (incl. mental health &
                                            disability)
                                           Crime (offending and experience of)
                                           Lack of education/ attainment
                                                                                  12
Reoccurring Themes from Evidence Base,
Current Literature and National Policy on What
                    works:
 Early intervention           Tackling worklessness
 Building resilience          Tackling poor health
 Stability, continuity and    Tackling poverty
  transitions                  Involving communities and
 Effective parenting and       building social capital
  supporting families          Building capabilities, resilience
 Tackling educational          and skills development
  performance



                                                                    13
Common Perspectives from Families
“Many families were resigned to their situations, and did not appear to take
responsibility for trying to improve them. One family had no sense of personal
responsibility at all, and another’s primary responsibility was to get services out
of their lives and would do and say things with that in mind”.

“Families saw limited value in just being told or taught how to do something.
They all wanted much more practical and hands on support, and wanted
someone to actually come in and actually show them how to do things. They
all appeared perfectly happy for someone to practically work with their
children on behalf or in front of them”.

“There is a real divergence between families’ own perceptions of themselves
and how they perceive that professionals view them. Families use words such
as caring, tight, coming together to sort their problems out etc. They say that
professionals would see them as hectic, needy, chaotic, trouble etc. Families
can’t see any recognition from many professionals of their strengths and just
feel they are viewed in the negative”.
                                                                               14
Leicestershire’s Proposed
 Troubled Family Model
Approved Family Model
 Approved Family Model

                                                                  Specialist




                                  ->




                                                                                                     <-
                                                                  Services




                                ft




                                                                                                        Ac
                              hi
                           lS




                                                                                                           t
                                                                                                          Fa
                           ra




                                                                                                             m
                         tu




                                                                                                               ily
                      ul




                                                                                                                   ->
                      C
                   <-

     Co-located locality
          service:
  •Permanent core team
   members inc Family
          Worker                                                                                              Improved outcomes
    •P/t Co-opted team                                                                                  Increased resilience, strengths &
         members                                                                                                 independence
   •Personalised family                                             Family
                                                                    Family
          budgets




                                                                       Role:
                           Universal                                                            Targeted
                                                               Whole family approach
                           Services                            •Delivers direct support         Services
                                                             •Co-ordinates other services
                           <-C                                                                                >
                                                                                                         ily-
                                                           •Outreach in home/community
                              u   ltu                       •Assertive intensive support               m
                                      ra   l Sh                   •Small caseloads               t   Fa
                                               i ft
                                                      ->                                    <- Ac
                                                                                                                                 16
Review of National Family Intervention Project (FIP)
            Released Dec 15th with Troubled Family Announcement
   FIP 4 year Programme
   Independent Study by NAT CEN
   8.8k families

  Profile & Risk factors at Referral (Multiple factors)
   Family functioning - 81% families
       Poor parenting – 67%
       Relationship/family breakdown – 32%
       Domestic violence – 30%
       Child protection – 30%
   Crime/ASB – 39% /79%
   Child Behavioural problems – 60%
   Health Problems – 49%
       Mental health – 39%
       Physical health – 10%
   Not in Employment, Education & Training (over 18s) – 65%      17
NAT CEN FIP RESEARCH:
             Outcomes for families exiting FIP
Outcome Improvements Recorded:
   Families involved in ASB
      A Reduction of 58% to 34%
   Families involved in Crime
      A Reduction of 41% to 20%
   Children with behavioural /truancy problems
      A Reduction of 53% to 28%
   Risks from poor family functioning (DV, family breakdown, child protection)
      A Reduction of 47% to 16%
   Child protection plans
      A Reduction of 34% to 18%
   Health risks including mental, physical health and substance misuse problems
      A Reduction of 34%
   In worklessness (ETE)
                                                                                   18
      A Reduction of 14% to 58%
Partners have agreed the twin aims of
improving outcomes for the families and
their children and reducing the cost to the
public sector of supporting the families
through system change.




                                                                      19
                                © 2011 Deloitte MCS Limited. Private and confidential.

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Troubled Families March 2012-3

  • 1. A Community Budget for Supporting Leicestershire’s Troubled Families Strategic Outline Case Key Messages
  • 2. Leicestershire’s Ambition for Our Troubled Families 1. Significantly improving outcomes for families and their children 2. Reducing the current costs of public services “Our heart tells us we can’t just stand by… Our head tells us we can’t afford to keep footing the monumental bills for social failure. we have got to take action to turn troubled families around” David Cameron, 15th December 2011 2
  • 4. Prevalence of Troubled Families in Leicestershire 4
  • 5. 5
  • 6. 6
  • 7. 7
  • 8. Troubled Families Profile: 1300 49% of households have some 64% have educational risks form of mental health problem truancy, >15%, SEN, exclusions, Rises to 81% with Alcohol & Drug misuse class behaviour, PRU 1 in 2 families involved in 57% solely or heavily reliant upon crime / ASB state benefits 75% actually in receipt of benefits 96% have at least one family 36% of families have a physical dysfunction risk DV, Behaviour, Poor Parenting, Safeguarding, health condition unstable relationships etc 8
  • 9. Troubled Families make up… 77% of Domestic Violence 70% of families assessed by Casework children’s social care Sourced from pilot work Summer 2010 are either TF or Threshold (Initial or Core) 79% of Youth Offending 96% of CAF Cases TF (69% of casework) Service Casework Threshold (27% of casework) 48% of Attendance 100% of Probation Casework Improvement Service cases where probationer is a parent 9
  • 10. District prevalence of TF families across domains (1300) Families with Criminal Justice Issues Families with Employment Issues Families with Education Issues Families with Family Functioning Issues Families with Mental Health Issues Families with Physical Health Isssues 450 400 350 300 250 200 150 100 50 80 431 66 277 127 235 68 0 Blaby Charnwood Harborough Hinckley & Melton North West Oadby & 10 Bosworth Leicestershire Wigston
  • 11. Services that know families with crime/ASB issues Common Assessment Framework Youth Offender Service Probation Data District Council Children's Centre Family Intervention Project Frameworki Children's Social Care 350 300 250 200 150 100 50 0 Blaby Charnwood Harborough Hinckley & Melton North West Oadby & Bosworth Leicestershire Wigston 11
  • 12. What we learned from the Insight Phase… Common issues for Families  Confusing landscape of public  Difficulties maintaining relationships services (incl. family, friends, peers, isolation  Isolation in their communities & social marginalisation)  Public services ‘do to them’  Lack of resilience (incl. capability,  Lack of or limited choice/control capacity, confidence & inability to cope)  Public services in then out  Poor/overcrowded housing (incl.  Adverse effect on aspirations/ homelessness) perception of social mobility  High risk behaviours (incl. substance  Domestic violence misuse)  Poor parenting  Poverty (incl. debt & unemployment)  Health (incl. mental health & disability)  Crime (offending and experience of)  Lack of education/ attainment 12
  • 13. Reoccurring Themes from Evidence Base, Current Literature and National Policy on What works:  Early intervention  Tackling worklessness  Building resilience  Tackling poor health  Stability, continuity and  Tackling poverty transitions  Involving communities and  Effective parenting and building social capital supporting families  Building capabilities, resilience  Tackling educational and skills development performance 13
  • 14. Common Perspectives from Families “Many families were resigned to their situations, and did not appear to take responsibility for trying to improve them. One family had no sense of personal responsibility at all, and another’s primary responsibility was to get services out of their lives and would do and say things with that in mind”. “Families saw limited value in just being told or taught how to do something. They all wanted much more practical and hands on support, and wanted someone to actually come in and actually show them how to do things. They all appeared perfectly happy for someone to practically work with their children on behalf or in front of them”. “There is a real divergence between families’ own perceptions of themselves and how they perceive that professionals view them. Families use words such as caring, tight, coming together to sort their problems out etc. They say that professionals would see them as hectic, needy, chaotic, trouble etc. Families can’t see any recognition from many professionals of their strengths and just feel they are viewed in the negative”. 14
  • 16. Approved Family Model Approved Family Model Specialist -> <- Services ft Ac hi lS t Fa ra m tu ily ul -> C <- Co-located locality service: •Permanent core team members inc Family Worker Improved outcomes •P/t Co-opted team Increased resilience, strengths & members independence •Personalised family Family Family budgets Role: Universal Targeted Whole family approach Services •Delivers direct support Services •Co-ordinates other services <-C > ily- •Outreach in home/community u ltu •Assertive intensive support m ra l Sh •Small caseloads t Fa i ft -> <- Ac 16
  • 17. Review of National Family Intervention Project (FIP) Released Dec 15th with Troubled Family Announcement  FIP 4 year Programme  Independent Study by NAT CEN  8.8k families Profile & Risk factors at Referral (Multiple factors)  Family functioning - 81% families  Poor parenting – 67%  Relationship/family breakdown – 32%  Domestic violence – 30%  Child protection – 30%  Crime/ASB – 39% /79%  Child Behavioural problems – 60%  Health Problems – 49%  Mental health – 39%  Physical health – 10%  Not in Employment, Education & Training (over 18s) – 65% 17
  • 18. NAT CEN FIP RESEARCH: Outcomes for families exiting FIP Outcome Improvements Recorded:  Families involved in ASB  A Reduction of 58% to 34%  Families involved in Crime  A Reduction of 41% to 20%  Children with behavioural /truancy problems  A Reduction of 53% to 28%  Risks from poor family functioning (DV, family breakdown, child protection)  A Reduction of 47% to 16%  Child protection plans  A Reduction of 34% to 18%  Health risks including mental, physical health and substance misuse problems  A Reduction of 34%  In worklessness (ETE) 18  A Reduction of 14% to 58%
  • 19. Partners have agreed the twin aims of improving outcomes for the families and their children and reducing the cost to the public sector of supporting the families through system change. 19 © 2011 Deloitte MCS Limited. Private and confidential.