Early Intervention Transformation Programme (EITP) - CYPSP

Page created by Tyler Perez
 
CONTINUE READING
Early Intervention Transformation Programme (EITP) - CYPSP
Early Intervention Transformation
         Programme (EITP)
Early Intervention Transformation Programme (EITP) - CYPSP
What is EITP?

• The Early Intervention Transformation Programme (EITP) is a £30m
  Delivering Social Change (DSC)/Atlantic Philanthropies Signature
  Programme.
• The Programme aims to improve outcomes for children and young
  people across Northern Ireland through embedding early
  intervention approaches.
• The Programme is funded jointly by five government Departments
  (DoH, DE, DoJ, DfE and DfC), DSC and the Atlantic Philanthropies.
Early Intervention Transformation Programme (EITP) - CYPSP
EITP’s Core Themes

• Better use of evidence and data;

• Focus on outcomes;

• Sustainability; and

• Transformational change.
Early Intervention Transformation Programme (EITP) - CYPSP
EITP Governance Structures

                DSC Programme Board

 CYPSP
                                                               Prog.
Project                EITP Programme Board
                                                               Mgt
Support

          Workstream    Workstream   Workstream   Workstream
              1             2            3            4
Early Intervention Transformation Programme (EITP) - CYPSP
EITP Workstream 1

• Workstream 1 aims to equip all parents with the
  skills needed to give their child the best start in life
  and focuses on key parenting stages.
• Projects:
   –   Getting Ready for Baby;
   –   Getting Ready for Toddler;
   –   Getting Ready to Learn; and
   –   Play and Leisure.
Early Intervention Transformation Programme (EITP) - CYPSP
EITP Workstream 2

• Workstream 2 aims to support families when
  problems arise before they need statutory
  involvement.
• Project:
  – Early Intervention Support Service
Early Intervention Transformation Programme (EITP) - CYPSP
EITP Workstream 3
• Workstream 3 aims to positively address the impact
  of adversity on children by intervening both earlier &
  more effectively to reduce the risk of poor outcomes
  later in life.
• Projects:
   –   Building Better Futures          – Edges
   –   Family Drug and Alcohol Court    – Home on Time
   –   Community Diversion              – 6 in 10
   –   Children of Imprisoned Parents   – LAC Education
   –   Early Intervention Childcare
Early Intervention Transformation Programme (EITP) - CYPSP
EITP Workstream 4
• Workstream 4 aims to strengthen the culture of
  inter-professional working practice, with a particular
  focus on ACEs, by supporting professionals to train
  together as well as embedding commonality in
  prevention and early intervention approaches.
• Project:
   – Professional Development Project
Early Intervention Transformation Programme (EITP) - CYPSP
Completed Projects

•   Belfast Intensive Family Support
•   LAC Social Enterprise
•   Community Family Support
•   Care Proceedings Pilot
Early Intervention Transformation Programme (EITP) - CYPSP
Workstream 1

Siobhan Slavin – Implementation
           Manager
The Early Intervention
Transformation Programme (EITP)
       Getting Ready for Baby
      Getting Ready for Toddler
Getting Ready for Baby

• Transforming universal antenatal care and
  parent education
Messages from parents
More preparation
   Practical                  Home visiting is
   parenting                    essential                Emotional impact:
                                                        Antenatal & post-natal
                                                             depression

            Use pregnancy
                                      Consistent
              to facilitate
                                     Information
            social networks
                                      needs to be
                                     provided in a
                                       range of       Trusted Relationships:
                                        formats      Smaller number of health
           Include Dads                                    professionals
1: Improving parent’s readiness and confidence in their parenting role
     2: Improving the social and emotional resilience of children

                    Universal
                                     Solihull ante-
                   messages into
                                     natal care and
                    maternity
                                       education
                     pathway
                                    Named Health
                     3+ Year
                                    Visitor for each
                   Review pre-
                                    DE-funded pre-
                  school settings
                                    school setting
Solihull Training for Midwives

The Journey to
Parenthood
New Approach- Antenatal Parenting
          Programme
           Highlight the
           importance                Group
             of infant                based
              mental               programme
              health

 Opportunities              Solihull
 for midwives                                     Provide social
 and others to             Antenatal              opportunities
     work                  Parenting              for expecting
   together                  Group                   parents

                                        Combine
                  Better               healthcare
                 engage                assessment
                 fathers               and parent
                                        education
• Getting Ready for Toddler
• Supporting social and emotional
  development in pre-school children
Teacher - Health Visitor Meeting               Mother completing ASQ SE at home
           3+ Health & Wellbeing Review

            Mum and Health Visitor meet for 3+ Review in Pre-school
OBA – Who is better off???
                      • Increased knowledge of brain development in the womb – 3 years
                      • Confidence to help parents, identify who needs additional support
 Solihull training    • Confidence to deliver programme
                      • Confident using Solihull approach in daily work

                      • Parent Child Relationship
   Group based
                      • Confidence
 antenatal care &
                      • Social Networks
    education

                     • Partnership
HV alignment to • Support for settings with health information and advice
  Pre-schools   • Benefits to children’s learning / development

                     • Parents respected and empowered
3+ Year Health & • Parent’s have a better understanding of their child’s social and emotional needs
   Wellbeing     • Early interventions disaggregated by intervention service
     review      • Improved ASQ scores following early intervention
Messages from parents
                                                        I really enjoyed the
Feel supported                                         whole class experience
and confident                 More Confidence
                                                        – I have made new
                                                         friends – we are in
                                                          touch daily - the
                                                          babies are now 6
           I feel we really                                  months old
           know our baby
                                     Understand
                                     needs of my
                                        baby       Midwives were fantastic –
      It really brought my                          great to get the same
      husband and I closer                            midwife each time
            together
Getting Ready for Baby Getting Ready
            for Toddler

• Thanks for listening

• siobhan.slavin@hscni.net
Workstream 2

Amanda McLean – Implementation
          Manager
Overview
• Set context of Early Intervention Support Service
  (EISS) within PHA
• Outcomes & performance of EISS
• Outline the features of the EISS
• QUB process evaluation & research
• Sustainability & mainstreaming of EISS
• Stakeholder engagement
Early Intervention Support Service Model

       Supporting families when problems arise
       before they need statutory involvement

     Early
                    Family Group         Parenting
 Intervention
                    Conferencing        Programmes
Support Service
How much did Regional EISS do?                                                                                                                    1
Number of referrals through Referring Agencies Apr 16–
                                                                       Main Reason for referral Top 10 Apr 16–Mar 17 (#1750)
Mar 17 (#981)

                          Youth Justice      1
                                                                                              Self-care support    48
                Behaviour Support (EA)       2

              Community organisation         3
                                                                                             Family breakdown      61
                                   PSNI      4

                            Re-Referral      5
                                                                                     Adult Mental health Issues     75
                Education Psychologist       5

                          School Nurse       5
                                                                         Counselling services for children/young
          Single Point of Entry (Referral…   8                                                                          100
                                                                                         people
                Voluntary organisation       10

                              SureStart      10                                EBD support pre-school children            142

                                 Other       14

 Paediatrician/Community Paediatrician           24                                        EBD support parents            144
                                CAMHS            28

             Education Welfare Service           35                                           Practical support               176
                               Gateway           38

                                    GPs           46                   EBD support post primary school children                 200
                        Family Support…           54

                                 School               70                       Parenting programmes/parenting
                                                                                                                                      379
                                                                                           support
                          Health Visitor               99

                            Self referral                  121
                                                                           EBD support primary school children                              425
                    Family Support Hub                           399
How well did Regional EISS do it?
Outcome of Intervention Apr 16 – Mar 17 based on families supported #707

                           4%
                                                                Total families successfully
                                                                completing intervention (#592)
                      12%
                                                                Families disengaged from
                                                                service/moved out of area (#83)

                                                                Families escalated to Gateway
                                                                (#32)
                                   84%
How well did Regional EISS do it?
•    532 parent/carer user satisfaction forms were issued; 471 (88%) were completed 91% of families rated the service as
                                         excellent & 6% rated the service as very good.
    • 301 child/young person user satisfaction forms were issued; 253 (85%) were completed 83% of children/young
                         people rated the service as excellent & 18% rated the service as very good.

                                 “An invaluable service that is an essential part of our Hub
                                network. Our most commonly requested service is for Home
                                Visitation packages and EISS provides this with empathy and
                                 professionalism whilst keeping the family at the centre of
                                                       their work. ”
                                      Lower North Belfast Family Support Hub

    Changed our lives! Couldn’t rate
    (worker) highly enough! (Mum)                                                      Brilliant service we will
                                                                                       miss our project worker
                                                                                         coming to help us.
                                   "The service has been invaluable for pupils             (9 year old child)
                                    and families, I don't know where I would
                                    have turned to if EISS was not here. There
                                   have been great changes in pupils who have
                                     been directly supported by EISS staff".
                                                (School Principal)
Regional EISS - Is anyone better off?
Cumulative based on Family Star Plus #626 families

                                                                                                                     .

 ___     First Score

 ___      Last Score

        Star shows the average first and last scores for families included in this report;report downloaded 25th September 2017.
Regional EISS - Is anyone better off?
Cumulative based on Family Star Plus closed cases #613 Outcomes for Families

                                                      How many service users improved
                                                   (cumulative from 1 Apr 16 #613 families)
                 120

                 100
    Percentage

                  80

                  60

                  40

                  20

                   0
                       Total completing Family     Improving in at least 1   Improving in at least 2   Improving in at least 3   Improving in at least 4+
                               Star Plus                   area                      areas                     areas                     areas
       Percentage               100                          93                        86                        75                        57
Regional EISS - Is anyone better off?
Cumulative based on My Star #179 children & young people

  ___        First Score

  ___         Last Score

This star shows the average first and last scores for families included in this report;report downloaded 25th September 2017.
Regional EISS - Is anyone better off?
Cumulative based on closed cases #141 Outcomes for Children and Young People
                                                               How many Service Users Improved
                                          My Star - Northern Cumulative from Apr 1 2016 #141 Children and Young People
     100%

      90%

      80%

      70%

      60%

      50%

      40%

      30%

      20%

      10%

       0%
               Total completing My Star     Improving in at least 1 area   Improving in at least 2   Improving in at least 3 areas Improving in at least 4+ areas
                        (#141)                       (#125)                     areas(#97)                      (#63)                          (#25)
     Series1            100%                           89%                          69%                         45%                             18%
Key Features of Early Intervention Support Service
• Multi professional skill mix team 3.5 WTE
• Key worker assigned to family
• Short term intervention up to approximately 12 weeks
• Provides therapeutic & practical support
• Family Group Conferencing for 5% of families
• Access to Incredible Years & Strengthening Family Parenting
  Programmes
• Refers to FSH for multiagency input if additional support required
• Outcomes Based Accountability Framework to measure impact
• Research evaluation led by QUB
Early Intervention Support Service Delivery Model
                        Child or young person with additional needs requiring multiagency intervention
                               Referrals will be accepted from all sources including self-referrals
               N.B. If the referrer knows what service a family needs they should contact the service directly .
          If there are any safeguarding concerns at this or any other point a referral must be made to Gateway

        Early Intervention/family
                                                  Early Intervention Service             Family Support Hub
            support Provider

                                    Early Intervention Service Team Leader liaises with Family support Hub Coordination

                                                        Decision for support

                                                                                 Inappropriate
                                                  Safeguarding                                              Multi agency
          Early Intervention Service                                           referral return to
                                                     concerns                                            response required
          Assessment                                                                referrer
                                               Escalate to Gateway
          Keyworker support
          Short term response

               Problem resolved?

    Problem resolved
                                Safeguarding concerns           Additional support required                     Hub
   Stand down/ revert
                                 Escalate to Gateway            refer to Hub for discussion                    Meeting
       to universal
Evaluation of EISS
Aim & Objectives
•  To address whether EISS is effective in improving parenting skills and
   outcomes for children and families.
•  The overall evaluation will address this aim while also looking at the
   outcomes star as an assessment tool, assessing how well EISS fits to the
   local geographical and stakeholder context and determining the
   experience of parents taking part in EISS.

Methodology
•  Pre and post-test outcomes data is being collected with parents using a
   wait-list control group design.
•  A process evaluation is being conducted to further explore the experience
   and implementation of EISS through interviews with parents & key
   stakeholders.
EISS Evaluation
Activity to Date
•   191 parents were passed to QUB by mid-September 2017, of which 76
    were not able to be contacted.
•   Response rate is approximately 60%.
•   Data collection is at two time points either via phone call, paper copy or a
    home visit.
•   Interviews have been conducted with all EISS managers, project workers
    and relevant personnel.
•   Interviews with parents and additional stakeholders are on-going.
Key Dates
•   Extension to data collection to March 2018 has been agreed by OREC
•   A draft report of main outcomes due at end of January 2018.
•   A final technical report due at end of March 2018.
Sustainability of EISS
• Business case developed to continue EISS to end March
  2019 – going to PHA, AMT November 2017.

• QUB evaluation report due March 2018.

• Funding streams to sustain EISS post March 2019 will be
  explored.
Workstream 3

Helen Dunn – Implementation
         Manager
The Early Intervention
Transformation Programme (EITP)
                              Workstream 3
1.   Building Better Futures
2.   Home on Time
3.   Care Proceedings Pilot
4.   Edges
5.   Family Drug and Alcohol Court
6.   Social Enterprise for Care Leavers
Building Better Futures
Building Better Futures
• Aim of this practitioner-oriented manual is to introduce a
  framework for assessing and enhancing parenting
• Need for structured assessment intervention and critical
  judgement by social workers

  3 core components:
• Dimensions of parenting
• Set of analytical categories for studying facts and feelings
• Tools for gathering information
Building Better Futures
                                     Principles
•   Child-centred
•   Ecological
•   Strengths based
•   Relationship based
•   Partnership with parents and children
•   Children`s safety ,identity ,security, stability and lived experience
•   Multi-disciplinary and inter agency
•   Family support provided
•   Research and evidence of what works
•   Solution-focused
Building Better Futures
• Early stage of engagement
• Use of genograms and ecomaps
• Social history
• This information can then compared to the list of indicators in
  the Adverse Childhood Experiences Tool providing information
  around future threats to social and emotional well-being
• Impact on the child + individual children`s needs
• Strengths based – taking account of capacity to change
• Risk and decision making
Building Better Futures
                             Feedback from evaluation
      Social workers:
•   “ this model has enabled me to do the type of work I came into social work to
    do “; “I have a greater empathy for my families as I now better understand how
    they have come to this place in their lives”; “my assessments and analysis are
    so much better as I have a much clearer understanding of a family’s situation as
    I have spent so much face to face time with them”. “I understand better the
    impact on the child of what`s going on in a family.” “I feel more confident in the
    recommendations I make as I feel I have a much clearer picture”.
      Service users comments:
•   “I feel like I can speak to her, you know, I can talk to her, you know, I don’t have
    the boundaries up that I would’ve had, you know, and I think that’s with the
    work she’s done with me”.
•   “ I don’t feel……she’s never made me feel like she looks down at me – I’ve had
    that before, where you know, she’s judged me or anything like that. I just feel
    that she gets the situation, she gets me.”
•   “She made me feel that I was a person and that she was a person rather than
    she was the SW”.
You can also read