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Implementing a response to Families with multiple problems Wendy Weal Deputy Delivery Manager DCSF. Importance of the family. Parents are a strong influence in determining outcomes for young people Research from Parenting Early Intervention Programme shows:

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Implementing a response to Families with multiple problems Wendy Weal Deputy Delivery Manager DCSF

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Implementing a response to Families with multiple problems

Wendy Weal

Deputy Delivery Manager

DCSF


Importance of the family

Parents are a strong influence in determining outcomes for young people

Research from Parenting Early Intervention Programme shows:

  • Parenting support almost halved the number of parents who classified their children as having significant behavioural difficulties

  • Parents reported included being calmer with their children, more confident in parenting, and giving more time to talking and listening to their children.

    Impacts on educational attainment are well documented:

  • Parental interest in education is four times more important than Socioeconomic Status (SES) factors in influencing attainment at 16

  • Parental involvement has a bigger impact on attainment at 7 & 11 than the quality of the school even controlling for social class

    Families are often a source of resilience …….But can also be a source of risk…


Parental characteristics and family circumstances are strong predictors of future problems

  • Parental problem drug use associated with neglect, poverty, physical or emotional abuse, separation and exposure to criminal behaviour

  • NTA estimate 120,000 children living with adult drug users in treatment

Parental drug misuse

Alcohol misuse

  • Alcohol misuse identified as a factor in 50% of all child protection cases

  • 1.3m children live with parents who misuse alcohol

Domestic violence

  • 25% children witnessing domestic violence have serious social and behavioural problems

  • Estimates suggest at least 240,000 children exposed to DV

Safeguarding

  • Nearly 75% of Serious Case Reviews (2007 study) found that parental mental ill health, substance misuse and or domestic violence, often in combination, were a factor

Parental offending

  • 63% of boys with convicted fathers go on to be convicted themselves

  • children of prisoners have 3 times the risk for mental health problems

  • During 2005 162,000 children had a parent in prison


A small minority of families experience multiple disadvantages and have a range of complex needs

  • Around 142,000 families with children experience 5 or more disadvantages including:

  • No parent in the family is in work;

  • Family lives in poor quality or overcrowded housing;

  • No parent has any qualifications;

  • Mother has mental health problems;

  • At least one parent has a long-standing limiting illness, disability;

  • Family has low income (below 60% median);

  • Family cannot afford a number of food and clothing item

  • Of the 142,000 families experiencing multiple disadvantage, 56,000

  • also experience ‘problem’ child behaviours including:

  • Special Educational Needs

  • Exclusions from school

  • Involvement with the police

  • Running away from home


Families with multiple problems cost society huge amounts of money


Providing integrated support can save money

  • Intensive intervention programmes, such as Family Intervention Projects, provide a cost effective way of tackling the problems of the most challenging families.

  • Average costs per family, per year range from around £8,000 to £20,000. This expenditure is nominal when compared with other costs that can be incurred by these families.

  • One study estimated the costs to the taxpayer as being between £250,000 and £350,000[1] per family per year.

  • [1]Communities and Local Government (2006) ‘Anti-social Behaviour Intensive Family Support Projects: An evaluation of six pioneering projects’. Department for Communities and Local Government: London


Cost to society of not working together can be even higher

  • Learning the Lessons from Serious Case Reviews

  • National overview of serious case reviews (where a child died or was seriously harmed)  found 75% of cases involved parental drug misuse, domestic violence or metal ill-health

  • “The enmeshed interaction between overwhelmed families and overwhelmed professionals contributed to the child being lost or unseen” – Laming report

  • Laming recommendations:

  • Develop guidance on referral and assessment systems for children affected by domestic violence, adult mental health problems, and drugs and alcohol misuse

  • Adult mental health and adult drug/alcohol services should be represented on LSCBs

  • Safeguarding is everyone’s business - Laming One Year On report published

  • S.47 Children’s Act 1989 - LA duty to investigate safeguarding concerns

  • Safeguarding climate

  • Initial and Core Assessments increased by more than 10% (2007/8 -08/9)

  • No. of children who started to be looked after increased by 9% (2007/8 -08/9)


What do we need?

  • A series of changes to culture, services and systems to:

  • Extend the integration of children’s services within Every Child Matters to all services working with children, young people & adults

  • Equip front-line professionals to go beyond signposting and to be confident in identifying wider family risk issues; undertaking whole family assessments; providing family support; and/or making referrals

  • Priority for local services must be to:

  • Identify families in need of additional support and support to stop problems from escalating

  • Strengthen family resilience; recognising parents are most influential factor in child’s life

  • Provide ‘family friendly’ services that prioritise keeping parents in support

  • Developing services which can respond effectively to the most challenging families

  • Strengthen the ability of family members to provide care and support to each other


Identify, Assess and Support

  • Identify families at every level

    • Strategic

      • families known to all several agencies/ASB or crime hot spots? A& E data?

    • Local level

      • Children's centres

      • Schools

      • Substance misuse and adult mental health services

      • Housing and Neighbourhood Police

      • Multi agency panels (Team Around the Family)

  • Whole Family Assessment:

    • Building on the CAF to gain whole family picture. Look at needs, strengths and interrelation of problems of the whole family

    • Needs good information sharing between agencies (protocols if needed)

  • Support plan

    • Wholefamilysupportandmultiagencysupport in order to bring about change for whole family


Leadership and Culture

  • Leadership

    • Ensure strong whole family leadership within the Children’s Trust

    • Whole family working championing at the highest level

    • Establishing area based integrated teams

    • Link to other agendas such as Total Place and Safeguarding etc

    • Use evidence base to market the key features of the Family Intervention service and whole family approach

  • Culture change

    • Services being concerned about more than just ‘their’ client

    • Managers, practitioners and politicians taking responsibility for whole family response

    • Supporting and challenging parents to ‘step up to the plate’ in relation to outcomes for children

    • Keep resourcing whole family systems and culture change and service delivery


Integration between Adults and Children's Services

  • Planning and Commissioning

  • Joint commissioning of family support services between different agencies

  • Commission evidence based programmes and interventions to meet family needs

  • Develop families intervention service

  • Continue to evaluate what is working well

  • Use research evidence

  • Integrated co-located targeted area based services

  • Market the key features of the family intensive service


“Every Child Matters is already transforming the way services are delivered for 0-19 year olds. ‘Think Family’ extends this model to include adults’ services and puts families firmly at the centre” (Social Exclusion Taskforce)

Involving adults services,the missing part of the triangle?

  • ✔Parenting support

  • Promoting effective parenting

  • Increased investment in parenting support in all LA’s

  • National Academy for Parenting Practitioners

  • ✔ Children’s services

  • Investing in the individual child

  • ECM integration of children’s services

  • Investment in education

  • 3,500 Sure Start Children Centres

  • Adults’ services ?

  • Do adults’ services recognise and respond to the parental and family roles of their clients?

  • Are we exploiting the opportunities to tackle the parent-based drivers of poor child and family outcomes?


Guidance produced for a range of services

  • Drug and Alcohol Treatment Services

  • DCSF, DH and NTA alongside the National Safeguarding Delivery Unit guidance on the development of local protocols between drug and alcohol treatment services, Safeguarding Boards and children and family services.

  • http://www.dcsf.gov.uk/everychildmatters/resources-and-practice/ig00637/

  • 2.Offender Management Services

  • Joint DCSF/MoJ guidance setting out how prisons and probation trusts and children’s and family services should work together to support the children and families of offenders.

  • http://www.dcsf.gov.uk/everychildmatters/resources-and-practice/ig00638/

  • 3.Mental Health Services

  • The Social Care Institute for Excellence (SCIE) have published guidance, endorsed by DCSF, that sets out a whole family approach for professionals working with parents suffering with mental ill health.

  • http://www.scie.org.uk/publications/guides/guide30/


Guidance produced for a range of services

4.Neighbourhood Policing

The HO, DCSF, ACPO, YJB and NPIA have produced guidance for neighbourhood policing managers and practitioners on early intervention, prevention and whole family practice

http://www.neighbourhoodpolicing.co.uk/publication.asp

5.Services to Support Young Carers and their Families

Associations of Directors of Adult and Children’s Services published a model local protocol setting out how services should work more closely together to prioritise support person being cared for as well as the young carers.

http://www.adass.org.uk/images/stories/MOU%20Working%20Together%20to%20support%20young%20carers.pdf


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