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early years & toolkits for training Early intervention. Early intervention. Early in the life of the child and/or Early in the development of a problem – even before there is a problem

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early intervention
Early intervention
  • Early in the life of the child and/or
  • Early in the development of a problem – even before there is a problem

Interventions that ward off the initial onset of a disorder; i.e. intervening before damage takes place in a way that avoids the later costs in both human and financial terms of handling the consequences of the symptoms of that damage’ (Allen 2011)

early intervention involves
Early intervention involves

Identifying, and working to minimize, risk

Working to develop the capacity of children and families to cope despite risks

It is about the whole population of children, not just those with a problem now, and is therefore an everybody issue. A public health issue.

a framework for early intervention

A commitment to prevention

  • Priority focus on early years
  • Continuing early intervention in later years
  • A multi-agency systems approach
  • High quality workforce
  • Investment in programmes that work

Centre for Social Justice (2011)

A framework for early intervention
reality check

Early intervention is well down the priorities table for almost everyone

  • The capacity to implement effective early intervention in mental health is under-developed
  • Spend now to save later is a tough message to make credible in times of cuts
Reality check
the new labour paradigm
The New (labour) Paradigm

Social exclusion:

  • Is multi-dimensional
  • Is inter-generational
  • Affects individuals, groups and communities
  • Is at the root of poor outcomes

Removing the barriers to inclusion is key

tackling exclusion themes
Tackling exclusion - themes
  • Identification of risk
  • Identification of positive strengths
  • Targeted and universal services
  • Partnership (IPP) approach
  • Long term (10-20 year) strategies
the current model

Overwhelming economic case for early intervention

  • Strong evidence base for effectiveness of early (cf. late intervention)
  • Localism
  • Building ‘social and emotional bedrock’
The current model
the training agenda

Normalising mental health

  • Attachment
  • Brain development
  • Risk and resilience
  • Interprofessional practice
  • Training for the next generation of parents
  • Supervision and consultation – capacity building
The training agenda
the challenges

We need to build capacity at tier 1 - but training, on its own, will not transform practice or be sustainable

  • We need to train and influence commissioners and budget holders – not just practitioners
  • We need to know the evidence that’s out there and add to it
  • We need to win the argument for early intervention locally and share good practice in an age of localism
  • We need to promote integrated approaches at a time when people are pulling up the drawbridge
  • We need to find creative ways to share in an age of competition
The challenges
so where next

Be strategic

  • Be systemic
  • Get connected
  • Look for strengths
  • Don’t be disheartened by the challenges - we’re used to swimming against the tide – its what we do best
So where next?
thank you

[email protected]

020 7089 5052


Thank you

Making sense of early intervention: a framework for professionals, Centre for Social Justice (2011) http://www.centreforsocialjustice.org.uk/client/downloads/20110707_early_years_report_web_v3.pdf

  • Early Intervention: the next steps. Allen, G (2011) http://www.cabinetoffice.gov.uk/news/graham-allen-launches-second-report-early-intervention