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Family Recovery Project From Pathfinder to Service Transformation: lessons and recommendations Tanya Kemp Service Man

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Family Recovery Project From Pathfinder to Service Transformation: lessons and recommendations Tanya Kemp Service Man

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    1. Family Recovery Project From Pathfinder to Service Transformation: lessons and recommendations Tanya Kemp – Service Manager FRP

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    4. We work with around 80 families at any one time We aim to work intensively with a Family for around 12 months We work with families with a range of complex problems, who require input from multiple agencies and where past interventions have not rendered sustained change

    5. Family referred to project – do they meet threshold?

    6. Information desk comprises: Analyst – Organises workflow, creates products, development work ASB Caseworker – Referral from Community protection, attends meetings, ASB resource for team Met Police Officer – Intelligence resource dedicated to FRP The capacity to use real time not historic information to inform risk assessment , decision making and to design realistic interventions Use of sharepoint to then share and update information Share point – IT Solution, Intelligence repository, key to storing, disseminating and sharing information in a secure way. Information Cycle - Referral – Point at which family enters process. Consent driven. Information from relevant agencies sent to Info Desk e.g. assessments, reports, records etc.. This information is stored securely on SharePoint, the full copies are only viewable by the Information Desk, access is restricted on a need to know basis. Products created – Network Chart, Timeline, Community Impact Assessment: innovative. TAF informs analytical products. Information desk informs review meetings and evaluationInformation desk comprises: Analyst – Organises workflow, creates products, development work ASB Caseworker – Referral from Community protection, attends meetings, ASB resource for team Met Police Officer – Intelligence resource dedicated to FRP The capacity to use real time not historic information to inform risk assessment , decision making and to design realistic interventions Use of sharepoint to then share and update information Share point – IT Solution, Intelligence repository, key to storing, disseminating and sharing information in a secure way. Information Cycle - Referral – Point at which family enters process. Consent driven. Information from relevant agencies sent to Info Desk e.g. assessments, reports, records etc.. This information is stored securely on SharePoint, the full copies are only viewable by the Information Desk, access is restricted on a need to know basis. Products created – Network Chart, Timeline, Community Impact Assessment: innovative. TAF informs analytical products. Information desk informs review meetings and evaluation

    7. The Family Recovery Project intelligence cycle, is based upon the National Intelligence Model, typically used by law enforcement agencies. Applying this thinking in a social care context, drawing together multi agency information and intelligence is unique to FRP. Ensuring that practitioners have as rounded a view as possible at the point of decision making can only result in improved, safer outcomes for Children and communities and ensure resources are directed most efficiently. The Family Recovery Project intelligence cycle, is based upon the National Intelligence Model, typically used by law enforcement agencies. Applying this thinking in a social care context, drawing together multi agency information and intelligence is unique to FRP. Ensuring that practitioners have as rounded a view as possible at the point of decision making can only result in improved, safer outcomes for Children and communities and ensure resources are directed most efficiently.

    8. Using the I2 Analyst Notebook software, The information desk produces Family Network charts and Timelines to support Decision making. We have found this very visual method of displaying multi agency information – which can display a context for behaviour to be very popular with all agencies who have used it Network Chart & Timeline – Uses I2 Analyst Notebook software commonly used in Law enforcement agencies Visual display of multi agency information Each family member is displayed in relation their role within the family, the definition of ‘family’ is fluid and can represent any situation Key ‘attributes’ can be added to each icon (family member) such as mental health, previous convictions, rent arrears etc Easy to read and update Accessible to Team around the family Updated as new information comes in Using the I2 Analyst Notebook software, The information desk produces Family Network charts and Timelines to support Decision making. We have found this very visual method of displaying multi agency information – which can display a context for behaviour to be very popular with all agencies who have used it Network Chart & Timeline – Uses I2 Analyst Notebook software commonly used in Law enforcement agencies Visual display of multi agency information Each family member is displayed in relation their role within the family, the definition of ‘family’ is fluid and can represent any situation Key ‘attributes’ can be added to each icon (family member) such as mental health, previous convictions, rent arrears etc Easy to read and update Accessible to Team around the family Updated as new information comes in

    9. Information desk produces a comprehensive picture of the family (and extended) both initially to support and inform decision making, then proactively whilst the project is engaged with the family. The desk produces ‘products’ to support practitioners and highlight any risks to the family, staff and community Building upon the concept of a chronology More than a chronology as it visually provides a context for various multi agency information Each family member is displayed on a ‘theme line’ Assessments / reports are used to populate the timeline Real time information such as arrests / change in housing situation are added to timeline. I2 charts are accessible on sharepoint.Information desk produces a comprehensive picture of the family (and extended) both initially to support and inform decision making, then proactively whilst the project is engaged with the family. The desk produces ‘products’ to support practitioners and highlight any risks to the family, staff and community Building upon the concept of a chronology More than a chronology as it visually provides a context for various multi agency information Each family member is displayed on a ‘theme line’ Assessments / reports are used to populate the timeline Real time information such as arrests / change in housing situation are added to timeline. I2 charts are accessible on sharepoint.

    11. 1. Whole view of the family - Meeting the needs of both adults and children 2. Team around the family - Unified service response 3. Two lead professionals for adults and children 4. Integrated Family Care Plan adult and children’s needs - Focused on outcomes and consequences 5. Real time intelligence function through Information Desk 6. Capacity building - Encouraging resilience 7. Swift access to adults services – Domestic Violence, Substance Misuse and Mental Health workers 8. Intensive outreach - Fast, intensive, targeted 9. Multi agency response to crime and ASB - Both victims and perpetrators 10. Co-located, multi-agency team - All in one project Team Around the Family – small, needs-directed, regular case management reviews, flexible, evolving, multi-agency, internal & external members. FRP Model – provides the base upon which multi-agency, integrated work can be delivered within Westminster. Integrated Family Care Plan – All Team Around the Family agencies are represented on one care plan owned by the family, tasks, responsibilities, positive and negative outcomes identified at the outset. Subject to review and change as the family’s needs evolve. Two Lead Professionals – All families working with FRP have 2 lead professionals – one for the adult(s) and one for the child(ren). Reduces risk of needs of either group being missed. Consent – all families accepted as FRP referrals will have their consent to initial Team Around Family meeting and, subsequently, to FRP Care Plan, sought. This can be over-ridden in cases where Criminal or Safeguarding exceptions apply, but even in such cases consent will be sought. Outcomes – emphasis is on achieving positive outcomes for each family member, family as a whole entity, and for the community in which the family lives. Phased Interventions – work with the family in initial phase is persistent, intensive and focused on immediate presenting needs with aim of building engagement and capacity to change. Work with the family in second phase of work is about longer term, deeper work to embed positive changes. Information Desk – community safety information combined in real time with existing social care information to provide a rounded picture of family history and current context – assists with building an achievable care plan for the family – does not ‘set them up to fail’. Case Management Reviews – fortnightly case management reviews with whole Team Around the Family – keeps Care Plan flexible, timely, accurate and up to date and ensures a good ‘grip’ is kept on the family and their needs.Team Around the Family – small, needs-directed, regular case management reviews, flexible, evolving, multi-agency, internal & external members. FRP Model – provides the base upon which multi-agency, integrated work can be delivered within Westminster. Integrated Family Care Plan – All Team Around the Family agencies are represented on one care plan owned by the family, tasks, responsibilities, positive and negative outcomes identified at the outset. Subject to review and change as the family’s needs evolve. Two Lead Professionals – All families working with FRP have 2 lead professionals – one for the adult(s) and one for the child(ren). Reduces risk of needs of either group being missed. Consent – all families accepted as FRP referrals will have their consent to initial Team Around Family meeting and, subsequently, to FRP Care Plan, sought. This can be over-ridden in cases where Criminal or Safeguarding exceptions apply, but even in such cases consent will be sought. Outcomes – emphasis is on achieving positive outcomes for each family member, family as a whole entity, and for the community in which the family lives. Phased Interventions – work with the family in initial phase is persistent, intensive and focused on immediate presenting needs with aim of building engagement and capacity to change. Work with the family in second phase of work is about longer term, deeper work to embed positive changes. Information Desk – community safety information combined in real time with existing social care information to provide a rounded picture of family history and current context – assists with building an achievable care plan for the family – does not ‘set them up to fail’. Case Management Reviews – fortnightly case management reviews with whole Team Around the Family – keeps Care Plan flexible, timely, accurate and up to date and ensures a good ‘grip’ is kept on the family and their needs.

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    13. Findings : Child Protection Whether FRP contributes significantly to achieving better outcomes for families, is the million dollar question and the hardest to evidence or prove: does the FRP Think family Approach and model of work, secure better and improved outcomes for families, better or more consistently than the traditional CP process. It hasn’t been possible, in this study to confirm or dispute whether this is true. There are some positive indicators in the work that has been done in the CP cases managed in the FRP process. Working together practice such as that employed in FRP, in theory, should improve professionals ability to protect children and to achieve good outcomes for families. Working together is ‘made easy’ in FRP. Professionals get around the table more often and share information more readily and regularly. Members of the team around the family better understand each other’s roles and there is a stronger sense of joint ownership than in traditional CP practice. There is more joint-up working between adult and children’s services with the approach where both the children and the adult have lead professionals who can progress and focus on their varying needs. The intensity of the model potentially enables better engagement from troubled families who find it hard to accept support, have lost faith in services, and have little insight into their own needs. Social Workers working on the traditional CP cases without the FRP involvement have a much, much harder time in engaging and keeping a network around a family engaged and active. There is no doubt that good practice comes out of the social work teams on CP cases, but the social workers carry this load, mainly on their own and their views on this issue was clear in the focus groups.Whether FRP contributes significantly to achieving better outcomes for families, is the million dollar question and the hardest to evidence or prove: does the FRP Think family Approach and model of work, secure better and improved outcomes for families, better or more consistently than the traditional CP process. It hasn’t been possible, in this study to confirm or dispute whether this is true. There are some positive indicators in the work that has been done in the CP cases managed in the FRP process. Working together practice such as that employed in FRP, in theory, should improve professionals ability to protect children and to achieve good outcomes for families. Working together is ‘made easy’ in FRP. Professionals get around the table more often and share information more readily and regularly. Members of the team around the family better understand each other’s roles and there is a stronger sense of joint ownership than in traditional CP practice. There is more joint-up working between adult and children’s services with the approach where both the children and the adult have lead professionals who can progress and focus on their varying needs. The intensity of the model potentially enables better engagement from troubled families who find it hard to accept support, have lost faith in services, and have little insight into their own needs. Social Workers working on the traditional CP cases without the FRP involvement have a much, much harder time in engaging and keeping a network around a family engaged and active. There is no doubt that good practice comes out of the social work teams on CP cases, but the social workers carry this load, mainly on their own and their views on this issue was clear in the focus groups.

    14. Evaluation around impact of the model on Crime and ASB Internal evaluations – WCC Cost Avoidance model WCC Qualitative and Quantitative ASB / Crime study Evidenced a dramatic reduction in Crime and ASB

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    16. Cost avoidance An over-riding objective for the Council was to measure the cost ‘avoidance’ of this new way of working, to understand how much this intensive type of work would cost and how could this preventative work help avoid future costs to Westminster, its partners and public purse. Three costs to consider: What could the family cost in a ‘do nothing” scenario Actual cost of FRP intervention – based on unit cost or time spent with each family–£15-20k per family Avoidance of future cost to public purse In line with: ‘Backing the Future’, Action for Children and New Economics Foundation, 2009 Think Family Toolkit- Evidence for Think Family, DCSF 2009 In line with: ‘Backing the Future’, Action for Children and New Economics Foundation, 2009 Think Family Toolkit- Evidence for Think Family, DCSF 2009

    17. Cost avoidance: the model This model is based on: nationally available figures on the cost of various negative outcomes projecting the likely cost for each family based on our assessment of their needs the actual cost of the FRP intervention using the recommended DCSF FIP success rates to forecast outcomes and hence produce an estimate of the probable avoided costs Many costs are not known Every young person placed in Key Stage 3 pupil referral unit costs £36k annually Young people not in education or training cost £100k to the public purse Opportunities to improve work prospects for next generation by improving parenting and education outcomes Police arrest cost £2k Many costs are not known Every young person placed in Key Stage 3 pupil referral unit costs £36k annually Young people not in education or training cost £100k to the public purse Opportunities to improve work prospects for next generation by improving parenting and education outcomes Police arrest cost £2k

    18. Cost avoidance: the numbers Every young person placed in Key Stage 3 pupil referral unit costs £36k annually Young people not in education or training cost £100k to the public purse Opportunities to improve work prospects for next generation by improving parenting and education outcomes Police arrest cost £2k Every young person placed in Key Stage 3 pupil referral unit costs £36k annually Young people not in education or training cost £100k to the public purse Opportunities to improve work prospects for next generation by improving parenting and education outcomes Police arrest cost £2k

    19. TEA BREAK Back in 15 minutes

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