THINK FAMILY “IT’S EVERYONE’S RESPONSIBILITY”

Dublin, 19th June 2014

Social Care Commissioning Lead Mental Health & Learning DisabilityHealth and Social Care BoardNorthern Ireland

Mary Donaghy

Think Family

•Background & Context

•What we did 2009-2012 (Phase 1)

•What we are doing now 2012-current (Phase 2)

•Learning from Think Family (NI)

Background/Context

O’Neill Inquiry

Think Family Pilot 2009-2012

Social Care Institute of Excellence (SCIE) Guidance

SCIE Guidance – 9 Recommendations

• Signposting and improving access to services• Screening• Assessment• Planning Care• Providing Care• Reviewing Care Plans• Strategic Approach• Workforce Development• Generating more evidence about what works

Implementation Sites

• Publication and launch of SCIE Guidance – July 2009• 9 Priority Recommendations • 6 Pilot Implementation Sites;

N Ireland Liverpool Southwark Lewisham North Somerset Birmingham

AIM

Improve practice through enhanced collaborative working

Better understanding of multi-disciplinary professionals’ roles and responsibilities

Mental Health & Children’s Services Project

(Think Child, Think Parent, Think Family)

Structure

DHSSPS

Health & Social Care Board

Think Child, Think Parent, Think FamilyProject Board

BelfastProject Locality

Team

SouthernProject

Locality Team

South EasternProject Locality

Team

WesternProject Locality

Team

NorthernProject Locality

Team

Work Streams

Work Streams

Work Streams

Work Streams

Work Streams

Social Care Institute of Excellence

Service UserEngagement

Chaired byAssistant Directors

Focus of Work over 3 years

Year 1

• Launched Project – May 2009• Workshop for Project Board• Project Initiation Document (PID)• Regional Workshop Adult Mental Health & Childrens

Services x 2• Action Plan and Proposed Structure• Implementation Plan for Project Locality Teams

(Regional and Local)

Year 2

• Reinforcing the Context for Change• Developing and Implementing Actions• Harness whats already out there• What needs to be in place to support changing

practice - organisational level - managerial level

- practitioner level

Year 3

• Embedding into Practice• Developing our exit strategy

Challenges

• Competing demands & priorities• Capacity to deliver• Changing Mindsets• Sustaining commitment and motivation

Achievements • Action Plans• Family Experience/staff experience survey•Strengthened Documentation - Think Family Focus •Links with on-going regional initiatives•Regional Adult & Children Services Joint Protocol•Understanding the needs of children in Northern Ireland (UNOCINI)

ACHIEVEMENTS

Training & Development

• Knowledge & Skills Framework

• Training Programme for managers

• E Learning Modules (SCIE)

• Aid Memoire

• Resource Literature -Talking to Children

Key Themes

Family Experience / Staff Experience Survey•Communication and Information Sharing•Assessment, Comprehensive Planning and Treatment which Involve the ‘Whole Family’ Approach by Professionals•Early Intervention, Timely Reponses and Accessible Support Tailored to Meeting Family Needs

The Family model Handbook

“An integrated approach to supporting mentally

ill parents and their children”

Dr Adrian Falkov

THINK FAMILYPHASE 2

THINK FAMILYPHASE 2

The Family Model

The Uses of Family Model Domains

• Looking at the present current child, parent and family situation.

• Looking Back. Developmental origins of family difficulties and strengths.

• Looking ahead. Hope, rehabilitation and recovery.

Think FamilyPHASE 2

• Children’s & Young People Strategic partnership – (Core Service)

• Terms of Reference• Structure – Links• Key Areas from Think Child, Think Parent, Think

Family Project 2009-2012• Regional Action Plan• Performance Measurement

Core Purpose of CYPSP

To put in place integrated planning and commissioning

across agencies and sectors, which is recorded

through the Children and Young People’s Plan, aimed

at improving wellbeing and the realisation of rights of

children in Northern Ireland, in relation to the six

outcomes for children.

www.cypsp.org

Children and Young People’s Strategic Partnership – being joined up at the Point of Delivery

The first and only partnership which brings together

the leaders of agencies across the whole of Northern

Ireland to focus on every aspect of the lives of all our

children and young people.

The High Level Outcomes-The Starting Point

• Healthy

• Enjoying Learning and Achieving

• Living in Safety with Stability

• Experiencing Economic and Environmental Wellbeing

• Contributing Positively to Community and Society

• Living in Society which Protects their Rights

CYPSP Structures and Links

CHILDREN AND YOUNG PEOPLE’S STRATEGIC PARTNERSHIP

REGIONAL THEMED GROUPS, THINK

FAMILY

Northern, Western, Southern, Belfast, South Eastern OUTCOMES BOARDS

LOCALITY PLANNING GROUPS

Family Support

Hub

CHILD CARE PARTNERSHIPS

SAFEGUARDING BOARD NI

What do we plan to do about it to improve the situation?

How will we do this?

Who will take the lead?

When will it be done by?

How will we know if we have been successful? Data sources/indicators

We will improve communication and information sharing between professionals and families

Participation Network will develop leaflets to help inform Children &Young People about Mental Health Participation Network will develop a child friendly Action Plan Participation Network and Think Family Sub Group will complete

Participation Network Participation Network Participation Network & Think Family Sub Group

November 2013 November 2013 December 2013

Improved communication between staff and the family and also among a range of appropriate agencies

THINK FAMILY REGIONAL SUB GROUP ACTION PLAN

What do we plan to do about it to improve the situation?

How will we do this?

Who will take the lead?

When will it be done by?

How will we know if we have been successful? Data sources/indicators

We will improve communication and information sharing between professionals and families

Participation Network will develop leaflets to help inform Children &Young People about Mental Health Participation Network will develop a child friendly Action Plan Participation Network and Think Family Sub Group will complete

Participation Network Participation Network Participation Network & Think Family Sub Group

November 2013 November 2013 December 2013

Improved communication between staff and the family and also among a range of appropriate agencies

What do we plan to do about it to improve the situation?

How will we do this?

Who will take the lead?

When will it be done by?

How will we know if we have been successful? Data sources/indicators

Each Trust (Adults and Children’s Services Interface Groups) to continue to progress their action plans based on SCIE Guidance and report on a 6 monthly basis to CYPSP Regional Think Family Sub Group members to maintain close links with Adults and Children’s Interface Groups to update on progress to Regional Think Family Sub Group.

Adult /Children’sInterfaceChairs All Sub Group members involved in interface groups

December 20131st Report At each Regional Think Family Sub Group Meeting

What do we plan to do about it to improve the situation?

How will we do this?

Who will take the lead?

When will it be done by?

How will we know if we have been successful? Data sources/indicators

Develop the information sharing protocol on behalf of DHSSPS

Margaret Burke, SBNI

We will improve access to early intervention family support for children, young people and their families

Ensure Adult Mental Health and Addictions are represented on Family Support Hubs

Family Support Hub Regional Co-ordinator

March 2014 A focus on early intervention will ensure that children, young people and families will receive the appropriate support at the earliest stage of difficulty.

What do we plan to do about it to improve the situation?

How will we do this?

Who will take the lead?

When will it be done by?

How will we know if we have been successful? Data sources/indicators

Increase awareness to Adult Mental Health, and Addiction (statutory, voluntary & community) re referral process for family support hubs and uptake of usage.

Family Support Hub Regional Co-ordinator

March 2014

We will improve the extent to which assessment, planning and treatment is inclusive of a ‘whole family’ approach.

Develop a pilot project in SEHSCT to work within Acute Psychiatric Ward and Community Mental Health Services that will promote a ‘whole family’ approach to assessment, planning and treatment.

Pilot Project Team led by Mary Donaghy

April 2014 Adopting a ‘whole family’ approach for parents and children will help reduce the anxiety, fear, safeguarding issues and feelings of isolation among children, parents and the wider family.

What do we plan to do about it to improve the situation?

How will we do this? Who will take the lead?

When will it be done by?

How will we know if we have been successful? Data sources/indicators

Performance Measurement

Develop Performance Indicators using a recognised methodology(Darzi Model) to measure the actions above. Measurement will be within the themes of Safety, Effectiveness & Experience.

Performance Indicators under the area of ‘safety’ will be developed in collaboration with Safeguarding Board NI and Regional Hidden Harm Quality Assurance Group

Performance measurement team led by Mary Donaghy

January 2014 Measuring outcomes that capture qualitative data within a Think Family approach will determine how changes are being made and if it is making any difference

LEARNING FROM NORTHERN IRELAND

• Changing the culture of how you think and practice• Service Users lived experience• Influence at 3 levels - Organisational - Managerial - Practitioner• Dedicated resource to implement (time limited)• Small scale Pilots• Core Business

Contact Details:

Mary Donaghy

12-22 Linenhall Street

Belfast BT2 8BS

tel: 028 95 363255

mob: 07900232724

email: mary.donaghy@hscni.net

Websites:

www.copmi.net.au

www.thefamilymodel.com

www.scie.org.uk

TALK TO USTALK TO USMessages to mental health staff from children and young people

• Introduce yourself. Tell us who you are and what your job is• Give us as much information as you can• Tell us what is wrong with our mum or dad• Tell us what is going to happen next• Talk to us and listen to us. Remember, it is not hard to speak to us. We are not aliens• Ask us what we know, and what we think. We live with our mum or dad. We know

how they have been behaving• Tell us it is not our fault. We can feel really guilty if our mum or dad is ill. We need to

know we are not to blame• Please don’t ignore us. Remember, we are part of the family and we live there too!• Keep on talking to us, and keeping us informed. We need to know what is happening• Tell us if there is anyone we can talk to. MAYBE IT COULD BE YOU.Taken from the Barnardo’s ‘Keeping the family in Mind’ resource pack

THANK YOU