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Re-focusing services for Re-focusing services for families with multiple and families with multiple and complex needs: a whole complex needs: a whole family approach family approach 1 23/10/2012 No Wrong Door 2012

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Page 1: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

Re-focusing services for Re-focusing services for families with multiple and families with multiple and

complex needs: a whole complex needs: a whole family approachfamily approach

123/10/2012No Wrong Door 2012

Page 2: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

High number of Looked After Children in York High number of children subject to a child protection plan. Opportunity to refocus services on targeted prevention

work. (Creation of LAC Support Team as well as Integrated Family Service)

Commitment needs to be from all services to co-ordinate responses to, and intervention with, children, families and adults.

Working together to prevent even 1 child becoming looked after out of area would save a minimum of 175k per year.

No Wrong Door 2012

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23/10/2012

Page 3: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

Good outcomes for children and young people as a result of intensive support.

A reduction in the number of referrals requiring statutory intervention from social care.

Reduction in numbers of children who become looked after. Reduction in levels of youth crime Continuing improvements in school attendance figures Increased capacity at statutory level for those families who

need it. Reductions in re-referral rates to statutory services. Increased resources to re-invest in prevention.

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23/10/2012

Page 4: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

23/10/2012 *based on Thorpe’s Virtuous CycleNo Wrong Door 20124

Up-skill and resource children’s workforce at prevention and

early intervention level in assessment and integrated

working.

Capacity to focus on high level need, CP and LAC at complex

and statutory level.

Improved outcomes and reduction in numbers reaching

statutory level

Page 5: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

A new service bringing together the skills, experience and expertise of three teams: Catalyst Family Intervention Project Parent Support Advisors Family Support Workers (CSC)

Working with: Families with complex & multiple needs including ‘Troubled Families’

Working with other services using a whole family –approach.

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15/10/2012Home-Start AGM

Page 6: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

23/10/2012No Wrong Door 2012

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Within Children’s Social Care

Family Support Workers

Supervision and assessment of contact for Looked After Children

Direct Work for LAC and their families

Support to families with a CP plan (case held by SW.)

Family Support to families with multiple and complex needs (case held by FSW)

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Outside Children’s Social Care

Catalyst/Troubled Families Workers

Support and intervention with families with multiple and complex needs who meet Catalyst criteria

Support and intervention with families who meet Troubled Families criteria

Support to families with a CP plan as part of Core Group

Outside Children’s Social CareParent Support Advisers

Support and intervention with families with multiple and complex needs identified through attached schools.

Support to families with a CP plan as part of Core Group

Within Children’s Social Care

LAC Support Service Supervision and

assessment of contact for Looked After Children

Direct Work for LAC and their families

Outside Children’s Social Care

Integrated Family Integrated Family ServiceService

Support and intervention with families with multiple and complex needs.

Support And intervention with families who meet Troubled Families criteria

Support to families with a CP plan or others as part of Core Group or TAF.

Page 7: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

Central government initiative ‘Troubled families’ are households who: are involved in crime and anti social behaviour (ASB) ‐ have children not in school have an adult on out of work benefits (at least two out of the 3 criteria)and cause high cost to the public purse 315 in York by 2015 Payment-by-results basis with the Government paying up

to 40 per cent of a local authorities' costs when success achieved with families.

23/10/2012

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No Wrong Door 2012

Page 8: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

Integrated Working

8

Tier/Level 2

Emerging Family Difficulties

Tier/Level 3 Complex

Family Needs

Tier/Level 1

Universal

Information, advice and support for all families

Escalating Family

Difficulties

Integrated Family Service

Social Care

CAMHS

o Health Visitors/School Nurseso Children’s Centreso Youth Support Serviceo ESF Supporting Familieso School based pastoral staff

LAC Support Service

Com

mon assessm

ent process

23/10/2012No Wrong Door 2012

Page 9: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

A dedicated practitioner who works intensively with each family;

An assertive and persistent ‘whole-family’ approach; Staying involved with a family for as long as necessary –

up to 12 months; Effective multi-agency relationships Integrated working: Family Assessment (CAF), Lead

Practitioner, Team Around the Family Family agreement. Use of independent Family Group Conference process for

some families. Robust exit plans to ensure ongoing support in place.

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23/10/2012No Wrong Door 2012

Page 10: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

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Health professional

(p/t)

Integrated Family Service Manager

Integrated Family Service Practitioners

x 8.8

Integrated Family Service Practice

Manager(West)

Integrated Family Service Practice

Manager (North)

Integrated Family Service Practice

Manager (South East)

Integrated Family Service Practitioners

x 8.8

Integrated Family Service Practitioners

x 8.8

Business Support Officer

Admin officer(p/t)

Admin officer(p/t)

Admin officer(p/t)

23/10/2012No Wrong Door 2012

Family Group Conference

Worker (p/t)

Page 11: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

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North Locality

West Locality

South East Locality

23/10/2012No Wrong Door 2012

Page 12: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

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FAMILY WITH ADDITIONAL NEEDS

CHILDREN’S FRONT DOOR

DAILY MEETING

MULTI AGENCY

DECISION MAKING

INTEGRATED FAMILY SERVICE

INTEGRATED YOUTH

SUPPORT

CHILREN’S CENTRES

SCHOOLS

HEALTH VISITOR

CAMHS

OTHERS

ASSESSMENT TEAM

S17 INITIAL ASSESSMENT

OR

s47 CHILD PROTECTION

INVESTIGATION

S47 CHILD PROECTION

INVESTIGATIONS

FAMILY ASSESSMENT

(CAF)

FAMILY ASSESSMENT

(CAF)

TROUBLED FAMILIES

CHECK

FAMILY ASSESSMENT

(CAF)

Page 13: Re-focusing services for families with multiple and complex needs: a whole family approach 123/10/2012 No Wrong Door 2012

Phase 1 – Troubled Families team 1 at York High School - already in place.

Phase 2 Catalyst Central becomes Troubled Families team 2 –September 2012

Phase 3 – Whole Integrated Family Service set up – three teams across the city. Early December 2012.

Transition of staff and families throughout.

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23/10/2012No Wrong Door 2012