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supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui Greenfield

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Page 1: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Working with families: finding a way to

positive outcomes

Rose de PaeztronJacqui Greenfield

Page 2: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Overview• Building Bridges

•what we do re evaluation and outcomes

• Working with outcomes•what do you do?

• BB findings from independent evaluation

Page 3: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Impact of parental ill healthChildren• Developmental

• Educational e.g. interaction, young carer role

• Emotional e.g. impact of insecure attachment

• Social e.g. isolation, bullying

• Cognitive e.g. motor skills, concentration

Parents• Stigma • Uncertainty & complexity • Feeling “on trial about

parenting abilities” • Fear

• of losing children, reality of it happening

• of mental illness• Access & reuniting with

children• Recovery impeded by

anxiety

Page 4: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

What does ‘working with families’ mean?• Build relationships• Monitor & manage risk• Contain – and prevent crisis• Information & advocacy• Value and increase self-esteem• Opportunities to develop• Provide models of behaviour

Page 5: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Case study: M’s family

Mother

Brother(University)

19

Sister(GCSE)

16

M14

Mother’s cousin

Page 6: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Focus of work• M: health; school attendance• Mother: social isolation; parental

role• Brother: carers’ group; grants, health• Sister: isolation; education• Whole family

•Housing•Communication•Roles & responsibilities

Page 7: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Evaluation and outcomes

Page 8: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Evaluation: different levels

• Organisation as a whole

• Local - project

• Individual worker/service user

Page 9: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Building Bridges: Most common issues worked with

67.5

63

45 4543

68

0

10

20

30

40

50

60

70

80

Parenting Emotional Child Self-esteem Social Mental Stress Behaviour Isolation Health

/

Page 10: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Key outcomes

• Building Bridges• Increasing

parental confidence

• Reducing emotional stress

• Improving child behaviour

• Young Carers• Reduce caring

role• Reduce social

isolation• Improve life

chances

Page 11: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Key stages I

• What do we want to do?• Qualitative and quantitative• Identifying appropriate tools• Consultation/ownership• Training development• Pilot phase

Page 12: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Evaluation tools

•Monitoring Form•Profile•Goal setting

•Questionnaire•Parents•Children

Page 13: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Key stages II

• Get going!• Building database• All on board• Review• Learn and adjust• Analysis• Report back

Page 14: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Outcomes Framework

Individual/ outreach support

Increase parenting confidence

Information parenting/mental health

Individual work with children

Improve life chances for parents with mh problems and their children

Parenting groups

Reduce emotional stress

Improve child behaviour

Overall Aim

Specific Aims

Objectives

Outcomes

Outputs

Page 15: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Small group exercise

• Developing an outcomes focus• In 2/3s, choose one project/work stream

from the group, and use triangle model to identify a key aim and specific aims (what do you want to achieve)

• Move on to think about objectives of the work (how will you achieve the aims)

Page 16: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

CES Outcomes Triangle

Overall Aim

Specific Aims

Objectives

Outcomes

Outputs

Page 17: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

My mum’s heart

Page 18: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Outcomes I: independent evaluationCharacteristics critical to successful

interventions:• close attention to getting, keeping and

engaging parents• a strong theory base• synthesis of practical and emotional support• working with both parents and children• a practical, flexible and partnership

approach which is valued by parents and other stakeholders

(Building Bridges, Morris J. July 2007)

Page 19: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Sample evaluation tool:Kansas Parental Satisfaction ScaleThese questions use a different sort of scale and help measure your satisfaction in being a parent

Extremelydissatisfied

VeryDissatisfied

Somewhatdissatisfied

Mixed Somewhatsatisfied

Verysatisfied

Extremelysatisfied

1 How satisfied are you with the behaviour of your children?

1 2 3 4 5 6 7

2 How satisfied are you with yourself as a parent?

1 2 3 4 5 6 7

3 How satisfied are you with your relationship with your children?

1 2 3 4 5 6 7

ScoringAdd the scores as an amount over 21, 21 being extremely satisfied with all aspects of parentingMean is 17.4.

Page 20: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Outcomes II: statutory services• A reduction in the number of

children looked after • A statistically significant reduction

in the number of children on child protection plans

• A statistically significant reduction in the number of adults on CPA

Page 21: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

Shane (aged 8):

“What I think is best for me is that since we’ve been seeing Maggie, my mum doesn’t shout at me when she sees me coming out of school. Maggie explained that it made me embarrassed and all the big boys bullied me about my mum.”

Page 22: Supporting families since 1869 Young Carers’ Conference 25 March 2009 Working with families: finding a way to positive outcomes Rose de Paeztron Jacqui

supporting families since 1869 Young Carers’ Conference25 March 2009

For more information:

Family Action services: Rose de Paeztron, Strategic Development

[email protected]

Building Bridges evaluation: download at www.family-action.org.uk

Join (free) Parental Mental Health & Child Welfare Network: www.pmhcwn.org.uk