supporting families since 1869 young carers’ conference 25 march 2009 working with families:...
TRANSCRIPT
supporting families since 1869 Young Carers’ Conference25 March 2009
Working with families: finding a way to
positive outcomes
Rose de PaeztronJacqui Greenfield
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
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
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
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
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
supporting families since 1869 Young Carers’ Conference25 March 2009
Evaluation and outcomes
supporting families since 1869 Young Carers’ Conference25 March 2009
Evaluation: different levels
• Organisation as a whole
• Local - project
• Individual worker/service user
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
/
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
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
supporting families since 1869 Young Carers’ Conference25 March 2009
Evaluation tools
•Monitoring Form•Profile•Goal setting
•Questionnaire•Parents•Children
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
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
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)
supporting families since 1869 Young Carers’ Conference25 March 2009
CES Outcomes Triangle
Overall Aim
Specific Aims
Objectives
Outcomes
Outputs
supporting families since 1869 Young Carers’ Conference25 March 2009
My mum’s heart
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)
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.
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
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.”
supporting families since 1869 Young Carers’ Conference25 March 2009
For more information:
Family Action services: Rose de Paeztron, Strategic Development
Building Bridges evaluation: download at www.family-action.org.uk
Join (free) Parental Mental Health & Child Welfare Network: www.pmhcwn.org.uk