troubled families march 2012-3

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Key Messages A Community Budget for Supporting Leicestershire’s Troubled Families Strategic Outline Case

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In December 2010 the Prime Minister set out that he wanted troubled families’ lives to be turned around by the end of this Parliament. The priority was to help families who were stuck with many problems, often responsible for causing problems, and also costing society a large amount of money in terms of services. The report draws upon interviews with families carried out in May and June 2012 by Louise Casey. Six local authorities in England assisted with providing access to families.

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Page 1: Troubled Families March 2012-3

Key Messages

A Community Budget for Supporting Leicestershire’s Troubled FamiliesStrategic Outline Case

Page 2: Troubled Families March 2012-3

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Leicestershire’s Ambition for Our Troubled Families

1. Significantly improving outcomes for families and their children

2. Reducing the current costs of public services

“Our heart tells us we can’t just stand by… Our head tells us we can’t afford to keep footing the

monumental bills for social failure. we have got to take action to turn troubled families around”

David Cameron, 15th December 2011

Page 3: Troubled Families March 2012-3

National Update

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Page 4: Troubled Families March 2012-3

Prevalence of Troubled Families in Leicestershire

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Troubled Families Profile: 1300

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1 in 2 families involved in crime / ASB

57% solely or heavily reliant upon state benefits

75% actually in receipt of benefits

96% have at least one family dysfunction risk

DV, Behaviour, Poor Parenting, Safeguarding, unstable relationships etc

64% have educational risks truancy, >15%, SEN, exclusions,

class behaviour, PRU

49% of households have some form of mental health problem

Rises to 81% with Alcohol & Drug misuse

36% of families have a physical health condition

Page 9: Troubled Families March 2012-3

Troubled Families make up…

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77% of Domestic Violence Casework

Sourced from pilot work Summer 2010

48% of Attendance Improvement Service cases

100% of Probation Casework where probationer is a parent

79% of Youth Offending Service Casework

70% of families assessed by children’s social care

are either TF or Threshold (Initial or Core)

96% of CAF CasesTF (69% of casework)

Threshold (27% of casework)

Page 10: Troubled Families March 2012-3

District prevalence of TF families across domains (1300)

100

50

100

150

200

250

300

350

400

450

Blaby Charnwood Harborough Hinckley & Bosworth

Melton North West Leicestershire

Oadby & Wigston

Families with Criminal Justice Issues Families with Employment Issues

Families with Education Issues Families with Family Functioning Issues

Families with Mental Health Issues Families with Physical Health Isssues

80 431 66 277 127 235 68

Page 11: Troubled Families March 2012-3

Services that know families with crime/ASB issues

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0

50

100

150

200

250

300

350

Blaby Charnwood Harborough Hinckley & Bosworth

Melton North West Leicestershire

Oadby & Wigston

Common Assessment Framework Youth Offender Service Probation Data

District Council Children's Centre Family Intervention Project

Frameworki Children's Social Care

Page 12: Troubled Families March 2012-3

Common issues for Families

Confusing landscape of public services

Isolation in their communities Public services ‘do to them’ Lack of or limited choice/control Public services in then out Adverse effect on aspirations/

perception of social mobility Domestic violence Poor parenting

Difficulties maintaining relationships (incl. family, friends, peers, isolation & social marginalisation)

Lack of resilience (incl. capability, capacity, confidence & inability to cope)

Poor/overcrowded housing (incl. homelessness)

High risk behaviours (incl. substance misuse)

Poverty (incl. debt & unemployment) Health (incl. mental health & disability) Crime (offending and experience of) Lack of education/ attainment

What we learned from the Insight Phase…

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Page 13: Troubled Families March 2012-3

Reoccurring Themes from Evidence Base, Current Literature and National Policy on What

works:

Early intervention Building resilience Stability, continuity and

transitions Effective parenting and

supporting families Tackling educational

performance

Tackling worklessness Tackling poor health Tackling poverty Involving communities and

building social capital Building capabilities, resilience

and skills development

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Page 14: Troubled Families March 2012-3

“Many families were resigned to their situations, and did not appear to take responsibility for trying to improve them. One family had no sense of personal responsibility at all, and another’s primary responsibility was to get services out of their lives and would do and say things with that in mind”.

“Families saw limited value in just being told or taught how to do something. They all wanted much more practical and hands on support, and wanted someone to actually come in and actually show them how to do things. They all appeared perfectly happy for someone to practically work with their children on behalf or in front of them”.

“There is a real divergence between families’ own perceptions of themselves and how they perceive that professionals view them. Families use words such as caring, tight, coming together to sort their problems out etc. They say that professionals would see them as hectic, needy, chaotic, trouble etc. Families can’t see any recognition from many professionals of their strengths and just feel they are viewed in the negative”.

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Common Perspectives from Families

Page 15: Troubled Families March 2012-3

Leicestershire’s Proposed Troubled Family Model

Page 16: Troubled Families March 2012-3

Targeted Services

Universal Services

Specialist Services

FamilyFamily

Improved outcomesIncreased resilience, strengths &

independence

Co-located locality service:

•Permanent core team members inc Family

Worker•P/t Co-opted team

members•Personalised family

budgets

<-Cultural

Shift -> <-Act Family->

<-Cultural Shift -> <-Act Family->

Approved Family ModelApproved Family Model

Role:

Whole family approach•Delivers direct support

•Co-ordinates other services•Outreach in home/community•Assertive intensive support

•Small caseloads

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Page 17: Troubled Families March 2012-3

Review of National Family Intervention Project (FIP)Released Dec 15th with Troubled Family Announcement

FIP 4 year Programme Independent Study by NAT CEN 8.8k families

Profile & Risk factors at Referral (Multiple factors) Family functioning - 81% families

Poor parenting – 67% Relationship/family breakdown – 32% Domestic violence – 30% Child protection – 30%

Crime/ASB – 39% /79% Child Behavioural problems – 60% Health Problems – 49%

Mental health – 39% Physical health – 10%

Not in Employment, Education & Training (over 18s) – 65% 17

Page 18: Troubled Families March 2012-3

NAT CEN FIP RESEARCH: Outcomes for families exiting FIP

Outcome Improvements Recorded:

Families involved in ASB A Reduction of 58% to 34%

Families involved in Crime A Reduction of 41% to 20%

Children with behavioural /truancy problems A Reduction of 53% to 28%

Risks from poor family functioning (DV, family breakdown, child protection) A Reduction of 47% to 16%

Child protection plans A Reduction of 34% to 18%

Health risks including mental, physical health and substance misuse problems A Reduction of 34%

In worklessness (ETE) A Reduction of 14% to 58% 18

Page 19: Troubled Families March 2012-3

© 2011 Deloitte MCS Limited. Private and confidential.

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Partners have agreed the twin aims of improving outcomes for the families and their children and reducing the cost to the public sector of supporting the families through system change.