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Effective support for children and families How targeted early help can improve the wellbeing of children and support safeguarding

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Effective support for children and families How targeted early help can improve the wellbeing of children and support safeguarding Dawn Roberts, Acting Assistant Director, Early Help Alastair Gibbons,
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Effective support for children and families How targeted early help can improve the wellbeing of children and support safeguarding Dawn Roberts, Acting Assistant Director, Early Help Alastair Gibbons, Exec Director Children s Services Birmingham City Council What are we trying to achieve? Effective interventions, which promotes family resilience, to bring about positive change for children Through active engagement with families, properly exploring issues, understanding of child and parents perspectives and motivation, understanding of strengths and deficits Frontline practitioners investigate, engage and creatively enable family to identify solutions before seeking more restrictive statutory interventions Systemic and Strengths based approach Focused intervention with families short-term to find solutions Clarity about levels of need and thresholds Open and honest partnership work Multi-agency clarity about levels of need Right Service, Right Time A tiered approach Universal Universal Plus (schools, health ) Additional Needs (Targeted Early Help -Think Family, Family Support) Children in Need -Child Protection Children in care A model of meeting need through the least intrusive and most consensual effective intervention Managing Permeable Boundaries Systems, processes and all agencies responsibilities for Level 2 support to children and families Clear simple to use step-up and step-down processes based on well understood levels of need Differentiation between targeted early help (level 3) and level 4 child in need work which requires a social worker Good dialogue and collaborative working relationship between local targeted early help/family support manager and social work team manager Targeted Early Help Practice Unconditional Positive Regard Listen, empathise, support and challenge Systemic, family focused Work with family to help them make changes they identify Open, working in uncertainty, perseverance Enabling change and being brave confident practice Strengths-based, motivational interviewing, systemic practice and other evidence based approach Feedback from children and parents Empathy and Client Resistance and Disclosure Mean number of Resistance/Disclosure Utterances Resistance Disclosure 0 Obstructing Not listening Minimal listening Empathic listening Skilled listening Empathy Slide from Prof. DONALD FORRESTER Think Family Offer Families with multiple problems Most likely to benefit from an integrated, whole family approach Families who are high cost to the public purse Concerns can be managed without the need for statutory intervention Retaining the 5 key functions of our Core Offer under pinned by set of principles A dedicated worker, dedicated to the whole family Practical hands on support A persistent, motivational and challenging approach Whole family multi-agency assessments, considering the family as a whole Whole family multi-agency plans, focused on agreed outcomes with the family Working with families not to Level 3 Family Support/Think Family Offer Universal Services should remain involved The amount of time and period of support will depend on need. This will range from 1-5 hours per week over a 6-9 month period unless longer is required. The family workers delivering Think Family support are trained in Level 4 City and Guilds working with complex families. Substantial Provision At minimum, Level 3 1. Family Support in 14 Family Support and Safeguarding Hubs 2. Youth Offending Service 3. Housing Intensive Provision with specialisms At minimum, Level 3 1. Third Sector providers including Barnardo s, Birmingham and Solihull Women s Aid and Family Action 2. Multi Systemic Therapy 3. Sexually Harmful Behaviour Request for Support Form and Provider Offer Think Family Outcome Plan FAMILY ISSUE FAMILY LEVEL OUTCOME EVIDENCE SOURCES SIGNIFICANT PROGRESS SUSTAINED PROGRESS Children who need help: Risk of neglect, neglect identified or there is low parental capacity Children s emotional and physical needs and developmentaremet by family Good parental capacity and wellbeing ThinkFamily Single View data Performance monitoringof open Think Family cases Distancetravelled tool inclusive of child/adult voice Children with child in need plans are successfully stepped down to Family Support or Universal/community services Children in FS have self (family) assessed improvement in behaviour at home and/or in school Parental functioning is demonstrating significant progress against Shared Family Assessment domains Child does not require a Child Protection or Children in Need plan within 12 months No repeat referrals for 6 months Multi Agency Strategy- Early Help Services Supporting Effective Early Help Evidence Based (Random controlled) Incredible Years Cognitive Behaviour Therapy Family Nurse Partnership Family Group Conferencing Solihull Approach Specified & Specialist Assessment or Tools Family Learning Tool / Outcome Star Graded Care Profile Strengths & Difficulties Questionnaire Signs of Safety Family Common Assessment Framework Effective Practice Female Gender Specific Programme Speech & Language therapy Substance Misuse Intervention approaches Healthy Child Programme Integrated offender management with police/probation Partners DWP Inc. TF Employment Advisors West Midlands Police Clinical Commissioning Groups (NHS) Schools and other education settings Public Health
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