Referral pathways: from identification through assessment · 2016-02-02 · Carers.org...
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Transcript of Referral pathways: from identification through assessment · 2016-02-02 · Carers.org...
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© Carers Trust and The Children’s Society
Referral pathways:
from identification
through assessment
to support
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Disclaimer
This webinar will be recorded and edited for
anonymity to share on our website
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Contact us
If you’re struggling to join the webinar or if you want to ask
some questions to the presenters, please get in touch with
Fraser Cook: [email protected]
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Why Referral Pathways?
To support local authorities in their development of clear, embedded and systematic ways of identifying, assessing and supporting young carers and their families:
• To set out clearly and visually
• To support in understanding what is working / what is needed
• To support in identifying how well different parts of process or model are working
• To support in communication
Whole Family Pathway
This is a tool for
all adults’ and
children’s
services,
education,
health and
other agencies
who have
contact with
young carers
and their
families.
www.youngcarer.com
www.youngcarer.com
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Carers Trust is a registered charity in England and Wales (1145181) and in Scotland (SC042870). Registered as a company limited by guarantee in England and Wales No. 7697170. Registered office: 32–36 Loman Street, London SE1 0EH. The Children’s Society. Charity Registration No. 221124.
© Carers Trust and The Children’s Society
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Q & A / Comments
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Polls
Overview
• Where the journey began
• Historical context
• Whole system change – whole family approach
• Early Help
• Adult and Children’s Family Assessment and EHAT Pathway
• Young Carer Assessment Pathway
• Challenges
Where the journey began…
“They say things like ‘we only work with your mum’ but my mum lives with me so
its all connected”.
“Its difficult enough living with mental health problems, but it feels like me and the
kids have all our problems separated out and then no one gets the whole picture
and sees how we are all affected”.
“Can you hear me, can you see me….then why did you ignore me?”
Historic context
1991 – ‘You Grow Up Fast As well’ qualitative research across Merseyside
1992 - Barnardo's Action with Young Carers service established
2001 - Keeping the Family in Mind (KFIM) strategic development work
Increased desire to work more closely together in identifying the strengths and opportunities for
improvements across services in order to achieve better outcomes for affected families
2007 - Practice Survey
2008 - FAMILY Collaborative
2009 - Memorandum of Understanding signed
2009 - 2012 - Implementer site for the SCIE ‘Think Child, Think Parent, Think Family’ Guide
2012 – Liverpool Families Programme (Troubled Families) established
2013 - 2014 - Department of Education Integrated Interventions for England Project
2015 - Liverpool City Councils work to implement the Care Act and Children and Families Act
cited as best practice nationally
Whole system change – whole family approach
We can all improve the health, wellbeing and life chances of parents, their children
and families…HOW ?...
• Families experiences informing change and development
• Share responsibility and accountability - Memorandum of Understanding
• Senior managers and decision makers - leading, facilitating and allowing
• Need involvement across a range of adult and children's services – no wrong
door
• Bottom up – top down
• Embed within service structures, care pathways, policies, ways of working
• Commissioning and procurement
• Workforce development
Sustainable Strategic Change
Early Help – everybody’s business
In 2007 Liverpool introduced the CAF and Team Around the Child to provide
opportunities to bring together individual assessments giving an overview of family
strengths, risks, relationships and needs
In 2013 CAF became EHAT which provided a more robust, integrated, whole family
framework to bring adult and children’s services together creating resourceful and
resilient families
The EHAT Framework and Team Around the Family framework can provide a good
basis for taking a whole family approach to the identification, assessment and
support of children and young people impact and young carers
Adult’s and Children’s Family Assessment and EHAT Pathway
If you think a child is at risk of harm follow LSCB procedures
Adults Assessment
Child’s potential need identified
Adult Services consults with parent and advises that an EHAT could be beneficial.
GET consent and agreement to share information
EARLY HELP HUBEHAT Officer will register Pre-EHAT/EHAT and follow existing EHAT/YC Assessment process
Children’sNeed identified for EHAT
Assessment
EHAT to be initiated
Share outcomes of Adult Assessment and contribute to the Team Around Family (TAF) meeting.
Adult/Children’s Service and Child Lead Professionals share information at all times to monitor progress of plans and impact of service provision
Parent/Carer identified as requiring support from Adult
Services
Pre-EHAT undertaken
Liverpool Young Carer Assessment Pathway
Pre-EHAT/EHAT/CSSA received and screened
Allocated to project worker to complete CSSA
or statutory YC assessment
Part 1 statutory YC assessment
MACA and PANOC completed
YAC-eligibility established
Information gathered about other Services
involved across adults & children’s
Negative impact of caring?
No negative Impact of Caring Universal Support/
EHAT considered
Part 2 statutory Assessment/CSSA
completed
Careline/Children’s Social Care Statutory Invention (In line with LSCB Levels
of Need Guidance)
NO
YES
Targeted Offer Low Negative impact of caring
EHAT considered
Locality Hub School/FE/HE EHAT/Support Plan Team
Around the family
Specialist OfferAllocated Worker
Step DownStep Up
Outcomes and Young Carer/YAC Support Plan
agreedStatutory Review
Level 2
Level 3
Level 4
Level 1
Challenges
• Challenge of interagency working
• Confidence and willingness to assess outside usual professional boundaries
• Information sharing
• Knowledge of services
• Fragmented services
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“Referral pathways – from identification through assessment to support”.
Identifying young carers through our Adult Social Care Customer
Service Centre
Oxfordshire Young Carers Service
Verity O’Hara – Young Carers Development Worker
Adult Carers Assessment
• Online via the Carers Oxfordshire Portal
• Approx. 70% completed on line
• Approx. 30% online with support from workers
• Administered via the Councils Customer Service Centre – Specialist Carers Support Team
Recording Children as part of the Adult Carers Assessment
• During the development of the form for the Care Act, the Young Carers Team took the opportunity to ensure that children of adult carers were recorded and offered support.
• SO ….
• We needed get the details of the children recorded on the form – name and date of birth
• Explain to families how this information would be used and shared via the form
• Put a process pathway in place to share information from the Customer Services Team to the Young Carers Team
• Provide training to the customer services team as
they are adult focused members of staff.
Details of the children recorded on the form – name and date of birth
• Section 5 children of the adult carer
Caring for others
In this section we ask about any children who may be dependent on you, and there is an opportunity for you
to tell us if you support more than one person.
Do you have any children that are dependent on you?
YNo
If 'Yes', please tell us the name and date of birth of each child:
Details of the children recorded on the form – name and date of birth
• Section 12 children sharing the adult carers caring role
Support from others with your caring role
Do you share your caring role with another person (who is not a paid carer)?
Yes No
If ‘Yes’, are any of the other carer(s) who share your caring role under the age of 18?
Yes No
If 'Yes', please give us their details below: (their details will be passed in confidence to our Young Carers Team who may be able to offer them support in their caring role):
Name:
Date of birth:
Address (if different to yours):
Explain to families how this information would be used and shared
Challenges and Positives of information used and shared:
Data Sharing Statement on Carers Assessment: ‘This information will be stored securely and used to assist us in your assessment and offer of support. It will be used in accordance with the Data Protection Act 1998.’
Process pathway in place to share information from the Customer Services Team to the Young
Carers Team
Provide training to the Customer Services Team as they are adult focused members of staff.
Training was given to the whole team.
Young Adult Carer experience with questions and answers.
Case Study exercises on emotional and physical impacts of carers and ‘hidden’ young carers such as asylum seekers, mental health and drug and alcohol.
Discussion around work flow process what’s working and could be improved on.
OUTCOMES so far Number children living in families with
potential caring responsibilities identified via process
Young Adult Carers identified through the process
2x young carers champions in the CSC
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© Carers Trust and The Children’s Society
Please type in your questions
Q & A / Comments
Carers.org babble.carers.org matter.carers.org
www.childrenssociety.org.uk
Carers Trust is a registered charity in England and Wales (1145181) and in Scotland (SC042870). Registered as a company limited by guarantee in England and Wales No. 7697170. Registered office: 32–36 Loman Street, London SE1 0EH. The Children’s Society. Charity Registration No. 221124.
© Carers Trust and The Children’s Society
Thank you
Follow us on twitter @CarersTrust
@childrensociety
Like us on Facebook
