Www.hertssafeguarding.org.uk Working with the whole family HSCB Annual Conference 2011.

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Audit & Analysis Group

www.hertssafeguarding.org.uk

Working with the whole family

HSCB Annual Conference 2011

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Working with the whole familyHSCB Annual Conference 2011

9.00 Arrival and coffee9.30 Welcome and the Hertfordshire picture

Phil Picton, HSCB Independent Chair9.50 Keynote speaker - Naomi Eisenstadt CB10.30 A Hertfordshire perspective

Sue Williams and Earl Dutton11.00 Coffee11.20 Workshops (2 x 40 minute sessions)13.00 Lunch13.45 Theatre group presentations and discussion groups16.15 Plenary led by Phil Picton 16.30 Close

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Welcome and the Hertfordshire picture

Phil PictonHSCB Independent Chair

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Why are we here?

“… moving from a system that hasbecome over-bureaucratised and focused on compliance

to one that values and develops professional expertise”

Munro 2011

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Recurrent problems

• children being invisible to professionals because the focus is on the parents,

• inadequate assessment of the dangers of parental problems of • substance misuse,• domestic violence, • and mental illness,

• fixed judgments not being challenged and revised

(Munro 1st Report)

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Numbers from SCRs

• Domestic violence 34%

• Mental health problems 27%

• Drug misuse 22%

• Alcohol misuse 22%

• Child of teenage pregnancy 10%

• More than one child abused 19%

Brandon et al, Dept of Education, 2010

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“… half of the children are not known to children’s social care,”

Brandon et al, Dept of Education, 2010

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Working with the whole family to address deep disadvantage

Naomi Eisenstadt Senior Research Fellow, University of OxfordDepartments of Education and Social Policy

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Why haven’t we cracked the problems of exclusion

• Even with the recession, most people in Britain are healthier, wealthier, and wiser (?) than thirty years ago

• Successive successful policies have left behind individuals and families with increasingly complex, inter-related and persistent problems

• Public health messages and policies that work for the many, still miss some; need to address a highly segmented market; a more nuanced approach to targeting

Inequality gaps widen as policy success for the many leaves a few even further behind

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Social exclusion across the life courseSETF study, July 2009

• 4 studies: families with children, young people, working age adults without children, older people

For this talk: data from: – Families with children: Paul Oroyemi, Giacomo

Damioli, Matt Barnes, Tim Crosier• Key questions,

– what are the forms of multiple disadvantage– what lessons for social policy

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What do we mean? • "Social exclusion is a complex and multi-dimensional

process. It involves the lack or denial of resources, rights, goods and services, and the inability to participate in the normal relationships and activities available to the majority of people in a society, whether in economic, social, cultural or political arenas. It affects both the quality of life of individuals and the equity and cohesion of society as a whole"

• Bristol Social Exclusion Matrix (Levitas et al, 2007)

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What we know about disadvantage and transfer of disadvantage

• Inequalities interact with each other: poor mental or physical health in childhood leads to poor educational outcomes, leads to poor employment prospects, leads to poor health in adulthood

• Clear gradient, disadvantage not only in the bottom quintile, but very bottom 2-3% characterised by complex and inter related problems

• Children fall in and out of risk during childhood; stuff happens• Disadvantage has negative impact across generations

St Paul’s: without it, correlation increases to 80%

Interrelationship: health and education inequality

Prevalence of multiple disadvantage (2006)

55% have 0 or 1 disadvantage

45% have multiple disadvantages

Number of disadvantages (total possible 18 for this study)

% o

f fa

mili

es

9 clusters of multiply-disadvantaged families

Families with no disadvantages (0)

1. Severely excluded families (9) 2. Low income families with

poor (paternal) health (6)

3. Deprived families with no private transport (5)

4. Families with poor maternal health (4)

5. Financially excluded families (4)

6. Families lacking social participation (4)

7. Families living in poor housing with debts (3)

8. Families in overcrowded housing & disconnected from

their neighbours (3)

9. Isolated families with heavy drinking mothers (3)Families with only one

disadvantage (1)

Families with multiple disadvantagesFamilies with 0 or 1 disadvantage

33%

5%

8%

3%

3%

4%

6%

4%

9%

3%22%

5

3

2

5

4

4

4

5

3

6

4

4

6

5

5

5

4

3

0 1 2 3 4 5 6 7

Mother suffers from mental health problem or depression

Father has a long-standing illness/disability that limits daily activities

Mother drinks more than 14 units of alcohol per week

Family live in a property in poor or very poor state of repair

Mother never speaks to neighbours face-to-face

Mother has a long-standing illness/disability that limits daily activities

Family live in overcrowded accommodation

Family has no parent with any qualifications (academic or vocational)

Mother lacks contact with family or friends

Family has no parent in work

Parents do not use the internet at home

Family cannot afford to host a meal or have a night out once a month

Family is deprived of a number of material items/activities

Family does not have a current or savings account

Family has debts

Family does not have access to a car

Family has equivalised income BHC below 60% contemporary median

Family has no savings or savings of less than £100

Qua

lity

of li

feP

artic

ipat

ion

Res

ourc

es

Mean number of other disadvantages family has

Dom

ain

and

indi

cato

r of

dis

adva

ntag

e

The association between different forms of disadvantage

2.81.4

6.5

1

4.9 5.44.5 4.3

8.1

2.9

7.78.9

6.27.3

9.7

5.6

7.5

11.910.4 11.1

12.5

10.2

16.318

02468

101214161820

Well belowaverage at English

(2005)

Child suspendedor excluded in last

year (2005)

Not seen friends inlast week andnever goes to

organised socialactivities (2004)

In trouble withpolice in last year

(2005)

Child spent lessthan an hour on

physical activity inlast week (2005)

Child admitsrunning away fromhome before (2004)

None 1 or 2 3 or 4 5 or more family disadvantages

Source: Families and Children Survey (2004 and 2005, 8 disadvantages measured for this study)

Children from families facing multiple disadvantages are at greater risk of a range of negative outcomes

Key messages

Implications for policy

• The methodology provides a more nuanced understanding of the different forms of multiple disadvantage experienced by families with children

• Assist with better identifying the range and complexity of need among families with children

• Inform the provision of targeted and personalised support

• Key drivers and triggers can either increase or decrease the chance of families experiencing multiple disadvantage

• Inform the targeting and timing of personalised support around key trigger events

• Children from multiply disadvantaged families experience lower levels of well-being than children from non-disadvantaged families

• Three key drivers of outcomes: love, money and health. All interrelated and all essential

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Challenges to delivery of a think family approach

• What changes do we need in the workforce to improve collaboration between adults and children’s services

• How do we deal with the sometimes genuine tensions between child and adult best interests?

• How do we make ‘joining up’ work at the front line without impossibly complex lines accountability?

• In times of fiscal constraint, more to be gained by collaboration, but also stronger resistance to share budgets.

• This stuff is hard....

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Key policy choices

• Shift the curve: public health prevention approaches will decrease the absolute number of citizens experiencing exclusion, but will always miss the most excluded

• Working with the most excluded: complex, expensive, often fails. Very little public support (they don’t vote)

• Real choices: do nothing, do good by stealth, convince the public worth doing

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New Government, new ideas• Demonstrable commitment to the ‘neediest’• Tension in ideas of ‘Big Society’ co production and use

of evidence based programmes, strong emphasis on manualised pre-determined interventions– Graham Allen Review– Frank Field Review– Tickell Review

• Meanwhile, high risk if increase in poverty: prices of essentials increasing, wages flat, and more part time working

• Public sector cuts most inordinately impact on women and therefore children

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Good news/bad news

• Strong commitment to early years and educational attainment

• Maintenance of universal 15 hours free for 3 and 4 year olds

• Increases in paid parental leave and increased flexibility between mothers and fathers

• Very concerned about university access and social mobility

• Likelihood of rising unemployment

• Tax credit changes• Changes to housing benefits• Increased conditionality on

disability benefits• Overall benefit cap (particularly

hard on large families)

Hence, protection of some services but strong likelihood of increased demand and reduced funding. Tough times ahead.

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A Hertfordshire perspective: Working together to safeguard

children in HCC

Sue Williams

Operations Director, Safeguarding

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VisionStrengthen the links and create a continuum of care between universal, targeted and specialist children’s services by shifting resources and/or appropriate workload from specialist services (children’s social workers) into universal (eg children’s centres) targeted early intervention teams (eg TYS) and develop robust sustainable links with adults teams (learning, disabilities, mental health and substance misuse teams).

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Actions 2010/11• Munro review of child protection• Meeting the Needs/TAS• FIP and Scaffold• Setting up Early and Targeted Intervention

portfolio inc TYS, EITS and others• Cross services protocol• Local child protection fora• Step up/down inter agency procedures• Joint child protection investigation

team/Protector

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What’s next?

• Graded care profile and CAF - using same tools, developing shared language

• Links with children’s centres/hospitals/HVs

• Exploring and creating effective and sustained links adults substance misuse, learning disabilities, mental health, DV and children’s targeted and specialist teams

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HSCB Annual ConferenceWorking with the whole family

Earl Dutton, Assistant Director

Health and Community Services

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Working in a holistic way

• The essential key remains joint working

• We must stop passing individuals between us

• Talking to your opposite number in other parts of

HCC

• Partnerships are more important than ever

• Make more person centred pragmatic decisions

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Working in a holistic way (2)

• Cross boundary protocols already in place

• Shared offices and systems

• Brilliant examples of working together

• Can always do more

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Working in a holistic way (3)

• Many synergies across all agencies

• We can always learn from each other

• Remain open minded and think ‘outside the box’

• HCS are very committed to this way of working

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Working with the whole familyHSCB Annual Conference 2011

9.00 Arrival and coffee9.30 Welcome and the Hertfordshire picture

Phil Picton, HSCB Independent Chair9.50 Keynote speaker - Naomi Eisenstadt CB10.30 A Hertfordshire perspective

Sue Williams and Earl Dutton11.00 Coffee11.20 Workshops (2 x 40 minute sessions)13.00 Lunch13.45 Theatre group presentations and discussion groups16.15 Plenary led by Phil Picton 16.30 Close

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11:20 workshops (2 x 40 minute sessions)

Workshop 1: working with parents who misuse substances Oak Room

Workshop 2: effective interactions Birch

Workshop 3: family group conference Hazel

Workshop 4: parental mental health Beech

Workshop 5: Think Family in practice Pine

Workshop 6: parental learning disabilities Willow

Workshop 7: the effects of domestic abuse on families Yew

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Working with the whole family

HSCB Annual Conference 2011

REACT ACTING FOR BUSINESS

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Questions….

• How can we make best use of expertise in the system, especially when parents needs fall below the threshold?

• How can we keep a focus on the child while supporting the parents?

• How do we improve risk assessment and intervention for families with multiple difficulties?

Www.hertssafeguarding.org.uk Working with the whole family HSCB Annual Conference 2011.

Documents

Transcript of Www.hertssafeguarding.org.uk Working with the whole family HSCB Annual Conference 2011.