Early Intervention Transformation Programme (EITP) What is EITP? - - PowerPoint PPT Presentation

Early Intervention Transformation Programme (EITP)

What is EITP?

• The Early Intervention Transformation Programme (EITP) is a £30m

Delivering Social Change (DSC)/Atlantic Philanthropies Signature Programme.

• The Programme aims to improve outcomes for children and young

people across Northern Ireland through embedding early intervention approaches.

• The Programme is funded jointly by five government Departments

(DoH, DE, DoJ, DfE and DfC), DSC and the Atlantic Philanthropies.

EITP’s Core Themes

• Better use of evidence and data;
• Focus on outcomes;
• Sustainability; and
• Transformational change.

EITP Governance Structures

DSC Programme Board

CYPSP Project Support EITP Programme Board

Workstream 1 Workstream 2 Workstream 3 Workstream 4

Prog. Mgt

EITP Workstream 1

• Workstream 1 aims to equip all parents with the

skills needed to give their child the best start in life and focuses on key parenting stages.

• Projects:

– Getting Ready for Baby; – Getting Ready for Toddler; – Getting Ready to Learn; and – Play and Leisure.

EITP Workstream 2

• Workstream 2 aims to support families when

problems arise before they need statutory involvement.

• Project:

– Early Intervention Support Service

EITP Workstream 3

• Workstream 3 aims to positively address the impact
• f adversity on children by intervening both earlier &

more effectively to reduce the risk of poor outcomes later in life.

• Projects:

– Building Better Futures – Edges – Family Drug and Alcohol Court – Home on Time – Community Diversion – 6 in 10 – Children of Imprisoned Parents – LAC Education – Early Intervention Childcare

EITP Workstream 4

• Workstream 4 aims to strengthen the culture of

inter-professional working practice, with a particular focus on ACEs, by supporting professionals to train together as well as embedding commonality in prevention and early intervention approaches.

• Project:

– Professional Development Project

Completed Projects

• Belfast Intensive Family Support
• LAC Social Enterprise
• Community Family Support
• Care Proceedings Pilot

Workstream 1 Siobhan Slavin – Implementation Manager

The Early Intervention Transformation Programme (EITP)

Getting Ready for Baby Getting Ready for Toddler

Getting Ready for Baby

• Transforming universal antenatal care and

parent education

Messages from parents

Trusted Relationships: Smaller number of health professionals More preparation Practical parenting Emotional impact: Antenatal & post-natal depression Use pregnancy to facilitate social networks Consistent Information needs to be provided in a range of formats Home visiting is essential Include Dads

1: Improving parent’s readiness and confidence in their parenting role 2: Improving the social and emotional resilience of children

Solihull ante- natal care and education Named Health Visitor for each DE-funded pre- school setting 3+ Year Review pre- school settings Universal messages into maternity pathway

The Journey to Parenthood

Solihull Training for Midwives

Group based programme Highlight the importance

• f infant

mental health

Solihull Antenatal Parenting Group

Provide social

• pportunities

for expecting parents

Combine

healthcare

assessment and parent education

Better engage fathers

Opportunities for midwives and others to work together

New Approach- Antenatal Parenting Programme

• Getting Ready for Toddler
• Supporting social and emotional

development in pre-school children

3+ Health & Wellbeing Review

Teacher - Health Visitor Meeting Mother completing ASQ SE at home Mum and Health Visitor meet for 3+ Review in Pre-school

OBA – Who is better off???

• Increased knowledge of brain development in the womb – 3 years
• Confidence to help parents, identify who needs additional support
• Confidence to deliver programme
• Confident using Solihull approach in daily work

Solihull training

• Parent Child Relationship
• Confidence
• Social Networks

Group based antenatal care & education

• Partnership
• Support for settings with health information and advice
• Benefits to children’s learning / development

HV alignment to Pre-schools

• Parents respected and empowered
• Parent’s have a better understanding of their child’s social and emotional needs
• Early interventions disaggregated by intervention service
• Improved ASQ scores following early intervention

3+ Year Health & Wellbeing review

Messages from parents

Midwives were fantastic – great to get the same midwife each time Feel supported and confident I really enjoyed the whole class experience – I have made new friends – we are in touch daily - the babies are now 6 months old I feel we really know our baby Understand needs of my baby More Confidence It really brought my husband and I closer together

Getting Ready for Baby Getting Ready for Toddler

• Thanks for listening
• siobhan.slavin@hscni.net

Workstream 2 Amanda McLean – Implementation Manager

Overview

• Set context of Early Intervention Support Service

(EISS) within PHA

• Outcomes & performance of EISS
• Outline the features of the EISS
• QUB process evaluation & research
• Sustainability & mainstreaming of EISS
• Stakeholder engagement

Early Intervention Support Service Model

Supporting families when problems arise before they need statutory involvement Early Intervention Support Service Family Group Conferencing Parenting Programmes

1

How much did Regional EISS do?

Number of referrals through Referring Agencies Apr 16– Mar 17 (#981) Main Reason for referral Top 10 Apr 16–Mar 17 (#1750)

399 121 99 70 54 46 38 35 28 24 14 10 10 8 5 5 5 4 3 2 1 Family Support Hub Self referral Health Visitor School Family Support… GPs Gateway Education Welfare Service CAMHS Paediatrician/Community Paediatrician Other SureStart Voluntary organisation Single Point of Entry (Referral… School Nurse Education Psychologist Re-Referral PSNI Community organisation Behaviour Support (EA) Youth Justice 425 379 200 176 144 142 100 75 61 48 EBD support primary school children Parenting programmes/parenting support EBD support post primary school children Practical support EBD support parents EBD support pre-school children Counselling services for children/young people Adult Mental health Issues Family breakdown Self-care support

How well did Regional EISS do it?

Outcome of Intervention Apr 16 – Mar 17 based on families supported #707

84% 12% 4%

Total families successfully completing intervention (#592) Families disengaged from service/moved out of area (#83) Families escalated to Gateway (#32)

How well did Regional EISS do it?

• 532 parent/carer user satisfaction forms were issued; 471 (88%) were completed 91% of families rated the service as

excellent & 6% rated the service as very good.

• 301 child/young person user satisfaction forms were issued; 253 (85%) were completed 83% of children/young

people rated the service as excellent & 18% rated the service as very good. “An invaluable service that is an essential part of our Hub

• network. Our most commonly requested service is for Home

Visitation packages and EISS provides this with empathy and professionalism whilst keeping the family at the centre of their work. ”

Lower North Belfast Family Support Hub

"The service has been invaluable for pupils and families, I don't know where I would have turned to if EISS was not here. There have been great changes in pupils who have been directly supported by EISS staff". (School Principal)

Changed our lives! Couldn’t rate (worker) highly enough! (Mum) Brilliant service we will miss our project worker coming to help us. (9 year old child)

Star shows the average first and last scores for families included in this report;report downloaded 25th September 2017.

Regional EISS - Is anyone better off?

Cumulative based on Family Star Plus #626 families

___ First Score ___ Last Score

.

Regional EISS - Is anyone better off?

Cumulative based on Family Star Plus closed cases #613 Outcomes for Families

Total completing Family Star Plus Improving in at least 1 area Improving in at least 2 areas Improving in at least 3 areas Improving in at least 4+ areas Percentage 100 93 86 75 57 20 40 60 80 100 120

Percentage

How many service users improved (cumulative from 1 Apr 16 #613 families)

This star shows the average first and last scores for families included in this report;report downloaded 25th September 2017.

Regional EISS - Is anyone better off?

Cumulative based on My Star #179 children & young people

___ First Score ___ Last Score

Total completing My Star (#141) Improving in at least 1 area (#125) Improving in at least 2 areas(#97) Improving in at least 3 areas (#63) Improving in at least 4+ areas (#25) Series1 100% 89% 69% 45% 18% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% How many Service Users Improved My Star - Northern Cumulative from Apr 1 2016 #141 Children and Young People

Regional EISS - Is anyone better off?

Cumulative based on closed cases #141 Outcomes for Children and Young People

Key Features of Early Intervention Support Service

• Multi professional skill mix team 3.5 WTE
• Key worker assigned to family
• Short term intervention up to approximately 12 weeks
• Provides therapeutic & practical support
• Family Group Conferencing for 5% of families
• Access to Incredible Years & Strengthening Family Parenting

Programmes

• Refers to FSH for multiagency input if additional support required
• Outcomes Based Accountability Framework to measure impact
• Research evaluation led by QUB

Early Intervention Support Service Delivery Model

Child or young person with additional needs requiring multiagency intervention Referrals will be accepted from all sources including self-referrals N.B. If the referrer knows what service a family needs they should contact the service directly. If there are any safeguarding concerns at this or any other point a referral must be made to Gateway

Early Intervention Service Early Intervention/family support Provider Early Intervention Service Team Leader liaises with Family support Hub Coordination Early Intervention Service Assessment Keyworker support Short term response Decision for support Multi agency response required Hub Meeting Additional support required refer to Hub for discussion Problem resolved Stand down/ revert to universal Problem resolved? Family Support Hub Safeguarding concerns Escalate to Gateway Safeguarding concerns Escalate to Gateway Inappropriate referral return to referrer

Evaluation of EISS

Aim & Objectives

• To address whether EISS is effective in improving parenting skills and
• utcomes for children and families.
• The overall evaluation will address this aim while also looking at the
• utcomes star as an assessment tool, assessing how well EISS fits to the

local geographical and stakeholder context and determining the experience of parents taking part in EISS. Methodology

• Pre and post-test outcomes data is being collected with parents using a

wait-list control group design.

• A process evaluation is being conducted to further explore the experience

and implementation of EISS through interviews with parents & key stakeholders.

EISS Evaluation

Activity to Date

• 191 parents were passed to QUB by mid-September 2017, of which 76

were not able to be contacted.

• Response rate is approximately 60%.
• Data collection is at two time points either via phone call, paper copy or a

home visit.

• Interviews have been conducted with all EISS managers, project workers

and relevant personnel.

• Interviews with parents and additional stakeholders are on-going.

Key Dates

• Extension to data collection to March 2018 has been agreed by OREC
• A draft report of main outcomes due at end of January 2018.
• A final technical report due at end of March 2018.

Sustainability of EISS

• Business case developed to continue EISS to end March

2019 – going to PHA, AMT November 2017.

• QUB evaluation report due March 2018.
• Funding streams to sustain EISS post March 2019 will be

explored.

Workstream 3 Helen Dunn – Implementation Manager

The Early Intervention Transformation Programme (EITP)

Workstream 3 1. Building Better Futures 2. Home on Time 3. Care Proceedings Pilot 4. Edges 5. Family Drug and Alcohol Court 6. Social Enterprise for Care Leavers

Building Better Futures

Building Better Futures

• Aim of this practitioner-oriented manual is to introduce a

framework for assessing and enhancing parenting

• Need for structured assessment intervention and critical

judgement by social workers 3 core components:

• Dimensions of parenting
• Set of analytical categories for studying facts and feelings
• Tools for gathering information

Building Better Futures

Principles

• Child-centred
• Ecological
• Strengths based
• Relationship based
• Partnership with parents and children
• Children`s safety ,identity ,security, stability and lived experience
• Multi-disciplinary and inter agency
• Family support provided
• Research and evidence of what works
• Solution-focused

Building Better Futures

• Early stage of engagement
• Use of genograms and ecomaps
• Social history
• This information can then compared to the list of indicators in

the Adverse Childhood Experiences Tool providing information around future threats to social and emotional well-being

• Impact on the child + individual children`s needs
• Strengths based – taking account of capacity to change
• Risk and decision making

Building Better Futures

Feedback from evaluation Social workers:

• “ this model has enabled me to do the type of work I came into social work to

do “; “I have a greater empathy for my families as I now better understand how they have come to this place in their lives”; “my assessments and analysis are so much better as I have a much clearer understanding of a family’s situation as I have spent so much face to face time with them”. “I understand better the impact on the child of what`s going on in a family.” “I feel more confident in the recommendations I make as I feel I have a much clearer picture”. Service users comments:

• “I feel like I can speak to her, you know, I can talk to her, you know, I don’t have

the boundaries up that I would’ve had, you know, and I think that’s with the work she’s done with me”.

• “ I don’t feel……she’s never made me feel like she looks down at me – I’ve had

that before, where you know, she’s judged me or anything like that. I just feel that she gets the situation, she gets me.”

• “She made me feel that I was a person and that she was a person rather than

she was the SW”.