Services for Children & Families Primary National - - PowerPoint PPT Presentation
Primary & Social Care Network Services for Children & Families Primary National Implementation of Policy Care Team Child & Family Network Event Wednesday 21 st November, NUIG Children & Families Jim Breslin Health
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Primary Care Team
Children & Families
Community
Integrated Services
Primary & Social Care Network
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in its area who are not receiving adequate care and protection.”
Children Act, 2001; Adoption Act, 1988, 1998 & 1991 Child Trafficking and Pornography Act 1998; Child Care (Placement of Children in Foster Care) Regulations, 1995; Refugee Act, 1996; Ombudsman for Children Act, 2002; Children (Family Welfare Conference) Regulations, 2004; Child Care (Special Care) Regulations, 2004; Child Care (Amendment) Act 2007 Health Act, 2007 Child Care (Placement of Children with Relatives) Regulations, 1995; Child Care (Placement of Children in Residential Centres) Regulations, 1995; Child Care (Standards in Children’s Residential Centres) Regulations, 1996;
doing so, give due consideration to the wishes of the child.
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directly, or indirectly by commissioning other providers on its behalf, including
jurisdictions
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4%
4%
11%
7%
6%
2%
84%
65%
43%
86%
70%
79%
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Care (PCCC) delivers health and personal social services in the community and other settings.
protects the health of the entire population.
provides acute hospital and ambulance services throughout the country, including paediatric acute care.
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Continuing Care (PCCC) provides health and personal social services in health facilities and communities all
mental health, disability, child, youth and family, community hospital, continuing care services and social inclusion services.
and national services, are delivered through 32 Local Health Offices (LHOs).
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Families (Chaired by Prof. Gerry Loftus)
Children and Family services. Groups are established from time to time to address specific pieces of work and report into the Steering Group.
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McKinsey described the purpose of the 'Care
"to care for children in the community roughly between the ages of 6 weeks and 16
service, immunisations, general medical services, including identification of emotional disturbance, dental, ophthalmic and oral services, care of 'problem' children and care
Towards Better Health Care: Management in the Health Boards (1971)
In today’s parlance McKinsey envisaged the health boards developing a broad range of children’s services to be delivered within local communities and in an integrated fashion.
"An important structural problem is evident in the way in which agencies have been established as a 'part-solution' rather than a more radical 'full-solution' which would address the interrelated nature of the
effectiveness of system critical functions, hidden and poorly used pockets of expertise and an inappropriate location of functions. Our findings reflect the need for comprehensive structural reform." Audit of
Structures and Functions in the Health System - Prospectus (2003).
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generic social work service, which included child welfare and protection. Scope and scale of child welfare and protection services was quite limited at this stage.
88 child protection referrals;
1,242 referrals;
9,503 referrals.
and the provision of appropriate interventions.
and policy framework, absence of national or regional plans, insufficient resources and no
profile cases, starting with the Kilkenny Incest Investigation (McGuinness, 1993).
provision of additional social work, social care & management posts and a significant increase in resources.
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process of specialisation and compartmentalisation was also underway.
child protection and on fulfilling statutory responsibility to identify children at risk. While these services were both necessary and important, awareness has grown in recent years of the need to target preventive approaches and in particular to develop and expand family support services." National Health
Strategy - Quality and Fairness (2001) .
Community Care services envisaged by McKinsey.
nurses, community welfare officers, area medical officers and other staff - were, as departments grew, increasingly independently located.
defined) leaving these to Social Work Departments to manage alone
evidence base), while being partially successful, would have benefited from key childcare professionals being more embedded in local communities and integrated with a greater range and number of other community based service providers
resources for crisis responses to serious child protection cases
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publication of Agenda for Children’s Services
between 2000 & 2004 €145m in additional resources allocated to develop children’s services. Increase of about ⅓ in
(and meeting new policy and demographic demands) more difficult but we will need to revisit the return on earlier investment.
balanced continuum of service provision will need to strike a better balance between local accessibility and integration on the one hand and specialist knowledge and expertise on the
in progressing Transformation.
partnerships with communities, voluntary agencies (many funded by the HSE) and other public agencies required since the needs of families go beyond the capacity of one profession
Commitment to County Children’s Services Committees in Towards 2016 extremely important strategic development and, accordingly, the HSE is investing heavily in the 4 pilot Committees.
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disciplinary team serving a population of
therapist
health and social care professionals serves a wider population of up to 40,000 people and works in support of Primary Care Teams. Networks will include the following staff :-
pharmacist
National Service E.g. Children’s Service Committee, Special Care Unit, etc
Primary Care Team
Children & Families
Community
Primary & Social Care Network
I n t e g r a t e d S e r v i c e s
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to Social Work, Public Health Nursing, Psychology, CAMHS and other community based services that could be better addressed within the context of a strengthened model of primary and social care provision.
family support, child welfare, child behaviour, parenting and family functioning issues.
members of the Primary Care Team, singly or in combination.
input of Primary Care Network staff in combination with Primary Care Team staff.
18,438 Referrals to Social Work Departments:
Initial Assessment. (*PC?)
social work dept.
(*PC?)
assessment was On-going after Initial Assessment
(*PC?) = Scope for some or all being addressed with within the context of a primary care service.
appropriate policies, systems, procedures and professional support - a minimum of 10,009 (54%)
might be dealt with within the context of a primary care service.
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