Post on 16-Jan-2016
Troubled Families - Birmingham
A Think Family Strategy
Dawn Roberts, Rachel Jones, Rob JamesThink Family Board
Birmingham Think Family
• National Payment by results (PbR) programme
• Turning around the lives of 120,000 ‘troubled families’ – for Birmingham to achieve good outcomes for 4,180 families
•Families defined by the Troubled Families Unit, – Proven crime under 18s /family anti-social behaviour – Have school attendance/exclusion issues – In receipt of Out of Work benefits – Local indicator for Birmingham is low parental capacity. HIGH COST to the public purse
•Families must have a coincidence of 3 of 4 of these characteristics
Early needs analysisDuring 2012/13 an analysis of the first cohort of Troubled Families confirmed: 94% of families include an adult on benefits
72% had children with low attendance or excluded31% had current or recent Child Social Care involvement43% included a young offender or had a family member involved in anti-social behaviour
12% had a child with an educational statement
Just under 30% of our families (609) received a more detailed assessment: 34% included a family member with substance misuse problems
19% had some form of domestic abuse taking place 27% included a family member with a mental health problem25% parents were struggling to enforce rules and boundaries.
Improved assessments and data sharing are increasing these percentages,
Can we afford the status quo?
Education/ Early Years
£440m
Crime and Justice £30m
Health £250m
Welfare - all except benefits
£80m
Protecting Children £250m
Total Targeted Spend= approx. £ 1 billion per year
Crime and Justice
£2,570m
Education/Early Years
£390m
Protecting Children £3,490m
Welfare - benefits £750m
Health £780m
Total Reactive Spend= approx. £ 8 billion per year
The estimated average fiscal cost of a troubled
family is around £75,000 per year.
The Fiscal Case for Working with Troubled Families: Analysis and Evidence on the Costs of Troubled
Families to Government, DCLG (Jan 2013)
Local Indicator : Low Parenting Capacity
• Adult or Child Mental Health issues
• Adult or Child Substance Misuse Issues
• Domestic or emotional abuse taking place
• A Child or Young Person open to Children’s Social Care.
• Families where a child has Special Educational Needs
• Family experiencing homelessness
• Parents who indicated or demonstrate that they are struggling to parent and/or enforce rules and boundaries
Supported the move to identify more families from a Think Family Identification Form in addition to data systems.
‘Right families receiving right support’
AttendanceService
HousingBenefitBarnados
FamilyIntervention
Project
From2003
…to2012
Police/Community
Safety
A post-it = a contact or intervention
Health Social Care Housing CommunityOutreach
CAFCoordination
Is the system working?
Family SupportIntensive Family Support
Signposting & Universal Support
• What is on offer – Think Family Model
Commissioned 3rd Sector Providers
Internal & Partner Investment Agreements
Services and Partners – Light
Touch
What is on offer - Core Offer
• Lead Professional/Key Worker
• Holistic family assessment and family plan
• Assertive Engagement to achieve outcomes
• Family Support from 2-6 hours per week
• Evidence based Parenting interventions
• Practical support to improve school attendance and behaviour • A personalised service for family members to increase
employment opportunities
• Family Contract with balance of support and sanctions
What is on offer – Intensive Family Support
• Additionally, Intensive Family Support provision made up of a range of providers and specialisms
• Provide from 2 to 7 hours direct family work per week
• Deliver to families that require a complex response or have a complexity of issues preventing good outcomes
• Providers: Action for Children, Barnados, Bromford Housing, Family Action, Malachi, Women’s Aid, Spurgeons, CAMHS (Multi-Systemic Therapy), Shelter.
Key support actions for supporting the family into employment:
•Integrated Support Plan in which employment is a key aspiration•Employment Focus Diagnostic interview with parent(s) and working age young people in household•Welfare reform impact review and support•Benefit income - “health check”•Benefit calculation - Better off in work •Skills and Employment history assessment•Debt and budget support•Advocacy for the family •Practical support: Cvs/IT/confidence/work experience/training•Flexible Support Fund •Post employment support and financial planning•Develop and inform services / professionals knowledge and practice
Department for Work and Pensions – Specialist Support
The Think Family landscapeLocal Services (Housing and
ASB)
Youth Offending Service
Family Support &
Safeguarding
West Midlands Probation
Focus on ‘Whole System Change’
Health & Wellbeing Services
Third Sector
Fire Service
PoliceSchools
Jobcentre Plus
Decision Making Criteria: TF Board Workshop
Group Exercise
Think Family: System Changes
• Shared Information – joined up Information HUB and Portal
• Employment as an outcome – across all partner agencies
• Robust delivery of evidence based programmes Early intervention mapping
• Assertive engagement – Level 4 minimum promoting model and appropriate sanctions
• Whole Family Assessment and Practice – across all partner agencies, reducing demand
• Co-located Children's and Adults – within HUBs (mental health, substance misuse)
• Case Coordination – administrative support for front line staff
• Capacity Building – in partner agencies including schools, to deliver family support
• Integrated Children's Services – co-located multi-disciplinary teams (health visitors, CAMHS)
Pre Think Family Think FamilyIndividual services working to their own targets and performance indicators.
Services taking a whole family approach with a Lead Professional and one Family Plan. Achieving outcomes (1200).
Intensive Family Support provision low for size of City.
9 Providers with capacity to benefit 900 families. Increase of Third Sector organisations and Evidence Based programmes
No join up of information from Case Management systems, no joined up view of the individuals in the family.
Shared information around a central HUB initially for Council Services and Schools with potential for a portal with appropriate levels of access.
Single view of whole family
No consistency in approach to family practice.
Level 4 Working with Complex Families is baseline training for all practitioners.
Adult and Children’s Services working in silo’s providing or commissioning to single agenda.
Public Health commissioning adult substance misuse family workers to be based in Children’s HUBS
+ INTERNAL INVESTMENT AGREEMENTS Sustainable approach – Family Support Service, Youth Offending Service, Housing/ASB and Probation.+ INTENSIVE FAMILY SUPPORT COMMISSIONING:9 Providers for 900 outcomes; geographical matching and specialisms
+ Think Family Board - governance for system changes+ Level 4 Working with Complex families – common language + Whole family culture changes + Increase in use of FCAF and Plans + Core Offer established and outlined in Family leaflet+ Secondment of JCP/DWP is supporting culture change+ Public Health Think Family Adults Substance Misuse commissioning+ School ‘buy in’ – Secondary (Panels) and Primary Consortia+ PBR funding changes - ICT and Specialist DV Workers at Front Door
On target for 50% outcomes by July 2014
Progress
The Referral PortalOur aim is to help transform the lives of local
people.
We will do this by being knowledgeable, approachable and seizing the opportunity to make a difference.
The portal will be a simple, stripped back approach to getting the right help tothe right people. Using identified agencies that have shown the commitment
and capacity to be able to work with our target groups, the hope is that they will support them to make positive changes to their lifestyles where necessary or offer advice, support and assistance to those that would benefit from some
guidance.
The Process
Officer attends incident/Street Encounter
Vulnerability issue identified
PPU Threshold for Safeguarding Met
Consent For Referral
Advice & Signposting to be given. If you still feel they would benefit from
support please make the referral indicating
that it is without consent
No need to consider portal
NO
•Immediate action to Safeguard MUST be
taken
•Crime Number obtained and full update on portal
•Referral to PPU
YES
NO
NO
YES
Complete Referral form on
BN Intranet page
YES
Referral reviewed by SPOC from BN Partnerships
SPOC to review incidents closed using ’vulnerable’ qualifier
Anti Social Behaviour
If you are suffering as a result of anti social behaviour or require support or advice regarding this issue please ring the Anti-Social Behaviour Helpline on 0121 303 1111 or report it online at www.birmingham.gov.uk/asb Older Care & Support
Age UK works to improve later life for everyone by providing life-enhancing services and vital support. To access support please ring 0800 169 6565 or visit the website at www.ageuk.org.ukMental Health Support & Advice
MIND provide advice and support to empower anyone experiencing a mental health problem. They can be contacted on 0300 123 3393 or visit the website at www.mind.org.uk
Domestic Abuse
Star Support & Counselling is a local charity that offers one to one counselling . They can be contacted on 0121 3784700 or visit the website at www.starsupport.org.uk Birmingham & Solihull Women’s Aid provides services for women and children who have been affected by the experience of domestic rape and sexual abuse. Contact them on 0808 800 0028
Drugs & Alcohol Misuse Aquarius helps individuals with problems arising from addictive behaviours to reduce the harm either to themselves or others. They can be contacted on 0121 414 0888 or visit their website at www.aquarius.org.uk
Helpline For Older People
The Silver Line is a helpline for older people – the Silver Generation. It is a confidential and free hotline offering information, friendship and advice Call them on 0800 4 70 80 90 (24hr helpline)
Fire Safety
West Midlands Fire Service is committed to making the West Midlands safer, and part of their promise to the community is to offer FREE Fire Safety Advice. To make an appointment please ring them on 0800 389 5525
The National Centre for Domestic Violence
Specialise in providing free, fast and effective legal support to survivors of domestic violence, usually by helping individuals obtain injunctions from their local county court
Call them on 0844 8044 999 Savings, Borrowing & Money Advice
Citysave is a credit union providing financial services to those who live and work in Birmingham. Call them on 0121 616 6200 or visit their website at www.citysave.org.uk
Birmingham North LPU Support Agencies
Dial 101•To report crime or anti-social
behaviour •To contact your local police
station •To get police assistance in a non-
emergency •For general queries
Erdington Neighbourhood
Sgt Tony Eustace
Telephone 101 ext 7843 6327
Email erdington@west-midlands.pnn.police.uk
Kingstanding Neighbourhood
Sgt Steve Barnes
Telephone 101 ext 7851 6235
Email kingstanding@west-midlands.pnn.police.uk
Stockland Green Neighbourhood
Sgt Jim Reid
Telephone 101 ext 7843 6570
Email stocklandgreen@west-midlands.pnn.police.uk
Tyburn Neighbourhood
Sgt Lisa Watt
Telephone 101 ext 7601 6340
Email tyburn@west-midlands.pnn.police.uk Four Oaks
Neighbourhood
Sgt Simon Turner
Telephone 101 ext 7842 6613
Email suttonfouroaks@west-
midlands.pnn.police.uk
New Hall Neighbourhood
Sgt Mark Robinson
Telephone 101 ext 7842 6532
Email suttonnewhall@west-
midlands.pnn.police.uk
Trinity Neighbourhood
Sgt Simon Hensley
Telephone 101 ext 7601 6040
Email suttontowncentre@west-midlands.pnn.police.uk
Vesey Neighbourhood
Sgt Mark Robinson
Telephone 101 ext 7842 6530
Email suttonvesey@west-
midlands.pnn.police.uk If there is an emergency,
always call 999
Birmingham North Local Policing Unit
Correct as of 29/04/14
286 referrals have been made via the portal.260 of the 286 referrals resulted in onward progressionThe majority of referrals were for people over the age of 5091% of referrals result in some form of positive action to support the individual or family being offered
158 individual officers across all BN departments and also Contact Centre staff based at Birmingham North have utilised the portal. This equates to approximately 50% of BN officers.In total 1115 referrals to partner groups have been made over the five month period under review. This is in comparison to only five referrals that can be accounted for by the LPU for any issue between January and September 2013.
“My team want to keep the portal. They say they use it regularly and it empowers them to help people when otherwise we would just write a log off with no further police action.”
“I think it’s a great tool for the jobs that you would like to help that you couldn’t in the past!”
“It’s good, works well, use it
whenever possible and have spoken to
you so know our submissions are
used.”
When we discuss children and their families with partners we often have knowledge of them or are also working with them, the communication we have amongst the agencies has been crucial when trying to piece the child’s journey, and feel that we as a locality have come away from Silo working and this has ensured that the “right service right time” is embedded and safeguarding our children is our priority.
As with the many agencies that attend TAF it is good to get advice and support regarding the families we are working with and the police have helped and supported with advice around anti social behaviour, missing persons, PPRC, domestic abuse, housing and crime, safe and well being checks and much more.
The success of our TAF is our partnership working. I feel it is our working together approach , communication, lateral checks and tracking that have been key to this.
“…I find that the portal is a positive thing. Very easy to use, doesn’t take up much time at all and gives me a couple more options to consider when dealing with someone who perhaps doesn’t quite fit in with a social services/EDT referral. I’d be disappointed if the portal were to be removed as I feel it is quite a useful tool for us response officers in particular especially from a time saving point of view.”
BACKGROUND
July 2013 Housing Landlord Services entered into a SLA with CYPF to deliver outcomes for 434 families in Birmingham by March 2015.
Housing Landlord Services is the lead agency for working with those families where anti-social behaviour is the most significant factor underpinning the family’s identification.
LANDLORD SERVICES THINK FAMILY PROCESS
Operated on a quadrant basis. Frontline staff and key partners identifying families that they feel meet the Think Family Criteria.
Details referred to Think Family Data Team, using Identification Proforma.
Families involved in committing anti-social behaviour are ‘attached’ to Housing Landlord Services.
Ten new dedicated Family Workers have been appointed in April 2014 on a 12 month contract since April 2014 (2 of which are working with YOS) with specialist skills to work alongside anti-social behaviour officers.
Once attachment is made, a Family Worker is identified to work with each family.
Family worker will assess the needs of the family and develop plan and package of support.
Financial drawdown
END
FIPIntensive Support
SCTLIDs SCO to
lead support package
FamilyWorker/Tenancy SOLeads family action plan and ISP
OutcomesAssessed by
SCTL
END
Tony Bunker enters
details into TF live
database
SCTL
Support level?
Tony Bunker verifies
outcomes
High
Medium
Low
Successful
CAF in place?
CAF
Yes
No
Centrally generated data trawl to identify
TF
TF referrals via
Safer Communities Team
TF not attached to LS
TF attached to LS
Housing Landlord ServicesThink Family Process
PERFORMANCE
Think Family Programme designed to achieve a shift from enforcement to early prevention and deterrent.
Monthly Think Family Board established and chaired by Rob James, Service Director, to ensure the management of performance against expectations and delivery of outcomes set out in the SLA.
Performance information is provided by each Quadrant. Sample below: Cases referred in via live database
Attachments to Landlord Services
March April May
March April May
West and Central
48 59 61 17 18 24East 106 118 146 23 44 59North 68 79 108 12 15 26South 150 170 182 30 43 72TOTAL 372 426 497 82 120 181
VISION
To enable a systemic shift within the Place Directorate from an enforcement to an early prevention and deterrent service, with a holistic approach to a family as a whole.
•5 year extension of the Troubled Families Programme from 2015/16 •£200m in 2015/16 (1st of 5 years) •Additional 400,000 families to benefit
• Early starter areas to get help in 2014/15 • Programme has to promote system change
• In addition to the problems targeted in the current programme, the expanded programme will also focus on families who are;
Affected by domestic violence
With vulnerable children, and
With a range of mental and physical health problems,
High risk of worklessness; and
Involvement in crime from generation to generation
Expanded Programme - Emerging ideas
Further Information
www.birmingham.gov.uk/think-family
To send referrals; Tfdata@birmingham.gov.uk
Think Family Triage; 0121 303 5522
General Enquiries; Tfsupport@birmingham.gov.uk