Commissioning quality in the VCS: ACE-Value

Workshop Aims: -Learn how to use the website-Learn how to use ACE-V Quality Standards

Service DescriptionService Description

large charity small charity statutory

Counselling services for individual adults, couples, families, children aged 5 to 18 years.

Help for parents who are separating to minimise the impact on the children.

Sex therapy.  

Training courses for parenting and courses for young people and children e.g. anger management.

Ante-natal courses.

We provide an outstanding fostering service for children and young people who are looked after, with high quality, fully trained foster carers and a Children's Services department, ensuring child remains at the centre.

CAMHS stands for Child and Adolescent Mental Health Services.

CAMHS provides assessment and treatment services to children and young people aged 0-18 years where there are concerns about their behaviour or emotional wellbeing.

Catchment areasCatchment areas

large charity small charity statutory

LincolnshireNorth LincolnshireNorth East Lincolnshire

Pan LondonLutonBedfordshireKentEssex

Wandsworth GP's

Client groupsClient groups

large charity small charity statutory

• 5-18 years olds (directly)

• Parents/families

• 0-18 years olds (directly)

• Parents/families

• Local Authority Social

Services

• 0-18 years olds (directly)

• 0-18 years olds (indirectly)

• Parents/families

• Staff: Consultations in Tier

2 CAMHS

AccountabilityAccountability

Effective and responsible

large charity small charity statutory

•Online

•Community: Relate

Centres

•Schools: Where invited

to run courses or

provide counselling

•Over the phone

•Foster Carer home •Clinic or office

•Home visit

•Community

•School

• Inpatient unit

•Over the phone

Type of place (setting)Type of place (setting)

large charity small charity statutory

• Therapy and therapeutic

intervention: Counselling

• Signposting

• Providing information

• Training

• Assessment: Parent and

Child placements in foster

home

• Therapy and therapeutic

intervention

• Advocacy

• Signposting

• Advice

• Providing information

• Training

• Family mediation

• Assessment• Therapy and therapeutic intervention

• Support (e.g. informal help)

• Advocacy • Psychoeducation• Signposting• Advice• Providing information• Consultation for professionals

• Training• Family mediation

Type of help (intervention)Type of help (intervention)

large charity small charity statutory

• We are an open or non-

targeted service

• We are an open or non-

targeted service

• In Looked After Care

(LAC): Main target group

• Considered for Social

Service Input on 'Child in

Need' level: Especially,

re: parent and child

placement

• Multiple issues, Complex

Needs, Dual Diagnosis or

Comorbidity

• We are an open or non-

targeted service

Which groups the service is aimed atWhich groups the service is aimed at

large charity small charity statutory

• Mild: 18

• Moderate: 16

• Severe: 10

• Mild: 24

• Moderate: 20

• Severe: 16

• Mild: 4

• Moderate: 21

• Severe: 21

Difficulties we work withDifficulties we work with

large charity small charity statutory

none We attempt to match any

child or young person

referred to us, with one

of our approved foster

carers, however, if we do

not have a suitable

match, we do not place.

Child's response to

normal life events;

Children whose parents

are in dispute, specialist

forensic and other risk

assessments and

conditions where

pathways to other

services exist i.e.:

encopresis and enuresis

Limits of the serviceLimits of the service

large charity small charity statutory

Working in partnership

with the schools and

Children's Centres where

we have contracts.

• Education, Employment and Training (EET)

• We monitor attendance against personal targets

• We monitor attainment against personal targets

•Education, Employment and Training (EET)

•We monitor attendance against personal targets

•We monitor attainment against personal targets

Monitoring school or work functioningMonitoring school or work functioning

large charity small charity statutory

X Service Nationally developed

outcome measures

CORE (Clinical Outcomes in

Routine Evaluation – Outcome

Measure )

We use our own assessment templates

• Strengths and Difficulties Questionnaire - (SDQ self)

• Strengths and Difficulties Questionnaire - (SDQ parent)

• Revised Child Anxiety and Depression Scale - (RCADS self)

• Generalized Anxiety Disorder 7-item - (GAD-7 self)

• Patient Health Questionnaire - (PHQ-9 self)

• Outcome Rating Scale (ORS, CORS, YCORS)

• Impact of Event Scale - (IES parent)

• Me and My School (Behavioural Difficulties - Conduct subscale) - (MAMS)

• Clinical Outcomes in Routine Evaluation – Outcome Measure - (CORE-OM)

• The Health of the Nation Outcome Scales, and for Children and Adolescents - (HoNOS, HoNOSCA)

Monitoring changes in wellbeingMonitoring changes in wellbeing

Details on monitoring effectivenessDetails on monitoring effectiveness

• As a service, we are collecting outcomes using the Young Person's CORE-YP evaluation form (Clinical Outcomes in Routine Evaluation – Outcome Measure).

• We routinely report on a quarterly basis to the schools and on a yearly basis, we report back to our funders and stakeholders.

• Our data shows a reduction in stress and anxiety over a twelve-month period for approximately 90% of the students. We share these figures with the University of Strathclyde.

• Our data is used to inform service development by seeking to build a picture of how young people cope with loss in urban priority areas across England.

Use of evidenced methodsUse of evidenced methods

• Non-directive supportive therapy, Interpersonal Therapy, Systemic Family Therapy all for depression (NICE, 2005) CBT for anxiety and depression (NICE, 2004);

• CBT and Parenting for Conduct Disorder (NICE, 2006); • Humanistic and play therapy for anxiety (Dearden,

1998); • Humanistic and interpersonal therapies for

reducing anxiety from parental separation, reduce risk of repeated suicide attempts, children who have been sexually abused (Systematic Scoping Review Harris, Pattison 2004)

ComplianceCompliance

Safe and confidential

large charity small charity statutory

Safeguarding policies and procedures last updated: 01/07/2013

Confidentiality policies and procedures last updated: 01/07/2013

Supervision:Frequency: MonthlyAccreditation of supervisor: Trained by us and are supervised themselves by an accredited supervisor.

Safeguarding policies and procedures last updated: Ongoing review

Confidentiality policies and procedures last updated: 01/08/2013

Supervision:Frequency: monthly/six weekly depending on roleAccreditation of supervisor:All have supervision training, one has higher education certificate in supervision studies, some social workers have social work supervision certificates

Safeguarding policies and procedures last updated: 01/11/2013

Confidentiality policies and procedures last updated: 01/11/2013

Supervision:Frequency: weeklyAccreditation of supervisor:•AFT (Association for Family Therapy & Systemic Practice)•BACP (British Association for Counselling & Psychotherapy)•HPC (Health Professions Council)•RCPsych (Royal College of Psychiatrists)•UKCP (UK Council for Psychotherapy)

Safe practiceSafe practice

Safe practiceSafe practice

• Frequency of supervision: Every 4-6 weeks• Accreditation of supervisors:

– BACP (British Association for Counselling & Psychotherapy)

– Therapists receive clinical supervision from BACP supervisors. Children and family workers receive line management supervision from trained managers.

Staff qualificationsStaff qualifications

• 25% of our staff has Counselling diploma • 25% has Psychology degree• 25% has Psychology and Social Policy degree• 25% has NVQ 3 in Health and Social care

Total Number of volunteers are between 40 and 45.

EmpowermentEmpowerment

Collaborative practice with clients

large charity small charity statutory

•Verbal feedback from children, young people or their family

•CORE: Goal Attainment Form (CORE: Clinical Outcomes in Routine Evaluation)

•Relate Federation outcome forms   

•Verbal feedback from children, young people or their family

• young person's survey• foster carer survey•stakeholder survey•consultation forms with foster carers, children and young people and local authority partners and other professionals

•one to one meetings with children and young people

•Verbal feedback from children, young people or their family

• Experience of Service Questionnaire (CHI ESQ)

• Feedback Tracking Measures (Session Rating Scale: SRS)

• Goal Based Outcomes (GBO, e.g. Goal Progress Chart)

• CORE: Goal Attainment Form (CORE: Clinical Outcomes in Routine Evaluation)

Empowerment – individual levelEmpowerment – individual level

Empowerment – individual level 2Empowerment – individual level 2

• Therapy is lead by the child or young person• Engagement is voluntary• Choice of time, day and venue, and of male or

female counsellors - as far as is possible• Clients given the opportunity to develop

strategies with the practitioner• Choice of ways of engaging with counselling

e.g. creative media, art, play, sand tray, puppets

large charity small charity statutory

•We use individual client feedback for organisational development at local and national level   

•User group• Suggestions box•Online polls or questionnaires

• Service development projects involving children and young people

• Membership of young people and/or parents on decision making boards or planning groups

•User group• Suggestions box• User participation officer

• Online polls or questionnaires

• Service development projects involving children and young people

• Membership of young people and/or parents on decision making boards or planning groups

Empowerment – organisational levelEmpowerment – organisational level

Empowerment – organisational level 2Empowerment – organisational level 2

• We continually seek to improve the service we provide based upon need and encourage service user participation in support groups and forums.

• Service users are involved in service design, each session, workshop, group is evaluated and feedback is used to inform delivery.

• Service users are encouraged to support the staff recruitment and selection process and are involved in developing questions and are invited onto the selection panel.

• An example of how our practice has been informed by service user feedback: we consulted service users in our annual 'family feedback' review day. We found that there was a need for a 'drop-in' session where parents could call in for a coffee and an informal chat with peers and staff. This now runs on a fortnightly basis.

ValueValue

Social and financial impact

Unique featuresUnique features

• We, through bringing together youth work and clinicians under one roof, have created the only service of its kind in England, providing easily accessible, health and wellbeing support capable of dealing with complex needs.

• Opportunistic screening and the use of the ‘Teen Health Check’ developed by Dr X, means our model is ideal for early case identification and with prescribers on-site can provide swift intervention without the need to refer on and risk losing the young person’s engagement.

Value for moneyValue for money• The cost per pupil completing our core intervention (Family Group) is

significant (approximately £3,000 per annum). However, in the light of a recent government report (issued by the Department for Communities and Local Government) that stated that 120,000 troubled families are currently costing this country approximately £9 billion per annum, the potential return on investment is clearly huge.

• That same report indicated that "the average unit cost of intensive interventions that are known to work with this group of families....is around £10,000".

• Family Groups can therefore be seen as an extremely cost effective way of helping troubled families and, although we are not claiming that our intervention will solve all the difficulties that our families face, on the basis of our experiences to date, we are confident that our intervention delivers significant direct and indirect net benefits - primarily to participating children but also to parents/carers, other family members, the school, national/local services and the local community.

Social valueSocial value

• First Take has been funded by the City council and Film Council for over 20 years because it is effective at raising self-esteem, skills, knowledge and confidence of young people. It has changed policies, raised untold stories, got people into education and employment, improved wellbeing, created positive entertaining pieces of work that have be screened and won at festivals.

• We are embedded in the heart of many diverse communities, which inspires us to create great content about these communities and their issues. Our networks enable us to work collaboratively and to connect new groups together.

Reviews and accreditationsReviews and accreditations

• Recent Organisational BACP (British Association for Counselling & Psychotherapy) Accreditation August 2013.

Assessor's Comment:• "This is an exemplary application with clear, well

referenced and collated evidence, highlighting a safe, coherent and professional service. It was a pleasure to assess."

• "The our service clearly provides a most valuable service to the young people in London."

• "This service is commended for the thoroughness of the submission."

TestimonialsTestimonials• “Thank you so much for diagnosing me with visual stress, by using my

coloured overlay it has changed my life, reading is a joy now, and I am also understanding why I found written work so difficult.” Belinda

• “This service really punches above its weight. It provides invaluable services to people with dyslexia and associated problems, ranging from screening and friendly guidance to a full resource centre and training workshops to suit a variety of needs. This service is an asset to Norwich and Norfolk and I fully support its work.” Chloe Smith (MP N North)

• "Fantastic day to all involved in dyslexia in Norfolk. The BDA would love to see others follow their lead with such courage and conviction." Bernard (British Dyslexia Association)

• "I can only extend heartfelt thanks to you for clearly having spent so much time researching my condition in detail. I feel I am able to begin to reclaim my life again." Rosalind

Contact detailsContact details

large charity small charity statutory

•Any route•Local Authority Social

Services refer to us

•School staff

•Parents/carers

•Healthcare

professionals (e.g. GP,

A&E, Paediatricians)

Way to access the serviceWay to access the service

large charity small charity statutory

• Emergency situation:

within 24 hours

• Non-emergency

situation: within 1 week

• Emergency situation:

within 1 hour

• Non-emergency

situation: within 1 hour• Comment: Response is immediate and placement can be made in accordance with necessary time scales whether it is on the same day or a month ahead.

• Emergency situation:

within 1 week

• Non-emergency

situation: over 1 month

• Comment: High risk

cases will be seen within

7 days.

Waiting timeWaiting time

Opening timesOpening times

large charity small charity statutory

Monday: 09:00-21:00Tuesday: 09:00-21:00Wednesday: 09:00-21:00Thursday: 09:00-21:00Friday: 09:00-14:00Saturday: 09:00-13:00Sunday: Closed

Comment:These are Lincoln opening times, each of the other centres will vary from this.

Contact 0845 166 4110 to find out the times of your nearest centre.

Monday: 24 hourTuesday: 24 hourWednesday: 24 hourThursday: 24 hourFriday: 24 hourSaturday: 24 hourSunday: 24 hour

Comment:9-17.30 Monday - Friday office is open, remainder of time is via on call, every day of the year.

Monday: 09:00-17:00Tuesday: 09:00-17:00Wednesday: 09:00-17:00Thursday: 09:00-17:00Friday: 09:00-17:00Saturday: -Sunday: -