early years & toolkits for training Early intervention
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Transcript of early years & toolkits for training Early intervention
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• Early in the life of the child and/or• Early in the development of a problem –
even before there is a problem
Interventions that ward off the initial onset of a disorder; i.e. intervening before damage takes place in a way that avoids the later costs in both human and financial terms of handling the consequences of the symptoms of that damage’ (Allen 2011)
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Identifying, and working to minimize, risk
Working to develop the capacity of children and families to cope despite risks
It is about the whole population of children, not just those with a problem now, and is therefore an everybody issue. A public health issue.
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• A commitment to prevention• Priority focus on early years• Continuing early intervention in later
years• A multi-agency systems approach• High quality workforce• Investment in programmes that work
Centre for Social Justice (2011)
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• Early intervention is well down the priorities table for almost everyone
• The capacity to implement effective early intervention in mental health is under-developed
• Spend now to save later is a tough message to make credible in times of cuts
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PROBLEM SOLUTION
Disease National Health Service
Ignorance Universal Education
Idleness Benefits and training
Squalor Public Health Services
Want National Insurance and welfare benefits
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Social exclusion:
• Is multi-dimensional• Is inter-generational• Affects individuals, groups and
communities• Is at the root of poor outcomes
Removing the barriers to inclusion is key
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• Identification of risk• Identification of positive strengths• Targeted and universal services• Partnership (IPP) approach• Long term (10-20 year) strategies
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• Overwhelming economic case for early intervention
• Strong evidence base for effectiveness of early (cf. late intervention)
• Localism• Building ‘social and emotional bedrock’
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• Normalising mental health• Attachment• Brain development• Risk and resilience• Interprofessional practice• Training for the next generation of parents• Supervision and consultation – capacity
building
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• We need to build capacity at tier 1 - but training, on its own, will not transform practice or be sustainable
• We need to train and influence commissioners and budget holders – not just practitioners
• We need to know the evidence that’s out there and add to it
• We need to win the argument for early intervention locally and share good practice in an age of localism
• We need to promote integrated approaches at a time when people are pulling up the drawbridge
• We need to find creative ways to share in an age of competition
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• Be strategic• Be systemic• Get connected• Look for strengths• Don’t be disheartened by the
challenges - we’re used to swimming against the tide – its what we do best
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• Making sense of early intervention: a framework for professionals, Centre for Social Justice (2011) http://www.centreforsocialjustice.org.uk/client/downloads/20110707_early_years_report_web_v3.pdf
• Early Intervention: the next steps. Allen, G (2011) http://www.cabinetoffice.gov.uk/news/graham-allen-launches-second-report-early-intervention