Making Every Adult Matter Blackburn with Darwen

Kenneth Barnsley & Angela Allen @kennethbarnsley @angelaallen

Blackburn with Darwen

147,800 population (2011)

28.7% aged 0-19 (approx.)

78%/22% White/Asian ethnic origin split

(approx.)

17th most deprived on 2007 and 2010 IMD

Outline

We will work with the most chaotic adults currently living in HMOs who are in the revolving door of statutory and voluntary services in the Borough. We will consult with service providers and service users to re-design support and interventions where necessary to best

meet their needs

Steering Group

• Angela Allen - Families Health and Wellbeing Consortium and 3rd Sector representative on the Health and Wellbeing Board

• Peter Cooke – Council Head of Housing Strategy• Ken Barnsley – Public Health Head of Engagement Research

Intelligence• Karen Cassidy – DAAT• Justin Srivastava – Lancashire Police• Paul Connery – North West Homeless Link• Paul Lee – Head of Safeguarding• Peter Dillon – Head of Integrated Commissioning• Mark Aspin – Community Safety Manager• Sam Jones - CCGSupported by Divisional Police Command, Director of Public Health, Executive Director for People at the Council

• Reoffending rate – 30.3% of Blackburn offenders reoffend, 26.9 England

• Reoffending – 0.99 reoffences per offender in Blackburn with Darwen, 0.78 England

• Drug misuse – 1,297 users, 14.4/1000 in Blackburn with Darwen, 10.8 NW, 8.9 England

• Drug Treatment – no routine measure BUT 959 in effective treatment

• Alcohol Related Harm - 3,076/100,000 hospital stays for alcohol related hard in Blackburn with Darwen, 1,974 England

• Statutory Homelessness – 0.44/1000 in Blackburn with Darwen, 2.37 England

• Rough Sleepers – 1.4/100,000 in Blackburn with Darwen, 2.1 NW, 4.3 England – anecdotal evidence that this is increasing over the last year or so

• Contacts with mental health services – 757/1000 in Blackburn with Darwen, 313 England

• Care Programme Approach – 9.1/1000 in Blackburn with Darwen, 6.4 England

MEAMStory

DRUGSOFFENDING

HOMELESSNESS MENTAL HEALTH

Inside Out – Caritass CareSafe Project – (Blackburn Diocese) – female offendersWish Centre – DV, families, victims, perpetratorsWomens Centre – female offenders and those at risk of offending, street sex workersRevolution – integrated offender managementProbation – support for offendersYOT – support for young offenders

Mutual aid - Alcoholics Anonymous, Narcotics Anonymous, Cocaine Anonymous (or just AA, NA and CA)Café Hub – recovery focussed community interest company, volunteer, training and employment opportunities, social reintegration for those in recoveryDAAT – Remodelling of the system /ABCD/ Recovery workshopsEvolve – treatment & recovery support provider for less chaotic clients. Relapse prevention, recovery Life Skills, floating housing support, SMARTFast Forward – supporting and training volunteers to enhance recovery, work in substance misuse sector, RAP – Recovery Access Pilot (partnership community assets approach with volunteers, peers, services and key stakeholders)GMW – Pharmacological and psychosocial treatment and recovery, Criminal Justice element to treatment services, dual diagnosis, referral to detox and rehab, SMARTJarman Centre – drug and alcohol training, needle exchange, harm reduction, support for street sex workersLifeline – young persons substance misuse support, SMART Carers CASH project THOMAS – residential rehab, drop in and housing supportGreat Places - accommodation and housing supportVOICE service user network and breakfast club for the homeless HALs – Hospital Alcohol Liaison Service ELHT/ GMW and CRI

Foyer – young peopleSalvation Army – homeless accommodation, day-centreThomas – working with homeless adults, drop-in service, floating support, residential rehab (male only), supported accommodation for people through re-hab, prolific offendersNightsafe – support and accommodation for young people 16-25James Street (TVH) Homeless Accommodation

Lancashire Care Foundation TrustMindYoung MindsWomen's centreBrookChild Action North West

MEAMProvision

DRUGSOFFENDING

HOMELESSNESS MENTAL HEALTH

• Community Safety Partnership

• Health and Wellbeing Board

• Alcohol prevention action strategy group

• DAAT JCG

• Housing Needs Team• H.M.O Partnership Group• D.A Strategic Group

• Local Safeguarding Adults Board

• Suicide prevention Group

MEAMGovernance

DRUGSOFFENDING

HOMELESSNESS MENTAL HEALTH

Cohort Identification

• Estimated 500 adults with complex needs in privately run HMOs

• In addition there are 85 beds in supported housing for single homeless

• Using the Chaos Index to identify a manageable group of around 50 with significant issues

• Cohort profiling for residents in 8 large HMOs is almost completed – available soon

Cohort Profile

• Revolution team produced a detailed profile of 10 people that have been in one of the HMOs that has now been targeted and closed

• All were prolific offenders - some with more than 200 offences

• Most with a serious drug problem• Some local, but most from many places with

history of offending and prison• More than half experienced serious childhood

trauma

Linked Initiatives

• Transforming Lives –operational model for partnership working with families and individuals presenting concerns, or risk to themselves or communities, to improve outcomes and deliver efficiency savings

• ACE – local innovative study on the life impacts of adverse childhood experiences (ACEs) – to develop screening and early intervention approaches

• Prison Discharge for homeless –prioritising this currently working with Prisons, Shelter and others in Lancashire.

• ABCD substance misuse recovery model• Supporting People - Review of commissioning intentions

2013 - 2015

Transforming Lives

MASHTransforming Lives panel

North Blackburn Transforming

Lives Team

East Blackburn Transforming

Lives Team

West Blackburn Transforming

Lives Team

Darwen Transforming

Lives Team

TARGETED SUPPORT SERVICES(Early Help; mental health; alcohol/drug treatment; Revolution project; YOT; Engage; MEAM; Women’s Aid; Troubled families; targeted youth services; Channel/Prevent,

Long Terms Conditions management; etc)

Development

• September workshop - • Business plan – initial business plan completed

with partner agreement and funding strategy and options for development

• Resources – secured £50k from Public Health to kickstart the work

• Strategic Links – MEAM integrated into Transforming Lives as key part of referral pathway

What next?

• Steering group – terms of reference etc.• Continue cohort profiling• Chaos index – implement to select pilot• Business Plan – finalise year 1 model and secure

funding to add to Public Health Contribution• Funding Opportunities - work with Integrated

Transition Funding group to identify appropriate funding

• Operating model – partnership agreement• Evaluation – options for evaluation