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Community Budget Programme Board
December 12th 2011
By 2014/15 we will aim to have:-
1. a shared view of all the Families with Complex Needs in Leicestershire as well as the families at risk of becoming complex
2. streamlined needs-based, focussed and cost effective services, that address the needs of these families, improving their lives and reducing their costs to the public purse
3. integrated public and voluntary sector family focussed services designed around a single Leicestershire Family Model
4. service delivery based on a re-balanced provision focussed more on targeted services than universal
5. a place based structure responsible for commissioning family focussed services from a single, shared budget
Families with Complex Needs
Ethnography 3 Workshops Individual
family consultation
Customer Journey
Needs Assessment
Customer Journey maps
9 families 21 adults, 13 CYP 9 familiesCraig's story
(Beacon project)Child Poverty Mental Health
Desk based research
Other Insight
SE
CO
ND
AR
Y
RE
SE
AR
CH Evidence base for family models Current/emerging policy
Melton Family Model Mapping Families LIFE - Swindon pilot
Practitioner Insight
Family Insight
Full day practitioner workshop - 135 practitioners, cross agency
PR
IMA
RY
RE
SE
AR
H
Family Insight- a comprehensive approach
The detailed Insight report is now published on the Leicestershire Together Website
www.leicestershiretogether.org/partnerships/communitybudgets
Common issues for FCN• Poor/overcrowded housing (incl.
homelessness)• High risk behaviours (incl.
substance misuse)• Poverty (incl. debt &
unemployment)• Health (incl. mental health &
disability)• Crime (offending and/or
experience of)• Lack of education/ attainment• Domestic violence• Poor parenting
• Difficulties maintaining relationships (incl. family, friends, peers, isolation & social marginalisation)
• Lack of resilience (incl. capability, capacity, confidence & inability to cope)
• Feelings of having limited choices/control over lives
• Adverse effect on aspirations/ perception of social mobility
In already fragile families, incidents can happen that have multiple implications
Additional intergenerational risks children of FCN face..
• Childhood spent in care• Becoming carers at an early
age• Chaotic family lifestyles and
lack of continuity • Mental health issues• Increased risks of substance
misuse• Increased risk of poor
health• Abuse/exposure to
exploitation & violence
• Girls/women with poor self esteem and low confidence can often become victims of domestic violence
• Unresolved anger can lead to violence
Children of FCN often become future FCN..Setting up Intergenerational cycles..
Types of Changes
Communication between agencies
Attitudes
Information sharing
Communities
Mgmt needs to listen and act
Advocate / Lead organisation
Senior Managers back
to the floor
Widen scope of FIP
Better working together
Stop being precious, be
more flexible, changes in
funding
Earlier intervention
POLITICS
More resources / money
Shared vision, shared targets
Family, not organisation-centred ways of working
Needs assessments
Re-skill / believe in people –
professional respect
Personal responsibilit
y
LongTerm
strategy
Action, not talk
Single IT system
Leadership
Earlier interventio
n
Shared vision and stronger
leadership
Family-centric, not organisation-centric
approaches to working and funding
Advocate / FIP
Politics / resources
Re-training /
attitude of workforce
Information sharing
Better joint working
Shared processes /
systems
Community
Family Support Model - Key Principles
Any new model is sustainable beyond the medium term Aims to move families closer to independence from public services Model will need to be underpinned by cultural change with strong leadership
across Leicestershire Public Sector/Voluntary Sector ‘champions’ and SRO in all organisation to lead required cultural change?
Supports early/earlier intervention Builds on good, well evaluated practice Incorporates some personalised commissioning at family & locality level Workforce development a key component (multi-agency training) Families/workers are able to access services required quickly with some priority
(with lower entry thresholds) Is able to influence commissioning for identified service gaps and policy
changes Single Family Assessment Framework
Team around the family with dedicated family support worker may require 1 for adults, 1 for children in some families Role is outreach working in family homes and communities with small caseloads
and intensive approach as required by family circumstances/needs Co-located services in localities (demand determined)
Local integrated multi-agency teams Mix of permanent & co-opted staff delivering core needs/services Necessary administrative support
Locality partnership solutions and delivery Mix of local & County commissioning
Sensitive to local needs assessment, local intelligence and opportunities Builds family capacity, capabilities & aspirations
Recognises strengths within the family Builds self esteem, skills, relationships and aspirations
Has flexibility built in so families are able to move in and out of support for a period of time
Family Support Model - High Level Operating Model
Dedicated family support worker will Support the family and co-ordinate relevant and required services Provide practical support around basic issues & life skills Be a positive role model Spend time working with family members within the home &
community Be an advocate for the family Recognise the importance of the communities role in supporting
families & identify opportunities for integration Have access to locality ‘families’ budget Consider Personalised Budgets for some families
Case loads of 5 for most complex to enable sufficient time to work with the family - up to 12 for least complex
Role of Family Support Worker
Child Protection
PoliceProbation
YOSMental Health
Youth services
Domestic Violence
GP
JCP
SM Treatment
Brief interventions (SM/Health)
Benefits
Counselling
ETE
Education support
Youth/children workers
Housing SupportHealth
Visitor?
Administrator
Family Model Draft 1: FCN Team around the family with lead family support worker
‘Place’ information hub solution Access to a single view of family and history
Decisions made with a view of all known information about a familyThis needs to be dynamic and growing as information and
involvement growsPresumption is to share information
o principle that we ‘dare to share’ on a basis of ‘what specifically don’t we need to share’?
o questions over the depth/degree
Requires a well trained workforce re: information sharing Requires cultural change
Family Support ModelCore Support Elements
Disabilities
Domestic Violence
Benefits
Employment
Educational /behavioural
supportSubstance
Misuse
Mental Health
Positive activities
Practical Support
Esteem
Housing
Family Worker
Co-ordinates
Family Worker co-ordinates CORE family support themes i.e.
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