Early Intervention & Targeted Support

‘It’s Everybody’s Business’

Children and Young People’s Strategic Partnership Board

28th January 2013

Promote the effective involvement of children and young people in their communities as active citizens; secure the involvement of children, young people and parents/ carers in decision making, service development and evaluation of services which affect their lives.

Involve children and young people and their families

Key Areas for ImpactKey Areas for Impact

Ensure our early intervention and targeted support approaches are embedded and have direct impact for children.

Make sure early intervention makes a difference

Secure and retain a strong, committed and highly skilled workforce across the partnership, with outstanding leadership and management

Ensure we have the best people working for our children and young people

Promote the highest aspirations and ambition for all our children and young people right across the partnership, particularly to close gaps and secure social mobility.

Close the gaps and secure social mobility

Our Key Areas for Impact Our Key Areas for Impact are as follows:are as follows:

Improving life Improving life chances and chances and

choiceschoices

Closing the gapsClosing the gaps

Building resilience – Building resilience – children, young children, young

people and families people and families able to make the able to make the

difference difference themselvesthemselves

Building resilience – Building resilience – children, young children, young

people and families people and families able to make the able to make the

difference difference themselvesthemselves

Using predictive Using predictive patterns – go for patterns – go for

the siblings!the siblings!

Using predictive Using predictive patterns – go for patterns – go for

the siblings!the siblings!

Proactive at Proactive at first signs first signs of troubleof trouble

Proactive at Proactive at first signs first signs of troubleof trouble

Early Intervention Early Intervention OUTCOMES!OUTCOMES!OUTCOMES!OUTCOMES!

Partnerships and Partnerships and relationships relationships

which work for which work for families rather than families rather than

for providersfor providers

Partnerships and Partnerships and relationships relationships

which work for which work for families rather than families rather than

for providersfor providers

Tailored and Tailored and creative creative

approaches approaches which actually which actually

helphelp

Tailored and Tailored and creative creative

approaches approaches which actually which actually

helphelp

No wrong doorNo wrong door No wrong doorNo wrong door

Lewisham Providers

Evelyn Children’s Centre

Amersham Children’s Centre AnnexeHatcham Oak

Children’s CentreBesson Street

GardensLadywell Children’s

CentreManor House

Children’s CentreSt Swithun’s

Children’s CentreHeathside and

Lethbridge Children‘s Centre

Area 1 & 2:The Children’s Society

Area 1 & 2 School-based Children’s

Centres:

Clyde Early Childhood Centre

Beecroft Gardens (Jan 2013)

Single Centre Provider:Ackroyd Children’s Centre

Targeted Family Support: The Social Work Company

Children’s Centres

Bellingham Children’s Centre

Torridon Children’s Centre

Limelight

Area 3 & 4:Pre-School Learning

AllianceArea 3 & 4 School-based Children’s

Centres:

Downderry Elliot Bank

Kelvin GroveKilmorie

Marvels Lane

To improve outcomes for targeted To improve outcomes for targeted

children, young people and their children, young people and their

families, namely:families, namely:

• Improved parenting Improved parenting

and attachmentand attachment

• Improved school Improved school

readiness readiness

• Prevention of Prevention of

escalationescalation

OutcomesOutcomes

Children’s Children’s

CentresCentresTargeted Family Targeted Family

SupportSupport• Improved Family and Child Improved Family and Child

ResilienceResilience

• Improved School Participation Improved School Participation

and Engagementand Engagement

• Prevention and Reduction in Prevention and Reduction in

Escalation of NeedEscalation of Need

Families to target include….Families to target include….• Families with children with Families with children with

challenging behaviourchallenging behaviour

• Children of parents with Children of parents with mental health issuesmental health issues

• Children of parents with Children of parents with substance misuse issuessubstance misuse issues

• Children subject to actual Children subject to actual or potential delayed or potential delayed development due to poor development due to poor parenting capacity and/or parenting capacity and/or non engagement with non engagement with universal services universal services

• Children with poor Children with poor linguistic developmentlinguistic development

• Children in families with Children in families with poor school attendancepoor school attendance

• Children with parents with Children with parents with learning disabilitieslearning disabilities

• New arrivals with poor New arrivals with poor networksnetworks

• Children in domestic Children in domestic violence situationsviolence situations

• Children with disabilitiesChildren with disabilities

• Children with parents who Children with parents who have disabilitieshave disabilities

• Families with current or Families with current or history of offendinghistory of offending

• Families with poor Families with poor attachmentattachment

• Lone parents with Lone parents with vulnerabilitiesvulnerabilities

• Families with evidenced Families with evidenced risk of teenage pregnancyrisk of teenage pregnancy

• Families experiencing Families experiencing worklessnessworklessness

• Families with risks of poor Families with risks of poor health outcomeshealth outcomes

Targeted FamiliesTargeted Families

Estimated Targeted Families in Lewisham

5,522

Projected Children’s Centre Reach for First Year

1524* (5,522)

Projected Targeted Family Support Reach for First Year

396 (400)

Total Projected Reach for First Year 1920 (35%)

*Expectation that this figure will increase as Centres expand provision and Beecroft Children’s Centre re-opens

The Government’s Troubled Families Programme

10

TFP Breakdown – (08/01/2013)

Crime School

Work

Total number of families identified:

631

Number of families meeting2 or more TFP criteria:

378

61

22

73 222*

17 220

195

* Following the revised definition from DCLG that removed authorised absences from the definition of persistent absence, this reduced the figure from 392 to 222.

The Government estimates that there are 910 Troubled Families in Lewisham 758 of which will be eligible for The Government estimates that there are 910 Troubled Families in Lewisham 758 of which will be eligible for fundingfunding

Tracking progress against the Tracking progress against the Government’s Troubled Families Government’s Troubled Families

CriteriaCriteria

Family meets two of thespecified criteria

“School”Improvement in attendanceof Son, which followed anintervention by AWS and

Children’s Centre

“Work”Mother identified as

claiming benefits throughDWP search -

TroubledFamilyCriteria

Datasource

 

Demographics

Autumn2011%

UnauthorisedAbsence

Spring2012%

Unauthorised

Absence

Summer2012%

UnauthorisedAbsence

Work2012Q2

Work2012Q3

Work2012Q4

SchoolPersistent absence Son (7) 25.4 35.3 6.1

Work DWP search Mother N N N

None 2 Year Old offer Baby (3)

Lewisham CAFs and outcomes trend to Lewisham CAFs and outcomes trend to date (CSC with EIS from May 2012 date (CSC with EIS from May 2012

onwards)onwards)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% CAF

s taken

 in th

e mon

th

Inclusion Service (Ed Psych / Other) 12% 12% 14% 1% 4% 2% 2% 0%

2 year old Free Entitlement 7% 4% 4% 10% 5% 2% 5% 3%

Information / Advice 11% 7% 5% 8% 7% 6% 7% 9% 10% 7% 13% 8% 7% 10% 11% 13% 11% 13% 10% 13% 9% 11% 11% 10% 7% 12% 5% 9% 8% 9% 8% 9% 9% 4% 7% 5%

EIS Other 10% 9% 6% 3% 13% 24% 24% 26%

EIS Advice & Guidance / TAC / TAF & Other Actions 30% 36% 42% 51% 30% 37% 37% 35%

NFA 21% 19% 17% 27% 31% 34% 28% 26% 35% 29% 32% 39% 36% 41% 29% 38% 35% 31% 43% 44% 38% 38% 37% 44% 40% 44% 38% 42%

Linked to Open Referral 14% 19% 12% 14% 11% 14% 16% 16% 12% 12% 17% 8% 9% 10% 9% 11% 12% 9% 12% 9% 11% 12% 15% 9% 10% 9% 11% 14% 10% 11% 10% 7% 14% 13% 5% 10%

Referrals Taken 51% 51% 62% 48% 46% 46% 49% 48% 44% 52% 37% 43% 47% 38% 48% 36% 40% 46% 34% 31% 42% 38% 37% 36% 43% 33% 46% 34% 22% 19% 15% 19% 23% 17% 20% 20%

Apr 09

Jun 09

Sep 09

Dec-09

Feb-10

Jun-10

Jul-10

Aug-10

Sep-10

Oct-10

Nov-10

Dec-10

Jan-11

Feb-11

Mar-11

Apr-11

May-11

Jun-11

Jul-11

Aug-11

Sep-11

Oct-11

Nov-11

Dec-11

Jan-12

Feb-12

Mar-12

Apr-12

May-12

Jun-12

Jul-12

Aug-12

Sep-12

Oct-12

Nov-12

Dec-12

Jan-13

Feb-13

Mar-13

Children in families with poor school attendance, 4.66%

Children of parents who are under 19 years, 1.27%

Other, 8.19%

Children of parents who have disabilities, 2.82%

Children in domestic violence situations, 16.53%

Families where there is a high and evidenced risk of teenage conception /

pregnancy, 0.28%

Children subject to actual or potential delayed development due to poor

parenting capacity and/or non engagement with universal services.

This is specifically crucial for children within their early years (0-5). , 5.37%

Lone parents with vulnerabilities, 6.36%

Families who are new arrivals to the UK with poor networks, 0.85%

Families with an older child presenting vulnerability, 7.34%

Families with current or history of offending, 1.41%

Families with poor attachment, 6.92%

Children with disabilities, 0.85%

Children with challenging behaviour, 9.89%

Children of parents with mental health issues, 9.75%

Children of parents with substance misuse issues, 7.63%

Children with poor linguistic development, 1.13%

Families where there is a recognised risk of poor health outcomes, 6.92%

Families where one or more immediate family member is in prison or has a history of violent offending,

0.28%

Families where there is a history of leaving children inappropriately home

alone., 1.55%

% CAFs not reaching CSC threshold by % CAFs not reaching CSC threshold by need Nov ‘11 – Dec ‘12need Nov ‘11 – Dec ‘12

% CAFs by sending agency type Nov ‘11 – % CAFs by sending agency type Nov ‘11 – Dec ’12Dec ’12

Children's Centre 3.41%

College 0.18%

Federation 1.38%

CAMHS 1.38%

Family Nurse Partnership 0.92%

LBL - Other 0.74%

LBL - Attendance & Welfare 0.55%

LBL - Housing 0.28%

Unknown 0.65%

Academy 5.54%

Special School 1.94%

Voluntary Organisation 0.09%

Secondary School 6.83%

LBL - Youth Offending 0.18%

SALT 0.09%School - Non LBL 0.28%

LBL - Youth Service 0.37%

Other 1.01%

Primary School 45.20%

Health Visitors 14.39%

Nursery School 0.83%

GP's 0.28%

Hospital 0.28%

Portage 5.17%

District Nurses 0.18%

Children's Social Care 1.85%

PVI Nursery 6.00%

Youth Keyworker Service 1.01%

Targeted Family Support 5.07%

Attendance & Welfare 0.09%

CAHMs 4.15%

Children Centres 4.61%

Communications Clinic 3.23%

CSV 0.09%

Fair Access Panel 0.37%

Home School Education 0.28%

Home Tuition Medical Programme 0.18%

2 Year Early Learning Offer 20.39%

Abbey Manor 0.28%

Social Services 0.09%

SpLD 3.41%

Sensory Team 0.28%

Housing 0.09%

SALT 1.11%

School Nurse 0.09%

Other 1.20%

MAPP 0.46% New Woodlands 0.46%

Educational Psychology 11.07%

Inclusion service 38.56%

CWD 0.65%

Drumbeat 0.92%

Education 0.09%

Community Service Volunteers 1.11%

BEST 0.37%

Paediatrician 0.28%

% CAFs by receiving agency type Nov ‘11 – Dec ‘12% CAFs by receiving agency type Nov ‘11 – Dec ‘12

Challenges…Challenges…

• Are our estimated numbers of Are our estimated numbers of targeted families right? CC providers targeted families right? CC providers need to reach more targeted familiesneed to reach more targeted families

• More evidence of outcomes needed – More evidence of outcomes needed – tracking impacttracking impact

• Increased co-ordination of CAF’s Increased co-ordination of CAF’s through logging and E-CAFthrough logging and E-CAF

• CAF as an assessment tool not just a CAF as an assessment tool not just a referral toolreferral tool

• Multiple referral forms (eg Multiple referral forms (eg S&LT/CAMHS)S&LT/CAMHS)