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Using the voice of the
child in measuring
outcomes and managing
performanceCarole Brooks
Associate, Research in Practice
Donna Neill
PhD from the University of Bristol
The next hour…
This session explores ways to “turn up the
volume”, listen and learn from children,
young people, their families and
communities as part of the evidence base in
managing our performance.
“Are we providing the right
services, right place, right time
and expecting the right
outcomes?”
How to capture the voice…
Be clear: what are the outcomes you are
measuring or the information you want.
Set the stage – no other ‘noise’ or distractions.
Sampling is ok – but make it generalisable
Listen beyond the words
Capture the voice(s) (various media)
First person quotes
Tools available but do keep it
Simple (NVIVO, Atlas.ti) & RiP
Add to other data: The Evidence
‘Trio’
Did you reach everyone? Did you make a difference?
Were you cost effective in doing so
Quantit-ative
Voice
(CYP, Families,
CommunityStaff)
Qualitative
(Research, audit, evaluatio
n)
Example - Outcome: “children looked after
are happy in their placement”
Performance indicators:
% complaints from CLA = 0
% who use advocacy service = low number
% placement moves = England average
Audit - Casefile and CLA reviews
Voice of Practitioner (e.g. supervision)
Voice of child/young person
Why don’t (young) people
complain?
Lack of trust Lack of Information Being encouraged not to
Fear, shyness, nervousness, self-blame Being grateful Stigma
Lack of advocacy or support Pre-complaint is resolved elsewhere
Conceptual Framework
Keith Hawkins: The Nature of Discretion
“A frame is a structure of knowledge, experience, values, and
meanings” that local authority staff employ when making decisions.
In other words, a frame is the process of deciding, and this process
is shaped by an individual decision-maker’s ideas of image, beliefs,
and morality”.
Michael Lipsky: Street-Level Bureaucracy
Frontline workers have considerable discretion over the nature and
amount of services they provide to clients. This discretion is
operated through and a product of routinisation of work, redefined
objectives, monitoring and surveillance, and the structuring of client
relations.
Methods
Comparison of two LAs through interviews with:
- Care Leavers
- Social Workers
- Independent Reviewing Officers (IROs)
- Complaints Managers
- Advocates
Context of Client Relations
Psychological
Impact
Managing
expectations
Defining appropriate
behaviour
Self-image
Structuring services
Space and time
Frequency of contact
Deciding who is
present
Controlling information
Setting the agenda
Space and Time
So they would come into my
workplace, I’m trying to
serve the customers at
Homebase, they would
come in and just hang
around, like, “When are you
going to do this interview?”
…They were bullying [me]
Care Leaver
I think you do have to be a bit
flexible; you know, if they
prefer to go to a trip to
MacDonald’s or something
with you because they find it
easier to talk in that
environment or you [can] pick
them up from school and
drive them back to their
placement
Social
Worker
Frequency of Contact
I think the ones that actually
need it the most don’t
understand that [you’re not
always able to turn up]
because they’re in positions of
crisis, and they want to know
they can rely on you because
they perhaps don't have many
other people they can rely on.
Social Worker
They turn up like half an hour
late, but this one, a good three
months would go or two
months would go and she
wouldn't contact me or I
wouldn't get a letter. I’d ring
her and ask her to ring me
back and she’d ring me back
like a week, two weeks later
and stuff.
Care Leaver
Deciding who is present
They probably did say to me,
“is everything all good?” and I’d
be like, “Yeah.“ Because I’m
sat there with both my foster
carers, their ASO, her and my
shitty social worker. It’s a bit
daunting to go, “Actually, I
really don’t like it here.” Or, “I
hate my social worker, please
can I have a new one?” Firstly
I didn’t know you could say
that…
Care Leaver
When they’re in a review they
roll out your bad points to
everyone, which is their job.
You know, they have to go,
“Josh lied that he went to that
appointment”, that’s quite hurtful
and quite embarrassing when
you’re in front of 31 people, you
know. “Josh has been to sexual
classes this week,” that’s
horrible, that’s horrible.
Care Leaver
Setting the Agenda
[My social worker would] just come to the house for a
meeting, sit down, go through the agenda which
would be is everyone here? Any issues need to be
raised? No. Okay, right, Lisa, everything’s going
good? Yeah, she’s getting on alright. Obviously
school was a bit... And then we’d go back into the
education, how I was doing, what are Lisa’s
predicted results or how are things going with her at
school. Mine was just truanting all the time and my
attendance was shocking. That was like the main
things that we spoke about. Alright, okay, is there
anything else to be raised? Fine, let’s put this in for
the next six months. Bam, done. That was it.
Lisa, Care Leaver
Managing Expectations
[My social worker] made it very
clear what the rules were
and, yes, what I could have,
what I couldn’t have, he set
everything out in stone.
Care Leaver
[My social worker] went beyond
her job, she really did for me
like she was just there for me.
I remember I got food
poisoning and I couldn't travel,
so all of the family went off to
Paris and I got left on my own.
They didn’t leave me with any
money or anything, and [my
social worker] came round with
orange juice and magazines
and grapes and that was what
she did, I think, for me
Care Leaver
Defining appropriate behaviour
Sometimes I’ve made written
agreements around sort of rules
and boundaries and we’ve all
sat down together and signed it
and then the young person feels
like they really are involved in
the decisions being made and
really understand about house
rules and they’re able to talk to
their foster carers a bit more
about, “I think that’s really
unfair” and “Can we look at
something else?”
Social Worker
I’m thinking about is this
little girl who was really,
really unhappy in her foster
placement and when we
ended it her behaviour
became so much better.
Part of it is just compliance
and she was just, “Oh my
God, I’d better be good
otherwise I’m going to move
again,” but she just was
happier
Social
Worker
Alternatives to Complaining
Crime
Self-harm
Running Away
Truanting
Violence
Silence
Manipulation
I look back sometimes and you were a horrible
kid, you know, very conniving, I was conniving at
the time, I would cause arguments in the foster
placements but quite on purpose. Just, I’d get a
buzz out of it. There was, I was having all my
control sucked out of me, you know, “You can’t
say no to this, you can’t say no to that, you can’t
say no to this. You will go to see a doctor or
we’ll arrest you and take you to a prison doctor.”
I was having everything sucked out of me. So
just to be able to cause an argument… I would
go into their bedrooms… I would go to through
paperwork, anything they left lying around I
would read, I was awful. I stole a car and that,
for control.
Care Leaver
Conclusion
Children looked after are a constructed into a
non-complaining body at least in part due to the
nature of their on-going, involuntary relationship
with SLBs
Example - Outcome: “children looked after
are happy in their placement”
Performance indicators:
% complaints from CLA = 0
% who use advocacy service = low number
% placement moves = England average
% who go missing from placement = high
number
Audit - Casefile and CLA reviews
Voice of Practitioner (e.g. supervision)
Voice of child/young person
A simple way to bring it together
1. SUMMARY OF EVIDENCE AVAILABLE IN THE PERIOD• Performance scorecard• Quality assurance activity• Voice of the child, community and practitioner• Other evidence of how we are doing, including use of
resources
2. REVIEW OF PERFORMANCE
3. OTHER INFORMATION AND EMERGING ISSUES FOR NEXT PERIOD (HORIZON SCANNING).
4. RECOMMENDATIONS/ACTIONS TO IMPROVE
Examples
Young Peer Reviews and Young Inspectors
Outcomes framework (Corporate Parenting
Board Pledge)
Surveys (School Survey)
As part of case closure
Performance Clinics (QAPP)
Videos
Luton Borough Council