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Developing an All-Age Response Building on Firm Foundations Wednesday 19 th March 2014

Developing an all-age response

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Presentation at "Building on firm foundations: Making effective liaison and diversion services a reality" conference by Lorraine Khan and Dave Spurgeon, Research and Development Manager, Nacro and Offender Health Collaborative

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Page 1: Developing an all-age response

Developing an All-Age Response

Building on Firm Foundations Wednesday 19th March 2014

Page 2: Developing an all-age response

Purpose To ensure an age-appropriate response at all stages/points of intervention along justice pathway. Includes: case identification, secondary screening/triage, assessment including specialist assessment; and, referral Considerations What does the core team look like? What does the extended team look like? Where are the similarities and differences?

Page 3: Developing an all-age response

What should be different as a result of this initiative?

• Earlier identification of health and other vulnerabilities

• Better integration between justice and health – Shared information

– Better quality information to assist justice and health (?) decision making

• Fairer process for those with disabilities

• Better access to support

• Better met needs/improved outcomes

Page 4: Developing an all-age response

DIFFERENCES & CHALLENGES

Different

• legislation

• presentations

• demand times

• risk factors

• pathways

• responses

Page 5: Developing an all-age response

PATHWAYS

Page 6: Developing an all-age response

CJS Pathway Liaison & Diversion

Pre-custody/Voluntary

Attendance

Police Custody Courts

L & D Pathway for Adults

CPS Probation PSR Reports

Page 7: Developing an all-age response

YJS pathway

The YJS pathway Youth Liaison & Diversion YOT health

practitioner/SLCN

worker/forensic team Street and

school

Restorative

Justice

Triage and

voluntary

attendances

Police

custody

Early

stage

Youth

Court -

Referral

Order

Panel

Youth,

Magistrates or

Crown Court

Custodial

sentence

Page 8: Developing an all-age response

Youth schemes: differences and challenges

Children and adolescents - not mini adults E.g. Brain development

High-risk times for arrest?– weekends, after school, summer

Legislation, statutory duties, consent

Evidence drivers – e.g. avoid net widening

Diagnoses and presentations

Risk factors important

Tools – SDQ, CHAT,

Pathways, service approach and design needs, responses

Transition

Page 9: Developing an all-age response

Extending to cover youth justice

Police Restorative Justice/school Safeguarding lead

Triage Teams

Police electronic notification to YOTs (Peny system)

Proportion of voluntary attendances

Appropriate adults?

Referral at caution stage

Page 10: Developing an all-age response

Link with duty solicitors?

Other youth cover in police custody suites?

Coverage and referral pathways for weekend courts?

Health resources in YOT and what stages in pathway do they cover?

C & YP S:136 pathways and Emergency Duty Teams (EDT)?

Extending to cover youth justice

Page 11: Developing an all-age response

C & YP Pathways

Youth L&D

SEN teams, school nurses, counselling

and safer school police

YOT case worker &

health teams

Integrated youth teams and

targeted support - VSO

Evidence based parenting work

- MST/FFT. IAPT

Youth drug and alcohol services

Troubled Families Teams and ASB

Specialist CAMHS - Tier 3

& 4

Community paediatricians, Learning

disability & SLCN

Safeguarding:

Emergency Duty teams and

Children's Services

Page 12: Developing an all-age response

What Does Good Look Like Integration of strategic oversight, development and practice Clear reporting mechanisms within relevant organisations and structures Coverage of pathway with links between each point of intervention Workforce with range of skills to operate at all points of intervention Agreed tools and processes for case identification, secondary screening/triage, and assessment (age-appropriate) Agreed process for referral to services for assessment including specialist assessment Mechanisms for practitioners to receive appropriate clinical supervision Links to wide range of age-appropriate services Gateway for transition between youth and adult services Extended team with clear pathways

Page 13: Developing an all-age response

Your ideas

What outstanding questions do you have about an effective all-age model?

What currently are your main challenges/barriers?

What ideas have you had to negotiate these barriers?

What do you think good should look like for:

Children and young people?

Adults?