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This project focuses on giving families the tools and support needed to overcome challenges, promoting resilience for future hurdles with less intervention. The key services include intensive family keywork and case management, workforce development, and communication networks. The innovative service model involves dedicated keyworkers, family caseholders, and keywork advisors. The project also emphasizes small grant funds, referral management, and case allocation. Financially, it aims to participate in payment by results schemes for improved outcomes. For more information, contact Celia Wilson, Integrated Working Manager.
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Families with Multiple Problems Project April 2012
It’s all about… • Giving families the tools and support they need to meet their own challenges… • …and the resilience to conquer future challenges with less intervention • Less cost to the public purse • Making best use of time and resources
Key messages • Start small and manageable • Design – deliver – challenge – learn – grow - review cycle • A system that suits East Sussex’s needs, not simply the Government requirements • Family participation and frontline worker consultation essential parts of design • Linking with key developments and projects (Thrive, MASH, Section 75, etc) • Name of project under review!
MIXED-ECONOMY EMBEDDED KEYWORKER SERVICE MODEL KEY Services (all agencies) Intensive family keywork services Intensive keyworkers Family caseholders Keywork advisors Keyworking Service Management • Referral management and case allocation • Screening, audit and interagency brokering • Case management and keyworker supervision • IT, case recording systems, monitoring and managing • Workforce development • Communication and participation • Support and advice network • Small grant fund
Intensive keyworkers Dedicated to intensive family work Fits profile for skills, experience, aptitude and commitment Limited caseload, longer-term involvement (typically 12-18 months) Practical support and intervention with families Committed to a model of working Consistent case and risk management support Family Caseholder As part of existing role working directly with families for a sustained period Coordinates and reviews the family plan and the team around the family Acts as contact person for family Allowed flexibility to support whole family as part of normal work Flexibility about duration of involvement when their service involvement ends Embedded Roles Keywork Advisors • Provides specialist advice and support to keyworkers and caseholders when they need support on specific issues • Within a range of services from specialist to day-to-day • Advises on whether / when to refer, and how to best manage issues whilst waiting for referrals • Monitored and supported by central team – quarterly network meetings
Conversations with participating organisations about capacity, potential and learning 1st phase new service starts October ‘12 Planning the central management function Timeline March April May June July September Exploring the role of the keyworker and the caseholder and the skills, knowledge support and resources they will need Preparing and training the first cohort of keyworkers, caseholders and advisors
TFT’s Financial Framework • We would be able to take part in the payment by results scheme when families have the following criteria: • Young people involved in crime and families involved in anti-social behaviour • Households affected by truancy or exclusion from school • Locally defined criteria (next slide) And also have an adult on out-of work benefits.
Local discretion filter For us to define, could include: • Child protection • More than three additional services • Criminal activity • Underlying health problems (including mental health, substance misuse) • Teenage pregnancy • Domestic abuse Any others?
Financial arrangements, per family: Average cost of intensive intervention £10,000 Payment by results £4,000 2013/14 60% £2,400 2014/15 40% £1,600 attachment fee 2012/13 80% £3,200 p/family
By 30th April we need to: • Commit to working with 1,015 families (846 of whom will be eligible for pbr), supporting the programme and finding a coordinator • Propose the number of families we aim to start working with in 2012/13 (one-third = possible attachments fees of £900,000)
Next steps for East Sussex Continue to develop the local scheme • Appoint coordinator and team, identify and train keyworkers • Complete data analysis to find out who the families are and who we want to work with • Work out the money – how much, who’s eligible, how much risk can we take and where should it be invested
Contact Celia Wilson, Integrated Working Manager Email: celia.wilson@eastsussex.gov.uk Phone: 01273 482681 or 07760321744