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Social Impact Bonds & Positive Outcomes (Social Impact and Savings) for Vulnerable Children and Families in Birmingham. Community Interest Company. What is My Time CIC?.
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Social Impact Bonds & Positive Outcomes (Social Impact and Savings) for Vulnerable Children and Families in Birmingham CommunityInterestCompany
What is My Time CIC? • Award winning service user owned mental health services for individuals & families suffering from depression, low self esteem , anxiety and mental health problems. My Time “fits” to the needs of the service user not the service user “fitting” the service. • Community Services • Family & Counselling Services • Training & Research
FACT – Family Action for Choice Tomorrow Family Therapy Team: • Family Therapists/Case Managers • Counsellors in Mother-Tongue & Gender • Domestic Violence Counsellors • Domestic Violence Perpetrator Programmes • 1-2-1 and Group Work • Family Group Conferencing • Peer Support
Family Work History and Background • My Time established in 2002 • From 2004, operational in Small Heath, Birmingham with large BAME (Black Asian Minority Ethnic) Community including asylum seeker and refugee (new communities) • Thursday Drop-in for asylum seeker and refugee communities – families with PTSD (post-traumatic stress disorder) alongside domestic violence with children in need and in care. • 2006-8 – Study on mental health and emotional needs of asylum seeker and refugee community in Birmingham – My Time/CSIP/UCLAN. • 2007-09 – Pan -European Project on Domestic Violence and Perpetrator Programmes (Sweden, Germany, Italy and UK) • 2009-11 – FACT (Family Action for Choice Tomorrow)pilot established with Government Funding through Parenting Fund and Father project in Children Centres. • 2011 – My Dad’s Project and FACT funded Reaching Communities (Lottery) and Tudor Trust. FACT validated by C4E0 (Centre for Excellence for Children’s Outcomes) • 2012 – Specification with Birmingham City Council CYF Commissioners and trials. Next Step Funding (Lottery) and development of Social Impact Bonds.
FACT – Programme developed through learning from case studies Intervention Core Values Evidence Based – Case Studies Family – Iranian Father (Muslim) and Polish Mother (Catholic) with 2 Twins (aged 2) – Mother tragically died and family traumatized. Wider family lived abroad and father with serious PTSD and Twins at risk of going into care. • Readiness for Change and Responsive to Help • Referral from Social Worker wanting children to have chance of remaining with parents. • Time Limited – Children at risk of going into permanent LA care if change does not happen. • Stepped Case Managed Approach – Immediate Response, Assessment, Flexibility & Mobility, Continuity, Responsibility, Social Network Perspective, Dialogism, Tolerance of Uncertainty.
My Time CIC – Family Trauma Centre Case Study 2 that shows Process, Distanced Travelled and Outcomes Outcomes: 1. Father’s MH improved 2.Family gained Status 3. Family reunited & re-housed 4. Father in full-time education and p/t work Referral & Assessment Children’s Social Worker Psychological Reports for Immigration and Family Courts and attending hearings Contact & Family Meetings to agree a family plan and Assess all family member needs Care Plan for Father on release from Hospital and contact with children Information Gathering, Fact Finding, Report Wrting & Contact with MH Crisis Team, Social Worker & Children My Time Family Support Wkr, Counsellors, & Family Therapist, Men’s Group Case: Somali Single Parent Father (Sectioned under Mental Health Act) and 2 children in Foster Care. Family Asylum Seekers and Mother & 2 other siblings missing in War Zone Looked After Children (LAC) Review, Case Reviews, Professional Meetings Legal Issues & Coordination of Priorities: 1. Immigration/Status 2. Mental Health Act 3. Family Court Common Assessment Framework/Safeguarding – To bring together all agencies and get agreement on 2 CAFs – Vulnerable Adult and Vulnerable Children Building Bridges / Acting as Go-Between MH Team and Children’s Services. Ability to translate different processes and laws Care Plan for father and care plan for children incorporating family plan
The Development of the My Time FACT (Social Impact) Bond Key Issues for Social Impact Bonds My Time’s FACT (Social Impact) Bond Child in Need & Care due to mental health of parents alongside domestic violence Serious Case Reviews of Child Deaths – Over-Representation of BAME communities, mental health issues, domestic violence, Isolation/Neglect/Abuse Multi-Agency and Multiple Interventions that involved all members of family that were culturally aware and in languages lacking • Social Need • Commissioner • Target Population • Interventions • Evidence Base • Target Outcome • Measurement
Birmingham is the largest local authority in UK and has the highest number of Vulnerable Children
FACT – Test & Learn with Birmingham City Council and Aston University Case Study BAME Family (5 children) Children taken into care Serious Neglect Referred by BCC 4months intensive work Family re-houses to 4 bedroom house Outcome: Children reunified with mother after 4 months
Lessons Learnt & Trends • 2009-11 - First trials (validated by C4EO) 41 families and 58 children with positive outcomes • 2012 – BCC/My Time controlled trials – since May – 68 families. • Interventions – Time ranges due to circumstances – 6 month – 1 year often due to child care proceedings and specific intervention timescales • 68% BAME – 36% White European – 128 Children (11 in care, 74 Child Protection Plans, 43 Children Concerns) • Mental Health Issues, Poverty, Domestic Violence and Neglect • Complex Needs – Culture, Beliefs, Mixed Heritage, Language, Trauma • Outcomes – Children being de-registered • Costs – Intervention cost ranges - £5000 - £15000 per family • Costs in Care – Case Study – 5 Children in Care for 4 months – approximately £50960 (approx: 1 year - £165620).
Social Impact Bond Development in UK Government/ Local Authority Lead Community Led – My Time Model Indigenous Intercultural Intervention developed over a number of years Evidence based on UK data 0-18 -Children in Need or in Care Mental Health and Domestic Violence Cross-Culture and Multi-Lingual • Peterborough Model • Essex County Council • Cabinet Pilots – including Birmingham • Children 11-16 – Looked After – Link to Offending • Multi-Systemic Therapy – US Model and evidenced based
% of cost savings from deregister of children Funds On-going operating funds Children deregistered as Children in Need or Care. Birmingham MH Consortium 26 Third Sector Providers The FACT (Social Impact) Bond
My Time - Vision • My Time Lead provider through Birmingham and Solihull Mental Health Consortium (26 members) with 4/5 providers with range of specialists • FACT Intervention • Fund for 5/6 years • Target – 300 families a year (£1.5 million) – 500 children (3.5% Level 3 and 25% Level 4) • Outcome – Reduction of numbers of children at Level 3 and 4 • Outcome – Reduction in Avoidable Child Death • Outcome – Reduction in Long-Term and Replicated Problems through bad childhood experience and broken family life • Model replicated in 15 Social Franchises across UK
Discussion with Social Investors • What questions will ask social investors ask? • The flexible model of customised intervention to fit the needs of family/child as opposed to fitting into a one fit all intervention • Case Managed – Multi-Skilled Team • Focus on Parental Change and Readiness for Change – Mental Health and Domestic Violence with Fathers involvement as key • Outcomes – Short and Long- Term Savings and Social Impact
Thank you Please feel free to ask a question........ www.mytime.org.uk “My Time is a therapeutic community that works with all the dimensions of a human being without fear through provision of safe culturally and faith sensitive therapeutic alliances.”