Early Help Workshop: Update, Progress & Next Steps 5 th May 2015

1. Early Help Workshop:Update, Progress & Next Steps5th May 2015 • Strategic Change & Reform

2. Workshop Aims: • To update colleagues on the delivery of Early Help Model. • Recap on the journey. • A provide a more detailed look at The Early Help Offer. • To outline how the Early Help currently links in with other Services / delivery models. • To explore how The Early Help Offer can link in with other services / delivery models. • To give an overview of the Early Help Performance Management Framework. • Explore other early intervention & reform opportunities.

3. From this Why Did We Do It? Reactive & Specialist Services Early Help Universal Services Reactive & Specialist Services To this… Early Help Universal Services

4. WhyDid We Do It…. • Budget pressures to work differently • Public Service Reform agenda • Improved outcomes for individuals and families. • Cooperative Borough - to become enablers rather than providers. • To reduce the demand at crisis point (specialist / high cost) = Early Intervention.

5. Reactive services High threshold levels Single issues services Multiple workers Multiple issues not addressed Why did we do it? Dealing with presenting issues Fire fighting demand Silo working Single issue response Specialist service = high cost Specialist help at crisis point

6. How Did We Do It? • Place based work in St Mary’s & Coldhurst. • Learning and building on good practice (Troubled Families & Project Solution). • Theme based discussions / workshops. (Get Oldham Working / Drug & Alcohol / 0-19) • One conversation to identify a model to address multiple needs. • Identification & pooling of existing resources. • Lots of patience, perseverance & post it notes…….

7. The Early Help Model: An Overview Debbie Holland: Early Help Service Manager

8. The Early Help Offer Early Help Offer

9. Early Help - Oldham Together Low Intensity Support – Positive Steps Oldham 18 staff • Accessed via Early Help Assessment • Provide short term one to one support Engagement Casework –Threshold Housing 17 staff • Accessed via Early Help Assessment • Provide higher level of support, medium term Intensive Case Work –Positive Steps Oldham & Oldham Council 23 staff • Accessed via Early Help Assessment • Provide longer term one to one intensive case work with complex families Outreach in Communities – The Oldham Together Partnership • Volunteering, peer mentors, group work, community development support • Support into other Early Help Services if required • Responsive to emerging needs within communities Early Help teams will provide Health Checks and Smoking Cessation

10. Early Help Team • Process Team • manage all referrals in the Early Help Service and the link to MASH • manage the flow of information between the central hub and the District panels • provide telephone support for services to make appropriate referrals into Early Help Services • Provide feedback to services regarding all referrals within Early Help • Development Team • work with universal and specialist services to develop and embed the Early Help Service • provide training and support for services to complete the Early Help assessment and understand the referral process and the EH offer • link into District arrangements to ensure coherent delivery • Children’s Centre Team • Provide a resource for 0-4 years within the Early Help context • Low to medium intensity support • Referrals made via the Early Help referral form

11. All Age Early Help offer Early Help Model Aims to deliver a service that: • Supports residents at the earliest point • Focuses on the solutions that can be provided by individuals, households and the community • Stops people reaching crisis point and needing input from specialist/crisis response services, so reduces pressure on these services • Provides an effective step-down offer for people who have been receiving specialist/crisis response services.

12. Early Help Model Early Help Delivery • The proposal is modelled on the basis that the service will support around 3500 households 1:1 and around 4000 via group-work or one-off appointments, with a range of needs, particularly: • Mental health issues • Drug and alcohol issues • Housing issues • Behaviour/lifestyle-related physical health issues • Domestic violence/relationship issues • Parenting issues • General family support needs • People out of work with complex barriers to employment • Involvement in crime (current or historic) • People with vulnerabilities.

14. Early Help Governance Links / reporting to Wider Partnership Boards EMT Early Intervention & Reform Task Finish Group: Chair – Alan Higgins Frequency – Monthly With a wider remit than Early Help

15. MASH Governance Local Children’s Safeguarding Board MASH Strategic Group MASH Operational Group Project Solution Operational Group MASH Weekly Meeting District Family Panels

16. Behaviour Change:Workforce Aim of the Engagement training: • 4 modules - to develop and strengthen communication and engagement skills for frontline staff, working with individuals and families with complex needs • Enables practitioners to fully explore their own working practices, attitudes and barriers to engagement, whilst developing the skills and resources to overcome them. • 350 frontline staff currently trained up – a further 40 per month planned. • Further training – CBT, Emotional Management & Trauma.

17. How Does The Offer Link In With Other Services/ Models • Drug & Alcohol Commission – Janet Sewart • CAMHS / Mental Health – Debbie Holland • Housing – Debbie Holland • ‘Blue Light’ Services – Anna Berry • Employment & Skills – Jon Bloor

18. Performance Management • The Early Help Assessment (The practical assessment tool – Debbie Holland • Monitoring & Evaluation – Aaron Atkinson (Information & Improvement Service Manager.

19. Early Help Assessment In Control Some support needed A lot of support needed Not in Control Physical Health Relationships Wellbeing Family Mental Health Managing Behaviour 10 9 8 7 6 5 4 3 2 1 0 10 Alcohol Use 9 8 Managing Routines Drug Use 7 6 5 4 3 Benefits 2 1 Attendance 0 Managing Finances Home & Finance Education Behaviour in school Tenancy Issues Work Behaviour in the community Skills training Employment & Skills Crime Social

21. Early Help case managementAn integrated warehouse solution

22. Early Help case managementAn integrated warehouse solution

23. Strategic and operational intelligence

24. Investor intelligence

25. Investor intelligence cont…

26. Example intelligence productLive reporting products (mock data)

27. Some early headlines from Early Help • 1150 early help assessments since April 2014 • New ways of working – E.g. Threshold shifted quickly to working with whole families (62% families, 38% single adults) • Where scores are above 0 – the average EH service user scores: