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FAMILIES

FAMILIES. FAMILIES. 1. ST. Drugs, Alcohol and Families an integrated response to families with complex needs Suzy Kitching MBE 14 th October 2010. National Drug Team of the Year 2008. FAMILIES. FAMILIES. 1. ST. Presentation outline. Overview of service model Evidence base

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FAMILIES

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  1. FAMILIES FAMILIES 1 ST Drugs, Alcohol and Familiesan integrated response to families with complex needsSuzy Kitching MBE14th October 2010 National Drug Team of the Year 2008

  2. FAMILIES FAMILIES 1 ST Presentation outline • Overview of service model • Evidence base • A vision for family services

  3. FAMILIES FAMILIES 1 ST Families First • Fully integrated, jointly commissioned children and adults’ team • Offers an evidenced based, innovative model of working with the whole family • Strong track-record of delivery to most vulnerable children & families . “ “Even the most effective integrated response from children services will only ever ameliorate the impacts of parental based risks factors on a child.To reduce the actual risk factors at source, joint working with adults’ services is required to tackle the parents problems” Reaching Out Think Family SETV

  4. FAMILIES FAMILIES 1 ST Families First aims • To support all members of the family affected directly or indirectly by adults substance use. • To create positive change in the way families function to enable children to remain safely at home wherever possible

  5. Children’s services Child focused Immediate response Transparency Risk elimination Substance misuse services Adult focussed At client’s pace Confidentiality Harm minimisation FAMILIES FAMILIES 1 ST Bridging the Gap

  6. FAMILIES FAMILIES 1 ST Service commissioning • Cross cutting priorities • Joint commissioning /pooling of budgets • Managed by small strategic Steering Group • Integrated governance common vision developing agreed outcomes for families • Added value/efficiencies

  7. FAMILIES FAMILIES 1 ST Practice model • Option 2 (research led) Crisis theory, MI, Systems Theory, SFBT, CBT • Behavioural change • Families values and strengths identified • Measurable goals • Explores families preferred future “

  8. FAMILIES FAMILIES 1 ST Engaging families creating safety Transparency, responsibility & focus on outcomes • Safety plans • Multi skilled practitioners • Other interventions- practical , skill enhancement • Maintenance Plans • Relapse /booster work “Well I set goals, we set goals and I was doing allsorts. It might not seem much to you but it was a big deal for me. I was starting to get up and I was going out and I took the kids to the museum” LJMU Families First

  9. FAMILIES FAMILIES 1 ST Integrated Service Model Primary Pregnancy Service Adult Interventions- Community & residential Rehab Core Option 2 Service Intensive intervention for families at risk Carers’ Service Youth Crime FIP Training & Workforce Development

  10. FAMILIES FAMILIES 1 ST Evidence base and outcomes DH funded research (2006-8) in response to Hidden Harm LJMU • Positive impact on care status • Reduction in drug/alcohol use • Reduction in family conflict, positively parents felt they were coping with parenting role • Improved child health and emotional wellbeing • Families brought closer together - wider family members/supporting longer term changes ‘I have stopped using because of it (Families First)’ Parent ‘All families who had reported heroin or crack cocaine use at baseline or former use prior to research and had since had their children placed back in their care did not report any Class A drug use at six or twelve month follow up’ LJMU 2008

  11. FAMILIES FAMILIES 1 ST Evidence base and outcomes DH funded research (2006-8) in response to Hidden Harm LJMU • Cost effective approach • Kinship care prevented short term care entry, providing significant cost savings to LA • Skills and dedication of team membersinstrumental in meeting families’ needs ‘Majority of parents felt participation in the intensive intervention resulted in a range of positive outcomes’LJMU 2009

  12. FAMILIES FAMILIES 1 ST Vision for family services • Investing in the family /supporting longer term changes/needs • Families, kinship carers and other carers need help in their own right (NTA 2008) • Critical balance - keeping child safe/ intervening in family life; practitioners need skills,support structures & services to support all members of the family • Improved outcomes – substance user, carer and /or young person

  13. FAMILIES FAMILIES 1 ST Families FirstNational Drug Team of the Year 2008 Contact us : 1 Albert Terrace Middlesbrough TS1 3PA Tel: 01642 354070 Fax: 01642 354080 E: suzy_kitching@middlesbrough.gov.uk

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