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The Counting Every Adult Service (CEA)

The Counting Every Adult Service (CEA). The MEAM Approach in Cambridge. The MEAM Coalition. Basingstoke and Deane Blackburn with Darwen Cambridgeshire Cornwall Coventry Doncaster Exeter Hackney Halton Haringey Hull North Lincolnshire Norwich Oldham Plymouth. The MEAM Approach Network.

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The Counting Every Adult Service (CEA)

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  1. The Counting Every Adult Service (CEA)

  2. The MEAM Approach in Cambridge

  3. The MEAM Coalition

  4. Basingstoke and DeaneBlackburn with DarwenCambridgeshireCornwallCoventryDoncasterExeterHackneyHaltonHaringeyHullNorth LincolnshireNorwichOldhamPlymouth The MEAM Approach Network Preston Reading Redcar & Cleveland Southend-on-Sea Sunderland Surrey West Berkshire Westminster Winchester Windsor & Maidenhead Worthing York

  5. Focus on embedding systemic change through a partnership approach • The right people at the table • A culture of coproduction • A shared vision for change • A clear referral process for intervention • A commitment to engaging with the national evaluation, providing social and economic outcomes data and learning from this • Practical resource to link people to services and broker engagement • Seeking continuous improvement to ensure inclusivity for all and addressing gaps in provision • Ensuring flexibility by all statutory and voluntary agencies • Development of person-centred, trauma informed and strengths based approaches

  6. Partnership / Network • CGL - Drug & Alcohol Service • Police • Adult Social Care • Adult Early Help • Cambridge Cyrenians • CEA Coproduction Group • Mental Health • Discharge Planning • Mind in Cambridgeshire • IDVA • Cambridge Women’s Resource Centre • Housing Advice Teams (South Cambs / Hunts represent at meetings) • CGL – Street Outreach • Public Health • Adult Safeguarding • Probation

  7. Referral Process Same name coming round again, offending due to lifestyle not by career, joined up approach may make a difference. Not an emergency service : A long term investment

  8. Coordination Counting Every Adult (CEA) Strategic Group MEAM national network CEA Operational Group Substance Misuse Mental Health Social / community networks Floating Support Client specific professionals meetings CEA Case Co-ordinator Domestic Violence Physical Health Client Housing Criminal Justice

  9. Flexibility • Accessing mental health assessment • Accessing rehab • Use of training flats • Changing enforcement approach to fit with presenting needs

  10. Measurement Service use: Monthly cost of service use (cumulative results – Cambridgeshire – year two) (Year 1 clients n=13)

  11. Systems Change • WHY – areas where flexibility from the case group cannot cover. • WHAT – 3 priorities, check in with experts by experience before proceeding. • HOW – Unpick the detail of why this is an issue (typical pathways, causal factors in these pathways, case studies etc). • WHO – occupies that part of the system/ has power within this area of the system / that you can share the case groups learning with. • ANYTHING ELSE (parking lot for later) • HORIZON SCANNING – for each area identified, what is already happening or upcoming across the county or districts linked to the topic. We don’t want to duplicate but could input to this work with insights from CEAs work and where we believe a more effective response is needed.

  12. Systems Change • Hospital discharge • Prison discharge • Linear pathways • Appropriate accommodation • Mental health – addressed through each of the above.

  13. Systems Change – Appropriate Accommodation • Adequate vs Appropriate • Release from prison • Mental health • Young people (18 year olds) • Access to social housing • Local lettings policy • Lack of permanent accommodation for vulnerable adults • Over 65s • Accommodation for couples

  14. Coproduction Group “A journey as equals bringing different things to the table, tackling something from its inception to delivery with experts by experience an equal party throughout” Involvement Coordinator - MEAM • Regular meetings • For those with lived or living experience and those commissioning for people who face multiple disadvantages • Passionate about improving services for those who use them “People may have multiple needs, it is the systems that are complex” Expert by Experience, March 2019

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