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Multi-Agency Transitions Service for 18-24 Year Olds: Tackling Gangs and Serious Youth Violence in Islington

This project aims to reduce incidents of serious youth violence, gang activity, and drug-related offenses among 18-24 year olds in Islington. It provides a multi-agency wrap-around service, including mental health support and substance misuse treatment, to help young adults transition to the adult criminal justice system. The service also focuses on prevention and early intervention, supporting at-risk individuals and families, and increasing resident confidence in local authorities.

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Multi-Agency Transitions Service for 18-24 Year Olds: Tackling Gangs and Serious Youth Violence in Islington

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  1. 18-24 Gangs / Serious Youth Violence Transitions Service Partnership Working between Islington Community Safety Unit, London Probation Trust, Camden & Islington Mental Health Foundation Trust, Young People Drug & Alcohol Service and Islington Police Borough Intelligence Unit.

  2. Background • 2007 - 2008 three young people were murdered in Islington • The Islington Commission on safety and services for young people developed an action plan to tackle gangs and serious youth violence and new initiatives and services were developed: • Bronze group • Gangs Prevention Service • Work with vulnerable young women nia and DVIP • Training for practitioners • Gangs Disruption Team • Police YET Team • 2009 – 2011 Islington saw a reduction in serious youth violence, of 20.5% in the year 2009-10 when compared to 2008-09, and in 2010 – 2011 by a further 5.1% • 2011 - 2012 Serious Youth Violence increased by 30.8% - • Islington reviewed the approach following analysis of the young people most at risk

  3. Background • 2007 - 2008 three young people were murdered in Islington • The Islington Commission on safety and services for young people developed an action plan to tackle gangs and serious youth violence and new initiatives and services were developed: • Bronze group • Gangs Prevention Service • Work with vulnerable young women nia and DVIP • Training for practitioners • Gangs Disruption Team • Police YET Team • 2009 – 2011 Islington saw a reduction in serious youth violence, of 20.5% in the year 2009-10 when compared to 2008-09, and in 2010 – 2011 by a further 5.1% • 2011 - 2012 Serious Youth Violence increased by 30.8% - • Islington reviewed the approach following analysis of the young people most at risk

  4. The need for targeted work with the 18 – 24 age group 2011 figures: 12% of Islington’s population consists of young adults aged 18-24, %’s of crimes committed by 18-24 year olds in Islington 2010 - 2011; • 25.8% - Any crime showing a suspect, • 21% - Any violent crime showing a suspect, • 38.6% Any robberies showing a suspect, • 30.9% - Any knife crime showing a suspect, • 52.9% - Any gun crime showing a suspect. During the civil disorder last summer it was found that 51% of offenders linked to Islington (Operation Withern) were aged 18 - 24; Young people in this age group are therefore particularly vulnerable to committing violent and drug related offences but at the same time there is a gap in services for this age group

  5. Approach • To develop a multi agency wrap around service to young adults aged 18 -24 and age 17+ making transition to adult CJ service • To locate the multi agency team at London Probation Trust with a full time lead probation officer linked to team • Provide mental health resource to the team through direct work and training and consultation for front line workers • Provide Substance Misuse treatment and support • Develop and implement joint working protocols and ISA between youth and adult criminal justice service • Develop and implement a performance outcome framework including cost benefit analysis. • Develop links to targeted family support services e.g. Families First

  6. Outcomes we are hoping to achieve Make Islington a safer place for young people, families and the community by reducing incidences of serious youth violence, knife and gun crime and robberies. • Reducing offending and re-offending among young people • Less gang-related activity • Less violent crime and serious youth violence (knife / gun crime) • Less violence against women and girls • Greater support and treatment for those suffering from drug and alcohol misuse • Greater support and reparation for individuals and communities that are victims of crime • Increased resident confidence in the council and the police • Prevention and early intervention to stop young people from becoming involved in serious youth violence and gangs. • Young people and families at risk supported to access employment and move away from out of work benefits. • Ensuring that young people who break the law are effectively dealt with.

  7. 18-24 Multi Agency Transitions Service Diagram

  8. What we have..... • Young adults with multiple needs - offending, mental health, housing, social care, alcohol & substance misuse, family discord • No single organization or service can meet all of these needs - Young adults bounced between single organizations • Risk of a dis-integration of services with nobody 'holding the baby' • Problems in getting access to timely information from CAMHS, YOS, YOI healthcare, or GP • Mismatch between criteria for adolescent services and adults mental health services • Over reliance on diagnosis-led rather than individualized formulation based services catered for an individual's complex set of needs

  9. Child to Adult transition • Identity - Individuals are still exploring sense of identify up to their mid to late 20s • Autonomy - opposition is a normal part of development and identity formation. • Peers - Exploring what the person values and finds stressful with peers helps to identify pros and cons for behaviour change

  10. Diagnosis vs Formulation

  11. What could be done? • Increase bridging of provision gaps by having a dedicated mental health component to oversee the assessment and transition of mental health needs • Locating the mental health component within a multi-agency partnership team in one location. Non-Silo approach • HOWEVER, maintain core service delivery of mental health/social care interventions separate from CJS so that there is an exit pathway • Increase timely access to information by locating the separate organization communication systems in one place • Help young people develop ways of meeting their core need for safety, security, belonging, fun, achievement, respect, etc. during the transitional period into adulthood

  12. Role of the psychologist • Support psychologically-informed case management approach by adopting using clinical formulation to understand needs beyond the surface behaviours • Use PICM approach to support the team to design risk and needs assessments that are targeted, proportionate and effective (ie., avoid the sledgehammer approach or the two sausage is better than one sausage approach) • Consult to the wider system of services (shared formulation) to produce a coherent approach that makes more efficient (as well as effective) use of resources • Provide training - interpersonal engagement, motivational interviewing, models of psychological and emotional development and functioning

  13. What's different about young people? • Cognitive Development • Less cognitively developed adolescents need you to tailor your discussions to short-term and concrete changes (vs longer-term goals and values) • Adolescents may actively seek to disconfirm negative consequences of their behaviour

  14. Social and Emotional Development • Identity - Individuals are still exploring sense of identify up to their mid to late 20s • Autonomy - opposition is a normal part of development and identity formation. • Peers - Exploring what the person values and finds stressful with peers helps to identify pros and cons for behaviour change • Cognitive processes - thinking about and making plans for change is compromised during periods of intense emotion.

  15. Role of the nurse • Improve the identification and assessment/triaging of target transitions cohort to local MH and social care services • Oversee diversion (towards more effective community management of mental health and social care needs) • Provide wider specialist mental health advice and information to the G&SV team and partner agencies • Provide and keep up-to-date a comprehensive borough profile of appropriate community and NHS resources to the G&SV team and partner agencies for the purpose of signposting • Joint case management support with keyworkers for service users who may not meet the criteria for existing community / NHS resource provision

  16. Anticipated gains • Young adult is better understood • Development of a relational framework that can be used to contain risk • G&SV team and services are better equipped to understand and respond to psychological, emotional and mental health needs.

  17. Hopes……. MORE…. • Efficient use of local resources • Targeted use of services • Equipped workforce • Integration, less disintegration, between services

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