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Support for Young Parents. Current service delivery. WILD Family Nurse Partnership YMWA – Young Mums Will Achieve Platform 51 Children’s Centre Services Targeted Youth Support Careers South West Midwifery Referral Pathway for all under 19’s.
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Current service delivery • WILD • Family Nurse Partnership • YMWA – Young Mums Will Achieve • Platform 51 • Children’s Centre Services • Targeted Youth Support • Careers South West • Midwifery Referral Pathway for all under 19’s
Support for young parents and their children – Strategic context • 1999-2010 – National Reducing Teenage Pregnancy Strategy • Ongoing – Cornwall & Isles of Scilly Reducing Teenage Pregnancy Strategy / Action Plan • Supporting Families Strategy • A New Approach to Child Poverty: Tackling the Causes of Disadvantage and Transforming Families’ Lives • addressing specific barriers facing the most disadvantaged groups of children such as Looked After Children, children from some ethnic groups, children with Special Educational Needs and teenage parents • National Service Framework for Children, Young People and Maternity Services. The Children Act 2004 • Children’s Centres – Core Purpose (July 11:draft) • Children & Young People’ Plan – Priority 6, but links across all areas
Future commitment • Building on the success of programmes currently delivered. • Ensuring countywide provision for all young parents and their children • Firm commitment through Supporting Families Strategy to continue prioritising work with young parents • Developing a joint commissioning approach (Local Authority and Primary Care Trust) to support young parents and their children based on outcome focussed commissioning and robust contract monitoring processes • Increased numbers of FNP nurses / targeted Health visiting • Protected investment through Early Intervention Grant for specific service for young parents in the region of £150,000 per annum
Desired outcomes / impact • Reduction in number of second and subsequent pregnancies for young parents • Improvement in maternal and child health • Reduce infant mortality • Improve parenting and maternal mental health • Increase uptake of key public health priorities including immunisations, healthy weights and breastfeeding. • Increase percentage of young parents engaged in education, employment or training. • Reduction in the need for long term, high intensity, high cost support or crisis interventions including safeguarding. • Young fathers identified and engaged
Primary PADL • (promoting active democracy loudly)
Strategic Context: Primary PADL • Article 12 of the United Nations Convention on the Rights of the Child (UNCRC), • children and young people have the right to express their views, and for these to be respected by adults when making decisions on matters that affect them. • Children & Young People’s Plan, Priority 1 • To create opportunities for children and young people to be actively involved in the planning and development of services that affect them and impact upon their families • PADL is endorsed by Cornwall Council's Children, Schools and Families Directorate and is compatible with OFSTED requirements.
Current picture • 0-13 participation service – due to cease 31/8/11 • 164 / 233 primary schools have achieved PADL awards • Bronze 69 • Silver 51 • Gold 32 • Platinum 12 • Cornwall Healthy Schools
Future commitment • Children & Young People’s plan priority to develop 0-19 participation strategy • Dedicated Primary PADL specification • Increase number of schools with PADL awards • PADL champions acting as coaching / mentors to non-PADL schools.
Outcomes • Increased numbers of children and young people who feel they have a voice and influence the design and development of services specifically for them • Increased numbers of schools with Gold / Platinum PADL awards • Improvement in pupil PASS scores
Parent Participation: Strategic Context • Children’s Centres – Core Purpose (July 11:draft) • Sector Leaders believe that all children’s centre activity should be underpinned by the principles of: • Respecting and engaging parents • Aiming High for Disabled Children (AHDC) • Education and Inspections Act 2006 places emphasis on the importance of the role of parents in raising achievement and requires schools to try to engage parents through Parent Councils • Supporting Families Strategy • Choice for Parents, the Best Start for Children: a Ten Year Strategy for Children (HM Treasury 2004)
Current picture / delivery: • Parent Carer Council • Face to Face • Parent participation in CAF • Children’s Centre consultation process • Ad hoc parent participation / involvement • Strengthening families, strengthening communities
Future commitment • Parent participation strategy to ensure consistent process for engaging with parents. • Develop a systematic approach to improving consultation and participation with families using their views to shape and improve services. • Continue to prioritise engaging with marginalised / potentially isolated parents so they too are actively involved in the design and development of services that affect them. • Identified resource within Supporting Families
Desired outcomes • Parents actively involved in service design, development and implementation. • Parents feel valued and that their voice is heard and responded too. • Parents are supported to develop parent participation forums. • Identified lead(s) for localities with responsibility for parent participation • Parent participation champions
Who are Young Carers? • Young Carers are young people (up to the age of 18 years) who are affected by the illness or disability of a family member and who provide them with care and support • Young Carers will often also be responsible for a great deal of their own care • Cornwall Young Carers Project are currently aware of 420 children and young people. This figure is accepted as an underestimate and does not take account of sibling carers
Young Carers’ Service: Strategic Context • Carers (Equal Opportunities) Act 2004 [17] • Cornwall Multi Agency Strategy for Young Carers 2010 – 2013 • Multi-Agency Board: brings together decision making across adults and children’s services across sectors to implement multi-agency action plan
Current Service Delivery • A tremendous amount of highly successful work developed and delivered through the existing Cornwall Young Carers’ Project including • - Peer Support • - Group Activities • - 1-1 support • - Befriending • - Awareness raising • - Development of tools and materials for Young • Carers and those who work with them • - engagement with health promotion and schools to • support development of solutions to issues faced by • young carers • As of June 2011, the project is supporting 302 young carers
Future Commitment • The cost of delivering activities has been high and alternative models of delivery, including activities/ transport/resources, need to be explored in order to ensure sustainability • Building on the success of CYCP and working closely with including integrated Locality Teams and key partners, commission delivery of Priority 4 of the Young Carers’ Action Plan through capacity building and reduced amount of direct delivery • Developing a joint commissioning approach (Local Authority and Primary Care Trust) to support young carers based on outcome focussed commissioning and robust contract monitoring processes • Protected investment through Early Intervention Grant for specific service for young carers in the region of £140,000-£150,000 per annum
Desired Outcomes • Effective integrated support systems and direct delivery models in localities • Young carers and their families are: • - actively engaged in decisions that affect their lives and • feel better informed • - positively represented in the community • - free from bullying, victimisation and discrimination and • experience improved mental health, well-being and • reduced levels of anxiety • - aware of rights
Desired Outcomes • Reduction in young carer’s caring responsibilities • Improved social networks and peer relationships and reduced isolation • Young people achieve improved outcomes and supported progression routes • Positive transitions to adulthood
Current Service Delivery • Developed through Share Services – universal access to an additional service which grew from identified needs and gaps in services • Trend of increased demand for responses to meet emotional and mental well-being needs of young people • Young People who do not meet the eligibility criteria for G.P. services or Child and Adolescent Mental Health Services • Young people aged 13-19, up to 24 with additional • needs, approximately 450 referrals per year with • around 385 young people being provided with a • service
Current Service Delivery • Adheres to nationally approved professional guidelines and Ethical Framework as an accredited member of BACP (British Association for Counselling and Psychotherapy) • Volunteer counsellors from recognised accredited courses run by local providers with counselling/ psychotherapy training to a minimum of level 4 (diploma), with most trained to level 5 (adv. diploma) • SLAs with 5 local schools and 2 colleges to provide service to students • Community access in young people friendly venues
Young Person’s Counselling Service: Strategic Context • Department of Health National Service Framework for Children Young People and Maternity Services: The Mental Health and Psychological Well-being of Children and Young People: Standard 9 • Department of Health IAPT (Increased Access to Psychological Therapies) program • Children and Young Peoples’ Plan Priority: Secure improvements to mental health services and improve outcomes for vulnerable children and young people • Safeguarding Improvement Plan: Improving Specialist Prevention Services: Identify CAMHS provision across partner agencies and develop an integrated model • for delivery
Future Commitment • Building on the success of the Share Counselling Service model, working closely with all key partners, commission an expanded service to meet the need for early intervention and prevention in the communities in which young people live • Increased investment through Early Intervention Grant and convergence for young persons’ counselling service in the region of £140,000-£150,000 per annum • Outcome focussed commissioning and robust contract monitoring processes • Measuring success through improvements in the emotional and mental well-being and related outcomes for young people in Cornwall and a decrease in requirements for specialist mental health • interventions
Desired Outcomes • Young people remain in or re-engage in education and training opportunities • Reduced risk of becoming/continuing to be involved in anti-social behaviour and the criminal justice system • Improved family functioning and relationships • Reduced requirement for specialist mental health services • Increased participation in healthy and social activities
Desired Outcomes • Young People make and sustain healthy relationships • Improved social networks, peer relationships and reduced isolation • Positive transitions to adulthood • Reduction in risk taking behaviour and young people are better able to keep themselves safe • Young people report improved self-esteem and • emotional well-being
Intensive Family Support Service: Strategic Context • Graham Allen Early Intervention Report • Department for Education evaluations of Think Family Projects based on invest to save, multi-agency, whole family approach • Safeguarding Improvement Plan: requires community based assessments to be in place for families in statutory services, encompassing wider resources, and a joined up approach to meet needs across Childrens Social Work and Supporting Families • Supporting Families Strategic priorities
Current Service Delivery • Evolved from Youth Justice Board Crime prevention initiative (YISP and Youth Crime Action Plan) via previous Government’s introduction of Think Family Pilots • Original focus on 2 strands: crime and asb prevention; young carers • Eligibility criteria required 4 or more risk factors associated with poor outcomes and existing CAF in place where a more intensive level of support need was identified • Families with at least one child aged 5-18 with multiple risk factors who are willing to engage • 2010/11 – 144 families supported through less intensive route (YISP) with 42 families engaging in intensive route (FIP)
Current Service Delivery • Based on whole family assessment which informs multi-agency family contract setting out support to address identified risk factors • Key worker contact 3 to 4 times a week • Working across Supporting Families locality services and Children’s Social Work service • Based on DfE evaluation tool, average future savings per intervention in the region of £80,000
Future Commitment • Building on the success of the Think Family/FIP model, working closely with all key partners, commission an intensive family support service to target the most vulnerable families in Cornwall • Increased investment through Early Intervention Grant in the region of £650,000 per annum • Outcome focussed commissioning and robust contract monitoring processes • Measuring success through improvements in outcomes for children and young people, reduction in the numbers of families requiring Children’s Social Work services and the numbers of children in care/subject to court proceedings
Desired Outcomes • Increased parenting capacity • Improved family functioning and relationships • Increased take up of appropriate adult services for parents with identified needs • Reduction in evictions, multiple moves and temporary accommodation • Reduction in crime and anti-social behaviour • Reduction in the impact of domestic violence and substance use on family functioning and relationships
Desired Outcomes • Improved outcomes for children and young people including engagement in education/training, emotional well-being, reduction in risk taking behaviour • Effective and seamless multi-agency working to address needs, reduce risks and increase protective factors • Increased engagement in mainstream services and activities including improved community relationships and integration • Reduction in court proceedings, children in care, children subject to child protection plans, and children in need • Reduction in requirement for higher tier, high cost specialist services by intervening early
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