Early Intervention Transformation Programme

Michele Janes

© EITP 2014

EITP - Key Factors

Joined up approach

Sustainability / transformation key elements of the programme

Interventions need to be evidence informed (albeit at different levels)

© EITP 2014

Workstreams

One: Transform mainstream early years services to better equip parents to give their children the best start in life.

Two: helping families with emerging needs access help quickly before problems become embedded.

Three: Positively address the impact of adversity on children by intervening both earlier & more effectively to reduce the risk of poor outcomes later in life

What will this look like in practice?

Parental Capacity Concerns

Belfast Intensive Family Support Service

Concurrent planning – The ‘HOT’ project

The ‘Edges’ project

6 in 10

Theory of Change

Identified Need

Substantiate Need

Consulted with the sector

Evidence Informed Decision making at every stage

The Edges Project

Innovative model of preventing family

breakdown for young people at an early

stage using evidence informed practice.

The Edges Project

A model of evidence informed, specialist ‘earlier intervention’ for young people between the ages of 13 – 17, (The Edinburgh Study) who are on the ‘edge of care, coming to the attention of the police, and presenting concerns in education, indicates a need for intervention.

These young people are more likely to be at risk of homelessness in later adolescence

McAra, L. and McVie, S. (2010) Youth Crime and Justice: Key Messages from the Edinburgh Study of Youth Transitions and Crime, Criminology and Criminal Justice, 10(2), 179-209.

Key features

Needs led

Responsive

Holistic

Flexible

Outcomes

Strong multi agency working

Some wise people said -

“All learning takes place in the context of relationships and

is critically affected by the quality of those relationships”

(Norman-Murch, 1996)

”

Approaches

Relationship based

Practical support

Assertive outreach

Whole family

Community based

Individual support

Systems approach

Early Intervention Transformation Programme Work stream 3: Edges Programme The Evidence Base

Michelle Harris

© The Centre for Effective Services 2014

13

Part

ner

ship

s &

Co

llab

ora

tio

ns

Better Outcomes for Children, Young People, Families and Communities

Effective Policy

Efficient Systems

Good Practice

Evidence to Implementation

All-Islan

d

Evidence + Implementation = Better Outcomes

14

CES’ Role in EITP

• Providing technical support to all work streams

• Support to achieve mainstreaming of Evidence Informed PEI approaches

• Evidence -Sourcing, appraising and disseminating

• Implementation – service design and implementation support

• Capacity – helping to build capacity in the system

Work stream 3 -

Rapid Evidence Review:

‘Effective Family Interventions for ‘at risk’ young people and their families’ .

15

Consultation

Practice Wisdom

Policy

Research

Rapid Evidence Review: supporting an evidence informed approach

16

Key Terms

The term ‘evidence-informed’ is used to describe practice, policy and/or commissioning which are

based on the integration of experience, judgement and expertise with the best available external

evidence from systematic research.

17

‘An approach that helps people and organisations make well-informed decisions by

putting the best available evidence at the heart of practice development and service

delivery’.

(Sandra Nutley, 2010)

What is ‘evidence-informed’?

18

Finding evidence of what works!

19

What Works...

For whom

In what circumstances

At what point in time

Using which approach

Under what conditions

20

FAMILY

FRIE

ND

SHIP

S

PARENT

PREGNANCY

BIRTH

PRIMARY

SECONDARY

SOCIAL MENTAL

EMOTIONAL PHYSICAL

ABSENCE OF VIOLENCE

HEALTHY

LIFESTYLES (FOOD

& NUTRITION)

PA

RT

ICIP

AT

ION

IN

ED

UC

AT

ION

PR

EV

EN

TIO

N O

F

OF

FE

ND

ING

MENTAL HEALTH

&WELLBEING

Circle of Early Intervention

21

The Quality Assurance Tool: how good is the evidence?

Evidence Source Sound

Theory

Clear

Goals

Quality

Evaluation

Fit with

Context

Developmental and

environmental

Skills –

Promoting

Resilience

Strategic Fit Relationship

Based

Systematic

Reviews

(Cochrane,

Campbell,

Clearing Houses)

Qualitative

Evaluations

(impact on

individuals,

families,

communities)

Briefing Papers

(policy, practice

guidance,

summaries)

22

Process

Systematic Reviews

Young people and

families

Evaluations of similar models

Practice

Experience Evidence

23

Key messages –effective family interventions

Responsive to need

Provide practical support

Promote capacity to change

Take a strengths based approach

Work with whole family

Promote family and individual problem solving skills

24

Key Messages

Good , robust assessment and engagement, planning and review

Have a clear model and method of intervention-tools and resources

Intensive , consistent delivery

Flexible , persistent approach –listen to young people and families

Clear referral pathways

Outcomes focused and evaluated

25

Key Enablers

Well trained, empathic, skilled staff, who are client driven, respectful, able to challenge appropriately and help families to navigate the service landscape can help bring about change

26

Summary

Evidence from both systematic reviews and practice literature concur on the appropriateness of the Edges model to effect change

Application and Implementation are key

27

Family Interventions

28

Tel: 02890 648 362

www.effectiveservices.org

Centre for Effective Services mharris@effectiveservices.org To Join our mailing list email database@effectiveservices.org