The Team Around the Child Raising Awareness Session

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The Team Around the ChildRaising Awareness
Session

• June 2009

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Learning Outcomes

• Understand core principles concepts of Getting
  it Right For Every Child in relation to Team
  around the Child Implementation
• Understand the core principles of GIRFEC
• Understand and use the Integrated Assessment
  Framework , including Wellbeing Indicators,
  Resilience Framework and My World Triangle
• Understand and use the Childs Plan
• Understand the service delivery model and
  pathways to support for children
• Be able to understand the role and
  responsibilities of Named Person
• Be able to understand the role and
  responsibilities Lead Professional

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Background

• Getting it Right for Every Child Reform agenda
  for Children
• Team around the Child will help us put it into
  practice
• Learning Partnership with Scottish Govt
• Pilots
• North and South Edinburgh 0-5
• Cohort of selected vulnerable young people
• City-wide practice by 2011

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GIRFEC origins

• GIRFEC has evolved over time
• Kilbrandon Report 1964
• Children (Scotland) Act 1995
• For Scotlands Children (2001)
• Its everyones job to make sure Im alright
  (2002)
• Review of Childrens Hearings (2004)

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What is GIRFEC ?

• Getting it right for every child is a way of
  working which focuses on improving outcomes for
  all children by placing the child at the centre
  of thinking, planning and action
• It affects all services that impact on children
  (i.e. adult services working with parents/
  carers)
• It builds from universal services moving crisis
  intervention to early intervention
• It streamlines processes and uses IT to support
  best practice on information sharing

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So what does this mean in practice?

• Children, young people and families should have
• a seamless experience
• a key role in the process listened to and
  empowered where appropriate
• their capacity, and that of the wider community,
  built and developed

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Children, young people and families should have

• services come to them, responding to the
  individual's needs and risks with onward referral
  only for specialist support
• their identified needs and risks acted on (single
  or multi-agency) without artificial threshold
  restrictions
• facts and information recorded accurately, once
  and then appropriately updated and shared between
  agencies, subject to privacy and respecting
  confidentiality

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The GIRFEC approach comprises

• Core components
• Principles and values
• Common understanding
• Shared language
• Practice model (needs and strengths)
• Well-being and well becoming

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GIRFEC Child at centre a network of support
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The Scottish Government vision for children -
supported by eight well-being indicators

• Childrens well-becoming
• confident individuals
• effective contributors
• successful learners
• responsible citizens
• Supported by the 8 well-being indicators
• Safe Healthy Achieving Nurtured
• Active Respected Responsible Included

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National implementation requires

• CULTURE CHANGE
• Learning together, co-operating, children at the
  centre
• SYSTEMS CHANGE
• Streamlining, simplifying, improving
  effectiveness
• PRACTICE CHANGE
• Appropriate, proportionate and timely help,
  shared materials, tools, protocols

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Three Features of Implementing Team around the
Child
Systems Streamlined pathways to support
Practice New tools Key roles
Culture Shared principles Common language
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Governanceand Implementation

• Project Board (High Level)
• Early Intervention Change Manager
• Project Manager - Project Plan
• Key Champions and partner agencies to deliver
  change and reform agenda

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Making it real

• What is Team around the Child?
• Acting on concerns early
• Physical team of people supporting child
• Clear roles and responsibility for members of the
  team
• Common language
• Seamless planning , action and review
• Shared use of tools and paperwork

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The Continuum of Need and Response
Increasing need for multi-agency collaboration
Needs can be met in universal services
Specialised and intensive support required
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Team concept

• The TATC is the group of people who meet to focus
  on supporting a child/family when their needs are
  escalating and creative coordinated solutions
  required
• The child and parent/carers are part of the team
• The team agree the steps needed to support the
  child and make a plan and agree who will take
  actions forward with a review date

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Team around the Child Meetings

• The child and/or their parent/ carers participate
  in the Team around the Child if they wish
• The Team around the Child agrees a Childs Plan
  with the child and parent/carer
• Agencies work together to provide a co-ordinated
  support service and are accountable for their
  part in the Childs Plan
• The Plan of action is reviewed according to
  appropriate timescales
• The Team around the Child meeting will be the
  primary meeting for a Childs Plan or its review
• Other required meetings will be supported by
  Team around the Child to ensure information
  sharing and consistency

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Named Person Concept

• The Named Person role is part of universal
  services core business
• The Named Person is key to early identification
  of a childs increasing need for multi-agency
  support
• The Named Person will be a key contact for others
  if they identify a need
• When a Team around the Child has met the needs of
  the child, the Named Person monitors change

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Named Person Role

• Point of contact and support for the family, if
  required
• Point of contact for other professionals, if
  required
• Holds childs universal record
• Reviews progress using holistic framework
• Coordinates support from within their own agency
  or service
• Calls a Team around the Child meeting

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Lead Professional Concept

• The Lead Professional may be additional to the
  Named Person
• The Lead Professional could be from any
  profession and brings
• leadership, time , experience , relationship with
  family
• Factors in appointing a Lead Professional
• Case is complex
• Good and sustainable relationship with child/or
  family
• When your agency needs to take primary baton for
  child (core business) eg social work

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Lead Professional Role

• Coordination and leadership of the Childs Plan
• to be the main point of contact for child,
  practitioners and family members
• to coordinate the production of the Integrated
  Assessment and Childs Plan, supporting its
  implementation and ensuring it is reviewed
• to be familiar with and understand the remit of
  other agencies

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Support at local level for the team

• Multi agency Resource Group
• Local group of professional/manager who have
  authority to make resource allocation relating to
  their service/organisation
• Meet monthly to discuss any Request for Action
  regarding Children
• Problem solving role

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Support at local level for the team
Multi-Agency Resource Group remit

• Complexity of needs are increasing
• Concerns are not reducing despite the Childs
  Plan having been in place and advice is required

• Creative solution being sought which might
  emerge from wider multi-agency discussions
• Volume of work exceeds agency capacity to deliver
  the Plan

Monitoring of met and unmet need
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Key Tools for staff and keeping up to date

• Practitioners Toolkit
• www.edinburgh.gov.uk/teamaroundthechild
• SG website www.scotland.gsi.gov/gettingitright
• Learning Community

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Activity First Impressions

• What is the potential?
• For children and families you work with
• For your practice
• For your collaboration with other agencies
• Small group discussion

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Elements of the GIRFEC practice model

• My World Triangle
• Well-being wheel
• Resilience matrix

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Well-being
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(No Transcript)
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Culture and LanguageResilience Matrix
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The GIRFEC Practice Model
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Making it real in Edinburgh

• Named Person
• Team around the Child Integrated Assessment
  (dynamic process using wellbeing, resilience
  matrix and My World)
• Team meeting with agreement to share information
• Childs Plan and review (Lead Professional)
• Request for Action (if required)
• Multi agency Resource Group
• High Level Project Board

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Information sharing

• Parents involved in reviewing consent as
  circumstances change
• Trust and relationships develop
• Key issues may require different levels of
  information sharing
• New professionals need to gain trust and consent

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Child Protection

• How does Team Around the Child fit in with the
  Edinburgh and Lothian Child Protection
  Procedures?
• The Child Protection Procedures remain the same
  all roles, responsibilities, meetings,
  conferences etc. remain the same, there is no
  change
• If you have a child protection concern follow the
  Child Protection Procedures

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Concern by a TATC member that a child is or may
be at risk of being abused
TATC member follows their agencies Child
Protection Procedures
(e.g. recording the information and reporting to
Designated Member of
Staff/ Line Manager)
Procedure
Inter-agency Referral Discussion (IRD)
Police/Health/Social Work (Children Families)
IRD gives information back to referrer who then
advises TATC
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Child Protection Referral to IRD
Case Conference
Planning returns to TATC
Child Protection Plan
Core Group
Review Case Conference
De-registration
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Families and Team around the Child

• Getting it right for every child
• Support the existing capacity of the family and
  the community to support children and ensure that
  their role is respected and valued.

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Making it real in Edinburgh Including Families

• Children and their families are part of Team
  around the Child
• Basics
• Families consent to share information
• Families are prepared for the meeting
• Families are understood by professionals to be
  part of the team
• Families contribution to the solution is valued

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Meetings with FamiliesValues

• Respect
• Holistic basis for work child as part of family
  and social network
• Families are expert on themselves
• Families can make a difference for themselves

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Meetings with FamiliesOutcomes

• Families strengths and social networks are part
  of the solution
• Families agree plans jointly with workers
• Power imbalances are reduced
• Plans and reviews are more effective

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Meetings with FamiliesSolution Focused Working

• What works
• the most important condition for success was
  found always to be the quality of the
  relationship between the childs family and the
  responsible professional

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Team around the ChildWhat works?

• protection is best achieved by building on the
  existing strengths of a childs living
  environment, rather than expecting miracles from
  isolated and spasmodic interventions

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TATC Solution Focused Meetings

• Equal status to all attending, including families
• Focus on solutions rather than problems
• Big problems dont always need big solutions
• If it works, do more of it, if it doesnt, do
  something different
• Non-fixed membership the people who can
  directly share experience or engage with the
  problem are present
• Pragmatic focus
• Meet every stakeholders needs to some degree

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Persistence and Hope

• Furman 1998
• It may take extraordinary efforts to achieve
  ordinary experiences
• Aim to reinforce hope with practicality
• Practicality means involving families in
  understanding, participating and leading plans
  where possible

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Mapping Team around the Child
Named Person identifies vulnerability and
increasing complexity
Integrated Assessment Framework
Team around the Child meeting
apply assessment tools with family and gain
consent to share and seek information with other
agencies
Another Service identifies vulnerability
Lead Professional appointed if situation becomes
more complex
Plan
Another service has relevant information
Review
Family and friends have relevant information
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Project Plan - key work streams

• Workforce development and support

Infrastructure development /IT
Operational implementation
Communications
Model and systems redesign
Quality and evaluation of the work
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Toolkit

• Section 1 Background
• Section 2 Team around the Child in Practice
• Section 3 Pathways to support
• Section 4 Professional roles and
  responsibilities
• Section 5 The Tools
• Section 6 Glossary
• Will be updated with learning from implementation

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Further GIRFEC Workforce Development
Solution Focused Training
Family Group Conferencing
Leadership for Lead Professionals
Core training
Learning seminars
Engaging with uncooperative families
Child Development, Resilience and Attachment
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Workforce Development Contacts

• Events regularly updated on www.edinburgh.gov.uk/t
  eamaroundthechild
• Email updates sign up with lucy.johnston_at_edinbur
  gh.gov.uk
• Booking for training
• becca.hockey_at_edinburgh.gov.uk

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• Evaluation and learning
• Survey monkey - TATC Roll
• Case studies
• Interviews
• Learning Seminars
• Report on trial and testing Sept/Oct