Targeted Youth Support Pathfinder Derbyshire County Council

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Targeted Youth Support PathfinderDerbyshire
County Council

• Outline plan for Phase 2
• for presentation to 0-19 Steering Group, 7 June
  2006
• Version 0.1 2 June 2006

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Derbyshire has commenced this project within this
landscape
Statistics for Bolsover/Staveley/Brimington area
Source PLASC Connexions Derbyshire County
Council
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How we approached the project
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Project overview
Discover
Deepen
Develop
Deliver
Mobilise
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2
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Decision points
Launch meetings
Focused Interviews
Senior management briefing
Senior management briefing
Senior mgt
Consolidate findings
Develop plan with project manager
Service deliveryand users (young people/
families)
Focused interviews /Groups
Young Persons consultations
Multi-agency Workshop 25 April
Multi-agency Workshop/s
May
May - Oct 06
Feb - May 06
All 14 TYS Pathfinders have followed this overall
process in this phase
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We have engaged with stakeholders in a number of
different ways

• Consultations with groups of young people and
  parents
• A questionnaire completed by young people
• One on one focus interviews with councillors,
  directors, managers and frontline staff
• Group focus interviews with operational staff
• A multi-agency workshop mapping young peoples
  journeys
• Discussion with key strategy groups including
• Chesterfield and North East LIG
• DAAT JCG
• CAMHS
• Connexions Partnership
• Youth Service, Education Welfare joint meetings
• Bolsover District Council
• Derbyshire County Council Community Economic
  Development Team
• Teenage Pregnancy Group

The involvement of young people and frontline
staff has been at the core of our work
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We have involved many different services
Family Resource Workers
Teenage Pregnancy Co-ordinators
Personal Advisers
Support Workers (Exclusion)
School Nurses
Education Social Workers
43 Interviews
Youth Sport Officers
Project Workers
66 participating in multi-agency workshop
Substance Mis-Use Workers
Community Care Workers
Specialist Midwifes
36 participating in Group Interviews
Health Visitors
Youth Workers
Community Workers (CED)
Youth Justice Service Assistants
Sexual Health Advisers
ASBO Co-ordinators
Youth Involvement Officers (Police)
Headteachers Assistant Headteachers
Domestic Abuse Co-ordinators
Sports Development Officers
BIP Co-ordinators
Social Services
Housing Officers
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We have involved approximately 200 young people
in this phase

• We have engaged with 27 young people through the
  following existing groups
• 39 Steps pre-e2e (13-15 year olds)
• Chamber Training e2e (16-18 year olds Bolsover
  and Shirebrook)
• Little Angels (Young Mums) (17-21 year olds)
• Zone Youth Club (13-16 year olds)
• Chantry Youth Club (11-14 year olds)
• We also received 144 completed questionnaires
  from young people all over the area through
• Library Services to young people
• Connexions PAs in schools including Ashgate Croft
• Youth Service
• Community Workers and Connexions staff conducted
  photographic exercises with young people, they
  provide us with a visual representation of their
  environment and the young people have added
  captions about the issues

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Young people say that having nothing to do,
alcohol and drugs are the biggest issues for them
What do you think are the issues facing young
people in your area today?



important issues even though lower numbers
of responses
Source TYSP Young Peoples questionnaire
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What young people are saying about not having
enough places to go and things to do
We used to hang out at the bus stop but it got
vandalised
We end up getting drunk/smoking and vandalising
I take place in a society for potheads!
Something like pictures or swimming for boring
days
We need somewhere to go and talk about personal
problems
I dont like it when there is fighting, it scares
me but I stick with my mates
Give us more jobs to keep us occupied, more
things to do to get us off the street like a
non-alcoholic bar
Source TYSP Young Peoples consultations
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Most young people who had contacted services for
help, feel that the services were easy to get in
touch with
The youth centre and Connexions are the easiest
to get in touch with - Housing and the community
centre the least easy
Source TYSP Young peoples questionnaire
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Poor service practice identified by red flags
at the multi-agency workshop includes examples
of poor or non-existent inter-agency working,
and issues with targets and funding
In one case meeting 24 agencies turned up of
which 17 didnt know others were involved
Connexions PA
Poor assessment, referral and feedback Staff in
services are generally not aware of exactly what
services provide what to whom and therefore may
not be able to refer a young person on Agencies
do not share information Lack of clarity on
roles, including lead Service design and delivery
which does not meet needs The vast majority of
frontline staff are unaware of the County data
protocols The need to meet hard targets limits
willingness to refer on Short term funding for
specific purposes restricts agencies ability to
meet individual young peoples needs
The person giving the information decides if
its relevant, not the person asking for it
Frontline worker
Referring issues to other agencies so
off-loading the problem to someone else - the
agency merry-go-round Sexual health worker
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Poor service practice identified by red flags
at the multi-agency workshop includes examples
of focus on crisis work not prevention, delays
in service, and lack of provision post 16 and
staff face problems too
Often young people are not picked up by services
before they get into a crisis Thresholds differ
it may not be possible to refer young people on
because they dont fit the age range or are not
considered sufficiently in need Delays and
waiting times in providing services to young
people waiting lists can be many months and
the funding may have run out or the criteria
changed before they get to the top of the
list Young people lack awareness of provision and
support Services fall off after 16, because of
incorrect assumptions about needs, resulting in
increased risk of disengagement, homelessness,
mental health and other problems Staff feel under
pressure of bureaucracy and caseload, feel they
lack knowledge, and often suffer from high levels
of stress and burn out. They feel
under-supported and under-trained
Sometimes theres a 4 month waiting list or more
but we need help for the young person now. It
boils down to money Education Welfare officer
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In summary

• Young people
• Generally find services easy to get in touch
  with, friendly and helpful on problems
• but 13 of those who contacted services for
  help reported not having their problem solved
• Service providers
• Just over half feel that their own service is
  good or very good at meeting young peoples needs
  and nearly half feel they are OK or poor
• Identify some areas of services which are working
  well, particularly where they consistently
  address young peoples needs and where
  partnership working is the norm
• but there are many examples of services working
  so so or poorly, including poor inter-agency
  working, focus on crisis not prevention and long
  waiting times
• Generally feel that performance in their own
  service falls some way short of what they
  identify as important service delivery factors
• Would like to see more focus on meeting young
  peoples needs and on prevention than there is
  today
• Suggest that more inclusive services and more
  choice for young people are ways of reducing
  stigmatisation of services
• Feel that young people have different needs at
  different ages but do not want age-banded service
  silos to arise
• Indicate that culture differences are greater
  between services than between levels within
  agencies

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Lack of information sharing was picked as a top
barrier to multi-agency workingat the
multi-agency workshop

• What is happening
• dont know what can be shared
• things getting missed
• assumptions made about people
• dont know if referral accepted
• no key-worker for young person
• information lost in school
• incompatible systems
• reluctance to share information
• dont understand data protection

• Impact on young people
• not getting best support
• fed up with same old questions
• alienated from services
• confused over who is doing what
• delays while services seek data
• falling through gaps
• not attending interviews
• Impact on staff and services
• frustration and stress
• high staff turnover
• inefficient working time wasted chasing
  information
• uninformed decision-making, based on assumptions
  not facts
• resources not allocated best way
• duplication and overlaps

Source TYSP Multi-Agency Workshop
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The implementation of CAF, the lead professional
and the Child Index will be key to addressing
many of the issues around assessment, referral
and data sharing in TYS

• CAF
• Identifies need and pre-assessment can identify
  risk
• Helps identify which services best positioned to
  help the young person,
• Is basis for decision on who should be lead
  professional
• Offers shared framework for sharing information
• Lead professional helps overcome confusion, gaps
  and overlaps and clarify who should be doing what
• Child Index inclusive of all YP 0-19 identifies
  who involved with young person and how to contact
  them
• TYS to link with pilots of these in Develop and
  Deliver phase
• Build on extended schools, Children Centres, SNM
  pilots
• Build into learning community (school, colleges,
  training providers) partnership framework
• Build in commissioned remit for budget holding
  lead professional
• Requires multi-agency working, co-ordination,
  management, quality assurance

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In summary

• There is some well established multi-agency
  working in Derbyshire, including examples of
  willingness to share data and to work together to
  solve problems
• Key barriers to agencies working together are
  lack of data sharing, poor referrals, different
  cultures, different priorities, different working
  practices and staff not knowing what other
  agencies do
• The impact of agencies not working well together
  is significant, on young people, families,
  service staff and the local area
• Service providers would like to see more ..
• CAF, lead professional and Child Index will be
  key to TYS going forwards
• Service providers believe better knowledge and
  communication, together with common strategies
  and working practices would help them contribute
  to integrated frontline services for young people
  
• but want to maintain their professional identity

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In summary, there are compelling reasons to
change without which we will be failing young
people on some of the key outcomes

• There is considerable momentum for change amongst
  service providers
• Service providers recognise the need for all
  services to change, particularly mental health
  services, LSC, Housing and Social Services
• Service providers and young people would like to
  see more focus on young people and their needs,
  including listening to and involving them in
  service design and delivery
• Service providers believe high quality services
  are responsive, work together well, are
  accessible and give young people improved
  outcomes
• TYS needs to overcome the barriers of
  professional and organisational differences,
  different agendas and practices, unclear roles
  and responsibilities and funding issues
• Change has to be put into context with the other
  initiatives that Derbyshire is working on and
  any conflicts resolved

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Next Steps
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The key challenges from TYSP Phase 1 have been
packaged into a programme of work
TYSP PHASE 2
How to involve communities to create and find
safe, clean places for all young people to want
to go?
Things to do, places to go
Involving young people, parents and families in
service design and delivery
How to identify young people who are
vulnerable/at risk of not achieving Every Child
Matters outcomes and utilise prevention and early
intervention practice to build their confidence,
resilience and coping skills

• PROJECT MANAGEMENT
• COMMUNICATIONS
• STAKEHOLDER MANAGEMENT

Prevention early intervention
Closer working between agencies
How to build on existing effective practice to
bring together all agencies and providers to work
closer together and make it simpler and clearer
for young people to get the right help
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Draft outline remit for change teams
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Next steps by the TYSP project team

• Form change teams, including young people and
  parents/carers (approx 2 days a month to end
  October, tbc), who will take responsibility for
  developing solutions to the key challenges
• Design and set up FastStart event in early July
  to bring change teams together, brief them on
  Phase 1 and plan Phase 2 in more detail
• Design and deliver feedback sessions for young
  people
• Identify actions for early implementation (no and
  low-cost actions which are quick to do) eg park
  clean-ups - and form a rapid action team to drive
  them forwards
• Support change teams in setting up multi-agency
  workshops to help develop principles around the
  Phase 2 key challenges and address key
  implementation challenges, also to build on the
  momentum for closer multi-agency working

Phase 2 is planned to run to mid-October
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• Key Messages
•  
• Young people have shown us the levels of
  deprivation and the large numbers this affects.
• The Targeted Youth Support Pathfinder is one of
  14 nationally, and benefits from lessons learnt
  in the other 13.
• There is commitment to change at all levels.
• There is existing effective good practice.
• There is recognition that providers of our youth
  support services are not joined up, but want to
  be.
• There is evidence of positive impact on young
  people where multi agency working is effective.
• Next steps include a fast start event and
  establishment of three Change Teams to address
  the three priorities things to do and places to
  go prevention and early intervention closer
  working between agencies.
•  

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• Key Messages continued
• Change Teams will bring together representatives
  of Childrens Trust partners, share knowledge,
  establish guidelines and principles for
  implementation, and provide toolkits for roll
  out. Their work will dovetail with existing local
  arrangements.
• Change Team members will need to allocate time to
  carry out this role, and facilitate workshops
  i.e. to develop their proposals, and carry out
  their individual tasks between meetings.
• Change Teams will begin to address the initial
  cultural issues associated with existing
  professional and service delivery boundaries.
• Phase 1 successfully contributed to the moulding
  of the evolving strategy of the Childrens Trust
  and Children and Younger Adults Service.
• Phase 2 priorities derive from detailed and
  evidence-based findings and give added impetus to
  the direction of travel of the Childrens Trust
  at local level.
• Phase 2 is part of the new Childrens Trust
  arrangements for support for younger adults and
  to meet any additional needs .