Transcript Document

Medway Integrated
Prevention Service
(IPS)
THE INTEGRATED PREVENTION SERVICE (IPS)
Early Intervention
• School
Prevention and
Diversion
• Community
• Criminal Justice
System
• Home
•Sign post
• Mentoring
Crisis Intervention
• Families with multiple
and complex needs.
• Not met Social Care
thresholds
• Removed from CIN/ CP
Develop a Team Around The Child/ Siblings.
Common Assessment Framework (CAF).
IPS accepted referral
IPS assessment
Standard
Enhanced
Intensive
Actions at CAF agreed
Individual/ family support plan
Review
Evaluate
Close with exit strategy
Outcomes
• Reduce First Time Entrants into
Criminal Justice System (CJS)
• Reduce risks at home, in School or in
the community
• Reduce referrals to Social Care and
revolving door families.
Medway Youth
Diversion Scheme (Triage)
The process is:
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Restorative Justice/ Reprimand/ Final Warning.
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Police Electronic Notification to YOT.
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An ONSET assessment (inc health) completed to identify risk of offending and
vulnerabilities.
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1.
2.
4 outcomes will be achieved:
No Further Action (65%)
Refer to alternative curriculum programme linked to offence (Example- Car crime/
Peer pressure/ victim awareness) ) (15%)
Sign post to single agency (Example KCA- drug and alcohol risks) (10%)
Multi agency support needed (Example support through a CAF). (10%).
3.
4.
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All information returned by IPS to Police to inform a RJ agreed outcome right for
YP.
First Time Entrants
600
500
400
PNC
300
Local target
Forecast FTE
200
100
0
April- June
Jul- Sept
PNC
Local target
Forecast FTE
Oct- Dec
Jan- Mar
April- June Jul- Sept Oct- Dec Jan- Mar
124.5
249
373.5
498
70
140
210
280
61
110
149
200
2011/12
280
2012/13
275
2013/14
271
Successful pathfinder bid to DoH and MoJ in
July 2011 (YLDS).
Health vulnerabilities screened
(data collected on ChiMat).:
1. Safeguarding
2. Social
3. Mental Health
4. Developmental
5. Physical Health
6. Behavioural
7. Substance misuse
• Safeguarding
• In foster care/ children's homes/ supported
housing (10%)
• Neglect/ insufficient parenting (15%)
• Homelessness/ accommodation problems
(5%)
• Domestic violence (10%)
• Sexual abuse/ exploitation (5%)
• Physical abuse (0%)
• Risk of self harm/ suicide (10%)
• History of running away from home (15%)
• Overall (10%)
• Social
• Family conflict (35%)
• Association with gang/ violent or extremist
peers (5%)
• Poor relationships/ lack of friends (15%)
• Victim of bullying/ harassment (5%)
• Parental imprisonment (10%)
• Young carer (10%)
• Sibling offending/ anti-social behaviour
(25%)
• Overall (45%)
• Mental Health
• Suspected diagnosable mental health
problem (15%)
• Parents with mental health or
substance misuse problem (10%)
• Recent significant event (10%)
• Overall (10%)
• Developmental
• Poor school attendance (20%)
• School under attainment (20%)
• Suspected learning disability/ difficulty
(10%)
• SLCN needs (10%)
• Suspected Acquired Brain Injury (5%)
• Not in Education or Employment (NEET)
(20%)
• Suspected developmental difficulty (0%)
• Overall (45%)
• Physical Health
• Disrupted sleeping and/ or eating
patterns (5%)
• Sexual health needs (15%)
• Dentistry needs (0%)
• Impaired hearing (0%)
• Poor eyesight (0%)
• Diagnosable physical health condition
(0%)
• Overall (10%)
• Behavioural
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Violent behaviour/ aggression (30%)
Sexually harmful behaviour (0%)
Excluded from school (35%)
History of behavioural problems
before age of 12 (45%)
• Overall (50%)
• Substance Misuse
• Drug misuse (25%)
• Alcohol misuse (20%)
• Overall (40%)
2012/ 13
Prevention and Diversion
Early Intervention
Crisis Intervention
Total:
250
100
50
400
Clever thinking
Anger management
Incredible years
Total:
60
30
30
120
Other programmes
• Consequential thinking programmeClever thinking.
• Anger management- Red Hot
• Evidence based parenting programmes
(Incredible years and Teen triple P).
• Peer mentoring (14+ Peer2peer).
• Mentoring
• Positive activities
• Coming soon……. Emotional first aid.
Other significant data
First 12 months: (with 9 keyworkers)
• Target 2011/ 12 = 200. To date 428 families
supported.
• Reduced Social Care referrals Target 20. To date
this is 28.
• Reduced FTE by 5% against target set. To date it is
at 28.6%. Triage (MYDS) 168 young people
supported and to date 3% re-offending (2 cases).
National data is around 23%.
Value for money
• Cost of the Integrated Prevention Service
(IPS) is £400,000.
• Intervention is around £1000 based on
working with 400 families this year.
• On an average 6 month intervention this
works out at £38.50 per week per family.
This will be £25 in 2012/13.
• Compare this against 1 week in YOI= £1519
or STC= £3269 per week.
Case study 1
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Young person 14 came through MYDS as she has stolen money
from a male. The case sat un-easy with staff as she was was with
friends and only she had come through for diversion.
The assessment was conducted by staff liaising with Police
colleagues and it was identified she was prostituting herself through
the assessment where an interpreter was brought in.
She also had been using heroin and concerns were raised of the
address the young person resided at.
Outcome:
Referral to social care showed 14 people living in home address.
The young person had a rapid assessment for drug treatment by
KCA
The young person became a child in need and is being supported.
Stopped using
Away from prostitution
Case study 2
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A young 13 year old girl. Reprimand for assault/ Final warning for criminal damage in 1
week. Multiple risk factors assessed (11). Only in school one hour per day and has also
received a recent five day fixed exclusion. Known to social care.
Mum an ex heroin addict/alcoholic who has recently tried to commit suicide and been
admitted to a secure psychiatric unit. Gran full time carer with residence order. She has
low self esteem and lacks a positive peer group.
Assessed that there needed to be a team around the child. Family agreed to a CAF.
Family were under social care previously. She is now being supported by her key
worker on a one to one basis. She has agreed to form part of the new girls group. She
wrote a letter to the shop keeper. Completed Red Hot anger management and Clever
Thinking on a one to one basis with her key worker.
Outcomes
Diverted away from entering the criminal justice system.
Attended the criminal damage workshop.
Back in School FT (including alternative curriculum programme).
Boundaries and sanctions at home supporting Nan with behaviour.
Mum has a keyworker and gaining supporting housing
Contact resumed with Mum
YP has CAMHS intervention
New peer group achieved
Questions?