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Engaging Children and Young People to Improve Their Outcomes

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Engaging Children and Young People to Improve Their Outcomes. The Oxfordshire Story ... Linking learning with a fun activity. Holidays. Leisure Projects. HILL END ... – PowerPoint PPT presentation

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Title: Engaging Children and Young People to Improve Their Outcomes


1
Engaging Children and Young People to Improve
Their Outcomes
  • The Oxfordshire Story

2
Do I contradict myself? Very well then, I
contradict myself. I am large, I contain
multitudes.Walt Whitman.
3
Contents
  • Starting points
  • What we knew
  • What we are learning
  • Oxfordshire projects
  • Ending points - impact on performance

4
Starting Points
  • No Leaving Care service
  • Huge budget pressures
  • Disaffected/frightened users
  • Appalling outcomes
  • Lack of choice of placements
  • Difficulties in providing respite
  • High Numbers in residential care
  • Fire fighting
  • Wanting to listen and work with CYPF

5
What we KnewChances of Becoming Looked After
  • 2-parent family
  • More rooms than people
  • Employed
  • White UK
  • Mother 21 at birth of first child
  • Fewer than 4 children
  • Odds 1 in 7000
  • Single parent
  • More people than rooms
  • Reliant on Benefits
  • Dual Heritage
  • Young Mother lt21 at birth of first child
  • More than 4 children
  • Odds 1 in 10

6
What We Knew
7
What We Knew About Keeping CYP Safe
  • Secure attachments and relationships
  • Good care
  • High warmth, low-criticism parenting
  • Support when we need it, where we need it
  • Consistent relationships between professionals
    and families

8
What We Knew About Keeping CYP Safe
  • Housing
  • We know quite a lot about protective factors for
    successful housing
  • EET
  • We know significantly less about factors, other
    than housing, impacting on EET post 16

9
What We Are Learning
  • The effect of chronic stress and negative
    stimulation on babies brain development
  • Too much cortisol is a bad thing
  • Resilience in children and young people where it
    comes from, how it helps
  • Families, rather than professionals, protect
    their children
  • Families, rather than professionals, make the
    best decisions for their children
  • Tightly controlled interventions with a clear
    rationale have better outcomes.
  • The younger the child the better the outcome

10
Source Worker Project
  • Gives young people who have been in care a chance
    to have a voice - talk to us and it is our
    chance to listen to young people and talk to
    them
  • Introduces childrens rights, consultation and
    the work that source workers will be asked to do
    for Children Young People and Families and other
    organisations
  • Source Workers learn about Oxfordshire County
    Council, its structure, laws, what do we do and
    why

11
Source Worker Project
  • Training gives young people confidence, knowledge
    and skills to undertake consultation work, as
    well as skills for life. Source workers discuss
    issues with other young people and decision
    makers,challenge childrens rights and help
    implement CYPP
  • The overall goal is to improve the life chances
    and opportunities of children and young people in
    the care system

12
Source Worker Project
  • Source Workers are accredited with AQAs for
    completing the training
  • Source Workers receive certificates, signed by
    the Director and Head of Service, on successful
    completion of each Stage of the training, which
    outlines what they have achieved.

13
Projects in Oxfordshire
  • PCAMHS
  • OXPiP
  • Parents in Partnership Project
  • Baby massage
  • Parentline Plus
  • Share Project
  • - Aimed at training carers to know the
    importance of reading to children
  • Adoption buddies based on Webster Stratton

14
Projects in Oxfordshire
  • Family Placement Support
  • A range of services, including ATTACH, founded on
    family based decision making, aiming to prevent
    family and placement breakdown, with
    rehabilitation of children with family as soon as
    possible.

15
Projects in Oxfordshire
  • Family Placement Support Components
  • Outreach offering practical support/relief
  • Brief solution therapy
  • Intensive adolescent support
  • Services to address attachment difficulties
  • Case consultations
  • Learning mentors
  • Restorative Justice

16
Leisure Projects
  • Out of School Activities
  • Arts and drama projects
  • Outward bound projects
  • Linking learning with a fun activity
  • Holidays

17
Leisure Projects
  • HILL END
  • Every year 80 young people get together
  • to create a show which incorporates
  • music, drama, dance, art and media.
  • Performed in a big top to an audience
  • of parents, carers, siblings, officials and
  • children and young people in care.

18
Hill EndCreating the music for the performance
19
Hill End - Robot
20
Feedback from CYP
  • Life changing experiences
  • Meeting people, having fun
  • Meeting people in similar circumstances
  • Chance to express ourselves
  • All decisions from planning to acting are made by
    CYP

21
Diversion
  • CLA Offending 9.7 times more than peers
  • Restorative Justice training
  • Diversion offered by Police and CPS
  • YOT/Social Care Protocols
  • Social Care/Police Protocols
  • Liaison meetings around the Homes
  • Mentor schemes
  • Share Police/YOT databases
  • Individually negotiated packages

22
DBT
  • A broad-based cognitive behavioural therapy for
    individuals with Borderline Personality Disorder
    (BPD) to treat chronic parasuicidal/ suicidal
    problems (Linehan, 1993).
  • Based upon a biosocial and dialectical theory of
    personality functioning.
  • Blends CBT with meditation practices, and
    elements of psychodynamic, client-centred,
    Gestalt, paradoxical, and strategic approaches.

23
Why DBT for CLA?
  • There is a higher incidence of mental health
    problems in CLA
  • There is a higher rate of Attachment Disorder in
    CLA
  • Insecure attachment is a vulnerability factor for
    developing mental health problems, including BPD
  • A proportion of CLA who in high risk self harming
    behaviours, which is a trait of BPD/

24
Attachment and BPD
  • CLA have experienced severe levels of abuse/
    neglect usually over a significant period of
    time.
  • Abuse (including sexual abuse) and neglect are
    the biggest risk factors for developing insecure
    attachments.
  • Insecure attachment, and more specifically
    disorganised attachment (highly correlated with
    abuse and neglect) seen as fundamental part of
    the aetiology of BPD (Fonagy 1997).

25
Case Study 1
  • Sarah, 15 yrs, referred while in a secure unit.
  • History of severe self harm (cutting, overdose,
    ligature tying), drug/alcohol misuse, low mood,
    suicidal ideation, absconding with men she does
    not know, sexual assault, forensic history
  • Family history of domestic violence, alcohol
    addiction and mental health problems. Difficult
    relationship with SHC and health services.

26
Case study 1 - cont
  • The CLA DBT service provided
  • Weekly individual therapy at the secure unit
  • Weekly skills training sessions at the secure
    unit
  • Regular consultation to the secure unit staff
  • Telephone support to the client and staff
  • Consultation to the social worker
  • Input into care/secure review and placement
    planning
  • Supported and attended regular professionals
    meetings

27
Case study 1 - cont
  • Outcomes
  • Significant reduction in frequency and severity
    of cutting from daily to very occasional (twice
    in 3 months)
  • A cessation of overdosing and ligature tying
  • Has moved out of secure unit and managed
    transition into the community
  • Living in a stable placement in the community and
    accessing appropriate support from the Leaving
    Care team

28
The Reach Up Team
  • Multi-disciplinary team
  • Supporting school age Children Looked After to
    achieve
  • Includes
  • Case conferencing for CLA in Primary and
    Secondary schools
  • Learning mentors providing one-to-one additional
    support to CLA in years 10 and 11
  • PEP monitoring

29
Achievements
  • The Reach Up team learning mentors - raising
    attainment at GCSE in year 11
  • 1 A-G 32 in 2003 to 78 in 2006
  • 5 A-G 18 in 2003 to 51 in 2006
  • Increased progression to FE by young people
    previously identified as at high risk of becoming
    NEET on finishing compulsory schooling.

30
RAISE
  • 15 employment, education and training support
    team, working alongside Leaving Care Team
  • Supports young people and LCPAs with EET issues
  • Targets young people from year 11 upwards
  • Delivers group and 1-1 work
  • Accreditation of both group and 1-1 work through
    AQA.

31
Achievements
  • A4 component of the OC3 figure up
  • Flexible, accessible accredited learning,
    including for young parents, through AQA
  • Group work offering focused, tailored on-going
    sessions around work and learning.

32
Performance of Care Leavers at 19
33
CLA Education Performance

34
Numbers of CLA 0ffending

35
Issues, Challenges, Next Steps
  • Do more of what works extend preventative
    services for LAC to children and young people on
    the edge and vice versa
  • Ensure these groups are everyones responsibility
    and priority, across all the agencies
  • Build on values and principles
  • Embed family-based decision-making.

36
Summary and Conclusion
  • Incremental no year zero
  • Improvise
  • Involve users
  • Intractability
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