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Commissioning quality in the VCS: ACE-Value Workshop Aims: -Learn how to use the website -Learn how to use ACE-V Quality Standards.

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Presentation on theme: "Commissioning quality in the VCS: ACE-Value Workshop Aims: -Learn how to use the website -Learn how to use ACE-V Quality Standards."— Presentation transcript:

1 Commissioning quality in the VCS: ACE-Value Workshop Aims: -Learn how to use the website -Learn how to use ACE-V Quality Standards

2 Service Description large charitysmall charitystatutory Counselling services for individual adults, couples, families, children aged 5 to 18 years. Help for parents who are separating to minimise the impact on the children. Sex therapy. Training courses for parenting and courses for young people and children e.g. anger management. Ante-natal courses. We provide an outstanding fostering service for children and young people who are looked after, with high quality, fully trained foster carers and a Children's Services department, ensuring child remains at the centre. CAMHS stands for Child and Adolescent Mental Health Services. CAMHS provides assessment and treatment services to children and young people aged 0-18 years where there are concerns about their behaviour or emotional wellbeing.

3 Catchment areas large charitysmall charitystatutory Lincolnshire North Lincolnshire North East Lincolnshire Pan London Luton Bedfordshire Kent Essex Wandsworth GP's

4 Client groups large charitysmall charitystatutory 5-18 years olds (directly) Parents/families 0-18 years olds (directly) Parents/families Local Authority Social Services 0-18 years olds (directly) 0-18 years olds (indirectly) Parents/families Staff: Consultations in Tier 2 CAMHS

5 Accountability Effective and responsible

6 large charitysmall charitystatutory Online Community: Relate Centres Schools: Where invited to run courses or provide counselling Over the phone Foster Carer homeClinic or office Home visit Community School Inpatient unit Over the phone Type of place (setting)

7 large charitysmall charitystatutory Therapy and therapeutic intervention: Counselling Signposting Providing information Training Assessment: Parent and Child placements in foster home Therapy and therapeutic intervention Advocacy Signposting Advice Providing information Training Family mediation Assessment Therapy and therapeutic intervention Support (e.g. informal help) Advocacy Psychoeducation Signposting Advice Providing information Consultation for professionals Training Family mediation Type of help (intervention)

8 large charitysmall charitystatutory We are an open or non- targeted service In Looked After Care (LAC): Main target group Considered for Social Service Input on 'Child in Need' level: Especially, re: parent and child placement Multiple issues, Complex Needs, Dual Diagnosis or Comorbidity We are an open or non- targeted service Which groups the service is aimed at


10 large charitysmall charitystatutory Mild: 18 Moderate: 16 Severe: 10 Mild: 24 Moderate: 20 Severe: 16 Mild: 4 Moderate: 21 Severe: 21 Difficulties we work with


12 large charitysmall charitystatutory noneWe attempt to match any child or young person referred to us, with one of our approved foster carers, however, if we do not have a suitable match, we do not place. Child's response to normal life events; Children whose parents are in dispute, specialist forensic and other risk assessments and conditions where pathways to other services exist i.e.: encopresis and enuresis Limits of the service

13 large charitysmall charitystatutory Working in partnership with the schools and Children's Centres where we have contracts. Education, Employment and Training (EET) We monitor attendance against personal targets We monitor attainment against personal targets Education, Employment and Training (EET) We monitor attendance against personal targets We monitor attainment against personal targets Monitoring school or work functioning

14 large charitysmall charitystatutory X Service Nationally developed outcome measures CORE (Clinical Outcomes in Routine Evaluation – Outcome Measure ) We use our own assessment templates Strengths and Difficulties Questionnaire - (SDQ self) Strengths and Difficulties Questionnaire - (SDQ parent) Revised Child Anxiety and Depression Scale - (RCADS self) Generalized Anxiety Disorder 7- item - (GAD-7 self) Patient Health Questionnaire - (PHQ-9 self) Outcome Rating Scale (ORS, CORS, YCORS) Impact of Event Scale - (IES parent) Me and My School (Behavioural Difficulties - Conduct subscale) - (MAMS) Clinical Outcomes in Routine Evaluation – Outcome Measure - (CORE-OM) The Health of the Nation Outcome Scales, and for Children and Adolescents - (HoNOS, HoNOSCA) Monitoring changes in wellbeing

15 Details on monitoring effectiveness As a service, we are collecting outcomes using the Young Person's CORE-YP evaluation form (Clinical Outcomes in Routine Evaluation – Outcome Measure). We routinely report on a quarterly basis to the schools and on a yearly basis, we report back to our funders and stakeholders. Our data shows a reduction in stress and anxiety over a twelve-month period for approximately 90% of the students. We share these figures with the University of Strathclyde. Our data is used to inform service development by seeking to build a picture of how young people cope with loss in urban priority areas across England.

16 Use of evidenced methods Non-directive supportive therapy, Interpersonal Therapy, Systemic Family Therapy all for depression (NICE, 2005) CBT for anxiety and depression (NICE, 2004); CBT and Parenting for Conduct Disorder (NICE, 2006); Humanistic and play therapy for anxiety (Dearden, 1998); Humanistic and interpersonal therapies for reducing anxiety from parental separation, reduce risk of repeated suicide attempts, children who have been sexually abused (Systematic Scoping Review Harris, Pattison 2004)

17 Compliance Safe and confidential

18 large charitysmall charitystatutory Safeguarding policies and procedures last updated: 01/07/2013 Confidentiality policies and procedures last updated: 01/07/2013 Supervision: Frequency: Monthly Accreditation of supervisor: Trained by us and are supervised themselves by an accredited supervisor. Safeguarding policies and procedures last updated: Ongoing review Confidentiality policies and procedures last updated: 01/08/2013 Supervision: Frequency: monthly/six weekly depending on role Accreditation of supervisor: All have supervision training, one has higher education certificate in supervision studies, some social workers have social work supervision certificates Safeguarding policies and procedures last updated: 01/11/2013 Confidentiality policies and procedures last updated: 01/11/2013 Supervision: Frequency: weekly Accreditation of supervisor: AFT (Association for Family Therapy & Systemic Practice) BACP (British Association for Counselling & Psychotherapy) HPC (Health Professions Council) RCPsych (Royal College of Psychiatrists) UKCP (UK Council for Psychotherapy) Safe practice

19 Frequency of supervision: Every 4-6 weeks Accreditation of supervisors: – BACP (British Association for Counselling & Psychotherapy) – Therapists receive clinical supervision from BACP supervisors. Children and family workers receive line management supervision from trained managers.

20 Staff qualifications 25% of our staff has Counselling diploma 25% has Psychology degree 25% has Psychology and Social Policy degree 25% has NVQ 3 in Health and Social care Total Number of volunteers are between 40 and 45.

21 Empowerment Collaborative practice with clients

22 large charitysmall charitystatutory Verbal feedback from children, young people or their family CORE: Goal Attainment Form (CORE: Clinical Outcomes in Routine Evaluation) Relate Federation outcome forms Verbal feedback from children, young people or their family young person's survey foster carer survey stakeholder survey consultation forms with foster carers, children and young people and local authority partners and other professionals one to one meetings with children and young people Verbal feedback from children, young people or their family Experience of Service Questionnaire (CHI ESQ) Feedback Tracking Measures (Session Rating Scale: SRS) Goal Based Outcomes (GBO, e.g. Goal Progress Chart) CORE: Goal Attainment Form (CORE: Clinical Outcomes in Routine Evaluation) Empowerment – individual level

23 Empowerment – individual level 2 Therapy is lead by the child or young person Engagement is voluntary Choice of time, day and venue, and of male or female counsellors - as far as is possible Clients given the opportunity to develop strategies with the practitioner Choice of ways of engaging with counselling e.g. creative media, art, play, sand tray, puppets

24 large charitysmall charitystatutory We use individual client feedback for organisational development at local and national level User group Suggestions box Online polls or questionnaires Service development projects involving children and young people Membership of young people and/or parents on decision making boards or planning groups User group Suggestions box User participation officer Online polls or questionnaires Service development projects involving children and young people Membership of young people and/or parents on decision making boards or planning groups Empowerment – organisational level

25 Empowerment – organisational level 2 We continually seek to improve the service we provide based upon need and encourage service user participation in support groups and forums. Service users are involved in service design, each session, workshop, group is evaluated and feedback is used to inform delivery. Service users are encouraged to support the staff recruitment and selection process and are involved in developing questions and are invited onto the selection panel. An example of how our practice has been informed by service user feedback: we consulted service users in our annual 'family feedback' review day. We found that there was a need for a 'drop-in' session where parents could call in for a coffee and an informal chat with peers and staff. This now runs on a fortnightly basis.

26 Value Social and financial impact

27 Unique features We, through bringing together youth work and clinicians under one roof, have created the only service of its kind in England, providing easily accessible, health and wellbeing support capable of dealing with complex needs. Opportunistic screening and the use of the ‘Teen Health Check’ developed by Dr X, means our model is ideal for early case identification and with prescribers on-site can provide swift intervention without the need to refer on and risk losing the young person’s engagement.

28 Value for money The cost per pupil completing our core intervention (Family Group) is significant (approximately £3,000 per annum). However, in the light of a recent government report (issued by the Department for Communities and Local Government) that stated that 120,000 troubled families are currently costing this country approximately £9 billion per annum, the potential return on investment is clearly huge. That same report indicated that "the average unit cost of intensive interventions that are known to work with this group of around £10,000". Family Groups can therefore be seen as an extremely cost effective way of helping troubled families and, although we are not claiming that our intervention will solve all the difficulties that our families face, on the basis of our experiences to date, we are confident that our intervention delivers significant direct and indirect net benefits - primarily to participating children but also to parents/carers, other family members, the school, national/local services and the local community.

29 Social value First Take has been funded by the City council and Film Council for over 20 years because it is effective at raising self-esteem, skills, knowledge and confidence of young people. It has changed policies, raised untold stories, got people into education and employment, improved wellbeing, created positive entertaining pieces of work that have be screened and won at festivals. We are embedded in the heart of many diverse communities, which inspires us to create great content about these communities and their issues. Our networks enable us to work collaboratively and to connect new groups together.

30 Reviews and accreditations Recent Organisational BACP (British Association for Counselling & Psychotherapy) Accreditation August 2013. Assessor's Comment: "This is an exemplary application with clear, well referenced and collated evidence, highlighting a safe, coherent and professional service. It was a pleasure to assess." "The our service clearly provides a most valuable service to the young people in London." "This service is commended for the thoroughness of the submission."

31 Testimonials “Thank you so much for diagnosing me with visual stress, by using my coloured overlay it has changed my life, reading is a joy now, and I am also understanding why I found written work so difficult.” Belinda “This service really punches above its weight. It provides invaluable services to people with dyslexia and associated problems, ranging from screening and friendly guidance to a full resource centre and training workshops to suit a variety of needs. This service is an asset to Norwich and Norfolk and I fully support its work.” Chloe Smith (MP N North) "Fantastic day to all involved in dyslexia in Norfolk. The BDA would love to see others follow their lead with such courage and conviction." Bernard (British Dyslexia Association) "I can only extend heartfelt thanks to you for clearly having spent so much time researching my condition in detail. I feel I am able to begin to reclaim my life again." Rosalind

32 Contact details

33 large charitysmall charitystatutory Any route Local Authority Social Services refer to us School staff Parents/carers Healthcare professionals (e.g. GP, A&E, Paediatricians) Way to access the service

34 large charitysmall charitystatutory Emergency situation: within 24 hours Non-emergency situation: within 1 week Emergency situation: within 1 hour Non-emergency situation: within 1 hour Comment: Response is immediate and placement can be made in accordance with necessary time scales whether it is on the same day or a month ahead. Emergency situation: within 1 week Non-emergency situation: over 1 month Comment: High risk cases will be seen within 7 days. Waiting time

35 Opening times large charitysmall charitystatutory Monday:09:00-21:00 Tuesday:09:00-21:00 Wednesday:09:00-21:00 Thursday:09:00-21:00 Friday:09:00-14:00 Saturday:09:00-13:00 Sunday:Closed Comment: These are Lincoln opening times, each of the other centres will vary from this. Contact 0845 166 4110 to find out the times of your nearest centre. Monday:24 hour Tuesday:24 hour Wednesday:24 hour Thursday:24 hour Friday:24 hour Saturday:24 hour Sunday:24 hour Comment: 9-17.30 Monday - Friday office is open, remainder of time is via on call, every day of the year. Monday:09:00-17:00 Tuesday:09:00-17:00 Wednesday:09:00-17:00 Thursday:09:00-17:00 Friday:09:00-17:00 Saturday:- Sunday:-

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