Presentation on theme: "Relationship Based Social Work Practice: Delivering change and driving improvement for children and families at lower cost Chair: Jenny Coles Director."— Presentation transcript:
1 Relationship Based Social Work Practice: Delivering change and driving improvement for children and families at lower cost Chair: Jenny Coles Director of Children’s Services Hertfordshire County Council Presented by: Helen Lincoln Executive Director for People Operations Essex County Council
2 Some Essex Context 2014 – Ofsted rated ‘Good’ Year end 2011Year end 2014Contacts55,24051,930Referrals17,61012,739Children in Need9,2486,412Child Protection Plans903421Children in Care1,6081,140Children Adopted45110
3 Mapping Deprivation in Essex Least Deprived Most DeprivedGreen Red
4 Conditions for Success Workers withmanageableworkloads that areregularlyreviewedA unifying use of theoretical models of evidence-based social work practiceAn operational culture of dialogue, reflectivethinking,feedback,learning &supportService design which minimises the numberof changes tokeyworker/transfersbetween teamsSmall enough teams to allow team managersto know bothstaff & familieswellConditions for SuccessAn aspirant & system-wide approach to improvement & performanceA whole systems approach to strategicplanning &servicedeliveryA relentless focus on the recruitment, development and retentionAppropriate practicalsupportArticulating Values and Vision
5 Wellbeing Effective Support Windscreen Bullet here
6 Despite everything that happens around it “social work will always begin and end with a human encounter between two or more people and this encounter, or relationship as it develops, is the medium through which the social work task is carried out”Danielle Turney, University of Bristol‘Relationship Based Social Work: getting to the heart of practice’
7 Relationship Based Practice Beginning; middle; endWorking with families amidst crisis and uncertainty, tolerating uncertaintySeize the energy of crisis as a powerful change forceIt has a coherent theoretical grounding, not ignoring intuition but not dictated by itRelies on understanding family narratives, understanding how past experience affects current attitude and behaviour and how you work to change bothFacilitates an environment for workers to be skilled and confident in their ability to confront, challenge and resolvePowerful approach for workers and they need the right support to anchor it
8 Modern relationship based practice approach curriculum Training / toolsStrength based approachesSigns of safetySolution focusedCBTBrief interventionSystemic approachesMotivational interviewingApplying these intelligently
10 Talk to the people sitting near you: QUESTION ONETalk to the people sitting near you:Are you clear about the social work methodology promoted in your organisations?
11 From your discussion what did you conclude? VOTINGFrom your discussion what did you conclude?Should local authorities have an identifiable methodology to its social work practice?YESNO
12 Essex Promotion of a Relationship Based Approach We have invested time, attention and energy to how social workers spend their time, mode of operating and how frontline managers support thisWe are researching the significance of emotional intelligence to this approachThe thing that is common to all social workers is the world of the home visit...How often do we unpick this?
13 The Practice Cycle: The Intimate/Flowing Pattern Engaged well with mother’s boyfriend and fixed an appointment to see him on his own.Child-centred, mobile, authoritative, playful, tactile, nurturing, confident & courageous. Deeply reflexive, spontaneous. Skilful communication, multi-tasking. Inspires engagement.Well organised. Case records up to date. Good supervision. Made time to read the case history, had clear plan for visit.Agency of FriendsSet off with clear purpose & emotionally attuned CP mindset.Social worker’s AgencyAgency of the AgencyBegan establishing relationship to assess whether risk or resource.SW integrating bureaucratic self & emotionally attuned way of being.SW not only checked all rooms but dwelled in them for whatever time was needed. Overcame the home.Agency of the HomeArrived on doorstep in resilient state of mind & being.Agency of the CarOvercame mother’s resistance by being firm, clear, kind & child centred.Overcame the dog, not allowing it to block the flow of the work.Interacted with children immediately, skilfully & intuitively.SW moved around the home, inspecting & engaging with every room & possessions. The home was in a chaotic, dirty state, including dog faeces in bedrooms. Used different rooms to see the children, boyfriend & mother.Used car space to tune into herself & manage anxieties about relating to the service users, home.Agency Place, Streets and DoorstepsAgency of the parents/ carersAgency of the ChildrenAgency of dogs and other petsIt was dark, no obvious threats on the streets. On doorstep dog heard barking ferociously inside. Mother answered door, 5 year old boy leapt into arms of SW, who welcomed it & walked in, carrying him.SW used her skills & humanity positively & authoritatively to get beyond mother’s resistance. Gained entry into intimate spaces other workers had previously been denied access to.The children engaged in a disorganised manner. SW used voice, touch, movement, enthusiasm to establish rapport, trustworthiness & therapeutic impact.Did not allow the barking dog to derail her and it calmed and ceased to be an issue.Slide from Prof. HARRY FERGUSON
14 Empathy and Client Resistance and Disclosure Slide from Prof. DONALD FORRESTER
15 Is it an emotionally informed thinking space? SupervisionIs it an emotionally informed thinking space?How does it support active, brave, risk sensible practice?Practice+ChallengeFeedback
16 “Towards Positions of Safe Uncertainty” Barry Mason (2008) Multiple hypothesisMultiple points of interventionContext, belief, behaviourMultiple types of interventionBoth/ and – risk/protectiveAlternate careSupervised contactEvidence-based interventionWorking agreementCERTAINTYPerformance indicatorsWritten agreementsNo further police reportsPassive complianceUnallocated casesAvoidance and inconsistent engagementNot engaging furtherMissed visitsUNSAFE
17 Talk to the people sitting near you: QUESTION TWOTalk to the people sitting near you:How do social workers in your authority become good?Do you create environment for social work practice to work well ?
18 VOTING From your discussion what did you conclude? Do you think your organisation facilitates Social work to flourish ?YESNO
19 Impact in Essex on Taking a Relationship Based Approach PracticeReduction of children in careReduction in children subject to child protection plansReduction in caseload better quality of workCostReducedReinvestment and savingsEarly helpTargeted interventionIntensive support
20 2010/112011/122012/132013/14Number of Children in Care1,6081,4991,2571,140A placement strategy has been developed and is reviewed and updated for budget monitoring purposes and setting the medium term resource strategy. The table below gives an analysis of the historical spend.£mInternal Foster Placements12.1813.6312.7612.14External Placements (Foster & Residential)31.0130.2223.6120.61SGO's / RO's / Staying Put/ Supported Living1.595.145.796.60Internal Homes7.836.531.911.76Total52.6155.5244.0741.11
23 QUESTION three Talk to the people sitting near you: What are the values of the service you provide?How do these values inform the decisions around taking children into and keeping children in care?Who in your authority prescribes the use of care? Social Workers? Schools? Health professionals? Police? Legal service?
24 VOTING From your discussion what did you conclude? Do you think nationally we have the right children in care?YESNO
25 Relationship Based Partnership Work Relationship based social work isn’t only about the direct relationship between the social worker and child/family.Also significant are the relationships within and external to the organisation.Confident, mature, partnerships on the ground mark a distinction between a fragile system and a strong sustainable system