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Option 2 Rhoda Emlyn-Jones OBE MA.SW.Dip Social Services Manager and Integrated Family Support Service advisor to Welsh Assembly Government November 2009.

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Presentation on theme: "Option 2 Rhoda Emlyn-Jones OBE MA.SW.Dip Social Services Manager and Integrated Family Support Service advisor to Welsh Assembly Government November 2009."— Presentation transcript:

1 Option 2 Rhoda Emlyn-Jones OBE MA.SW.Dip Social Services Manager and Integrated Family Support Service advisor to Welsh Assembly Government November 2009

2 Range of Provision Counselling Services Social Work Teams Social Work Teams Through care from Prison Services Through care from Prison Services Drug Intervention Programmes Drug Intervention Programmes Training and Supervision Programmes Training and Supervision Programmes Family and Child Protection Services Family and Child Protection Services Family Support Services Family Support Services Services for the Homeless / Complex needs provision Services for the Homeless / Complex needs provision

3 Bridging the Gap Childrens Services Child focussed Immediate response Transparency Risk elimination Substance Misuse Services Adult focussed At the clients pace Confidentiality Harm minimisation

4 The Context AdultServices Adult Services ChildrensServices Transparent Intensive Family Service Build on strengths Engage, build trust, Enhance motivation

5 The Context continued Assessment | Engagement | Care Plans | Collaboration | Monitoring | Outcomes

6 The Wider Context The core conditions for change are: Confidence, Optimism, Self Efficacy and Commitment. The context is: Dominated by assessment Dominated by assessment High thresholds High thresholds Little collaboration across Adults and Little collaboration across Adults and Children's Services Children's Services Adults noticed more for the problems they Adults noticed more for the problems they cause than the problems they face cause than the problems they face Doing good with a vengeance Doing good with a vengeance Debilitating not Rehabilitating Debilitating not Rehabilitating Lack of trust and trustworthiness Lack of trust and trustworthiness

7 The Key Empathic skilled relationship capable of exploring The grit of change The grit of change

8 Service Design and Delivery Every element of service design maximising the likelihood of: Engagement Engagement Hope Hope Optimism Optimism Commitment Commitment

9 Effective Service Delivery 1.Select credible interventions 2.Intensive skill development 3.Test the fidelity of delivery 4.Test the impact on the client

10 Option 2s Aim To create a positive change in the way families function, thus enabling children to remain safely at home wherever possible. To create a positive change in the way families function, thus enabling children to remain safely at home wherever possible.

11 Research led models of practice We bring together well evidenced interventions to focus on the families values and beliefs and build on their strengths and resources We bring together well evidenced interventions to focus on the families values and beliefs and build on their strengths and resources Motivational Interviewing Motivational Interviewing Crisis Theory Crisis Theory Solution Focussed Brief therapy Solution Focussed Brief therapy C B T C B T Systems Theory Systems Theory

12 Option 2s Model 4 to 6 week intensive intervention in the familys home 4 to 6 week intensive intervention in the familys home Interventions planned on a flexible 24/7 basis Interventions planned on a flexible 24/7 basis All agree clear behavioural outcomes All agree clear behavioural outcomes The work is transparent The work is transparent Maintenance, follow up & boosters Maintenance, follow up & boosters

13 Option 2s Intervention Clear measurable, behavioural goals are agreed The familys values & strengths are highlighted The familys preferred future is explored Skills training is provided in situ

14 Average Maintained Change April 2000 – March 2009 All goals exceeded or maintained 81% Substance related goals exceeded / maintained 79% Families staying together 76% Goals set Closure 1 Month 3 Months 6 Months 12 Months

15 Some Implications More Time Consuming – Short Term More Time Consuming – Short Term Better Outcomes for Families – Long Term Better Outcomes for Families – Long Term Changing Generational Patterns Changing Generational Patterns Reduced costs of a wide range of services Reduced costs of a wide range of services Higher retention of skilled professional staff Higher retention of skilled professional staff

16 Impact on Policy The Policy context for change –The Policy context for change – Integrated Family Support ServicesIntegrated Family Support Services

17 Policy Mandate for Change Welsh Assembly Government Supportive environment for change where managed risk is the norm Supportive environment for change where managed risk is the norm National approach to transform Services that enhance the wellbeing of children and families National approach to transform Services that enhance the wellbeing of children and families Focus on outcomes as opposed to outputs Focus on outcomes as opposed to outputs Evidence based interventions delivered by highly skilled staff and systems that allow for the transfer of skills Evidence based interventions delivered by highly skilled staff and systems that allow for the transfer of skills A cultural shift to bridge child and family systems A cultural shift to bridge child and family systems Workforce: Invest in excellence in Professional Practice Workforce: Invest in excellence in Professional Practice

18 IFSS Team, Core skills, Models & approaches Organisations, Developments & Skilled Workforce Workforce Training Voluntary Sector Health Local Authorities Community Safety Partnerships Education Workforce Development

19 Change Agencies Legitimacy: Legitimacy: empathic engagement is our legitimate role Adequacy: Adequacy: we are skilled to deliver this well Support: Support: my manager, my supervisor, my colleagues

20 Conclusions Innovative practice needs to engage with research and evaluation opportunitiesInnovative practice needs to engage with research and evaluation opportunities Best practice needs to be supported by culture and leadership properly resourced and supervisedBest practice needs to be supported by culture and leadership properly resourced and supervised Effective delivery requires a focus on design, structure and supportEffective delivery requires a focus on design, structure and support It is as simple and as complex as that

21 I feel happy, you know the proper happy, from inside. - K, a mother one month after the Option 2 Intervention. Option 2 has made me become the person I want to be, not the person I would have become, a druggie, hopeless, lost my kids and everything. - L, a mother on an Option 2 evaluation form. Without models that help us engage, we risk being too nice or too nasty - Social Worker


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