1. ANN MCINTYRE OPERATIONAL DIRECTOR EDUCATION, INCLUSION AND PROVISION FRIDAY, 27 TH MARCH 2015

2. AIMS FOR THE DAY Outline our vision for early intervention and closer alignment of services across the borough Summarise the benefits of working together; and Jointly plan how we develop multi-agency multi-professional working within the borough

3. INTRODUCTION TO EARLY INTERVENTION

4. Early Intervention Definition of Early Intervention  Intervening early and as soon as possible to tackle problems emerging for children, young people and their families or with a population most at risk of developing problems.  Early Intervention may occur at any point in a child or young person’s life. (Centre for Excellence and Outcomes (C4EO), 2010)

5. Early Intervention  Early intervention is focused on investing now to realise benefits in the future.  The approach aims to shift spending, action and support to drive improvements to children, young people and families’ outcomes and reach intergenerational patterns of disadvantage and dysfunction.  Considerable evidence indicating early intervention is cost effective and when delivered in a timely and effective way will help transform the lives of vulnerable young people, families and communities

6. Early Intervention  Marmot Review 2010 “Fair Society, Healthy Lives”  Maternity and Early Years, Making a Good Start to Family Life (HM Government 2010)  The Foundation Years: Preventing Poor Children becoming poor adults (December 2010) - Frank Field MP  Early Interventions: The Next Steps (January 2011) Graham Allen – A Review of Early Intervention Services  Munro Review of Child Protection – Professor Eileen Munro (May 2011)

7. Early Intervention The Case for Change  Improve outcomes for children, young people and families and strengthen support  Pressure on all public services due to the current financial climate  Increased demand on specialist services in particular the demand for children’s social care  Redistribution of resources from local authorities such as schools through the pupil premium; and  The reorganisation of the health services

8. Early Intervention The Case for Change  Graham Allen’s report “Early Intervention Smart Investment, Massive Savings ( Jul 2010) states that “ By building out the immense cost of failure it is in fact the best sustainable structural deficit programme available.”  Allen further states that “Intervening late is more costly and the rate of return on remedial, rehabilitative and reactive treatments declines as the children get older and entrenched behaviours become harder or impossible to correct.”  “Late interventions are considerably less effective if they have not had good foundations” (The Marmot Review – Fair Society, Healthy Lives 2010)

9. Early Intervention The current pressure on local public services means that the status quo is no longer an option. Currently almost £17 billion is spent by the state on late interventions for children and young people. The largest areas of spend relate to:  Children who are taken into care;  Domestic Violence; and  Young people aged 18-24 years old who are Not in Education, Employment or Training (NEET)

13. Learning from Troubled Families Programme Evidence demonstrated that costs to individual agencies can be reduced over time through: Intelligent service design; Reallocation of resources within the existing system; and Supporting children, young people and families earlier.

14. Information services – Around £34 via telephone helpline Around £2 via digital services Cost per child / family Severity of assessed need Cost Family Intervention Projects – £8-20,000 per family per year Family Nurse Partnerships – £3000 per family a year Child looked after in children’s home – £125,000 per year placement costs Child looked after in foster care – £25,000 per year placement costs Schools - £5,400 per pupil Children’s Centres - around £600 per user Costs increase as children get older. Increasing related costs such healthcare and the criminal justice system make it clear joined up working is a core part of cost effectiveness Multi-dimensional Treatment Foster Care – £68,000 per year for total package of support Child looked after in secure accommodation – £134,000 per year placement costs Parenting programme (e.g. Triple P) – £900- 1,000 per family PEIP – £1,200 - 3,000 per parent Multi-Systemic Therapy – £7-10,000 per year This slide shows a range of services that Local authorities can commission and some approximate costs. the disparity in cost between the cheaper provision and more intensive support shows how important it is that children and young people receive the right services at the right time. The Escalating costs of intervention

15. Cost Benefit Average cost of intervention for a family has been estimated, by the Department for Communities and Local Government (DCLG), to be in the region of £10,000 Example of cost savings for one Troubled Family across one year was estimated at £149k. Results in a £13 return on investment for every £1 spent: – 146 more school sessions attended / 29 more days in school – 10 less fixed term exclusions, – 2 less permanent exclusions – 3 less offending breaches (YOS) – 3 prevented ABC’s, – 1 prevented ASBO and subsequent breaches and professionals meeting, – 62 less calls for service to the Police service seeing reductions in incidents relating to shoplifting, antisocial behaviour, and violence and missing from home. – Missing from home reductions also present a reduction to the demands placed upon the commissioned service too. This hasn’t been included within the costing presented. – Prevention of eviction from home. – The employment of one adult in the family.

16. Early Intervention  Research indicates that the key to effective early intervention is getting the right support at the right time to prevent problems from escalating  It involves early recognition of risk and the provision of targeted help and support  To do this requires effective systems for identifying individuals or families with problems and working at what help is needed  This requires close collaboration between partners and agencies

17. Early Intervention  Utilising combined intelligence to target limited resources  Integrated working through multi-agency, multi-professional teams supporting children and families  Not just about public services but building the capacity of the local community through models of community based support such as mentoring or befriending

18. New and improved ways of working increase the depth of multi agency working assess families’ needs, connect families to relevant services ‘grip’ the family issues can rarely be solved without addressing the needs of the family as a whole empower families, to use allocated budgets which they could then spend on particular services as needed

19. Early Intervention Early Intervention Locality Teams combine practitioners professional expertise, knowledge and skill. In other areas they have included the following partners:  Health services;  Schools;  Police;  Inclusion services;  Early years;  Education Welfare;  Youth Services; and  Social Care. Along with support from the voluntary sector

20. Early Intervention The Early Intervention Foundation report “Spending on Late Intervention” references the development of the Early Intervention Services in Cheshire West and Cheshire The Integrated Early Support Service brings together:  20 different agencies;  Has one front door;  A single assessment model;  Shared IT;  Co-located workers in multi-agency teams; and  A menu of evidence based interventions.

21. Early Intervention Early Intervention requires effective collaboration and co-ordination at all levels and across services, adopting common service delivery models, tools and processes and the development of multi- agency multi-professional teams.

22. Early Intervention Building Adult Capabilities to Improve Child Outcomes: A Theory of Change http://developingchild.harvard.edu/resour ces/multimedia/videos/theory_of_change/ http://developingchild.harvard.edu/resour ces/multimedia/videos/theory_of_change/