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A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker
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A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Mar 28, 2015

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Page 1: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

A journey of a New Zealand transition from care to

independence programmePresented by Amee Nicholson, Davinia Abbott and Sharna

Cocker

Page 2: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

While research suggests that;

• Transition from Care to Independence needs to be seen as a process rather than a one off event…

• That transition works best when the young person is encouraged to lead and be in control…

• That two years planning and preparation is ideal…

………………………………………………………………………………………………………………

Page 3: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

The shocking truth in NZ is that:

Many children are abruptly exited from care on their 17th

birthday

Page 4: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

The raw deal of this abrupt exit means that kids with;

Unresolved trauma, lack of connection, limited life skills, poor academic achievement, limited supports, an underdeveloped sense of self are

discharged out into the world to go it alone

Page 5: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Dingwall Trust recognized this need and as a result Launch Care to

Independence service was developed

• As a pilot programme in 2004• Initial focus on development of independent living skills• Over time Launch learning journey identified that to truly

develop Inter-dependence Young People transitioning from care require an increased sense of;

Self worth,

Acceptance,

Connection.

Page 6: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

A successful outcome for young people

Increased self worth, Acceptance, Connection.

Increased capacity for change.

Achievement of goals; plans for future, natural supports in place, increased ability to sustain relationships, career, education, and accommodation

Page 7: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Development of model of best practice

In order to target the central issue- that Young People exiting care require more than just their

material needs to be met- it became apparent that a more robust approach, tailored to the needs of Care

leavers in New Zealand required development

Page 8: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

INFLUENCES

• Cognitive Behavioural Therapy• Dialectical Behavioural Therapy • Attachment theory• Te Whare Tapa Wha Model• Maslow's Hierarchy of needs• Davinia Abbott’s Masters research on Young People

leaving care in NZ• Case experience

Page 9: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

• Youth leaving CYF are target group

• Youth cant 'fail' their transition

• Key to success• Of therapeutic

value

• Tailored to individual needs

• Flexible

• Development of confidence and skills required towards successful transition

Key Underlyin

g Principles

Relationship

Based

Holistic Approa

ch

Change Focus

Page 10: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Key underlying principles

Young People can’t ‘fail’ their transition as they have little choice in the fact that they will have to manage on their own- with or without the skill set required to ‘succeed’

Transition from Care to Independence does not provide care- but does provide a service which is caring

Basic needs of the Young Person must be met- these needs include food, housing, emotional support

Risk is a pre requisite for growth. Graded exposure to new experiences (rather than full immersion) provides best opportunities for safe skill development

Page 11: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Relationship Based

Care to Independence recognises that the relationship between the Personal Advisor and the Young Person is key to achieving progress

This relationship has the opportunity to have therapeutic value as Young People exiting care can experience difficulty developing and maintaining interpersonal relationships which can potentially impede their progress into wider society

Page 12: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Relationship based

The relationship is based on a consistent theme of unconditional support and unyielding positive regard in all interactions/ interventions. (Personal Advisors are supported by their supervisor to achieve this)

Reflective practice is key to overcoming obstacles which may arise in relating with the Young Person

Page 13: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Holistic Approach

The service is tailored to the needs of each Young Person taking into account their gender, culture, history, spiritual values, family structure, social and economic needs

Transition takes time- happens at different times for different young people; therefore we advocate for flexible timeframes to suit Young People’s individual needs

We work on the premise that each Young Person’s particular presentation (behaviour, belief and attitude) makes sense in terms of their prior experiences

Page 14: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Change Focus

Acceptance of where a Young Person is at AND we introduce the notion of change

Young People require an increased skill set to function in wider society

Initial focus is on current skill level with a view to increasing competence across targeted domains in Young Persons life

Page 15: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Change focus

At times the role of Personal Advisor is to be directive in supporting best choices for Young Person- assisting Young Person to locate their “wise mind”

Education and employment are key aspects to a successful and positive future

Page 16: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

CARE TO INTERDEPENDENCE MODEL

• Youth leaving care are target group

• Youth can’t ‘fail’ their transition

• Key to success• Of therapeutic

value

• Tailored to individual needs

• Flexible

• Development of confidence and skills required towards successful transition

Key Underlying Principles

Relationship Based

Holistic Approach

Change Focus

Page 17: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

EVALUATION OF THE PROGRAMMEProgramme feedback from the perspective of young people

Page 18: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Aims of the research

• Evaluate material, practical and emotional outcomes and highlight the specific intervention of the Launch programme.

• Highlight themes found in participants foster care experience which impacted on their transition to independence.

• Review ways engagement with the programme sought to re-dress the imbalances faced by care leavers

• Deliver feedback on how the programme was perceived by young people.

Page 19: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Research Design

• Qualitative interpretive research – for depth of understanding young peoples experience of programme

• Purposeful sampling – Participants were randomly selected from a sample of clients with certain characteristics i.e. length of time in the programme, over the age of 17

• Semi structured interviews with young people

Page 20: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

The sample

• A total of seven young people participated in the study aged between 19-21 years

• Time spent with the Launch programme ranged from 2-5 years

• Time spent in State care ranged from 6mths to 5 years• Age of entry into State care ranged from 11-15 years• The majority of participants were female

Page 21: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Findings – Material (Accommodation, Education, Income)

• Accommodation support provided through the Launch programme was significant for those who had limited support options.

“The whole thing was helpful, having someone young experience that. Because they didn’t just put you in there, they kinda taught you how to do it, pay your bills on time and everything. It was pretty cool.”

• Educational attainment leaving care was low and PA support to continue into higher education was sought by most participants

Page 22: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Findings – Material (Accommodation, Education, Income)

• All participants had received government income support during their transition to independence. However obtaining income still required skill development

[The PA] does encourage me to do it myself but if I get stuck then I can talk to [the PA], like Study Link I did most of it but when I came to something I didn’t know I just called and asked [the PA]. [The PA] is trying to make me more independent you know, instead of holding my hand the whole way. Back in the beginning I never would have rung up Study Link if I had a problem, it would be just like ‘it’ll go away’. But of course it doesn’t and now if there is a problem or a question I’ll just ring, I won’t be sitting by the phone all nervous.

Page 23: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Findings – Physical outcomes(Living skills, engagement with services & transport)

• View on living skills developed through Launch:

A whole lot of them, but budgeting. I was useless and still am kind of but not as bad as I was. I used to just spend everything in one go. They [PA] taught me how to budget.

• Engagement with health services. The PA was reported to have a role with setting up engagements with health professionals.

• Six young people were supported by Launch to attained their restricted or full driver licence.

Page 24: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Findings – Emotional Stability (Social Networks, mental health, drug and alcohol use)

• The young peoples descriptions of their social networks was largely more positive compared to the review of the literature

• Proactively enquiring about mental health was preferable to self reporting for some participants

• Individual mentoring and group programmes were reported to help develop relationship/ social skills

• Four participants fitted the category of problematic or hazardous use on entry to the Launch programme

Page 25: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Findings – Through care experiences & redressing imbalance

• Through care experiences discussions highlighted the disruption of change; changes in foster placement, changes in communities, changes in schools, changes in Social Workers.

• Such disruptions led to reduced interest/ ability to participate in decision making.

Page 26: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Findings – Through care experiences

• Frequent changes in foster care placement reported• Inconsistency of professionals• Reduced ability/ interest in participating in decision

making• Limited development/ sense of self• Limited intervention to help repair strained family

relationships• Promotion and maintenance of family connection did

occur.

Page 27: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Findings – Redressing imbalance • Support into or with maintaining suitable and stable

accommodation.• Perceived consistency of PA developed through regular

and reliable contact.• Involvement of YP in decision making. Incorporation of

family and community supports in decisions making. • Role of PA as a motivator to sustain engagement in YP’s

chosen goal. • Provision of group social activities

Page 28: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Findings – Programme feedback

• Perceived communication barriers• Finding a good fit between the young person and their PA• Participants advice for young people entering the

programme

“Make the most of it, just have an open heart cause you learn a lot I mean the skills you pick up there you wouldn’t pick up anywhere]..[ we weren’t going back home anytime soon, like there wasn’t family member to go back to, so yeah those skills really helped, they were really supportive”

Page 29: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Conclusions and implications for practice• A young persons through care experience does influence their

readiness to transition to independence.• Changes of professionals can lead to reduced interest to invest in

relationships with new professionals• Participants built trust in Launch only after the PA demonstrated

consistent commitment to them both in times of change and times of stability. PA allocation and resolution of worker/ client relationships issues is significant.

• Young people talked about their PA as ‘motivating’ rather than pressuring. Making positive and sustainable connections with social services and youth resources were enhanced with PA involvement.

• Connections with long term community supports and informal social networks are integral.

Page 30: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

THE ROLE OF THE PERSONAL ADVISORKey components of an instrumental relationship

Page 31: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Supporting a Successful Transition

• Research Project• Objectives• Explore the Personal Advisors (PA’s) perceptions and

experiences of working with youth in a Transition from Care to Independence (TCI) programme

• Examine the working relationship between a young person and a PA and how this relationship may support a successful transition

Page 32: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Motivation

• What makes certain people suitable for this role?• Little in the way of academic studies• Similar to a mentoring role

• Only 3 programmes in NZ offering this service• Increased popularity of transition programmes

internationally

Page 33: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Research Themes

• Issues of consistency and reliability

• Person of significance

• Healthy interpersonal relationships

Consistent with international literature

Considered by participants to be important elements and attributes of those working in transition programmes.

Page 34: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Issues of Consistency and Reliability

• Consistent• In the relationship• In the approach

“one thing I always let them know though is that you are always gonna be there when the ups and downs are happening, especially the downs”

• Caring• Genuine care• Used interchangeably with support in international literature

Page 35: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Issues of Consistency and Reliability cont..

• Reliable• Being reliable/punctual• Providing reliable and accurate information

• Committed• To the programme• To the young person

Page 36: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Person of Significance

• Suitable previous experience• Experiences young people can relate too

• Advocating• Enhanced the development of self-esteem• Ensured young people get the financial support they are

entitled too

Page 37: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

• Mutual commitment and connection• Investment in the relationship• Holistic approach

• Mentoring role• Teaching skills• Unconditional support, guidance and encouragement

“It’s a blend of a lot of different types of roles. Sometimes….. I feel like a teacher, or, you know, community general expert”

Page 38: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Healthy Interpersonal Relationships

• Trust• Development of

• Relational skills• Teaching of• Acquisition of

• Understanding• Communicating understanding

Page 39: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

In practice

• Young people require consistent boundaries and information

• Personal Advisors need to be non-judgemental in their teaching

• Building rapport takes time

Page 40: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

• Youth led

• Fluctuating levels of support

• Flexibility

• A holistic approach and networking skills

Page 41: A journey of a New Zealand transition from care to independence programme Presented by Amee Nicholson, Davinia Abbott and Sharna Cocker.

Contact details:

0800 DINGWALL (0800 34649255)

Email: [email protected]

www.dingwall.co.nz