Early Intervention Transformation Programme Michele Janes © EITP 2014
EITP - Key Factors
Joined up approach
Sustainability / transformation key elements of the programme
Interventions need to be evidence informed (albeit at different levels)
© EITP 2014
Workstreams
One: Transform mainstream early years services to better equip parents to give their children the best start in life.
Two: helping families with emerging needs access help quickly before problems become embedded.
Three: Positively address the impact of adversity on children by intervening both earlier & more effectively to reduce the risk of poor outcomes later in life
What will this look like in practice?
Parental Capacity Concerns
Belfast Intensive Family Support Service
Concurrent planning – The ‘HOT’ project
The ‘Edges’ project
6 in 10
Theory of Change
Identified Need
Substantiate Need
Consulted with the sector
Evidence Informed Decision making at every stage
The Edges Project
Innovative model of preventing family
breakdown for young people at an early
stage using evidence informed practice.
The Edges Project
A model of evidence informed, specialist ‘earlier intervention’ for young people between the ages of 13 – 17, (The Edinburgh Study) who are on the ‘edge of care, coming to the attention of the police, and presenting concerns in education, indicates a need for intervention.
These young people are more likely to be at risk of homelessness in later adolescence
McAra, L. and McVie, S. (2010) Youth Crime and Justice: Key Messages from the Edinburgh Study of Youth Transitions and Crime, Criminology and Criminal Justice, 10(2), 179-209.
Some wise people said -
“All learning takes place in the context of relationships and
is critically affected by the quality of those relationships”
(Norman-Murch, 1996)
”
Approaches
Relationship based
Practical support
Assertive outreach
Whole family
Community based
Individual support
Systems approach
Early Intervention Transformation Programme Work stream 3: Edges Programme The Evidence Base
Michelle Harris
© The Centre for Effective Services 2014
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Part
ner
ship
s &
Co
llab
ora
tio
ns
Better Outcomes for Children, Young People, Families and Communities
Effective Policy
Efficient Systems
Good Practice
Evidence to Implementation
All-Islan
d
Evidence + Implementation = Better Outcomes
14
CES’ Role in EITP
• Providing technical support to all work streams
• Support to achieve mainstreaming of Evidence Informed PEI approaches
• Evidence -Sourcing, appraising and disseminating
• Implementation – service design and implementation support
• Capacity – helping to build capacity in the system
Work stream 3 -
Rapid Evidence Review:
‘Effective Family Interventions for ‘at risk’ young people and their families’ .
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Consultation
Practice Wisdom
Policy
Research
Rapid Evidence Review: supporting an evidence informed approach
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Key Terms
The term ‘evidence-informed’ is used to describe practice, policy and/or commissioning which are
based on the integration of experience, judgement and expertise with the best available external
evidence from systematic research.
17
‘An approach that helps people and organisations make well-informed decisions by
putting the best available evidence at the heart of practice development and service
delivery’.
(Sandra Nutley, 2010)
What is ‘evidence-informed’?
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What Works...
For whom
In what circumstances
At what point in time
Using which approach
Under what conditions
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FAMILY
FRIE
ND
SHIP
S
PARENT
PREGNANCY
BIRTH
PRIMARY
SECONDARY
SOCIAL MENTAL
EMOTIONAL PHYSICAL
ABSENCE OF VIOLENCE
HEALTHY
LIFESTYLES (FOOD
& NUTRITION)
PA
RT
ICIP
AT
ION
IN
ED
UC
AT
ION
PR
EV
EN
TIO
N O
F
OF
FE
ND
ING
MENTAL HEALTH
&WELLBEING
Circle of Early Intervention
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The Quality Assurance Tool: how good is the evidence?
Evidence Source Sound
Theory
Clear
Goals
Quality
Evaluation
Fit with
Context
Developmental and
environmental
Skills –
Promoting
Resilience
Strategic Fit Relationship
Based
Systematic
Reviews
(Cochrane,
Campbell,
Clearing Houses)
Qualitative
Evaluations
(impact on
individuals,
families,
communities)
Briefing Papers
(policy, practice
guidance,
summaries)
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Process
Systematic Reviews
Young people and
families
Evaluations of similar models
Practice
Experience Evidence
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Key messages –effective family interventions
Responsive to need
Provide practical support
Promote capacity to change
Take a strengths based approach
Work with whole family
Promote family and individual problem solving skills
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Key Messages
Good , robust assessment and engagement, planning and review
Have a clear model and method of intervention-tools and resources
Intensive , consistent delivery
Flexible , persistent approach –listen to young people and families
Clear referral pathways
Outcomes focused and evaluated
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Key Enablers
Well trained, empathic, skilled staff, who are client driven, respectful, able to challenge appropriately and help families to navigate the service landscape can help bring about change
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Summary
Evidence from both systematic reviews and practice literature concur on the appropriateness of the Edges model to effect change
Application and Implementation are key
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Tel: 02890 648 362
www.effectiveservices.org
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