1'4 Westminster Pathfinder interventions

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1.4 Westminster Pathfinder interventions
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Family Recovery ProjectFrom Pathfinder to
Service Transformationlessons and
recommendations
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Natasha Bishopp Head of Family Recovery.
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Agenda

• Background
• The FRP model
• The numbers
• Trends
• Cost avoidance
• Discussion

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Background

• The thinking
• Think Family
• Parenting agenda
• Broken Britain
• Unified public services

• The actions
• DCSF funding
• Integration ASB and crime FIPs, FIP PLUS!
• Family Recovery as a Westminster concept

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The Model

• Mission statement
• FRP is an integrated, multi-agency team. We will
  persistently support and intervene with families
  who are at risk of losing their children, home
  and/or liberty. This will improve the experience
  of the family and their communities. FRP works in
  a targeted and phased way to support a familys
  capacity for change and to embed and sustain
  changes within the family.
• FRP families are those which have a history of
  non-engagement with services, or those where,
  even with multi-agency support, positive change
  has been limited or not sustained.

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The Model co-located, multi-agency team
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The Model whats different?

• Team Around the Family
• Two Lead Professionals for adults and children
• Information Desk
• Consent
• Integrated Family Care Plan adult and
  childrens needs
• Outcomes and consequences
• Capacity building
• Intensive outreach
• Case management reviews
• All in one project

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The Model whats different?
The Information desk analyst, police
officer, ASB case worker
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The Numbers
The numbers of families since opening, includes
13 FIP families. Where they come from. Approx
40 have primary safeguarding concerns and 50
anti-social or criminal concerns.
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The Numbers complexity of need

• Early stage findings the first 40 families
• High levels of adult mental health concerns - c.
  75
• 55 have substance misuse problems
• High levels of domestic violence including post
  -traumatic stress disorder in women
• 100 have concerns about parenting
• Approx 40 have primary safeguarding concerns
• Approx 50 have anti-social or criminal concerns

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The Numbers early indicators
Evaluation across 20 indicators including

• 39 of known ASB is reduced
• 20 no further ASB
• 47 engaged with service and family functioning
  improving
• 21 seeking or attending training or further
  education
• 50 improved schools attendance
• 2 out or 3 teenage mums engaging well with
  service
• 10 adults now in work or training

• 32 now registered with GPs
• 21 assessed for mental health or receiving
  interventions
• 16 received immunisations
• 32 engaged with domestic violence practitioners
• 42 benefits checked and updated
• 32 housing arrears cleared or plans in place

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Trends

• What works - a statement of the obvious
• Information desk multi-agency analysis leads to
  better plans
• Capacity building and phased, co-ordinated
  interventions
• Practical intensive outreach support alongside
  mental health assessments
• Multi-agency partnerships in particular health
  visitor and consultations with family therapists

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Cost avoidance

• An over-riding objective for the Council was to
  measure the cost avoidance of this new way of
  working, to understand how much this intensive
  type of work would cost and how could this
  preventative work help avoid future costs to
  Westminster, its partners and public purse.
• Three costs to consider
• What could the family cost in a do nothing
  scenario
• Actual cost of FRP intervention based on unit
  cost or time spent with each family15-20k per
  family
• Avoidance of future cost to public purse

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Cost avoidance existing costs to services

• Challenging
• Some agencies do not collect data at service user
  level
• Short term v long term costs e.g. many parents
  in need of psychiatric services do not meet the
  threshold or comply with treatment, but there are
  significant long term costs e.g. to children
• Some families need services but do not know how
  to access or engage with them, or services are
  inflexible

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Cost avoidance future costs who wins?

• Childrens Social Care - a child in care costs
  50k annually, rising to 300k for some young
  people
• Criminal justice annual costs for a male
  prisoner 27k/female prisoner 48k
• An unemployed family of four in rented
  accommodation costs 30k annually
• NHS Obesity
• Mental illness
• Substance misuse - 47k pa per user
• Early death

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Discussion

• Q A