2. Right support, right time, right place, right results – changing lives! Martin Kelly Head of children and Young people’s Resources North Yorkshire county Council Lisa Holmes Director Centre for Child and Family Research Loughborough University

4. CAMHS appointment in 1 week and Bi- weekly therapeutic intervention CHILD – A Has an SDQ Score of 22 Home Tutor in 2 days and 25 hours home education CHILD – B School exclusion - pulling a knife on another child SW quickly develops relationship. Change of plan needed Permanence in Residential Care New Social Worker 7 th since entering care CHILD – C Key worker organised activity based interventional support to raise self esteem. In residential cutting themselves on a daily basis CHILD – F Youth Justice Intervention plan: Anger management, Victim awareness and Restorative Work CHILD – E Attends YJS order for affray - - - - SELF ESTEEM - - - - Foster carer supports the Child in moving to a children’s home and remains in touch 15 th Foster placement breaks down CHILD – D Young Person Missing 17 times in last 6 weeks CHILD – G Following VEMT YP referred to CSE Intervention group. 16 ½ Years and wants to leave care CHILD – H PA begins visit to start positive professional relationship before pathway planning. +++++ SELF ESTEEM +++++ Therapy V Counselling Inclusion V Exclusion Unplanned V Coordinated Crisis short Term V Talk Permanence

5. CHILD A - H A Psychologist B Teacher C Social worker D Foster Carer E YJ Worker F Key Worker G Police H PA The Corporate Parent Maze Do we break down barriers? Or do we build them? LAC Transitions Sat Nav

6. Youth Offendin g Young People have to go through many doors Professionals can just sit behind them Police CAMHS Social Worker Educatio n Leaving Care Health Substanc e Misuse Journey of young people with multiple vulnerabilities Right support, right time, right place, right results – changing lives! And we still wonder why we don’t get better outcomes!

8. Right support, right time, right place, right results – changing lives! Rethinking care for adolescents What is NWD? Integrated model of care placements, outreach, services and support for complex adolescents Why do things differently? Multiple vulnerabilities/risk taking = multiple placements & hand offs between services How are we doing it? Multi - agency team & ‘stickability’ up to 25 Prevent care, in care, across care and out of care

9. Right support, right time, right place, right results – changing lives! Add model

10. Stick with “ Diversity of level & complexity of need needs a planned intervention not a crisis response. NWD provides stability, skills and support when needed, to successfully manage these difficult transitions; adolescence to adulthood” Spring Consortium Innovation Programme Risk manage d Embed roles Positive relationshi ps Believe in yp Own carers Right staff Right culture How we developed No Wrong Door “It’s much better than I thought it would be - I can’t think of anything my keyworker could do better…” “knowing that the staff will be there after I turn 18 makes a big difference & I know they will because I have seen it happen with others” 2 NWD young people Built on what we know works High aspirations for young people Theory of change based on key outcome aspirations Great leaders

11. Right support, right time, right place, right results – changing lives! NWD Interventions working in Harmony Live intervention when needed in the young persons environment NWD Planning Filter One Plan NWD Practice Filter One Practice NWD Organisational Culture Filter One Culture One Key Worker to 25 Key Worker Life Coach Communication Worker Police Officer FGC Worker Transitions Worker Foster Carer Supported Lodgings carer Residential Team Intelligence Analyst Zig Ziglar

12. Right support, right time, right place, right results – changing lives! Independent evaluation being carried out by CCFR, Loughborough University Process, impact and economic evaluation Mixed methods approach Runs until March 2017 Final evaluation report and interim thematic reports Sustainability and future planning

13. Right support, right time, right place, right results – changing lives! Objectives Examine the functions of No Wrong Door (incl. service description, aims and delivery) Identify strengths and weaknesses of the service Measure change in: accommodation stability (e.g. reduced placement and accommodation breakdowns, re-entries into care); engagement and achievements in EET; reduced criminal activity and high risk behaviours (e.g. substance misuse, going missing, teenage pregnancy); relationships with others; planning of transitions from care to independent living; support in a crisis; and wellbeing Explore whether and how the relationship between the child or young person and their key worker has continued throughout their journey Examine cost effectiveness and value for money

14. Right support, right time, right place, right results – changing lives! Emerging findings March 2016 internal thematic report Impact of NWD on offending behaviour and incidences of going missing from placement Exploration of outcomes and costs Focus on impact for the police to inform funding decisions

15. Right support, right time, right place, right results – changing lives!

18. Emerging findings Improvements in keeping young people safe Reductions in Arrests Charges Severity of offences Incidences of going missing Length of incidences of going missing

19. Right support, right time, right place, right results – changing lives! Emerging findings Benefits to both NYP and NYCC associated with the NWD police roles Development of intelligence Single point of contact Early identification of risks Increased partnership working to maximise the use of data Costs avoided

20. Right support, right time, right place, right results – changing lives! Edge of Care Cost Calculator for Children’s Services Build on a programme of research being carried out by CCFR since 2000 Development of conceptual framework and methods to link costs of interventions to the needs and circumstances of children and their outcomes Child as the unit of analysis Longitudinal perspective Variations Complexity of practice

21. Right support, right time, right place, right results – changing lives! Time use activity data provided by children’s social care personnel Salary data for each type of children’s social care personnel involved in the 8 processes Organisational overheads (running costs) finance data for the children’s social care service Cost calculator tool Unit costs for the 8 processes for looked after children (includes standard case costs and variations) Child level data (needs, placements and outcomes) Finance data (placement fees and allowances) Unit cost reports for individual children, groups of children or by placement type Process unit costs of 8 cost calculator processes for looked after children Analysis of social care costs by outcomes 'What if' analysis to explore the costs of providing alternative placement types

22. Right support, right time, right place, right results – changing lives! Edge of Care Cost Calculator for Children’s Services Capture pathways from 11-25 Looked after, edge of care and edging to care Inter-play between these Bringing together multiple datasets Longitudinal analysis of outcomes (up to age 25) Explore cost savings to different agencies

23. Right support, right time, right place, right results – changing lives! Edge of Care Cost Calculator for Children’s Services: Further information Lisa Holmes: L.j.Holmes@lboro.ac.ukL.j.Holmes@lboro.ac.uk Sam McDermid, Research Fellow: S.Mcdermid@lboro.ac.ukS.Mcdermid@lboro.ac.uk Helen Trivedi, Research Associate: H.L.Trivedi@lboro.ac.ukH.L.Trivedi@lboro.ac.uk CCFR website: www.ccfr.org.ukwww.ccfr.org.uk Cost Calculator website: www.ccfcs.org.ukwww.ccfcs.org.uk