1. Step Change

2. Welcome and Introductions
Workshop Leaders:
Muriel Awais-Dean, Step Change
Children’s Services Manager, Action for Children
Claire Kentish, Team Manager, Harrow Council
Introduction to Step Change – DfE Innovation Programme
© Action for Children 2015

3. Step Change – an introduction
Step Change DVD
Workshop Overview
Overview of Step Change
Evidence Based Programmes
Partnerships
Sustainability
Flip Chart – Areas of interest / specific questions from Commissioners and Workshop Attendees
Working in partnership- set up
Early set up e.g. IS, MOU, systems e.g. IT access etc.
Operational and Strategic Group
Geographical spread - delivery
Licences and relationships
Innovation
SCA, SRP, sustainability/research workers
Referrals flow and fairness across LAs
© Action for Children 2015

4. Overview of Step Change
3 Local Authorities
Harrow
Hounslow
Barnet
3 Evidence Based Programmes
MST
FFT
TFCO
Single Referral Panel & Step Change Advisor role
Reduce to 2 Programmes
Rationale for closing TFCO - cost, referral process, strong evidence based, US model versus UK model
Questions/ discussion
The innovative aspects of the programme –
3 and latterly 2 EBPs with a single referral panel (led by AfC)
Local authorities working together with a provider to establish and implement the programme
© Action for Children 2015

5. Intended Outcomes

6. Evidence Based Programmes
Differences
MST
FFT
TFCO
Licensing and set up
Developing Relationships
© Action for Children 2015

7. Challenges Early set up Operational and Strategic
Partnership arrangements
Geographical spread - delivery
EBP arrangements
SCA, SRP, sustainability/research workers
Referral flow & thresholds
Equity across local authorities
© Action for Children 2015

8. Learning Time allocation for Implementation
Building evidence for future funding commitment
Building Trusting Relationships
Need for Transparency
Planning for staff turnover
Learning log and time to reflect
Building evidence within time constraints
Building trusting relationships, understanding others perspectives and challengs
© Action for Children 2015

9. Supportive Factors Operational Group New York Foundling EBP leads
DfE Coach
Senior leadership commitment
Evaluation
- University of York
- Learning tapping into NY foundling
- MST/FFT evidence-base
© Action for Children 2015

10. Referrals 130 Referrals since October 2015
Barnet 49 Hounslow 42 Harrow 39
49 DNP – not valid referrals / disengaged
24 Cases are now closed
33 Open Cases
14-15 average age of young people
Harrow – of 6 cases closed all still remain
at home
© Action for Children 2015

11. Referrals (8th June 2016)

12. General Data (31st March 2016)

13. Case Study
C was referred to Step Change for conflict within the family.
C was at risk of sexual exploitation.
C has a diagnosis of Oppositional Defiance Disorder (ODD) and the family were struggling to understand and manage her behaviour.
The family were concerned that the young person’s behaviour would have a negative impact on her younger sister.
All of these factors left the family feeling helpless and unable to cope with the behaviour the young person was displaying and as a result, they had resorted to dropping the young person off at the Civic Centre and A&E stating they wanted her placed in care.

14. Family Feedback
C says she feels a lot happier at home and everything is a lot better. When asked what changed she feels has been made, she says that she behaves better and her and mum compromises more now.
C informed that she is getting on well at school and with her peers. She doesn't feel she gets into as much trouble any more.
C’s relationship with mum, dad, and siblings has improved and she is happy about this.
Both children noticed the change in the household and describe things at home as brilliant and much better.   
SW - I have seen considerable shift in the family and the FFT intervention has enabled this family to have a positive outcome and do not require continued social services support.
Mrs A is delighted with the outcome and is thankful for the support FFT
were able to provide.
SDQ scores increased. Family reported feeling more able to cope and improved relationships
© Action for Children 2015

15. Sustainability Planning for Sustainability
Local evidence v International evidence
National Evaluation & The University of York
Commissioning options and scaling up
Planning for Sustainability
Planning before significant numbers going through programme
funding social finance, other partners joining?
Local Evidence
- Evidence of MST and FFT
- Outcomes charts
- Tracker - Number of referrals etc.
Evaluation
- University of York
- Learning tapping into NY foundling
- MST/FFT evidence-base
© Action for Children 2015