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Child-oriented Intersectoral Cooperation and Coordination in the UK
Marie LeBacq and Geraldine Lee-Treweek Manchester Metropolitan University, Crewe, United Kingdom Contact:
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In the UK we have not got all the answers … but we have some practice to share and together we can improve knowledge.
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Multi-Professional Working across the Spectrum of Involvement
Universal services Early Intervention Intensive Family Support Alternative Care Resilience Vulnerability
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Key Principles A Holistic approach to the child and family
A Child Centred Approach – Child’s Interests Come First Child’s voice heard and taken into account Partnership between Child, Family and Workers Partnership working between agencies (both in individual cases and in strategic planning of services) Incremental approach to provision Compulsory involvement last resort
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Key Services – Highly Complex
Educators ( Early Years Practitioners, Teachers, Education Welfare Officers, Special Educational Need) Health Workers ( Midwives, Health Visitors, School Nurses, OTs , Physios Speech and Language Practitioners, GPs, Paediatricians, Sexual Health) Voluntary Provision and Projects (Homestart, Young Carers, Peer Mentors, CAB etc.) Therapeutic Services ( Education/ Clinical Psychologists, School Counsellors, Child and Adolescent Mental Health) Social Care (Parenting Workers, Family Aides, Social Workers, Intensive Support Workers, Foster Carers, Residential Care Workers, Children’s Guardians) Youth Work (Youth Workers, Coaches, Youth Advocacy,) Criminal Justice ( Police, Probation, YOT workers, Courts) Adult Services ( Adult Social Care, Adult Mental Health, Substance Misuse) Other – Immigration and Asylum Seeker Services, Employment & Support Services
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Universal Services – all Children and Families
Children’s Centres Maternity Care Early Years Provision After School Activities Health Clinics Welfare Rights Advice Support into Training and Employment Do Services for the Child need co-ordinating? If Yes, how is it Co-ordinated? Common Assessment Framework and Team Around the Child or Family . A key worker co-ordinator meeting with parents and range of professionals/volunteers working together to plan and provide services Common Assessme
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Early Intervention Framework -
Services for the Child should be co-ordinated through… Either Common Assessment Framework and Team Around the Child or Family. Or A Multi-Agency Child in Need Plan A key worker co-ordinator meeting with parents and range of professionals/volunteers working together to plan and provide services Children’s Centres Parenting Support and Training Child Development Clinics Speech and Language Provision Family Nurse Partnerships Special Educational Need Provision Young Carers Support
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Intensive Family Support – 2% of families
Child and Adolescent Mental Health Teams Learning Disability Teams Child Health and Disability Teams Youth Offending Teams Intensive Family Support Services Think Family/ Vulnerable Families Programmes Other Specialist Projects Substance Misuse Services Adult Mental Health Services for the Child should be co-ordinated through… A Core Assessment, led by Children’s Social Care Services involving relevant agencies and child and family leading to A Multi-Agency Child in Need Plan or a Child Protection Plan A n Independent Chair Person meeting with parents and range of professionals/volunteers working together to plan and provide services and then monitor and review progress
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Alternative Care - Short Term Respite Care - Foster Placements
Multi-agency Care Plans - Short Term Respite Care - Foster Placements - Residential Care Multi-agency Fostering and Adoption Panels Services for the Child should be co-ordinated through… A Core Assessment, led by Children’s Social Care Services involving relevant agencies and child and family leading to A Multi-Agency Care Plan The plan is either agreed or imposed by the courts through an order A n Independent Chair Person meeting with parents and range of professionals/volunteers working together to plan and provide services and then monitor and review progress A Multi-Agency Panel approving fostering, residential or adoption placements
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BASIS FOR ASSESSMENT …..
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4 Examples of Child-Centred Working
Improving Futures Projects (funded by the Big Lottery, third sector organisations – NGO’s) Eg. The Lift Project in Cheshire Homestart (NGO) Children’s Centres (Statutory but connecting a range of services) An example of family-centred working practice – use of Common Assessment Frameworks
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Improving Futures: The Lift Project
26 projects across the UK, funded by the Big Lottery Early Intervention family workers act as key workers, “assertive and persistent” outreach. Adoption of a ‘social pedagogy’ approach. This combines education and care, emphasising that bringing up children is the shared responsibility of parents and society. Referrals to the Team will be made by a wide range of services, particularly strong collaboration with Health Visiting Service. The Team around the Child and Family approach adopted to deliver a tailored programme of interventions. The service provides support 7am to 10pm Monday to Friday and at weekends, as these are times when families often experience stress. 24/7 telephone support provided. 40 other community partners across Cheshire, eg. Creative Action Team file:///C:/Users/ /Downloads/ improving%20futures%20update%20.pdf Key Terms: Education, care, learning; ‘team around the child and family’ approach; tailored services; time-friendly
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The Lift Project Families selected on basis of having multiple needs and two children under the age of 5 – can be referred by statutory professional, third sector, faith group or self-refer but fit with criteria will be checked. Families allotted £3,000 for services – family, animal, play or art therapy Selection made on the basis of meetings between whole family and key worker but final choice is the familys Designed to empower families in making choices At the same time, providers of services are third sector organisations who themselves will be developing capacity to respond to need. Key Focuses: Empowerment of families; capacity building in third sector and community groups; equality of referral from different sites.
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Creative Action Team animals.php
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Home Start Volunteer-run, non-statutory charity
Focus on years children aged 0-5 years Volunteers visit the family’s home for a couple of hours every week. They tailor-make their support to the needs of the parents and children. Volunteers keep visiting until the youngest child turns five or starts school, or until the parents feel they can stand on their own two feet. Run family groups and social events for families. Ability to refer onto and work in partnership with other services, charities and statutory agencies Key Focus: Volunteers can often fill a gap that professionals cannot – through trusting relationships
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Sure Start Children Centres
Funding from local government – English service – slightly different in Northern Ireland, Scotland and Wales Open to all parents, carers and children and many of the services are free. Responsible for delivering services for children under 5 & families to improve Early Years outcomes for all children. Children's Centres also hold information for parents and cares with children aged 0-19 (0-25 for those with disabilities). Holistic, community approach to help and advice on child and family health, parenting, money, training and employment – work in partnership with other agencies, e.g.. health, social care to provide these They also work with community groups who provide nursery care and early learning, such as childminder's, pre-school's, childcare providers and community groups to provide access to early year's services. These are physical buildings and places with resources that families can access
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