analysis of contacts/referrals with the belfast hsc trust
TRANSCRIPT
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Analysis of Contacts/Referrals
with the Belfast HSC Trust
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Rationale For Analysis
• To inform future service provision by
identifying areas and levels of need.
• To identify where need exists through an
examination of Gateway referrals.
• Referrals which result in no further action
(NFA) and those which are assessed but do
not transfer (ABNT) for ongoing Social Work
support.
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Analysis of Referrals:
Total Referrals September11-March 12 - 5983
Filters applied –Overall sample -
1456
Random - 408
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What we Looked at:
1. Total Referrals analysed for;
- Ward of origin
- Age, Gender
- Numbers
2. Random sample analysed for;
- Presenting problems/Issues
- Services referred to
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Coding
• Information behind Soscare Codes
• Presenting Problems counted and assigned a code.
• Problems, not individual families, coded
• Families with multiple problems
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Busiest Top 20 Wards –
Account for > Half of ABNT Families
Referred
North South East West Shankill
Ardoyne (9) Shaftesbury
(22)
Bloomfield (196) Upper
Springfield (11)
Crumlin (6)
Waterworks
(16)
Botanic (237) The Mount (25) Clonard (7) Shankill (4)
Ballysillan (157) Woodstock (39) Falls (2)
New Lodge (3) Ballymacarrett
(18)
Whiterock (1)
Duncairn (14) Woodstock (39) Glencolin (33)
Ladybrook (88)
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AREA:
0%
WEST
19%
SOUTH
13%
NORTH
25%
EAST
17%
SHANKILL
9%
OUTER S/E
13%
UNKNOWNS
4%
All Referrals To Gateway Team by Office
Area, September 11 - March 12
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Busiest Top 20 Wards (MDM rank) –
Random SampleNorth South East West Shankill
Waterworks
(17)
Shaftesbury
(22)
The Mount
(25)
Glencolin (33) Shankill (4)
Ballysillan (14) Beechill (481) Ballymacarret
(18)
Upper
Springfield (11)
Woodvale (19)
Ardoyne (9) Clonard (7) Highfield (78)
Chichester Park
(119)
Beechmount
(34)
Crumlin (6)
New Lodge (3) Falls (2)
Duncairn (14)
Bellevue (155)
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WEST
21%
SOUTH
14%
NORTH
21%
EAST
15%
SHANKILL
7%
OUTER S/E
22%
C& YP Under 15 Year Olds By Belfast
Trust Area
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C&YP Referred to Gateway < 15 Years
0 50 100 150 200 250 300 350 400 450 500
West
South
North
East
Shankill
Outer S/E
261
206
461
326
168
238
82
52
127
70
37
54
Referrals - ABNT's & Transfers
Series2 Series1
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Referral Age Profile West Belfast
Age Group: Total Number
Referred:
Number ABNT: Number
Transferred:
% of Total
Referrals to
Gateway:
0 – 4 Years 110 88 22 18%
5 – 11 Years 175 135 40 19%
12 – 15 Years 150 129 21 22%
16 – 18 Years 23 18 5 22%
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Busiest Wards: West Belfast
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Referral Age Profile North Belfast
Age Range: Total Number
Referred:
Total ABNT: Number
Transferred:
% of Total
Referrals:
0 – 4 Years 177 153 24 30%
5 – 11 Years 253 188 65 28%
12 – 15 Years 162 124 38 24%
16 – 18 Years 28 22 6 26%
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Busiest Wards: North Belfast
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Referral Age Profile Outer South/East
BelfastAge Range: Total Number
Referred:
Total ABNT: Total
Transferred:
% of Total
Referrals:
0 – 4 Years 71 59 12 12%
5 – 11 Years 108 85 23 12%
12 - 15 Years 103 83 20 15%
16 – 18 Years 12 11 1 11%
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Busiest Wards: Outer South/East
Belfast
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Referral Age Profile South Belfast
Age Range: Total Number
Referred:
Total ABNT: Total
Transferred:
% of Total
Referrals:
0 – 4 Years 80 62 18 13%
5 – 11 Years 121 107 14 13%
12- 15 Years 93 73 20 14%
16 – 18 Years 16 14 2 15%
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Busiest Wards: South Belfast
7
10
4
10
2
38
33
22
20
14
Botanic 237
Shaftesbury 22
Rosetta 476
Ballynafeigh 251
Windsor 421
Random /Overall Sample
ABNT/RS ABNT/PS
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Referral Age Profile Shankill
Age Range: Total Number
Referred:
Total ABNT: Total
Transferred:
% of Total
Referrals:
0 – 4 Years 64 53 11 10%
5 – 11 Years 75 66 9 8%
12 – 15 Years 49 36 13 7%
16 – 18 Years 10 9 1 10%
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Busiest Wards: Shankill
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Referral Age Profile East Belfast
Age Range: Total Number
Referred:
Total ABNT: Total
Transferred:
% of Total
Referrals:
0 – 4 Years 102 83 19 17%
5 – 11 Years 170 147 23 19%
12 – 15 Years 125 98 27 18%
16 – 18 Years 17 13 4 16%
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Busiest wards: East Belfast
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Referrals
• Total 76 Wards
• Reasons – Complex
• Specialist Services
• Appropriateness for CVS support
• Domestic Violence – PSNI Duty to Report
• Numbers Re-referred
• Supports Declined
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Presenting Issues
Reason For Referrals
Immigration Family Relationships
Physical Ill-Health of Parent/Carer Alcohol/Drug Abuse Child/YP
Benefits Family Contact
School Attendance/Refusal Allegations Neglect/Supervision
Vulnerable/Young Mother Behaviour Issues Child/YP
Homeless/Housing Domestic Abuse
Alcohol/Drug Abuse Parent/Carer Inappropriate Sexual Behaviour Child/YP
Mental Health Parent/Carer
Mental Health Child/YP
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Also Looked at;
• BME Families – 34
• Disability – 32
• Mental Health – Not presenting problem but
part of family experience – 24
• Previously Referred/Known to SS
• Number of Attempted Suicide/Overdose - 40
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Referral Reasons - Parents
Highest number concern Parents
Issues regarding;
• Allegations Physical Abuse - 32
• Mental Health – 51
• Alcohol/Drug Abuse – 71
• Neglect/Supervision – 37
• Family Relationships – 37
• Contact issues - 27
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Referral Reasons – C/YP
• Alleged/Inappropriate Sexualised Behaviour –
30
• Behaviour Issues – 39
• Disability – 32
• Drug/Alcohol -16
• Mental Health - 18
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Main Issues
Referred on to:
• Specialist services
• Community supports
• Voluntary agencies
• Counselling services
• Health Visitors
• Surestart
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Suggested Services:
C/YP:
• Behaviour Problems
• Information Parental Mental
Health/Alcohol/Drug Abuse
• Family Relationships/Contact Issues
• Self Safeguarding – Internet, Alcohol, Sexual
Health/Behaviour
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Suggested Services :
- Parents
• General Parenting Support
• Mental Health Issues
• Domestic Abuse
• Alcohol/Drug Awareness
• Family Relationships/Contact Issues
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THANK YOU