early intervention & the work of eifcroydonlcsb.org.uk/wp-content/uploads/2016/03/... · •...

@theEIFoundation eif.org.uk

Donna Molloy, Director of Implementation, EIF

Early Intervention & the work of EIF

What is early intervention ? “Early Intervention is about targeted activity to respond to emerging signals of risk in child development, before problems become costly and irreversible.”

Programmes, Practices and Systems which promote • Social and emotional well being • Language and communication

skills • Self-management and control • Mental health

• From conception to early adulthood • Not just about children’s services but ‘everybody’s business’.

Examples: • Home visiting • Speech and language therapy • Group based parenting support • Youth mentoring • Intensive therapeutic

approaches • Family support

@theEIFoundation | eif.org.uk

EIF: who & what

An independent charity and a ‘What Works’

Centre

launched on 4th July 2013 with a mission to

promote Early Intervention to:

• Tackle the root causes of social problems

• Improve children’s life-chances,

• Reduce the cost of failure to the taxpayer

Generate knowledge &

evidence

Communicate & disseminate

Secure Adoption

Test & learn

@theEIFoundation | eif.org.uk WHY EARLY INTERVENTION? EXPLORING THE EVIDENCE

• Wide and persistent gaps in children’s wellbeing and development emerge

very early in life.

• These factors have important consequences for future and intergenerational outcomes.

• These factors are not set in stone immediately, and can be influenced by timely intervention.

• Programmes which successfully improve these factors deliver substantial individual and social benefits over time.

Early Intervention can improve long-term outcomes for children & families whilst being more cost-effective

Evidence from economic and social research,

established over many years, supports the following

principles:


[CATEGORY NAME] £5.2bn

([PERCENTAGE])

[CATEGORY NAME] £680m

([PERCENTAGE])

[CATEGORY NAME] £6bn

([PERCENTAGE])


([PERCENTAGE])


([PERCENTAGE])

[CATEGORY NAME] £3.7bn

([PERCENTAGE])

Total annual spend on late intervention : £16.6bn (2014-15

prices)

EIF National Conference| 12 February

2015

An example: The Effects of Weaknesses in Oral

Language on Reading Comprehension Growth (Hirsch,

1996)

5 6 7 8 9 10 11 12 13 14 15 16

16

15

14

13

12

11

10

9

8

7

6

5

Readin

g A

ge L

evel

Chronological Age

Low Oral Language

in Kindergarten

High Oral

Language in

Kindergarten

5.2 years difference


Key elements of an effective EI strategy to reduce demand • Using the evidence about what works • Breaking down silos - integrated public services • Focus on frontline practice • Utilising capacity in wider services & communities


Key elements of an effective EI strategy to reduce demand • Using the evidence about what works • Breaking down silos - integrated public services • Focus on frontline practice • Using the reach & contacts of wider services

EIF evidence ratings


The EIF Guidebook


What works to support parent child interactions in the early years ?

Assessment of cost and strength of evidence for 82 programmes that aim to support the parent child relationship C-5

Key messages:

• Generic and universal programmes seeking to achieve multiple outcomes for diverse groups do not work

• Best evidence of effectiveness is for targeted programmes with a clear target population and rationale

• Good evidence on behaviour e.g group based parenting programmes and communication.

• Evidence on attachment programmes is less strong

• Critical: clear, well defined target group; well trained & supervised workforce

What works to prevent young people being involved in gangs and youth violence

What does the evidence show about what has and hasn’t been shown be effective?

• Seeking to create positive change

• Schools-based or family-

focused • Skilled facilitators • Implementation fidelity

• Programmes specifically designed to prevent gang involvement

• Mentoring and community-based programmes

• Programmes based on deterrence/discipline

• Computer-based programmes

Evidence-based interventions in 13 of EIF’s Pioneering Places (all age ranges)

3%

47%

4%

22%

15%

9%

PROGRAMMES BY EVIDENCE RATING

-1 0 1 2 3 4

• 47% have no known evidence of effectiveness in an established clearing house

• 24% are underpinned by at least one RCT

• 22% have evidence of potentially improving child outcomes from a pre/post evaluation not involving a comparison group

• 4% have a logic model only

• 3% have been proven to be ineffective

Blackburn with Darwen

LFRS

Police.

Community Step Down

Public Health Blackpool

• Alcohol • Evaluation • Health

Education

Blackpool CCG (NWAS)

• A & E Blackpool

• A & E Lancaster

• GP Surgeries • NHS integrated

teams

Fylde & Wyre CCG

Lancashire North CCG

Blackpool Council

• Fulfilling lives • Springboard • Children's

Social Care • Adult Social

Care • Troubled

families

Public Health Lancashire

• Alcohol • Evaluation • Health • Education

Chorley & South Ribble CCG

• A & E Preston • A & E Chorley • GP Surgeries • NHS Integrated

teams

Preston CCG

West Lancs CCG

Lancashire County Council

• Children's Social Care

• Adult Social Care

• Early Help LCC • WTWF

Public Health Blackburn with Darwen

• Alcohol • Evaluation • Health

Education

Blackburn Darwen CCG (Mental Health)

• A & E Blackpool • A & E Lancaster • GP Surgeries • NHS Integrated

teams East Lancashire CCG

Blackburn with Darwen Council

• Transforming lives

• Child Social Care

• Adult Social Care

• Troubled families

Deprivation Drugs Loneliness / Isolation

Alcohol Mental Health Elderly

Learning Difficulties

Dementia

West South East

Vulnerability

Multi-agency panel targeted interventions

Evaluation

NWAS

LCFT

Crime ASB

Adverse Childhood Experiences

Volunteers Home Start

Befriending Services

Youth Offending

Making every adult matter

Red Rose Recovery

Alco/drug Treatment Services

Troubled Families

Early Help

Mental Health services

Revolution Women's centre

Age UK Group

Help Direct

Blackpool Offender Prevention Team

Early Action Team

NWAS HIU Worker

Adult Social Care Step Down

Children's Social Care Step down

Mental Health Frequent Flyers

Early Response

Police High Intensive Users

Mental Health Triage

Dementia Logs MASH

A&E Frequent Flyers

GP Frequent Flyers

NWAS High Intensive Users

NHS Locality Team Confidential Meeting

Lancashire County Council Blackpool Council

Health & Wellbeing Boards

Locality Teams

NPS & CRC Wicked

problems

“The challenge is now to move away from police, local authority, health, probation interventions to asking the question: “What treatment do we need to apply to reduce offending and vulnerability in this place?” The blueprint requires a shift ….to deliver really integrated public service”.

“So we know this will not be solved through traditional collaboration or multi-agency working. We need integration not collaboration. We can’t afford to keep paying 18 different professionals to sit in the same room and talk to each other. We need one public/community sector asset not 18. Step out of your silo, be prepared to give to receive and start thinking more radical thoughts”.

West Cheshire

Delivered a multi-agency front door – over 20 agencies directly co-locating professionals, data systems and triage /risk assessment

of complex cases below Social Care threshold

Established eight multi-agency teams involving over 180 workers in community settings sequencing and coordinating family-led

service plans directly empowering family independence

Embedded a single family assessment tool (TAF) and ICT solution across over 40 services including all schools,

GPs, NHS providers and criminal justice agencies

Coordinated a menu of multi-agency interventions including personalised budgets and tailored support packages for families

Re-commissioned an evidence based services menu for fast access to meet demand where and when required.


Its not just about programmes – need to think about practice

• Fairly small numbers who actually receive evidence based programmes especially when compared with much larger numbers in contact with professionals, services or volunteers

• Its people who change people!

• What is it about the nature of interactions between a worker or volunteer that leads to behaviour change?


Catherine Needham and Catherine Mangan


Key elements of an effective EI strategy to reduce demand • Using the evidence about what works • Breaking down silos - integrated public services • Focus on frontline practice • Utilising capacity in wider services & communities

Using the reach & contacts of other services – Early Intervention as everybody’s business

• Delivering effective early Intervention to all who need it, also requires us to

think about the role of wider workforces

• Better use of core public sector workforces through involving them in identifying need and providing basic information has the potential to keep people out of expensive specialist services

• noticing and helping a struggling family as ‘part of the day job’ of anyone who comes into contact with families


• Ensuring the first person in the door has the

toolkit they need www.eif.org.uk/early-intervention-

a-guide-for-frontline-police-officers-and-pcsos-3/

http://www.eif.org.uk/early-intervention-a-guide-for-frontline-police-officers-and-pcsos-3/





















West Midlands Fire Service – improving public health Have begun to play a key role in “prevention” and the risk reduction efforts targeted at vulnerable communities at most risk of deprivation and ill health. They remain fully committed to providing the highest standard of emergency incident cover, including the delivery of a risk based 5 minute attendance to incidents. 1322 fire fighters, 58 technical support officers; 61 fire safety officers have at least a million contacts with the public – their mantra is “Prevention, Protection, Response” Workforce time now committed to prevention to tackle: • Anti social behaviour • Preventable ill health and early death • Empowering people to improve wellbeing in communities that with poor health outcomes • Engaging directly with households and neighbourhoods & supporting behaviour change • Healthy neighbourhoods and improvements in community resilience • Improving life chances and equality of opportunity

This work has been endorsed by Professor Sir Michael Marmot, for its work in tackling health inequalities.


• Traditional approaches have their limits • The need for strengths based approaches, improving community

resilience and reducing dependency • Models of community based support peer support, co – production,

volunteering, paid community capacity building roles • Growing interest in how councils/others can support and enable these

approaches including sharing evidence and information on what has worked and overcoming challenges

How do we build the capacity of communities to spot risks or individuals & families needing help and provide it?


Find out more at: www.EIF.org.uk Contact us at: [email protected] Follow at: @TheEIFoundation & @donnamolloy_

http://www.eif.org.uk/

mailto:[email protected]

https://twitter.com/theeifoundation

https://twitter.com/theeifoundation

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