Medway Integrated Prevention Service (IPS)
THE INTEGRATED PREVENTION SERVICE (IPS) • Prevention and Diversion • Criminal Justice System • Sign post • Crisis Intervention • Families with multiple and complex needs. • Not met Social Care thresholds • Removed from CIN/ CP • Early Intervention • School • Community • Home • Mentoring Develop a Team Around The Child/ Siblings. Common Assessment Framework (CAF).
IPS accepted referral IPS assessment Standard Enhanced Intensive Actions at CAF agreed Individual/ family support plan Review Evaluate Close with exit strategy
Outcomes • Reduce First Time Entrants into Criminal Justice System (CJS) • Reduce risks at home, in School or in the community • Reduce referrals to Social Care and revolving door families.
Medway Youth Diversion Scheme (Triage) The process is: • Restorative Justice/ Reprimand/ Final Warning. • Police Electronic Notification to YOT. • An ONSET assessment (inc health) completed to identify risk of offending and vulnerabilities. • 4 outcomes will be achieved: • No Further Action (65%) • Refer to alternative curriculum programme linked to offence (Example- Car crime/ Peer pressure/ victim awareness) ) (15%) • Sign post to single agency (Example KCA- drug and alcohol risks) (10%) • Multi agency support needed (Example support through a CAF). (10%). • All information returned by IPS to Police to inform a RJ agreed outcome right for YP.
Successful pathfinder bid to DoH and MoJ in July 2011 (YLDS). Health vulnerabilities screened (data collected on ChiMat).: • Safeguarding • Social • Mental Health • Developmental • Physical Health • Behavioural • Substance misuse
Safeguarding • In foster care/ children's homes/ supported housing(10%) • Neglect/ insufficient parenting(15%) • Homelessness/ accommodation problems (5%) • Domestic violence(10%) • Sexual abuse/ exploitation(5%) • Physical abuse(0%) • Risk of self harm/ suicide(10%) • History of running away from home(15%) • Overall (10%)
Social • Family conflict (35%) • Association with gang/ violent or extremist peers(5%) • Poor relationships/ lack of friends(15%) • Victim of bullying/ harassment(5%) • Parental imprisonment(10%) • Young carer(10%) • Sibling offending/ anti-social behaviour(25%) • Overall (45%)
Mental Health • Suspected diagnosable mental health problem(15%) • Parents with mental health or substance misuse problem(10%) • Recent significant event(10%) • Overall (10%)
Developmental • Poor school attendance (20%) • School under attainment (20%) • Suspected learning disability/ difficulty(10%) • SLCN needs(10%) • Suspected Acquired Brain Injury(5%) • Not in Education or Employment (NEET)(20%) • Suspected developmental difficulty(0%) • Overall (45%)
Physical Health • Disrupted sleeping and/ or eating patterns(5%) • Sexual health needs(15%) • Dentistry needs(0%) • Impaired hearing(0%) • Poor eyesight (0%) • Diagnosable physical health condition (0%) • Overall(10%)
Behavioural • Violent behaviour/ aggression(30%) • Sexually harmful behaviour(0%) • Excluded from school(35%) • History of behavioural problems before age of 12 (45%) • Overall(50%)
Substance Misuse • Drug misuse (25%) • Alcohol misuse(20%) • Overall(40%)
Other programmes • Consequential thinking programme- Clever thinking. • Anger management- Red Hot • Evidence based parenting programmes (Incredible years and Teen triple P). • Peer mentoring (14+ Peer2peer). • Mentoring • Positive activities • Coming soon……. Emotional first aid.
Other significant data First 12 months: (with 9 keyworkers) • Target 2011/ 12 = 200. To date 428 families supported. • Reduced Social Care referrals Target 20. To date this is 28. • Reduced FTE by 5% against target set. To date it is at 28.6%. Triage (MYDS) 168 young people supported and to date 3% re-offending (2 cases). National data is around 23%.
Value for money • Cost of the Integrated Prevention Service (IPS) is £400,000. • Intervention is around £1000 based on working with 400 families this year. • On an average 6 month intervention this works out at £38.50 per week per family. This will be £25 in 2012/13. • Compare this against 1 week in YOI= £1519 or STC= £3269 per week.
Case study 1 • Young person 14 came through MYDS as she has stolen money from a male. The case sat un-easy with staff as she was was with friends and only she had come through for diversion. • The assessment was conducted by staff liaising with Police colleagues and it was identified she was prostituting herself through the assessment where an interpreter was brought in. • She also had been using heroin and concerns were raised of the address the young person resided at. • Outcome: • Referral to social care showed 14 people living in home address. • The young person had a rapid assessment for drug treatment by KCA • The young person became a child in need and is being supported. • Stopped using • Away from prostitution
Case study 2 • A young 13 year old girl. Reprimand for assault/ Final warning for criminal damage in 1 week. Multiple risk factors assessed (11). Only in school one hour per day and has also received a recent five day fixed exclusion. Known to social care. • Mum an ex heroin addict/alcoholic who has recently tried to commit suicide and been admitted to a secure psychiatric unit. Gran full time carer with residence order. She has low self esteem and lacks a positive peer group. • Assessed that there needed to be a team around the child. Family agreed to a CAF. Family were under social care previously. She is now being supported by her key worker on a one to one basis. She has agreed to form part of the new girls group. She wrote a letter to the shop keeper. Completed Red Hot anger management and Clever Thinking on a one to one basis with her key worker. • Outcomes Diverted away from entering the criminal justice system. Attended the criminal damage workshop. Back in School FT (including alternative curriculum programme). Boundaries and sanctions at home supporting Nan with behaviour. Mum has a keyworker and gaining supporting housing Contact resumed with Mum YP has CAMHS intervention New peer group achieved