Commissioning for Outcomes through an Asset-based model CONTEXT - Social Value Act - Commissioning Councils - Austerity measures - Return on investment (but not SROI) - One model across commissioning. - Presented to Commissioning Academy - VC Sutton training. First things first… What is an asset based model? In Community Development: “Asset approaches make visible, value and utilise the skills, knowledge, connections and potential in a community. They promote capacity, connectedness, reciprocity and social capital. The aim is to redress the balance between meeting needs and nurturing the strengths and resources of people and communities.” (Glass Half Full, 2010) In Health & Wellbeing: “Asset working seeks ways to value the assets, nurture and connect them for the bene fit of individuals, families and neighbourhoods. Instead of starting with the problems, it starts with what is working, what makes us feel well and what people care about. The more familiar deficit approach starts with needs and deficiencies and designs services to fix the problem and fill the gaps. This creates dependency and people can feel disempowered.” (Morgan et al. eds. Health Assets in a Global Context. Springer 2010). ‣ ‣ ‣ History of 40 Developmental Assets Created in 1990 2.2 million young people over time Most widely used approach to positive youth development in the United States ‣ Grounded in extensive research in youth development, resiliency, and prevention. ‣ Represent the relationships, opportunities, and personal qualities that young people need to avoid risks and to thrive. Reasons for using Assets ‣ User friendly. ‣ Great tool for training, strategic planning, monitoring, goal setting and evaluation. ‣ Makes ‘soft outcomes’ measurable ‣ Compliments all sectors. ‣ Based on longitudinal research ‣ It works! Developmental Assets: EXTERNAL SUPPORT Family support [01] Positive family communication [02] Other adult relationships [03] Caring neighbourhood [04] Caring school/work climate [05] Family involvement in school/work [06] SUPPORT EMPOWERMENT Community values all people [07] People as resources [08] Service to others [09] Safety [10] EMPOWERMENT BOUNDARIES & EXPECTATIONS Family boundaries [11] School/work boundaries [12] Neighbourhood boundaries [13] Role models [14] Positive peer influence [15] High expectations [16] BOUNDARIES & EXPECTATIONS CONSTRUCTIVE USE OF TIME Creative activities [17] CONSTRUCTIVE Youth/adult programmes [18] Faith community [19] USE OF TIME Time at home [20] Factors that a person has AROUND them that influence them Developmental Assets: INTERNAL COMMITMENT TO LEARNING Achievement motivation [21] Work/school engagement [22] Personal study [23] Bonding to Work/school [24] Reading for pleasure [25] POSITIVE VALUES Caring [26] Equality and social justice [27] Integrity [28] Honesty [29] Responsibility [30] Restraint [31] SOCIAL COMPETENCE Planning and decision making [32] Interpersonal competence [33] Cultural competence [34] Resistance skills [35] Peaceful conflict resolution [36] POSITIVE IDENTITY Personal power [37] Self-esteem [38] Sense of purpose [39] Positive view of personal future [40] Factors that a person has WITHIN them that influences them Power to Protect Power to Promote PROBLEMATIC BEHAVIOUR (result of having less Assets) KEY: Number of Assets 49% 27% 11% 3% 49% 18% 6% 1% PROBLEM ALCOHOL USE USE OF ILLICIT DRUGS 32% 21% 11% 3% SEXUAL ACTIVITY 61% 38% 19% 7% VIOLENCE 0- 10 POSITIVE BEHAVIOUR (result of having more Assets) 11- 20 21- 30 8% 17% 30% 47% 36% 67% 74% 88% 26% 47% 69% 89% 50% 65% 77% 85% SUCCEEDS IN SCHOOL VALUES DIVERSITY MAINTAINS GOOD HEALTH EXHIBITS LEADERSHIP 31- 40 What does an Asset based model have to do with outcomes based commissioning? Why Commission for Outcomes? • Inclusive process that encourages the participation of individuals and communities • Plain language, common sense and easy to understand • Focus on results not process - the ends not the means • Answers the question “so what?” So What? So What? So What? So What? Leaking Roof (Results thinking in everyday life) inches of Water Bucket Neighbour with DIY skills Recommended local roofing company Turning the Curve Leaking Roof (Results thinking in everyday life) inches of Water inches of Water Bucket Bucket Neighbour with DIY skills Neighbour with DIY skills inches of Water Recommende d local roofing company Recommende d local roofing company Turning the Curve Turning the Curve inches of Water Bucket Bucket Neighbour with DIY skills inches of Water Neighbour with DIY skills Recommende d local roofing company Recommende d local roofing company Turning the Curve Turning the Curve inches of Water Bucket Neighbour with DIY skills Higher level outcome: A safe and happy home Security Well stocked fridge Bucket Neighbour with DIY skills Recommende d local roofing company Recommende d local roofing company Turning the Curve Turning the Curve Local alignment - e.g. LB Sutton services for CYP with disabilities CYP PLAN STRATEGIC PRIORITIES Safeguarding Healthy Living Vulnerable Children Achievements & Attainment Focus on Family WHOLE WHOLE WHOLE WHOLE WHOLE Family Resilienc e DISABILITY OUTCOMES FOR CYP Commissioner Verification Complex Needs Complex Needs Social Integration Independence Complex Needs Social Integration Independence Family Resilienc e Challenging Behaviour SUBGROUP SUBGROUP SUBGROUP SUBGROUP SUBGROUP DELIVERY ACHIEVEMENT Provider Information (FR) Positive family relationships and routines are established and sustained ASSETS (SI) Disabled children and young people’s need for additional adult support to access play and leisure is reduced (CN) Positive family relationships and healthy routines are established and maintained ASSETS ASSETS (I) Disabled young people enter adult life equipped to achieve their potential in terms of health, education, employment and training, self-care, living independently, relationships and community participation ASSETS (CB) children and young people are provided with alternative strategies to manage anxiety, anger, frustration ASSETS RADA (Relative Assessment of Developmental Assets) Example of Impact Measure ment Tool Thank you