A Community Budget for Supporting Leicestershire’s Troubled Families Strategic Outline Case Key Messages Leicestershire’s Ambition for Our Troubled Families 1. Significantly improving outcomes for families and their children 2. Reducing the current costs of public services “Our heart tells us we can’t just stand by… Our head tells us we can’t afford to keep footing the monumental bills for social failure. we have got to take action to turn troubled families around” David Cameron, 15th December 2011 2 NATIONAL UPDATE 3 PREVALENCE OF TROUBLED FAMILIES IN LEICESTERSHIRE 4 Total Troubled Families Oadby & Wigston, 68 Blaby, 80 North West Leicestershire, 235 Charnwood, 431 Melton, 127 Hinckley & Bosworth, 277 Harborough, 66 5 Total Threshold Families Oadby & Wigston, 156 Blaby, 172 North West Leicestershire, 354 Charnwood, 635 Melton, 161 Hinckley & Bosworth, 390 Harborough, 150 6 Count of Troubled Families and Threshold Families Oadby & Wigston, 224 Blaby, 252 North West Leicestershire, 589 Charnwood, 1066 Melton, 288 Hinckley & Bosworth, 667 Harborough , 216 7 Troubled Families Profile: 1300 49% of households have some form of mental health problem 64% have educational risks Rises to 81% with Alcohol & Drug misuse 1 in 2 families involved in crime / ASB 96% have at least one family dysfunction risk DV, Behaviour, Poor Parenting, Safeguarding, unstable relationships etc truancy, >15%, SEN, exclusions, class behaviour, PRU 57% solely or heavily reliant upon state benefits 75% actually in receipt of benefits 36% of families have a physical health condition 8 Troubled Families make up… 77% of Domestic Violence Casework 70% of families assessed by children’s social care Sourced from pilot work Summer 2010 are either TF or Threshold (Initial or Core) 79% of Youth Offending Service Casework 48% of Attendance Improvement Service cases 96% of CAF Cases TF (69% of casework) Threshold (27% of casework) 100% of Probation Casework where probationer is a parent 9 District prevalence of TF families across domains (1300) Families with Criminal Justice Issues Families with Employment Issues Families with Education Issues Families with Family Functioning Issues Families with Mental Health Issues Families with Physical Health Isssues 450 400 350 300 250 200 150 100 50 80 431 66 277 127 235 Hinckley & Bosworth Melton North West Leicestershire 68 0 Blaby Charnwood Harborough Oadby & Wigston 10 Services that know families with crime/ASB issues Common Assessment Framework Youth Offender Service Probation Data District Council Children's Centre Family Intervention Project Frameworki Children's Social Care 350 300 250 200 150 100 50 0 Blaby Charnwood Harborough Hinckley & Bosworth Melton North West Leicestershire Oadby & Wigston 11 What we learned from the Insight Phase… Common issues for Families Confusing landscape of public services Isolation in their communities Public services ‘do to them’ Lack of or limited choice/control Public services in then out Adverse effect on aspirations/ perception of social mobility Domestic violence Poor parenting Difficulties maintaining relationships (incl. family, friends, peers, isolation & social marginalisation) Lack of resilience (incl. capability, capacity, confidence & inability to cope) Poor/overcrowded housing (incl. homelessness) High risk behaviours (incl. substance misuse) Poverty (incl. debt & unemployment) Health (incl. mental health & disability) Crime (offending and experience of) Lack of education/ attainment 12 Reoccurring Themes from Evidence Base, Current Literature and National Policy on What works: Early intervention Building resilience Stability, continuity and transitions Effective parenting and supporting families Tackling educational performance Tackling worklessness Tackling poor health Tackling poverty Involving communities and building social capital Building capabilities, resilience and skills development 13 Common Perspectives from Families “Many families were resigned to their situations, and did not appear to take responsibility for trying to improve them. One family had no sense of personal responsibility at all, and another’s primary responsibility was to get services out of their lives and would do and say things with that in mind”. “Families saw limited value in just being told or taught how to do something. They all wanted much more practical and hands on support, and wanted someone to actually come in and actually show them how to do things. They all appeared perfectly happy for someone to practically work with their children on behalf or in front of them”. “There is a real divergence between families’ own perceptions of themselves and how they perceive that professionals view them. Families use words such as caring, tight, coming together to sort their problems out etc. They say that professionals would see them as hectic, needy, chaotic, trouble etc. Families can’t see any recognition from many professionals of their strengths and just feel they are viewed in the negative”. 14 Leicestershire’s Proposed Troubled Family Model Approved Family Model Specialist Services Co-located locality service: • Permanent core team members inc Family Worker • P/t Co-opted team members • Personalised family budgets Family Family Improved outcomes Increased resilience, strengths & independence Role: Universal Services Whole family approach • Delivers direct support • Co-ordinates other services • Outreach in home/community • Assertive intensive support • Small caseloads Targeted Services 16 Review of National Family Intervention Project (FIP) Released Dec 15th with Troubled Family Announcement FIP 4 year Programme Independent Study by NAT CEN 8.8k families Profile & Risk factors at Referral (Multiple factors) Family functioning - 81% families Poor parenting – 67% Relationship/family breakdown – 32% Domestic violence – 30% Child protection – 30% Crime/ASB – 39% /79% Child Behavioural problems – 60% Health Problems – 49% Mental health – 39% Physical health – 10% Not in Employment, Education & Training (over 18s) – 65% 17 NAT CEN FIP RESEARCH: Outcomes for families exiting FIP Outcome Improvements Recorded: Families involved in ASB A Reduction of 58% to 34% Families involved in Crime A Reduction of 41% to 20% Children with behavioural /truancy problems A Reduction of 53% to 28% Risks from poor family functioning (DV, family breakdown, child protection) A Reduction of 47% to 16% Child protection plans A Reduction of 34% to 18% Health risks including mental, physical health and substance misuse problems A Reduction of 34% In worklessness (ETE) A Reduction of 14% to 58% 18 Partners have agreed the twin aims of improving outcomes for the families and their children and reducing the cost to the public sector of supporting the families through system change. 19 © 2011 Deloitte MCS Limited. Private and confidential.