Commissioning quality in the VCS:
ACE-Value
Workshop Aims:
- Learn how to use the website
- Learn how to use ACE-V Quality Standards
Service Description
large charity
small charity
Counselling services for
individual adults, couples,
families, children aged 5
to 18 years.
We provide an
outstanding fostering
service for children and
young people who are
looked after, with high
quality, fully trained foster
carers and a Children's
Services department,
ensuring child remains at
the centre.
Help for parents who are
separating to minimise the
impact on the children.
Sex therapy.
Training courses for
parenting and courses for
young people and children
e.g. anger management.
Ante-natal courses.
statutory
CAMHS stands for Child
and Adolescent Mental
Health Services.
CAMHS provides
assessment and treatment
services to children and
young people aged 0-18
years where there are
concerns about their
behaviour or emotional
wellbeing.
Catchment areas
large charity
Lincolnshire
North Lincolnshire
North East Lincolnshire
small charity
Pan London
Luton
Bedfordshire
Kent
Essex
statutory
Wandsworth GP's
Client groups
large charity
small charity
statutory
• 5-18 years olds (directly)
• 0-18 years olds (directly)
• 0-18 years olds (directly)
• Parents/families
• Parents/families
• 0-18 years olds (indirectly)
• Local Authority Social
• Parents/families
Services
• Staff: Consultations in Tier
2 CAMHS
Accountability
Effective and responsible
Type of place (setting)
large charity
• Online
• Community: Relate
Centres
• Schools: Where invited
small charity
• Foster Carer home
statutory
• Clinic or office
• Home visit
• Community
• School
to run courses or
• Inpatient unit
provide counselling
• Over the phone
• Over the phone
Type of help (intervention)
large charity
• Therapy and therapeutic
small charity
• Assessment: Parent and
Child placements in foster
intervention: Counselling
• Signposting
• Providing information
• Training
home
• Therapy and therapeutic
intervention
• Advocacy
• Signposting
• Advice
• Providing information
• Training
• Family mediation
statutory
• Assessment
• Therapy and therapeutic
intervention
• Support (e.g. informal
help)
• Advocacy
• Psychoeducation
• Signposting
• Advice
• Providing information
• Consultation for
professionals
• Training
• Family mediation
Which groups the service is aimed at
large charity
• We are an open or non-
small charity
• We are an open or non-
statutory
• We are an open or non-
targeted service
targeted service
• In Looked After Care
(LAC): Main target group
• Considered for Social
Service Input on 'Child in
Need' level: Especially,
re: parent and child
placement
• Multiple issues, Complex
Needs, Dual Diagnosis
or Comorbidity
targeted service
Difficulties we work with
large charity
small charity
statutory
• Mild: 18
• Mild: 24
• Mild: 4
• Moderate: 16
• Moderate: 20
• Moderate: 21
• Severe: 10
• Severe: 16
• Severe: 21
Limits of the service
large charity
none
small charity
statutory
We attempt to match any Child's response to
child or young person
normal life events;
referred to us, with one
Children whose parents
of our approved foster
are in dispute, specialist
carers, however, if we do forensic and other risk
not have a suitable
assessments and
match, we do not place.
conditions where
pathways to other
services exist i.e.:
encopresis and enuresis
Monitoring school or work functioning
large charity
small charity
statutory
• Education,
• Education, Employment
Employment and
and Training (EET)
with the schools and
Training (EET)
• We monitor attendance
Children's Centres where • We monitor attendance against personal targets
against personal targets • We monitor attainment
we have contracts.
• We monitor attainment
against personal targets
against personal targets
Working in partnership
Monitoring changes in wellbeing
large charity
X Service Nationally developed
outcome measures
CORE (Clinical Outcomes in
Routine Evaluation – Outcome
Measure )
small charity
We use our own assessment
templates
statutory
• Strengths and Difficulties
Questionnaire - (SDQ self)
• Strengths and Difficulties
Questionnaire - (SDQ parent)
• Revised Child Anxiety and
Depression Scale - (RCADS self)
• Generalized Anxiety Disorder 7item - (GAD-7 self)
• Patient Health Questionnaire (PHQ-9 self)
• Outcome Rating Scale (ORS,
CORS, YCORS)
• Impact of Event Scale - (IES
parent)
• Me and My School (Behavioural
Difficulties - Conduct subscale) (MAMS)
• Clinical Outcomes in Routine
Evaluation – Outcome Measure (CORE-OM)
• The Health of the Nation Outcome
Scales, and for Children and
Adolescents - (HoNOS,
HoNOSCA)
Details on monitoring effectiveness
• As a service, we are collecting outcomes using the Young
Person's CORE-YP evaluation form (Clinical Outcomes in
Routine Evaluation – Outcome Measure).
• We routinely report on a quarterly basis to the schools and
on a yearly basis, we report back to our funders and
stakeholders.
• Our data shows a reduction in stress and anxiety over a
twelve-month period for approximately 90% of the
students. We share these figures with the University of
Strathclyde.
• Our data is used to inform service development by seeking
to build a picture of how young people cope with loss in
urban priority areas across England.
Use of evidenced methods
• Non-directive supportive therapy, Interpersonal
Therapy, Systemic Family Therapy all for depression
(NICE, 2005) CBT for anxiety and depression (NICE,
2004);
• CBT and Parenting for Conduct Disorder (NICE, 2006);
• Humanistic and play therapy for anxiety (Dearden,
1998);
• Humanistic and interpersonal therapies for
reducing anxiety from parental separation, reduce risk
of repeated suicide attempts, children who have been
sexually abused (Systematic Scoping Review Harris,
Pattison 2004)
Compliance
Safe and confidential
Safe practice
large charity
small charity
statutory
Safeguarding policies and
procedures last updated:
01/07/2013
Safeguarding policies and
procedures last updated:
Ongoing review
Safeguarding policies and
procedures last updated:
01/11/2013
Confidentiality policies
and procedures last
updated: 01/07/2013
Confidentiality policies
and procedures last
updated: 01/08/2013
Confidentiality policies
and procedures last
updated: 01/11/2013
Supervision:
Frequency: Monthly
Accreditation of supervisor:
Supervision:
Frequency: monthly/six
weekly depending on role
Accreditation of supervisor:
Supervision:
Frequency: weekly
Accreditation of supervisor:
Trained by us and are
supervised themselves by an
accredited supervisor.
All have supervision training,
one has higher education
certificate in supervision studies,
some social workers have social
work supervision certificates
• AFT (Association for Family
Therapy & Systemic Practice)
• BACP (British Association for
Counselling & Psychotherapy)
• HPC (Health Professions Council)
• RCPsych (Royal College of
Psychiatrists)
• UKCP (UK Council for
Psychotherapy)
Safe practice
• Frequency of supervision: Every 4-6 weeks
• Accreditation of supervisors:
– BACP (British Association for Counselling &
Psychotherapy)
– Therapists receive clinical supervision from BACP
supervisors. Children and family workers receive
line management supervision from trained
managers.
Staff qualifications
•
•
•
•
25% of our staff has Counselling diploma
25% has Psychology degree
25% has Psychology and Social Policy degree
25% has NVQ 3 in Health and Social care
Total Number of volunteers are between 40 and
45.
Empowerment
Collaborative practice with clients
Empowerment – individual level
large charity
small charity
statutory
• Verbal feedback from
children, young people
or their family
• CORE: Goal Attainment
Form (CORE: Clinical
Outcomes in Routine
Evaluation)
• Relate Federation
outcome forms
• Verbal feedback from
children, young people
or their family
• young person's survey
• foster carer survey
• stakeholder survey
• consultation forms with
foster carers, children
and young people and
local authority partners
and other professionals
• one to one meetings
with children and young
people
• Verbal feedback from
children, young people
or their family
• Experience of Service
Questionnaire (CHI
ESQ)
• Feedback Tracking
Measures (Session
Rating Scale: SRS)
• Goal Based Outcomes
(GBO, e.g. Goal
Progress Chart)
• CORE: Goal
Attainment Form
(CORE: Clinical
Outcomes in Routine
Evaluation)
Empowerment – individual level 2
• Therapy is lead by the child or young person
• Engagement is voluntary
• Choice of time, day and venue, and of male or
female counsellors - as far as is possible
• Clients given the opportunity to develop
strategies with the practitioner
• Choice of ways of engaging with counselling
e.g. creative media, art, play, sand tray,
puppets
Empowerment – organisational level
large charity
• We use individual client
feedback for
organisational
development at local
and national level
small charity
• User group
• Suggestions box
• Online polls or
questionnaires
• Service development
projects involving
children and young
people
• Membership of young
people and/or parents
on decision making
boards or planning
groups
statutory
• User group
• Suggestions box
• User participation
officer
• Online polls or
questionnaires
• Service development
projects involving
children and young
people
• Membership of young
people and/or parents
on decision making
boards or planning
groups
Empowerment – organisational level 2
• We continually seek to improve the service we provide based upon
need and encourage service user participation in support groups
and forums.
• Service users are involved in service design, each session,
workshop, group is evaluated and feedback is used to inform
delivery.
• Service users are encouraged to support the staff recruitment and
selection process and are involved in developing questions and are
invited onto the selection panel.
• An example of how our practice has been informed by service user
feedback:
we consulted service users in our annual 'family feedback' review
day. We found that there was a need for a 'drop-in' session where
parents could call in for a coffee and an informal chat with peers
and staff. This now runs on a fortnightly basis.
Value
Social and financial impact
Unique features
• We, through bringing together youth work and
clinicians under one roof, have created the only service
of its kind in England, providing easily accessible,
health and wellbeing support capable of dealing with
complex needs.
• Opportunistic screening and the use of the ‘Teen
Health Check’ developed by Dr X, means our model is
ideal for early case identification and with prescribers
on-site can provide swift intervention without the need
to refer on and risk losing the young person’s
engagement.
Value for money
• The cost per pupil completing our core intervention (Family Group) is
significant (approximately £3,000 per annum). However, in the light of a
recent government report (issued by the Department for Communities
and Local Government) that stated that 120,000 troubled families are
currently costing this country approximately £9 billion per annum, the
potential return on investment is clearly huge.
• That same report indicated that "the average unit cost of intensive
interventions that are known to work with this group of families....is
around £10,000".
• Family Groups can therefore be seen as an extremely cost effective way of
helping troubled families and, although we are not claiming that our
intervention will solve all the difficulties that our families face, on the
basis of our experiences to date, we are confident that our intervention
delivers significant direct and indirect net benefits - primarily to
participating children but also to parents/carers, other family members,
the school, national/local services and the local community.
Social value
• First Take has been funded by the City council and Film
Council for over 20 years because it is effective at
raising self-esteem, skills, knowledge and confidence of
young people. It has changed policies, raised untold
stories, got people into education and employment,
improved wellbeing, created positive entertaining
pieces of work that have be screened and won at
festivals.
• We are embedded in the heart of many diverse
communities, which inspires us to create great content
about these communities and their issues. Our
networks enable us to work collaboratively and to
connect new groups together.
Reviews and accreditations
• Recent Organisational BACP (British Association for
Counselling & Psychotherapy) Accreditation August
2013.
Assessor's Comment:
• "This is an exemplary application with clear, well
referenced and collated evidence, highlighting a safe,
coherent and professional service. It was a pleasure to
assess."
• "The our service clearly provides a most valuable
service to the young people in London."
• "This service is commended for the thoroughness of
the submission."
Testimonials
•
“Thank you so much for diagnosing me with visual stress, by using my
coloured overlay it has changed my life, reading is a joy now, and I am also
understanding why I found written work so difficult.” Belinda
•
“This service really punches above its weight. It provides invaluable services to
people with dyslexia and associated problems, ranging from screening and
friendly guidance to a full resource centre and training workshops to suit a
variety of needs. This service is an asset to Norwich and Norfolk and I fully
support its work.” Chloe Smith (MP N North)
•
"Fantastic day to all involved in dyslexia in Norfolk. The BDA would love to see
others follow their lead with such courage and conviction." Bernard (British
Dyslexia Association)
•
"I can only extend heartfelt thanks to you for clearly having spent so much
time researching my condition in detail. I feel I am able to begin to reclaim my
life again." Rosalind
Contact details
Way to access the service
large charity
• Any route
small charity
• Local Authority Social
Services refer to us
statutory
• School staff
• Parents/carers
• Healthcare
professionals (e.g. GP,
A&E, Paediatricians)
Waiting time
large charity
• Emergency situation:
within 24 hours
• Non-emergency
situation: within 1 week
small charity
• Emergency situation:
within 1 hour
• Non-emergency
situation: within 1 hour
• Comment: Response is
immediate and
placement can be made
in accordance with
necessary time scales
whether it is on the
same day or a month
ahead.
statutory
• Emergency situation:
within 1 week
• Non-emergency
situation: over 1 month
• Comment: High risk
cases will be seen within
7 days.
Opening times
large charity
small charity
Monday:
09:00-21:00
Tuesday:
09:00-21:00
Wednesday: 09:00-21:00
Thursday: 09:00-21:00
Friday:
09:00-14:00
Saturday: 09:00-13:00
Sunday:
Closed
Monday:
24 hour
Tuesday:
24 hour
Wednesday: 24 hour
Thursday: 24 hour
Friday:
24 hour
Saturday: 24 hour
Sunday:
24 hour
Comment:
These are Lincoln opening
times, each of the other
centres will vary from this.
Comment:
9-17.30 Monday - Friday
office is open, remainder of
time is via on call, every day
of the year.
Contact 0845 166 4110 to
find out the times of your
nearest centre.
statutory
Monday:
09:00-17:00
Tuesday:
09:00-17:00
Wednesday: 09:00-17:00
Thursday: 09:00-17:00
Friday:
09:00-17:00
Saturday: Sunday:
-