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A Crisis Intervention Service for Families
Integrated Family Support
Team
A clear message from developing polices of the Welsh Government is that the future of effective public services in Wales must be built
around integrated services to children and families to provide holistic support at every level of need.
A One Wales Commitment
“We will seek further powers to legislate in the fields of vulnerable children, looked-after children
and child poverty.”
Subject of a National consultation: Stronger Families 2008
Children and Families (Wales) Measure 2010 part 3 and part 4 Sections 67 & 68 / SECT 58
WG committed to the roll-out of IFSS across Wales
IFST WG
Background
A child protection and substance misuse crisis intervention service.
We work with families where there are serious child protection concerns related to parental substance misuse.
Integrated Family
Support Team
The Team
The IFST is a multi-agency team:-
Service Manger
Team Manager
10 Practitioners
3 CSW
2 Substance Misuse Nurses
1 Health Visitor
1 Substance Misuse Worker
1 Barnardos Secondment
1 Probation Secondment
1 GSSMS Secondment
The culture of the Team is one of reflective practice, peer support and mentoring in order to maintain effective evidence based interventions which are relevant to the families’ needs.
The Team
The use of MI is thread throughout supervision structure to enable reflection in casework:
One-to-one buddying
Group Peer Supervision
Management Supervision
The same approach is used with our partner organisations.
Our Aim
We aim to create a sustained positive change in the way families function enabling children to:
Remain home safely
Return home safely
Or develop an alternative plan
A sea change in the way in which
services work with families:
We can’t tell if it’s hopeless:
We don’t know which families will be successful until we try.
Families are our partners:
We share resources and accept families as partners in problem solving in their own situation.
It is our job to motivate families and instil hope:
We build on strengths. People do not resolve problems by drawing on their deficits.
Underpinning Principles
M.I. andEngagement
Phase 1
Initial 3 day assessment:
Intensive work at a point of crisis to motivatebehaviour change and provide child safety.
Full intervention:
Continuation of intensity – no more and no lessthan the family needFamilies move toward setting their own goals Exploration of values and strengths
One worker – one family Applying the spirit, principles and coreskills of MI
The kinds of goals set by families:
Managing children’s behaviourCommunicating with a partnerStopping/controlling drink/drug usePlanning school returnLearning new parenting skillsEstablishing routinesManaging adult behaviourImproving home environmentBuilding healthy relationships
Family’s and SW’s agendas come together
Phase 1
Phase 2
Family maintenance plan
Follow up and review at 1,3,6 and12 months
Booster sessions if required
Integrated Family Support Team
Family open to SSD for: 10 years
Previous SSD involvement: CP registration & Care Order
CPR Category: neglect
Reason for Referral: domestic violence and substance misuse
MI improved family relationships, increased protective factors
Case Example
Family 1
Family open to SSD for: 10 years
Previous SSD involvement: Family placed on CPR twice
CPR Category: Neglect
Reason for Referral: 4 children accommodated after serious domestic violence incident
M.I. enabled exploration of root cause of mother’s drinking
Case Example
Family 2
Family open to SSD for: 20 years
Previous SSD involvement: 5 Children (1 now adult) periods of CP Registration
CPR Category: Neglect
Reason for Referral: Children not attending schoolRent arrears unpaid = real threat of evictionPoor home conditionsBoth parents 20 years amphetamine use
One to one session with mum looking at routines:Content, meaning and feeling reflectionsMade connection between amphetamine use and difficulties.Positive changes.
Case Example
Family 3
Outcome of Phase 2 Families
Children remaining Home 36Children returning Home 7Children de-registered CPR 8Children remaining on CPR 16Children registered on CPR 0Children accommodated 15 or remaining in care
Qty
Goal Scaling at Beginning of Intervention
Red 39%
Amber42%
Green19%
Red Amber Green
Goal Scaling at end of Phase 1
Silver 24%
Green51%
Amber17%
Red 8%
Red Amber Green Silver
Goal Scaling at Beginning of Intervention
Red 39%
Amber42%
Green19%
Red Amber Green
Goal Chart Progress
75% of Goals achieved Green status or above at the end of Phase 1 Intervention
Goal Scaling at 1 Month Review
Amber16%
Green37%
Silver 36%
Gold11%
Amber Green Silver Gold
Goal Scaling at 3 Month Review
Amber4%
Green37%
Silver 52%
Gold7%
Amber Green Silver Gold
Goal Chart Progress
84% of Goals achieved Green status or above at the 1 Month review
96% of Goals Achieved Green status or above at the 3 Month review
“All back together”
“Explored new ways of looking at solutions to problems with full support”
“Supported and listened to”
“Excellent service that encourages the family, not makes decisions for you, lets you think for yourselves and doesn’t tell you what to do”
“Made my family be united”
“Made us strong”
“ Thought more about our behaviour and what it means for the baby”
“ Able to make a home for ourselves”
“ Helped me to keep my kids”
IFST Family Feedback
“Useful service with clear positive outcomes”
“Assisting me in the initial stages of identifying SMART goals”
“The Goal Setting work was good as giving the parents focus”
“Being able to offer the family time that Social Workers cannot, which enabled them to be much more open and honest with the professionals involved with them”
“Extremely approachable and supportive to both myself and the family”
“Good news K has done really well and seems to be very happy and proud of herself which is good. Nice outcome - well done!”
IFST Referrer Feedback
Thank you!
Matt Lewis [email protected]
Suzanne [email protected]
Amanda [email protected]
Newport IFST01633 821 034
