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The Area Based Childhood Programme 2013 -2016 Service Design and Implementation Support Workshop 2 15th April 2014 Centre for Effective Services

The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Page 1: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The Area Based Childhood Programme 2013 -2016

Service Design and Implementation Support Workshop 2

15th April 2014

Centre for Effective Services

Page 2: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The Area Based Childhood Programme 2013 -2016

Welcome

Katie Burke, Centre for Effective Services

Page 3: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The Area Based Childhood Programme 2013 -2016

3

Agenda

10.00 Registration

10.15 Welcome

Katie Burke, Centre for Effective Services

10.20 Limerick City Children’s Services Committee: Statutory and Voluntary Collaboration in Service Delivery and Engaging Parents in Services

Maria O’Dwyer & Margaret Mastriani

11.00 Group Work

12.15 Group Feedback and Panel Discussion

Panel: Noel Kelly (Preparing for Life), Margaret Mastriani (Limerick Children’s Services Committee), Eleanor McClorey (youngballymun), Maria O’Dwyer (Paul Partnership), Marian Quinn (CDI).

13.15 Lunch

13.50 Update on the ABC Programme, Next Steps and Questions

Aisling Sheehan & John Bamber, CES and Joan McGarry, Pobal

15.00 Close

Page 4: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The Area Based Childhood Programme 2013 -2016

4

Objectives and Outcomes

• The objectives of the workshop are:

– To meet needs identified and communicated during site visits

– To share experiences and learning with other Areas through group work and

wider group discussion

– To provide an update about the ABC Programme and explore future directions

• The learning outcomes for the workshop are:

– Strategies for effective engagement and working with statutory and voluntary

providers and the community

– Strategies for effective engagement with parents in services during the design and

implementation of services

Page 5: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Agenda for Site Visits with 9 New Areas

1. Introductions and roles

2. Learn more about the Area and proposal

1. Statutory and voluntary engagement

2. Extent to which proposal builds on existing services

3. Outcome areas and extent to which proposed activities match the outcome areas

4. Extent and quality of evidence base

5. Management and co-ordination

3. Expectations and needs

4. Questions and queries from Area

5. Progressing service design tasks – logic model and implementation plan

6. Pre-development supports

7. Conclusion

Page 6: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Why are these two themes important?

1. Strategies for effective engagement and working with statutory and

voluntary providers in the community

• Still operating in silos – within and across disciplines and sectors

• Build on existing services and strengthen through reconfiguration of resources

and service delivery mechanisms – not the ‘what’ but the ‘how’

2. Strategies for effective engagement of parents in services through the design

and implementation of services

• International evidence shows that there is a tendency for organisations to

overestimate the demand for a service.

• Although services may wish to target ‘hard-to-reach’ or ‘at risk’ families, they

may end up working with an easier-to-engage group.

Page 7: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The Area Based Childhood Programme 2013 -2016

Limerick City Children’s Services Committee: Statutory and Voluntary Collaboration in Service Delivery and Engaging Parents in Services

Maria O’Dwyer and Margaret Mastriani

Page 8: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

Collaboration in a Community

Wraparound model

ABC: Service Design & Implementation Support Workshop

April 15, 2014

Page 9: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

Limerick City CSC Established in 2007 as one of the four pilot Children’s Services Committee

In 2012, the Limerick City CSC published, “How are Our Kids?: Experiences and

Needs of Children and Families in Limerick City with a Particular Emphasis on

Limerick’s Regeneration Areas”, which also provided strong evidence of the need for

services to intervene at earlier stages and to work in more integrated ways

In 2010, PAUL Partnership, the HSE and the Limerick City CSC jointly convened a

multi-agency consortium to develop a proposal in response to the call for proposals

under NEYAI.

This proposal was successful in securing funding and became the Start Right Project.

Start Right became a formal sub-structure of the Limerick City CSC in 2011 and

received further funding through Limerick Regeneration and the Programme Innovation

and Development Fund: Community Wrap-around Model was developed over the

course of the initial stages

The approach developed by Start Right, both in what was developed and implemented

and how it was done has underpinned the Limerick City CSC ABC Proposal.

Page 10: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

Context

NEYAI / Regeneration – early intervention and prevention

project (0-6) on Limerick’s southside

Model area:

3 communities

9 early years settings

5 primary schools & 1 after-school project

724 (887) children (0-6 years)

2322 family units (97 inter-generational)

393 children in EY settings

89 EY staff

Page 11: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The Wish List

Start Right

Families

Family Resource Centre

All EY settings & staff

Childcare Committee

HSL

Creative Therapists

School Principals

Social Services Council

Barnardos

Sophia & Novas

Community Wraparound

+

Public Health Nurse

Speech & Language Therapist

Access to PCT

Psychology

Maternity

Early Intervention Services

Page 12: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

What is Community Wraparound (CW)?

A process that provides individual children and their

families with tailored services and ongoing, flexible

support

Services are identified and tailored based on the needs of

children and their families, rather than on what the

system has available and is experienced in providing

The model of service planning and delivery moves away

from being expert-driven and is best described as a

collaborative approach to child-centred service provision

Start Right model of CW: Ante-natal – 3 years in one

defined community within the model area

Page 13: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The what

The programme is child-centred and family-driven

All work within the programme is team-based and

collaborative

All clinical, referral and workshop components of the

programme are community-based

Work with children and families operates from a

strengths-based approach, that is individualised and culturally

competent

The work of the Community Wraparound programme is

outcomes-based

Natural supports are integral to the programme

Page 14: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The how

Set goals and brainstorm strategies to achieve them

Determine indicators and measure outcomes

Continually revise activities based on evidence of their

effectiveness

Acknowledge and celebrate successful transitions, and

own the failures

Page 15: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

How that looks on the ground

Community-based antenatal clinic

Creative Therapeutic Intervention Service

Designated Speech & Language Therapist

Relationships with all relevant partners

Parent groups

Infant massage (mental health)

Joint home visiting with PHN & Community Mothers

Weaning clinic

IY Parent & Baby programme – co-delivery model

Tag-on clinics at developmental checks

Referral pathways

Page 16: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

Sustainability (non fiscal)

Located in a wider population (public health) approach to parenting

CSC: Homemakers Family Support programme & Parenting Limerick Network

Collective understanding of outcomes and what it takes to get there

Raised expectations (e.g. parents) in tandem with ongoing capacity-building

Creating & maintaining a CW culture: de-stigmatise the system, minimise mandates when interacting with families, partnership as first point instead of last resort, incremental goals instead of ‘all or nothing’

Page 17: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

Lessons for service design

Vision Culture

Page 18: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

Training needs to be whole-service and rooted in

principles (e.g. community development)

Know your ‘drivers’

Cannot be presented as a ‘pilot’, ‘demonstration’ etc.

Reframe traditional child welfare terminology

Cultural/organisational differences need to be recognised

but cannot dominate at a micro level

This is a systems change process that is only truly

achievable when a culture of inclusion and partnership

between services and families is created

It always seems impossible until its done

Page 19: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

Discussion

Page 20: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The Area Based Childhood Programme 2013 -2016

Group Work

Page 21: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Group work

1. What is your experience of collaborating with key statutory and

voluntary providers and the local community?

2. How do you plan to work with key statutory and voluntary

providers and the local community?

3. What have services in your area learned about engaging

parents in services?

4. How do you plan to engage parents in services in your area?

5. What questions would you like to explore with the Panel?

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Group Feedback and Panel Discussion

Panel

Claire Casey, Childhood Development Initiative Tallaght West

Noel Kelly, Preparing for Life, Northside Partnership

Maria O'Dwyer, PAUL Partnership Limerick

Eleanor McClorey, youngballymun

Margaret Mastriani, Limerick Children's Services Committee

Chaired by Stella Owens, CES

Page 23: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

The Area Based Childhood Programme 2013 -2016

Updates on the ABC Programme and Next Steps

Aisling Sheehan & John Bamber, CES, and Joan McGarry, Pobal

Page 24: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Updates and Next Steps

• Design and Implementation Support

• Prevention and early intervention approaches to oral language

development

• Evaluation

• Governance and Finance

• Developing a Learning Community

Page 25: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Design and Implementation Support 2014

March 2014 Individual Area Visits

with CES/Pobal

April 15 2014 Service Design &

Implementation Workshop 2

30 May 2014 Deadline for

service design tasks

for remaining

Areas

3 July 2014 ABC Learning Community

Event

27 Feb 2014 Service

Design & Implementation

Workshop 1

April 4 2014 Deadline for

service

design tasks for ‘fast-track’

Areas

Feb 2014 March 2014 April 2014 May 2014 June-July 2014

Support from CES and Pobal as and when needed/requested

Page 26: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Timeframe for Approval from Design Stage

Approval Process

Fast Track

Normal

Submission of service design tasks 4th April 30th May

Review of service design tasks and budgets by CES and Pobal; seek clarifications/ further information if required

April-May June-July

Recommendations from ABC Working Group to Interdepartmental Project Team and from Interdepartmental Project Team to Government

May-June

September

Approval by Government June September

Contracting June-August

Oct-Nov

Page 27: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Oral Language Development

• Many areas are looking to develop services to promote oral language

development; prevent speech and language developmental delays; and to

identify delays early and make appropriate referrals to SLT services.

• CES is commissioning a piece of work by Mary Rafferty to advise on preferred

models or approaches to oral language development under the ABC

Programme to help ensure that services are evidence-informed, fit well with

current service provision, and have future sustainability.

• There will be consultation with services/Areas providing services as part of

the process.

• The work will be completed by June/July.

Page 28: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Evaluation

• CES is currently developing an evaluation framework for the ABC

Programme with input from the Expert Advisory Group, experts,

and the PEIP sites.

• Conducting an evaluation can provide evidence about the

implementation and impact of services and helps to identify

potential improvements to practice.

• Shift from proving impact to improving impact, which moves the

use of evidence closer to practice.

Page 29: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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High-Level ABC Evaluation Framework

ABC Programme Logic Model (updated)

Evaluation of Outcomes Evaluation of Implementation Processes

Guiding service delivery Sharing best practice within the ABC Programme

Disseminating outside of the ABC Programme

Lo

ca

l d

ata

co

llectio

n

Implementation To what extent has the ABC

Programme made progress in embedding a prevention and early intervention approach in mainstream services? o What strategies have been most successful? o How is the ABC Programme influencing the

allocation of resources in Areas over time?

Outcomes How have the outcomes for

children, parents and families, who received services under the ABC Programme improved? o Children’s learning o Child health and development o Parenting

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Developmental Evaluation

Formative Evaluation

Summative Evaluation

Developmental Evaluation

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Preparing for Contract - Governance

• Pre-contract checklist

• Logic model

• Implementation plan

• Budget

• Consortium structure

• Focus group to share learning on consortium working and

governance

• Consortium structure/agreements: Pre-contract condition – within

2 months

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Preparing for Contract - Governance

• Other Requirements

• Bank account (authorised signatories) • Tax Clearance Certificate • Apportionment policy • Public Procurement declaration • Leverage – contract condition • Governance documents

• Memo & Arts • AFS • Insurance

• Policies and procedures • Financial • HR • Publicity • Other (H&S, Child Protection, Document retention, Data Protection)

Page 33: The Area Based Childhood Programme 2013 -2016 · The Area Based Childhood Programme 2013 -2016 3 Agenda 10.00 Registration 10.15 Welcome Katie Burke, Centre for Effective Services

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Development of the ABC Learning Community

• We would like to discuss what kind of Learning Community

would be most useful for the ABC Programme.

A learning community is “a group of people who share a

common concern, a set of problems, or interest in a topic and

who come together to fulfil both individual and group goals”

(Cambridge, Kaplan & Suter 2005:1)

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Suggestions on the ABC Learning Community

Questions to consider:

1) What is your experience of other learning communities and

what has/has not worked well?

2) What should the purpose of the ABC Learning Community be?

3) What should the content/focus of the ABC Learning Community

be?

4) How could the ABC Learning Community best be run? (e.g.

structured meetings, online information etc.)

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Questions