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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
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
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
The Area Based Childhood Programme 2013 -2016
5
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
The Area Based Childhood Programme 2013 -2016
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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.
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
Collaboration in a Community
Wraparound model
ABC: Service Design & Implementation Support Workshop
April 15, 2014
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.
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
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
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
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
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
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
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’
Lessons for service design
Vision Culture
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
Discussion
The Area Based Childhood Programme 2013 -2016
Group Work
The Area Based Childhood Programme 2013 -2016
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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?
The Area Based Childhood Programme 2013 -2016
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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
The Area Based Childhood Programme 2013 -2016
Updates on the ABC Programme and Next Steps
Aisling Sheehan & John Bamber, CES, and Joan McGarry, Pobal
The Area Based Childhood Programme 2013 -2016
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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
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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
The Area Based Childhood Programme 2013 -2016
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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
The Area Based Childhood Programme 2013 -2016
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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.
The Area Based Childhood Programme 2013 -2016
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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.
The Area Based Childhood Programme 2013 -2016
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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
The Area Based Childhood Programme 2013 -2016
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Developmental Evaluation
Formative Evaluation
Summative Evaluation
Developmental Evaluation
The Area Based Childhood Programme 2013 -2016
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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
The Area Based Childhood Programme 2013 -2016
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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)
The Area Based Childhood Programme 2013 -2016
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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)
The Area Based Childhood Programme 2013 -2016
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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.)
The Area Based Childhood Programme 2013 -2016
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Questions