Families and alcohol

Families and Alcohol Deborah Gornik Head of early intervention, prevention and partnerships

Covering today
Why are we doing this?
The approach we have taken
Outcomes to achieve
Lessons learned
Things to share

Studies show that children of parents who misuse alcohol are at a higher risk of mental ill-health, behavioural problems, police involvement, and alcohol / substance misuse
The annual cost related to alcohol misuse in the Blackburn area is £33m
17.6% of BwD 16+ population drink at hazardous levels (18,090 people)
5.5% drink at harmful levels (5,653 people)

Looking for ways to improve strategic objectives:
Reduce alcohol-harm related hospital admissions (NI 39)
Reduce the all age, all cause mortality rate (NI 120)
Reduce the mortality rate from all circulatory diseases for citizens under 75 (NI 121)
improving the health, well-being and development of children across Blackburn with Darwen.
Looking for ways to work smarter & in partnership
Identify efficiency savings and improve effectiveness of public sector resources

The approach we have taken
Phased approach (with review at end of phase)
Phase 1: Understand the current situation of services, front line staff opinion and customer opinion to identify areas to improve.
Phase 2: Develop conceptual models of potential improvements.
Phase 3: Develop improvement plan with costings
Involve stakeholders
Be practical and pragmatic
Produce useful product

Phase 1 - activity
Customer definition workshop
Service provider interviews
Customer engagement workshops
Challenge workshops
Costing research
Interim improvement report

Phase 1 - findings
Alcohol was only part of a complex picture.
Treating the symptoms didn’t necessarily remove the cause
Once misuse starts it is costly and difficult to stop
There is a knock on affect to other members of the family

Circles of Need® - all content is © Aperia 2010 Brief Interventions – GMW / Evolve Families United Service - Lifeline Young People Clinical Treatment - Lifeline National Helpline – AA Extended Interventions – GMW / Evolve Support Groups – Evolve Structured Day Programmes – Evolve Families United Service - Lifeline Breakfast Club - Voice Home Detox – GMW Recovery Support – GMW Abstinence Group – Evolve Work Routes – Evolve Families United Service - Lifeline Breakfast Club - Voice TIME

Phase 1 - conclusions
More effort needs to be put into prevention and earlier intervention
More brief interventions
More early referrals
More big society type action
More holistic family support
Decided to move the project into a Think family context to focus on prevention and earlier intervention.

Phase 2 - Concept
Family Service Planner
Organise services such that they can be easily identified by a lead professional (and any front line worker)
Aim to include all ‘services’ across the place
Group costs to identify place based sharing opportunities
Develop a means to justify a family intervention
Develop a family service plan to be more holistic and encourage proactive referrals

Family service planner

Family Service Planner

Phase 3 - Plans
Firm improvement plans
This will be planned after a review of phase 2 but intention is to present options to senior management that will deliver the objectives given at the start.

The outcomes to achieve
Cultural shift in being more customer and partnership focused
Efficiency savings and more effective services by working better as a public sector
Reduction in higher levels because of level 1 and 2 interventions
Sustainable change with more community involvement
Improvement in the strategic objectives for the longer term

Lessons learned
This is ‘hard to justify’ work and needs driving forward
There are too many stakeholders to get on board but worth giving everyone the opportunity to speak
There are a lot of services available but they aren’t always cohesive in meeting customer need
Need to define useful SMART products and tools not more theory
Having a private sector PARTNER helps

Things to share
Findings & Improvement Report
Family service planner concept
Final improvement plan

Thank you for listening Any questions?

Families and alcohol

by localinsight on Mar 21, 2011

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Families and alcohol — Presentation Transcript