Families and alcohol


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  • Explain that the overriding conclusions were that people were on a slippery slope and that it was very costly and difficult to get them back on track.
  • Last one in italics as this has yet to be decided
  • Last one in italics as this has yet to be decided
  • Families and alcohol

    1. 1. Families and Alcohol Deborah Gornik Head of early intervention, prevention and partnerships
    2. 2. Covering today <ul><li>Why are we doing this? </li></ul><ul><li>The approach we have taken </li></ul><ul><li>Outcomes to achieve </li></ul><ul><li>Lessons learned </li></ul><ul><li>Things to share </li></ul>
    3. 3. Why are we doing this? <ul><li>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 </li></ul><ul><li>The annual cost related to alcohol misuse in the Blackburn area is £33m </li></ul><ul><li>17.6% of BwD 16+ population drink at hazardous levels (18,090 people) </li></ul><ul><li>5.5% drink at harmful levels (5,653 people) </li></ul>
    4. 4. Why are we doing this? <ul><li>Looking for ways to improve strategic objectives: </li></ul><ul><ul><li>Reduce alcohol-harm related hospital admissions (NI 39) </li></ul></ul><ul><ul><li>Reduce the all age, all cause mortality rate (NI 120) </li></ul></ul><ul><ul><li>Reduce the mortality rate from all circulatory diseases for citizens under 75 (NI 121) </li></ul></ul><ul><ul><li>improving the health, well-being and development of children across Blackburn with Darwen. </li></ul></ul><ul><li>  Looking for ways to work smarter & in partnership </li></ul><ul><ul><li>Identify efficiency savings and improve effectiveness of public sector resources </li></ul></ul>
    5. 5. The approach we have taken <ul><li>Phased approach (with review at end of phase) </li></ul><ul><ul><li>Phase 1: Understand the current situation of services, front line staff opinion and customer opinion to identify areas to improve. </li></ul></ul><ul><ul><li>Phase 2: Develop conceptual models of potential improvements. </li></ul></ul><ul><ul><li>Phase 3: Develop improvement plan with costings </li></ul></ul><ul><li>Involve stakeholders </li></ul><ul><li>Be practical and pragmatic </li></ul><ul><li>Produce useful product </li></ul>
    6. 6. Phase 1 - activity <ul><li>Customer definition workshop </li></ul><ul><li>Service provider interviews </li></ul><ul><li>Customer engagement workshops </li></ul><ul><li>Challenge workshops </li></ul><ul><li>Costing research </li></ul><ul><li>Interim improvement report </li></ul>
    7. 7. Phase 1 - findings <ul><li>Alcohol was only part of a complex picture. </li></ul><ul><li>Treating the symptoms didn’t necessarily remove the cause </li></ul><ul><li>Once misuse starts it is costly and difficult to stop </li></ul><ul><li>There is a knock on affect to other members of the family </li></ul>
    8. 8. 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
    9. 9. Phase 1 - conclusions <ul><li>More effort needs to be put into prevention and earlier intervention </li></ul><ul><ul><li>More brief interventions </li></ul></ul><ul><ul><li>More early referrals </li></ul></ul><ul><ul><li>More big society type action </li></ul></ul><ul><ul><li>More holistic family support </li></ul></ul><ul><li>Decided to move the project into a Think family context to focus on prevention and earlier intervention. </li></ul>
    10. 10. Phase 2 - Concept <ul><li>Family Service Planner </li></ul><ul><ul><li>Organise services such that they can be easily identified by a lead professional (and any front line worker) </li></ul></ul><ul><ul><li>Aim to include all ‘services’ across the place </li></ul></ul><ul><ul><li>Group costs to identify place based sharing opportunities </li></ul></ul><ul><ul><li>Develop a means to justify a family intervention </li></ul></ul><ul><ul><li>Develop a family service plan to be more holistic and encourage proactive referrals </li></ul></ul>
    11. 11. Family service planner
    12. 12. Family Service Planner
    13. 13. Phase 3 - Plans <ul><li>Firm improvement plans </li></ul><ul><ul><li>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. </li></ul></ul>
    14. 14. The outcomes to achieve <ul><li>Cultural shift in being more customer and partnership focused </li></ul><ul><li>Efficiency savings and more effective services by working better as a public sector </li></ul><ul><li>Reduction in higher levels because of level 1 and 2 interventions </li></ul><ul><li>Sustainable change with more community involvement </li></ul><ul><li>Improvement in the strategic objectives for the longer term </li></ul>
    15. 15. Lessons learned <ul><li>This is ‘hard to justify’ work and needs driving forward </li></ul><ul><li>There are too many stakeholders to get on board but worth giving everyone the opportunity to speak </li></ul><ul><li>There are a lot of services available but they aren’t always cohesive in meeting customer need </li></ul><ul><li>Need to define useful SMART products and tools not more theory </li></ul><ul><li>Having a private sector PARTNER helps </li></ul>
    16. 16. Things to share <ul><li>Findings & Improvement Report </li></ul><ul><li>Family service planner concept </li></ul><ul><li>Final improvement plan </li></ul>
    17. 17. Thank you for listening Any questions?