The Southwark Enhanced Intervention Team: Two Year Evaluation
Dr Peggy Ravoux , Dr Karin Fuchs, Rosie Lee (MHLD Psychology Services, South London & Maudsley NHS Foundation Trust) and Sophie Simpson, (Southwark
Social Care) , March 2016
3. Outcomes: 2 years in
1. Context and aims
“Winterbourne”
Enhanced
intervention Service (EIS) initially funded for a year by
OOA services
others in
in 2014 as part of the local transforming care agenda.
LA as a+ pilot
social care
FundedundedA
for 2+more years as a multi-agency service from better
people and LA monies to:
care funding
in crisis locally
4. Key ingredients
Number of people worked with Jan 14 - Jan 16 = 15
(17 episodes of care)
•
Multi-agency commitment via the Transforming Care
steering group, enabling strategic change
13 people aged from 17.5 to 25. Most have ASD, complex
health issues and all display behaviour that challenges.
•
Integrated working is essential: partnerships
with families, Local Authority, health services, education,
providers and commissioners
•
Crisis intervention and preventative work are the two sides of the
same coin. Learning from crisis in order to prevent future crisis
•
Putting families at the centre: Integrating a systemic approach (cocreating solutions as a network of support around a person) with
PBS
•
Access to specialist assessment and input should happen earlier for
young people with complex needs at risk of restrictive interventions
/OOA placements. More flexibility across adult/ child services.
•
Developing capable environments is key
•
Combination of clinical work and strengthening local services –
sustainable outcomes
•
Skills mix of staff and strong clinical leadership
•
Timely and intensive response when it is most needed.
•
Clear focus, strong value-base, flexibility and “thinking outside the
box”
•
Continuing to learn, listen to feedback and fine-tune the model.
Honos-LD wellbeing scores: Pre and post paired data Jan14Jan16
Crisis intervention:
Small, skilled, experienced multi- agency team: psychology,
behaviour practitioner (1.0), social worker (0.6), SLT (0.6), Nurse
(0.5). Psychology-led.
2. How we do it
•
•
7 people supported to stay local and prevented from moving
into more restrictive environments at point of crisis.
Reduction in behaviour that challenges, reduction in family
stress; improved QoL & capability of environnent; financial
savings
Clinical service planning & transition back to borough:
• 7 people stepped down or in the process of being stepped
down from out of area to less restrictive, local environments
• Positive outcomes demonstrated (behaviour, QoL, financial)
Financial savings to date: £700,000 over a two year period
(actual and prevented)
Strengthening services: Ongoing training & consultation for
respite services and local service provider to create capable
environments for short term breaks and crisis support. Training
for social work team, contracts monitoring, and support
planning team around capable environments.
.
Acknowledgements & contacts
London Borough of Southwark
Southwark Transforming Care Steering Group
Contact: [email protected];
MHLD SLaM
Guys & St Thomas’s NHS Foundation Trust
(Speech & Language Therapy, Nursing)
[email protected];
[email protected]