Transitions to adulthood - PowerPoint Presentation

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Transitions to adulthood

SCIE and the Children’s Society 30 July 2019

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Your presenters today

Iryna Pona, Policy Manager, Children's Society

Tony Hunter, CEO, Social Care Institute for Excellence

Sarah Hegarty, London Area Manager, Children’s Society

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Iryna Pona, Policy & Research Manager

Sarah Hegarty, Service Manager

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Supporting transition to adulthood for vulnerable 16 and 17 year olds

Iryna Pona

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The Children’s Society

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140

years supporting the most disadvantaged children and young people

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Online archive:

Now services nationwide for young people and families alongside policy, campaigns and research to understand and advocate for improvements to young people’s lives.

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http://www.hiddenlives.org.uk

www.thechildrenssociety.org.uk

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30 July 2019

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The case for better support for vulnerable 16 and 17 year olds as they transitions to adulthood

Supporting transition to adulthood for vulnerable 16 and 17 year olds Transitions in practice

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Supporting transition to adulthood for vulnerable 16 and 17 year olds

The case for improved transition support 16 and 17 year olds not offered same protection as younger children in legislation

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POLL: AT WHAT AGE?

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Developmental needs and exposure to new risks

Supporting transition to adulthood for vulnerable 16 and 17 year olds The case for improved transition support

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Feels useless

Cannot afford £10 savings per month

Family

Poor health

Friends

Mental health

Poverty

Material

deprivation

Risk Taking

Not supported by family

Would not turn to family if upset

Caring responsibilities

Less than 2 close friends

Feels like a failure

Lost sleep

Alcohol

misuse

Used drugs

Out late

Home not warm

Behind with bills

Doesn’t feel likeable

Low life satisfaction

Don't feel as able as most people

Vulnerabilities faced by 16 and 17 year olds

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How many are experiencing multiple vulnerabilities?

How many 16 and 17 year olds have these issues in their lives?Scale of vulnerabilities

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51%

had at least 1

poverty & material deprivation

vulnerability

46%

had at least 1

physical & mental health

vulnerability

29%

had at least 1

familial and social support

vulnerability

18%

Had at least 1

risk taking behaviour

vulnerability

The data showed that around 20% of young people aged 16 and 17 experienced 5 or more vulnerabilities.

This is about 240,000 young people in England

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Top issues identified in assessments of 16-17 year olds

Child’s mental healthParental mental healthDomestic violence Socially unacceptable behaviourEmotional abuseChild’s drug use Issues 16-17 year olds are experiencing

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Supporting transition to adulthood for vulnerable 16 and 17 year olds

The case for improved transition support Only small number of vulnerable 16 and 17 are entitled to support post 18

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POLL – HOW WELL ARE TRANSITIONS PLANNED IN YOUR AREA?

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Tony Hunter

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“There’s a whole world out there” The words of a lad from Liverpool during my time there, who would, with support, do volunteer work. He had a learning disability but his work meant that soon he was mentoring other people with learning disabilities to volunteer; he also supported them to do things like using the bus for the first time. He then went on to further education.

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“The challenge for us is to move away from idea of systems – that children supported by children’s social care services just need a process to transition to support and arrangements from adult social care to achieve the best possible adulthood”.

Lyn Romeo

Chief Social Worker for Adults, England

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Key messages

Getting the transition right for people with learning disabilities has proved stubbornly problematic for many years

Challenges have been worsened by a lack of integration, risk-averse organisations and funding pressuresSocial workers need the right support, systems and commissioning, an understanding of social care law and a focus on each person they support.

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Practice Framework

Having the right conditions in place.

Underpinning knowledge.The right values, skills and attributes.Supporting the person through the system.Focus on the young person.

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Having the right conditions in place

Social workers need supervision, training, reasonable caseloads, integrated systems and good local commissioning to best support people as they prepare for adulthood.

Example: Caseload pressure. Cases can be closed as soon as any immediate tasks are completed, which leads to a repeated switching of practitioners, and compromises the development of a lasting, trusting relationshipSuggest creating protected time to build trusting relationships with young people and their families.

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Values, skills and attributes

A solid grounding in social care law, practices and theories is central to good social work practice with young people with learning disabilities. More important still is having a set of attributes and values that, combined with the benefits of in-depth knowledge, can help young people work towards their life goals.

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Going through the system

Social workers need to understand local systems and services, and support young people and families to find what they need from those systems. Develop an understanding of local social care, health and education systems, and get to know the organisations providing support in these areas.

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Focus on the person

Transition social workers need to understand the plans, concerns and needs of the young people and the families they support, and work with them to make those plans real.

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Outcomes

A lack of transition support

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Vulnerability experienced at 16 and 17 years old

No. of vulnerabilities more likely to experience at 18 and 19 years old

Low satisfaction with life

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Poor health

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Not supported by family

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Caring responsibility

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Living in household poverty

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High level drug use

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NEET

(not in education, employment or training)

12% reported that they were NEET at 18 or 19 years old. However young people experiencing specific vulnerabilities at 16 and 17 were more likely to report being NEET

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Sarah Hegarty

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Where a child in need is approaching 18 years of age, this transition point should be planned for in advance. This includes where children are likely to transition between child and adult services.

Entitlements to transition support Children in need

Local authorities have a duty to start planning transition to adulthood for care leavers as early as possible, and soon after they turn 16 and are still looked after by local authorities.

Care leaversThe Children and Families Act 2014 extended the framework of support for disabled young people up to the age of 25.

Disabled children

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The Care Act 2014 places a duty on local authorities to conduct transition assessments for children, children’s carers and young carers where there is a likely need for care and support after the child in question turns 18 and a transition assessment would be of ‘significant benefit’.

Young Carers

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Different transitions

Dorothy, a child in needEarly childhood issues Estranged from family at 16Mental health needs Lives in supported accommodationClaims benefitsHas support worker who she rarely seesStruggles financiallyAll support stops when Dorothy turns 18

Lucas, a looked after child Early childhood issues Estranged from family at 16

Mental health needs Lives in supported accommodationHas a support worker and a pathway plan looking at education, employment, health etc LAs provides funding for food, bus fares etc

Support continues till Lucas is 25

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Mental health support

HousingFinancial independenceSafetyRelationshipsTaxes, bank accounts etcEducation, employment, trainingIssues to focus on in transition planning

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Young people who will move from children's to adults' services start planning their transition with health and social care practitioners by school year 9 (aged 13 to 14 years), or immediately if they enter children's services after school year 9.

Young people who will move from children's to adults' services have an annual meeting to review transition planning.Young people who are moving from children's to adults' services have a named worker to coordinate care and support before, during and after transfer.Young people who will move from children's to adults' services meet a practitioner from each adults' service they will move to before they transfer.Young people who have moved from children's to adults' services but do not attend their first meeting or appointment are contacted by adults' services and given further opportunities to engage.

https://www.nice.org.uk/guidance/qs140/chapter/Quality-statement-1-Planning-transition

Reflection- NICE guidelines for transitions:

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Young people should be treated as victims up to the age of 25

Joint exploitation panels for up to the age of 25

Exploitation not child exploitation and should include all forms of exploitation

There need to be collaboration between children and adult safeguarding boards and better working together between children services for young people going in to adult services

Joint planning in cases between children and adult servicesCo location of children and adult servicesAdult services being training around CSE

Local or regional forum to develop sharing of practiceYoung people spoke about their concern around transitions, especially around CAHMS to adult mental health services transition

Newcastle SCR: https://www.newcastle.gov.uk/sites/default/files/wwwfileroot/final_jscr_report_160218_pw.pdf

https://www.newcastle.gov.uk/sites/default/files/wwwfileroot/final_jscr_report_160218_pw.pdf

Serious Case Reviews- transitions

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For more information visit:

: https://www.childrenssociety.org.uktwitter: childsocpol

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Iryna.Pona@childrenssociety.org.uk

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Sarah.Hegarty@childrenssociety.org.uk

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Any more questions?