Adult Drug Treatment Plan 2006/07 Part 3: Planning Grids
Partnership name:
Cornwall and Isles of Scilly
Part 2
Young people’s specialist substance misusetreatment plan 2010/11
Planning grids
Planning grid 1: Commissioning and system management
Identification of key priorities following needs assessment relating to commissioning and system management:
Improve data collection of young people in treatment including ethnicity, referral routes, CAMHS and schools data and particular vulnerable groups with an increased focus on Children and Young people in Care.
Review the quality of drug education in school and non school settings with particular reference to cannabis, alcohol and solvents taking into account NICE guidance.
Review substance related NICE guidance relating to clinical governance and young people in terms of ownership and protocols.
Further develop work with families affected by substance use and develop stronger strategic links between parenting and substance use agendas.
Objective 1: Improve data collection of young people in treatment including ethnicity, referral routes, CAMHS data and particular vulnerable groups with an increased focus on Children and Young people in Care.
Delivery Plan:
Actions and milestones / By when / By whomEnsure SUST recording fields for Children and Young People in Care is integrated into Framework I and data is able to be captured and tracked / Sept 2010 / YZUP Practice Manager
Ensure all Yzup team members are fully trained and compliant with data input / June 2010 / YZUP Practice Manager
Ensure datasets on new case management system are compliant with NSTMS core dataset and can be easily accessed and translated across / Sept 2010 / YZUP Practice Manager
Compliance in complying with core dataset entry built into quarterly contract monitoring meetings as part of Quality Assurance / Oct 2010 / 13-19 Commissioning Manager
Begin negotiation with CAMHS and Primary Mental Health Team for development of core dataset collection and ongoing monitoring in partnership with CAMHS Commissioner. / April 2010 / 13-19 Commissioning Manager
Work with CAHMS to monitor referrals and joint working between substance misuse services and CAMHS. / April 2010 / YZUP Practice Manager
Begin to implement Data Development plan with key partners to facilitate quarterly update of current Needs Assessment / April 2010 / 13-19 Commissioning Manager
Expected outcomes:
Children in Care data is able to accessed and extracted from Framework I for the purposes of monitoring and performance management.
Yzup Team members are inputting and managing data input for client caseload and are compliant with core datatset entry, monitored via supervision.
To evidence a reduction in relation to unmet need amongst young people presenting to Primary Mental Health Services and CAMHS with substance misuse issues.
Objective 2: Review the quality of drug education in school and non school settings with particular reference to cannabis, alcohol and solvents taking into account NICE guidance
Delivery Plan:
Actions and milestones / By when / By whomRe-audit all school and college delivery of early intervention/prevention work and estimated levels of need by gaining endorsement of Schools gate-keeping group and collate data to be analysed / July 2010 / Research and Information Officer, CSF Directorate
Review all School and College Drug Policies particularly in relation to legal highs / July 2010 / YZUP Practice Manager
Set up task group to review findings of audit and develop plan to address early intervention and preventative work particularly in relation to cannabis and alcohol in line with the revised Drug Guidance for Schools. / Sept 2010 / YZUP Practice Manager
Develop better support for schools around alcohol in line with NICE guidelines to include expanding support for parents. / Sept 2010 / YZUP Practice Manager
Develop multi-agency approaches to delivery in partnership with locality teams, in particular, Targeted Youth Support and Pupil Referral Units / Sept 2010 / YZUP Practice Manager
Facilitate an audit of Drug and Alcohol policies and delivery of informal education regarding Drugs and Alcohol with statutory and voluntary sector providers of Youth Work / Sept 2010 / Youth Workforce Development Manager
Expected outcomes:
75% participation in completion of audit, information to be fed back to Young persons Needs Assessment Group and task group in order to inform planning processes.
Multi agency risk taking behaviour pilots completed, evaluation completed and model for multi agency work rolled out through Targeted Youth Support change teams.
Objective 3:Review substance related NICE guidance relating to clinical governance and young people
Delivery Plan:
Actions and milestones / By when / By whomReview current clinical governance arrangements and strengthen supervision models through case management and clinical supervision arrangements for the YZUP Team / April 2010 / YZUP Practice Manager
Review effectiveness of safeguarding policies and confidentiality policies within the YZUP service in line with recommendations from Serious Case Review and Corporate Safeguarding Policy / April 2010 / YZUP Practice Manager
Implement new strategy for training around safeguarding through integrated workforce development plans / June 2010 / Youth Workforce Development Manager
Primary Care Trust, Children Trust and Voluntary Sector Organisations work together to ensure that all organisations can benefit from Clinical Governance Arrangements:
-Hidden Harm Strategy
-Multi-Agency Training
-Adult and Young People Substance Misuse commissioners work together on Clinical Governance Arrangements
Reporting to Primary Care Trust through Clinical Governance and Children Trust through Young People’s Substance Misuse Commissioning Group / Quarterly / 13-19 Commissioning Manager
Update current Prescribing Policy to make clear requirements for Young People / June 2010 / DAAT Clinical Governance Lead
Annual audit of Case files and clinical guidance in practice / Dec 2010 / YZUP Practice Manager and DAAT Clinical Governance Lead
Ratify overall responsibility for overseeing Clinical Audit of Young People’s Services / April 2010 / PCT Accountable Officer
Identify lead responsibility for Information Governance, appropriate recording and data protection / May 2010 / Young Persons Substance Misuse Commissioning Group
Expected outcomes:
All providers are compliant in case management and clinical supervision procedures.
All Yzup workers (internal CC employees and commissioned providers) are working to Southwest Area Child Protection Procedures and are following internal procedures and protocols in regard to information sharing and recording.
Demonstration of effectiveness and safety of treatment through robust governance arrangements
Objective 4: Further develop work with families affected by substance use and develop stronger strategic links between parenting and substance use agendas
Delivery Plan:
Actions and milestones / By when / By whomJoint work with Commissioner for Adult Substance Misuse Services to identify where there is a need for family work and ensure adults services record where clients have children and needs are identified and supported by CAF/referral where appropriate / Sept 2010 / 13-19 Commissioning Manager
Ensure learning from Hidden Harm project work and Young Carers pathfinder project inform the development of family work across the county / Oct 2010 / YZUP Practice Manager
Ensure learning from needs assessment and project evaluations is shared with the Parenting Strategy Group and Young Persons Substance Misuse Commissioning Group and ensure appropriate representation on each group to allow strategic links to be maintained / Oct 2010 / 13-19 Commissioning Manager
Expected outcomes:
An enhanced understanding across all providers of parenting services of issues relating to substance misuse, services available and referral routes into specialist services
Increased awareness and ability to deliver effective interventions across Children’s Social Care through training provided on Hidden Harm practice evident through training evaluation and referral profiles to services
Development of sustainability model to underpin family work which gains sign up from Children and Adult services and service providers to ensure consistent practice and a commissioning plan to meet the needs identified
Evidence through CAF Integrated Working Metrics report of increased initiations through Substance Misuse Services
Planning grid 2: Access to treatment
Identification of key priorities following needs assessment relating to access and engagement with young people’s specialist substance misuse treatment services:
Increase engagement of all vulnerable groups with particular focus on young offenders, Children and Young People in Care, Young People Leaving Care and Homeless Young People.
Improve access to specialist Services for vulnerable children and young people including young offenders, CIC, truants/excludes, children of substance misusing parents and homeless/vulnerably housed young people.
Develop better outcomes measures for access to and engagement in treatment.
Further develop the role of the service user group in service development with particular relevance to early intervention and preventative work.
Equal access to specialised substance use treatment services for all young people regardless of gender, age, sexuality, ethnicity, geographical location, disability or substance of choice
Objective 1: Increase engagement of all vulnerable groups with particular focus on young offenders, Children and Young People in Care, Young People Leaving Care and Homeless Young People
Delivery Plan:
Actions and milestones / By when / By whomDevelop working practices and protocols with identified YOS workers within the YZUP team to increase number of referrals into the service, to include tracking of tier 2 work in relation to early intervention and preventative work. / June 2010 / YZUP Practice Manager
Provide monthly consultation for all Local Authority Residential Centres through attendance at team meeting to ensure SUST is carried out with all young people and provide a rapid response to escalation of substance use among residents. / Sept 2010 / YZUP Practice Manager
Provide monthly consultation for CIC team meetings to promote the use of SUST and ensure early intervention. / Sept 2010 / YZUP Practice Manager
Deliver targeted preventative work with identified groups of Children and Young People in Care. / Oct 2010 / Multi-agency Team
Ensure a minimum of 20% of referrals to specialist service are from key services for vulnerable groups / Oct 2010 / YZUP Practice Manager
Develop working practices and protocols with Statutory and Voluntary Housing providers regarding young people with substance misuse issues who are homeless / Oct 2010 / YZUP Practice Manager
Expected outcomes:
All young people in Local Authority residential care are offered SUST and this information is clearly recorded and accessible.
Increase in the number of Young People who access the service at an earlier stage from key target groups i.e. Children in Care, Care Leavers and Young People who Offend.
Children in Care team managers and Leaving Care Team leaders are fully informed of recording processes and procedures in regards to SUST and this is monitored through supervision.
Housing needs of vulnerable young people who have substance misuse issues are met appropriately and more effectively through co-ordinated multi-agency care packages
Objective 2: Improve access to specialist Services for 5 vulnerable Groups children and young people including young offenders, CIC, truants/excludees, children of substance misusing parents and homeless/vulnerably housed young people
Delivery Plan:
Actions and milestones / By when / By whomEnsure all young people referred into the service and that those with identified needs receive an assessment within 5 working and begin treatment within ten working days. / Ongoing / YZUP Practice Manager
Analyse data received from first year of Hidden harm Pilot and produce a clear report with recommendations in relation to progress for year 2 which identifies unmet need in relation to delivery of work directly with children of substance using parents. / April 2010 / Hidden Harm worker/13-19 Commissioning Manager
Develop work plan to directly deliver early intervention and targeted work with 5 key vulnerable groups and develop outcomes framework to measure impact / July 2010 / YZUP Practice Manager
Develop training plan for delivery of SUST training for year 2010/2011 in line with recommendations from SUST audit. / April 2010 / Youth Workforce Development Manager
Expected outcomes:
Performance management target of 100% of assessments take place within 5 working days is consistently maintained and monitored through provider meetings.
Year 2 of Hidden Harm Pilot is structured with clear targets and outcomes and evidenced through findings from Yr 1. A clear plan to develop work in areas of unmet need or to provide relevant data and knowledge to evidence unmet need in order to strengthen and develop joint working processes.
Objective 3:Develop better outcomes measures for access to and engagement in structured treatment
Delivery Plan:
Actions and milestones / By when / By whomInvestigate piloting of an outcomes framework to track client progress across ECM Outcomes / Dec 2010 / YZUP Practice Manager
Implement new care plans which enable care planning processes across the 5 ECM outcomes. This will ensure that care planning in the widest holistic sense will address a wide range of issues with clear evidenced outcomes. / Dec 2010 / YZUP Practice Manager
Continue to review contract monitoring arrangements to improve quality of service and quality of recording by providers. Continue to monitor agreed outcomes and output of all provider services. / Quarterly meetings / 13-19 Commissioning Manager
Continue to monitor performance of all providers in respect of NTA targets / Ongoing / 13-19 Commissioning Manager
Expected outcomes:
Newcare planning processes for all young people are consistently implemented across all commissioned providers.
Care planning provides a clearer framework for identifying and meeting needs of young people in the widest possible sense and can demonstrate achievement of clear and agreed outcomes.
Through the implementation of new care planning processes improvements for young people are able to be clearly evidenced.
Objective 4: Further develop the role of the service user group in service development with particular relevance to early intervention and preventative work
Delivery Plan:
Actions and milestones / By when / By whomDevelop and implementChildren and Young People’s Involvement and Participation action plan for the YZUP Service and ensure this is fed into the work-strand for Strategic Priority 1 of the Children and Young Peoples Plan. To include research into other partnership areas where participation work is clearly integrated in to planning processes. / July 2010 / Substance Misuse Participation Worker/ Youth Cornwall Participation Worker
Further explore YZUP Service User Forum representing children and young people regardless of age, gender, ethnicity, sexuality, geographical location, disability or substance of choice. / July 2010 / Substance Misuse Participation Worker/ YZUP Practice Manager
Explore further opportunities for Service User Forum to participate in planning work around service delivery of early intervention and preventative work. / July 2010 / Substance Misuse Participation Worker/ YZUP Practice Manager
Expected outcomes:
Children and Young Peoples Involvement and Participation action plan is completed and integrated into wider strategic planning processes for participation work.
Increase user involvement across the whole client group.
Integrate Yzup service user group into the wider structure of Children’s Trusts participation groups and activities and actively seek participation and involvement form a diverse range of young people.
Objective 5: Equal access to specialised substance use treatment services for all young people regardless of gender, age , sexuality, ethnicity, geographical location, disability or substance of choice
Delivery Plan:
Actions and milestones / By when / By whomEnsure all young people referred into treatment have a comprehensive assessment for meets their individual needs within five working days of referral. / April 2010 / YZUP Practice Manager
Young person’s Specialist Service to conduct equality impact assessment and produce equality and diversity action plan with progress performance managed through service review and evidenced within annual report. / July 2010 / Young Person’s Substance Misuse Commissioning Group
Ensure a maximum of 80% of schools are advertising the YZUP Service and ensure formalised referral pathwaysare clearly understood and that the service is actively promoted / July 2010 / YZUP Administrator
Review and revise if necessary referral pathways and protocols from all partner agencies including, Health, Social care, Targeted Youth Support , Connexions and all Accident and Emergency Departments and Minor Injuries Units. / May 2010 / YZUP Practice Manager
Expected outcomes:
More effective partnership working between Yzup service and all referring agencies to ensure access to service for the widest range of young people.
Evidence of an increase in the use of the CAF process through the Integrated Working Metrics Quarterly Reports
Promotion of the service to diverse groups and those with low numbers of young people accessing the service
Planning grid 3: Treatment System Delivery
Identification of key priorities following needs assessment relating delivery of young people’s specialist substance misuse treatment services:
Increase capacity of YZUP Service to allow for a greater level of targeted work to be delivered by more effective management of transitions and restructuring the delivery of treatment in line with NICE/recommended good practice guidelines. Re-commission services to allow for more care planned short term structured psychosocial interventions.
Implement changes to the delivery of work within YOS in line with new YRO and provide closer liaison and a more integrated approach to work with young offenders.
Formalise joint working, information sharing and mentoring between young persons specialised substance use services and universal/targeted services including those providing wraparound support for young people and families i.e. CAF
Further develop the family intervention model within the YZUP Service
Objective 1: Increase capacity of YZUP Service to allow for a greater level of targeted work to be delivered by more effective management of transitions and restructuring the delivery of treatment in line with NICE/recommended good practice guidelines. Re-commission services to allow for more care planned short term structured psychosocial interventions.