I have blogged previously about purpose and it’s time to move on to the detail – where the devil lies (alongside salvation) . The question is how do we recruit, train, support and retain an effective workforce? A workforce with the knowledge, skills and experience to change lives and systems alongside people with complex needs including homelessness, offending, substance misuse and mental ill-health. One that supports people to overcome barriers to services and engagement. A workforce that is genuine and honest about the collaborative involvement of individuals with lived experience.
It is a big ask to come up with an exhaustive list of what the workforce does and how it goes about its tasks. Anyone that has spent time drawing up job descriptions knows the lengths you can go to trying to capture everything. Equally, they know the struggles of seeking to be both precise and concise. Perhaps that’s why so many job descriptions are rarely used in guiding day-to-day work and are only got out either when there is a vacancy or a workforce problem. In projects like Fulfilling Lives (Multiple Needs) the issues are compounded because many of the roles are evolving and breaking new territory.
Helen Gavaghan, Senior Engagement Worker at Inspiring Change Manchester (ICM), gives an inkling of some of the things workers do to support people to think about change. She says some ‘traditional’ approaches need challenging and staff freed up to be open about working with both their own and their client’s lived experience. She concludes by suggesting learning about what it is that staff are doing is collected and brought together as a tool-kit for other practitioners.
In the Fulfilling Lives (Multiple Needs) projects, when considering the learning that is being fed back overall, I feel there could be more detailed examination of what the frontline project workers do that makes a difference to people’s lives. I believe that there is some valuable learning that could be collected and shared and, if it isn’t, may be lost. General explanations of the approach, such as “building trusting relationships” and “avoidance of judgement” are fine – but I believe are in no way getting down to the specifics and nuances of the great work that is going on.
Vic Citarella delves further into the significance of ‘purpose’ for service users and the workforce in the Big Lottery Fulfilling Lives (Multiple Needs) projects.
Indications are emerging from evaluations that the ‘purpose’ of each Fulfilling Lives project is very important in generating value and ownership. For beneficiaries, engaging in meaningful activities appears to create a vital sense of purpose. Equally for the workforces involved feedback suggests that the ‘purposeful’ nature of job roles generates added value and personal motivation. In my last workforce blog, I suggested that the value stemmed from four sources:
- Meaningful service user engagement
- Concepts of open-endedness and persistence (turned into practice)
- The ideas around psychologically informed environments (PIE) and the like
- Systems Change
In focussing on workforce matters in this series of blogs I have therefore dug a bit deeper to address questions such as: what is the purpose of purpose? How is purpose agreed, described and refreshed? What is it about the four sources which users and workers value that drives them on to achieve their goals?
The National Expert Citizen’s Group is a group of individuals with lived experience of homelessness, substance misuse, mental ill health and offending behaviour. The group is comprised of individuals from the 12 funded project areas for the Big Lottery Fund’s ‘Fulfilling Lives: Supporting people with multiple needs’. CFE Research facilitates the group. Members from the group have been accepted to run a workshop at the 2017 Multiple Needs summit in Milton Keynes. Sarah Robinson, the group’s facilitator (and research manager on the programme’s National Evaluation), will be supporting two group members to lead and present at their first national conference.
Sarah Robinson (CFE) and Wayne Richmond and Nicola Plumb (Blackpool Fulfilling Lives) share their reflections on a National Expert Citizens’ Group Workshop
On Monday 28th and Tuesday 29th November 2016 CFE facilitated a two day workshop for the National Expert Citizens’ Group (NECG). The NECG is a group of individuals with lived experience of multiple needs; the group is formed by representatives from each of the 12 funded Fulfilling Lives project areas. The Monday was a training and planning day for the experts by experience. The day focused on training delegates to chair meetings/events and facilitate workshops at events. It was an opportunity to build the confidence and skills of the experts. The activities used to test their skills focused on deciding the direction of the NECG over the next 12 months.
In the first of a series of blogs, Vic Citarella considers the crucial role of the workforce in Fulfilling Lives for people with multiple and complex needs. Vic is keen to start a dialogue with projects on this topic. You can get in touch with him using the details below.
“The CFE and University of Sheffield 2nd annual report into the national evaluation of Fulfilling Lives: Supporting people with multiple needs programme has chapters on ‘interventions and approaches’ and on ‘working the frontline’. The report says it raises as many questions as it answers but without doubt it pinpoints the workforce and what they do as the mission critical factor in the projects. More is promised by way of research and future evaluation. That means, among other things, dialogue with the practitioners, the managers, the stakeholders and the customers of the services.
In the hunt for a bike for my daughter the typing of “kids bikes” in Google returned just shy of 78 million results in less than one second! After years in research I still find it extraordinary the number of sources of information that are returned when performing any internet search (“kids bike bells” a meagre 1.5 million returns in 0.76).
Chatting with friends over the weekend the topic turned to the works of Keanu Reeves (don’t ask) and his big break: the film Bill and Ted’s Excellent Adventure (1989!). We all agreed that the central philosophy of ‘Be excellent to each other’ was a pretty sound one.
CFE Research, working in partnership with the University of Sheffield, have published their latest report on the evaluation of the Big Lottery Fund’s ‘Fulfilling Lives: Supporting people with multiple needs’ programme.
Supporting those who are chronically excluded and disadvantaged – experiencing homelessness, mental ill health, substance misuse and reoffending – is a challenge that needs a different approach. The £112 million initiative is funding 12 projects across England to provide more person-centred and co-ordinated support.
Latest findings from the evaluation show that projects have made a good start in reaching those with greatest need. But continued effort is needed to reach ‘hidden’ and harder to reach groups such as women with multiple needs and people from Black and minority ethnic communities.
The initiative still has six years to run, and as such few beneficiaries have successfully moved on to date. But there are signs that those who remain on the programme are making progress, accepting help, engaging better with services and building trusting relationship. Frontline staff report that flexible, open-ended support that focuses on beneficiaries’ own priorities is key to making a difference.
Read the full annual report here
The All Party Parliamentary Group on Complex Needs and Dual Diagnosis, is looking for examples of good practice in working with people with co-existing substance misuse and mental health issues, to inform an online ‘library’ for policy makers, commissioners, providers, academics, experts by experience and others to reference.
For anyone who is interested in either providing a case study of good practice or contributing to this work in general, please do get in touch with us at firstname.lastname@example.org with the attached form.
They are also planning on conducting a short survey to ascertain the current strengths, risks and opportunities facing services supporting people with multiple complex needs so please do look out for this in the next few weeks.
Sent on behalf of David Burrowes MP & Lord Victor Adebowale CBE
Co-Chairs of the APPG on Complex Needs and Dual Diagnosis
Turning Point provides the secretariat to the APPG on Complex Needs and Dual Diagnosis.
I am part of the National Expert Citizens Group (NECG). This is a group which draws people from all twelve Fulfilling Lives areas together to learn and try to influence on issues which are important to us. We all bring our own skills and expertise but the one thing that we have in common is that we all have lived experience of multiple needs.
On Friday 29th January we came together in Stoke-on-Trent to meet with Home Office representatives and Public Health England. On the agenda: The National Drug Strategy Review due to be published in March 2016.
On the 29th January, in Stoke on Trent, the National Expert Citizen’s Group of Fulfilling Lives were invited to review the National Drugs Strategy. The strategy focuses on three key themes: Reducing Demand, Restricting Supply and Building Recovery. The day focused on the third strand – Building Recovery. A member from the Home Office’s Drug Strategy Team provided an initial presentation to set the scene. The rest of the day focused on obtaining expert’s views and opinions, from their lived experience, on key aspects that are needed to inform the new strategy. The review was particularly interested in:
— Barriers to recovery
— How to reduce the stigma of substance misuse
— What works well in recovery – particularly around housing and employment
The day was recorded graphically and in notes.
Home Office Fulfilling Lives – Juli Dosad Banter Graphic Recording small
The Home Office will be providing an annotated strategy after its publication later this year which marks which areas were changed/influenced by the views of the experts. A follow up session with the Home Office will occur at the May NECG meeting in Bristol.
Following the success of the Experts by Experience launch film in 2015, Birmingham Changing Futures Together decided it would be fitting to create a new film for 2016. This film features some new year’s resolutions, a variety of stories and successful journeys and recommendations for services for 2016.
Watch it here
Birmingham Changing Futures Together will continue to work with Experts by Experience to help improve services across Birmingham, and make the lives of their users more fulfilled.
They really hope you find it as rewarding to watch as they found it to make.
It’s coming up to the end of the year so I thought I would take some time to reflect and take stock. I started my role in January excited. The pioneering nature of the Fulfilling Lives programme interested me but above all was the hope that lives would be transformed both during the life of the project and in a real on-going way into the future. The opportunity to take any part in this, however small, seemed both a privilege and a responsibility.
PIElink is a rapidly growing community of practice with the aim of connecting people involved with addressing the psychological and emotional issues that go with homelessness, particularly through the development of ‘psychologically informed environments’ – PIEs.
They have just released their first newsletter, follow this link to find it.
If you want to find out more about PIElink then got to their website to get involved. http://pielink.net/
The event marked the first year of the WY-FI project. The audience saw videos made by beneficiaries of the Wakefield Navigator Team, presentations about the team’s achievements and testimonies from partners in Wakefield. Out Of Character Theatre showcased some of the work they had been doing across West Yorkshire to help WY-FI users tell their own stories of recovery and resilience
Read more about it here
‘What’s in a name? That which we call a rose, by any other name would smell as sweet.’
Romeo and Juliet (11, ii,1-2)
Shakespeare’s Juliet knew that Romeo’s surname did not take into account all the things she loved about him; he was more than his name. Yet, in order to make sense of our world, we continue to ascribe names and definitions to everything, perhaps forgetting that they can never truly encompass everything that something is.
The End Violence Against Women Coalition has published a new Briefing Paper on the rights of women and girls to specialist support when they have suffered or are at risk of abuse, and has written to the Communities Secretary Greg Clark MP calling on the UK Government to act to make these rights a reality.
Read more about it here.
The Department for Work and Pensions has launched an independent review led by Dame Carol Black into the support available for benefit claimants with drug and alcohol problems. MEAM has responded to the call for evidence.
This review provides an opportunity to explore the range of challenges that people with substance issues face in moving towards employment, and explore how the current system could be improved to better respond to their needs.
While a great deal of the media coverage has focused on proposals to make benefits conditional on accepting an offer of treatment, this is one debate within a much wider set of issues and must not be addressed in isolation.
In responding to the review, the MEAM coalition charities – Clinks, Homeless Link and Mind – will seek to represent the experiences of people with multiple needs who have experience of substance misuse, and the practitioners who support them. In doing this, we will draw on the continuing work of our Voices from the Frontline project.
Read the full article here
An article on the BBC reports that delayed discharge and poor community provision are to blame for problems that mental health patients in England have accessing hospital beds.
Read it here