GOOD PRACTICE

Leeds - jointly commissioned services for disabled children and those with emotional and behavioural difficulties
Summary of Context
Leeds is a large metropolitan authority that has a very mixed population. Though a mainly prosperous area, there are pockets of deprivation and there have been some particular difficulties in supporting families where children have emotional or behavioural difficulties. For many years, Leeds had high numbers of children on the Child Protection register and a large looked after children population. Local paediatricians were particularly in favour of social services intervention where children were experiencing distress. Social services and health providers tackled this jointly.
Good Practice
Within an overall Child and Adolescent Mental Health strategy alongside a refocusing approach, a number of joint teams were developed. These included a 0-16 team that undertakes short-term interventions with families where there are behavioural or relationship problems and a Multi-Agency Support Team that focused on children experiencing difficulty in primary schools in a particularly deprived part of the City. These teams are supported by a therapeutic team who work with children and families with more complex needs. These teams are able to 'fast track' children to more specialist tier 3/4 services when needs are high. The therapeutic team also provides support to residential units, foster carers and the developing family resource centres.There is also a small team of staff who work with disaffected adolescents at risk of becoming looked after, again using short-term interventions with sessional workers.

Benefits

  • Substantial reduction in numbers of children on the Child Protection register (CPR).
  • Reducing numbers of children becoming looked after, particularly adolescents.
  • Stable placements for looked after children.
  • Good access to specialist CAMHs, with minimal waiting lists.
  • Services that can be accessed directly by families.