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Results for 'strengths-based approach'

Results 1 - 10 of 37

Community Team Plus

Stoke on Trent City Council

Community Team Plus involves multidisciplinary health and care teams supporting people across six Stoke on Trent localities to 'help me to help myself to live well'. They are tasked with being accessible, creative, resourceful and helpful.

A glass half-full: 10 years on review

FOOT Jane, et al
2020

The publication of ‘A glass half-full’ in 2010 was timely, increasing awareness and deepening debates about how asset-based approaches could be most successfully applied in the UK. The chapters in this ten-year anniversary publication collectively provide policy and practice insights from what we have learned since that time; what challenges remain; and what are the current opportunities to be taken to ensure the potential of asset-based approaches is sustained. The chapters are organised into four themes: policy and structural issues; implementation and organisational change; challenges and critiques; and leadership. Together they reflect the notion that asset-based working needs to be considered at all levels of the system and in a multi-disciplinary way to be successful. Key messages include: asset-based working needs to be considered at all levels of the system and in a multidisciplinary way to be successful; they seek to enhance people’s ability to identify and use their own health resources; asset-based working should not be seen as competition to a deficit approach – a focus on deficits like disease should not be abandoned; learning from practice and sharing experience of what facilitates and hinders success is critical to our ability advance both the conceptual understanding and practical know-how of the asset-approach; policy makers need ensure the necessary supportive environments are in place to ensure success; those adopting asset-based approaches need to be continually reflective and recognise the challenges inherent in remaining true to the values of community control; politicians and senior management should use opportunities, such as financial challenges and devolution, to fundamentally re-think how they could create a new relationship with residents and communities to bring about sustainable public service reform.

Strengths, assets and place - the emergence of Local Area Coordination initiatives in England and Wales

LUNT Neil, BAINBRIDGE Laura, RIPPON Simon
2021

Summary: Local Area Coordination is an approach that emerged during the 1980s and 1990s to support individuals with learning disabilities in rural and metropolitan Western Australia. Offering direct family support, signposting and networking it aimed to improve access to services and promote social inclusion. It leveraged community resources and sought broader transformation through local collaborations and service redesign, as underpinned by a strengths-based philosophy. Scotland introduced a similar model of delivery from the early 2000s for learning disability support. Since 2010, a number of English and Welsh Local Authorities have introduced Local Area Coordination, and in doing so have expanded its support eligibility criteria to include those considered ‘vulnerable’ due to age, frailty, disability, mental health issues and housing precariousness. Findings: This article provides the first review of developments in England and Wales. Drawing upon published evaluation studies it reflects on Local Area Coordination implementation; reviews the existing evidence base and challenges surrounding data collection; and discusses the competing logic of Local Area Coordination in its aim of supporting individual and community improvement of health outcomes and well-being, and of furthering local government civic engagement and participation. Applications: This article points to the challenges and opportunities of implementing such a strength-, assets- and placed-based initiatives within Local Authority social service settings. Embedding Local Area Coordination within Local Authority settings requires skilled political and policy leadership. It balances emerging individual outcomes – health and well-being – with the civic mission (values, control and coproduction), and avoids one being subverted to the other.

Building community capacity and resilience evaluation findings from a two-year practice and research collaboration in Gloucestershire

DYDE Amy, WARDEN Roz, JACQUES Dan
2019

This report presents evaluation findings from a collaboration between four partner organisations in Gloucestershire which sought to promote asset- and strengths-based approaches. Gloucestershire Constabulary, Barnwood Trust, Gloucester City Council, and the Office of the Police and Crime Commissioner formed the partnership with the collective aim of working together to empower citizen-led action to make Gloucestershire a great place to live. The following collective objectives united the four partner organisations: healthier communities; improved community safety; welcoming and inclusive neighbourhoods; citizens taking control over their own lives; and places where people can come together. Professionals who participated in the research shared their views on and experiences of working in asset- and strengths-based ways. Findings included: a range of professional and personal impacts, including better knowledge about communities and increased job satisfaction; the importance of organisational culture and sufficient time to meaningfully engage with the community; where the intervention was in the form of workshops rather than secondment, changing practices appeared to be less sustained over time. Evidence of impact for residents and community includes: statistically significant evidence for the value of both professional and personal relationships, and their positive impact on perceptions of community cohesion, wellbeing, life satisfaction and, more broadly, perceptions of the police and fear of crime; all 10 residents who were interviewed identified positive impacts for themselves and/or others in the community, including the value of involvement on feeling able to cope (for example, with a health condition); the role that community involvement, including events and groups, played in contributing to feelings of cohesion in an area.

Implementing the Care Act 2014: building social resources to prevent, reduce or delay needs for care and support in adult social care in England

TEW Jerry, et al
2019

This Report is based on research into ‘second wave’ approaches to prevention and capacity building that have become more prominent since the implementation of the Care Act 2014. These approaches involve a fundamental revisioning of the role of local services and seek to maximise resources and opportunities through working in more co-productive ways with citizens, families and communities. The findings are based on a national survey of local authorities and in-depth case study research with stakeholders, beneficiaries and family members in seven local authorities which were promoting one or more ‘second wave’ preventative initiatives. A key findings was that a preventative focus is still relatively new in adult social care and that approaches are often embedded within a variety of strategic initiatives, including: strengths-based models of social work and social care practice (such as 3 Conversations); approaches to social networking and building community capacity (such as Local Area Coordination); mobilising the resources of family and personal networks (through approaches such as Family Group Conferencing, peer support or Community Circles) and targeted ‘upstream’ use of personal budgets. Another finding was that overall, financial pressures were seen as the most important driver towards developing preventative activity, but, at the same time, this was also cited most frequently as the greatest barrier. Other frequently cited barriers to progressing the prevention agenda were competing policy imperatives and, in particular, perceived pressure to make rushed decisions in order to minimise delays in hospital discharge. The report also examines wellbeing outcomes and expenditure. The report makes recommendations for the policy, practice and implementation and evaluation contexts. The reports concludes that there is some strong evidence of the creativity and innovation that is taking place in a significant proportion of local authorities. While progress may not be consistent across the sector, the research shows that a sizable proportion of local authorities have been investing in activity that is designed to increase capacity and capability at individual, family and community levels, and thereby to contribute to preventing, reducing or delaying the need for adult social care services.

Local Area Coordination (IOW) evaluation report: “What is it about Local Area Coordination that makes it work for end users, under what circumstances, how and why?”

MASON James, HARRIS Kevin, RYAN Louise
2019

This evaluation report draws upon the findings of a realist evaluation of the LAC on the Isle of Wight (IOW) to establish how and why the programme worked for people and communities across three demographical areas. As a sample this focused on the first three Local Area Coordinators to mobilise LAC representative of Ryde, Shanklin and Freshwater. The methods selected for this study were made up of Q-method (Watts and Stenner, 2012) and realist interviews. Q-method focuses on subjective viewpoints of its participants asking them to decide what is meaningful and what does (and what does not) have value and significance from their perspective. Q-Method involves developing a set of statements representing a set of viewpoints of certain individuals about an issue or programme. In this case a set of statements about LAC on the IOW were produced and ranked in line with most important to most un-important by end users. These rankings were then analysed to produce holistic narratives illustrating shared viewpoints around how and why LAC worked. This was also supported by realist interviews which sought to further investigate the key mechanisms at play within LAC on the IOW. The findings of the evaluation established that listening, trust and time were consistent across the three Local Area Coordinators sampled in the evaluation. The coordinator also needs to continue to build on relationships with the differing referral groups due to the variety of methods used to make individuals aware of Local Area Coordination. However, it was also quite clear that LAC worked for different end users in different ways with the Q study creating three different subgroups of end users experiencing LAC: subgroup 1 – “I know you are there and that means a lot, but I’m building my own social networks”; subgroup 2 – “Thank you for your support, I’ve come a long way”; subgroup 3 – “I’m moving down the path, but I still need your personalised support”. The findings demonstrate that LAC works for different people in different ways. Within the spirit of the realist approach to the evaluation the three subgroup holistic narratives provide an insight into what works for whom in what circumstances and why.

Rolling out social prescribing: understanding the experience of the voluntary, community and social enterprise sector

COLE Aimie, JONES Dan, JOPLING Kate
2020

This report sets out the findings of research to explore the perspectives and experiences of the voluntary, community and social enterprise (VCSE) sector in relation to the NHS rollout of social prescribing. The research heard from over 300 people through a series of interviews, workshops and online engagements between December 2019 and June 2020. NHS England has made a significant commitment to ensure that social prescribing is available across the country, including the recruitment of over 1,000 specialist link workers during 2020/21. The study explored key components of the programme and its implications, including: the new social prescribing link workers; measurement; funding; inequality; and coordination, collaboration and partnership. The findings indicate that the VCSE sector is supportive of social prescribing and keen to work constructively with the health system. However, in many places the pace of the rollout has had a destabilising effect by cutting across existing schemes, or failing to build on and invest in the work already done by the sector. Respondents were committed to measurement and using performance data for management and improvement but there are concerns about the use of appropriate measures, which capture the social as well as clinical outcomes of social prescribing. Funding was by far the biggest concern for all those who took part, and specifically in relation to funding for services and activities provided by the VCSE sector. In addition, without appropriate investment, social prescribing could exacerbate inequality in a range of ways – generalist link workers may lack the skills or resources to engage effectively with excluded individuals and communities while poorer communities tend to have lower levels of formal VCSE activity. The findings emphasise that effective social prescribing depends on relationships, both at individual and organisational level – VCSE experiences of the rollout have been most positive in places where relationships were already established.

Evaluation of Leicestershire Local Area Coordination: final report

M·E·L RESEARCH
2020

This evaluation of Leicestershire Local Area Coordination (LAC) has comprised both formative (process) and summative (outcome) elements. LAC is a complex community-based intervention, delivered in 10 very different local areas in four of the County’s Districts, operationally delivered by 8 Coordinators with varied backgrounds and different working styles. It is designed to have an impact on three levels: individual, community, and health and social care integration. The evaluation finds that LAC has been effective in achieving its ‘founding’ aims and strategic objectives for individuals (a strong focus on assets-based approaches and a community model of delivery, aimed at ‘upstream prevention’ working with vulnerable residents at risk of crisis). LAC has been moderately effective in achieving its aims and objectives around HSC integration but has been less effective in delivering its’ community-based objectives. The SROI findings provide positive evidence of measurable outcomes for LAC, demonstrating positive SROI ratio of £4.10 in accumulated benefit for every £1 spent. It has been more challenging to make LAC successful (and therefore LAC is likely to have less impact for residents) in areas with less community infrastructure; and as LAC is not a prescriptive service, the impact of LAC for some beneficiaries may be lessened as they may not be ready to take the steps to help them move forward. The most successful elements of LAC have comprised: the relationships between coordinators, and beneficiaries and local partners – trust, flexibility and effective networking; coordinator knowledge of local assets and ability to match this with beneficiary support needs; coordinators being located within the communities they work; the lack of specific agenda for coordinators making them less threatening; and the personal skills and commitment of the coordinator team.

Social prescribing

EATON Matthew
2020

This paper details the development of social prescribing policies in England and provides an overview of schemes in the devolved nations. Social prescribing is a means for GPs and other healthcare professionals to refer patients via a link worker to non-clinical services in the local community. Link workers help people to understand the underlying issues affecting their health and wellbeing and work with them to co-produce a personalised care and support plan. People can take up a range of activities and services including the arts, nature-based activities, physical activity classes and counselling. This briefing examines the background and path to social prescribing, looking at key initiatives and reports; Government policy; the benefits of social prescribing; and social prescribing in the devolved nations.

Simply the best? Making Leeds the best city to grow old in

MELANIE HENWOOD ASSOCIATES
2020

Research exploring the local strategic policy context for meeting the care and health need of older people in Leeds, and how the Leeds Neighbourhood Networks understand and contribute to the agenda. The Leeds Neighbourhood Network (LNN), comprised of 37 locally led ‘schemes’ operated by a number of voluntary sector organisations, provides preventative support to older people in order to enable them to continue living independently and participate in their communities. They assist with a range of services and activities that promote the independence, health and wellbeing of older people throughout Leeds. This paper outlines the number of opportunities and challenges the LNNs face within the strategic policy context, and looks at the potential for Leeds to share more widely the benefits of its approach and experience. It describes how the LNNs are firmly rooted in their local neighbourhoods and understand the needs and preferences of local citizens they are in touch with and suggests there is an opportunity for them to develop a more outward looking style and connect people to a much wider range of community assets and resources. Furthermore, the LNNs could be more closely involved in supporting self-management for people with long-term conditions, and for health practitioners to benefit from being able to access groups of people needing support with diabetes, or COPD, or similar chronic conditions. Among the challenges, the paper cites the extremely diverse nature of LNNs, the risk that other third sector organisations perceive their own contribution to be less valued, the need to constantly adjust and tailor the ‘offer’ to reflect the changing needs of the older population, the lack of synergy between the LNNs and partners, the difficulties in implementing and evidencing strengths and asset-based approaches and the uncertainty about future funding and the direction of government policy.

Results 1 - 10 of 37

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News

Prevention in social care

Prevention in social care What it means, the policy context, role for commissioners and practitioners and the evidence base.

H4All wellbeing service

H4All wellbeing service Practice example about how H4All Wellbeing Service is using the Patient Activation Measure (PAM) tool

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families
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