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Type and Title of Submission


Title:

Multi-agency MST project

Description:

This is a multi-agency project that uses MST to help young people 11- 17 who display ant-social behaviour. Young people have complex needs that place them at the risk of custody, social exclusion, school exclusion or reception into care. The project is also part of a national multi-centre research project.

Category:

2010-11 Shared Learning examples

Does the submission relate to the general implementation of all NICE guidance?

No

Does the submission relate to the implementation of a specific piece of NICE guidance?

Yes

Full title of NICE guidance:

CG77 - Antisocial personality disorder

Category(s) that most closely reflects the nature of the submission:

Is the submission industry-sponsored in any way?

No


Description of submission


Aim

To reduce the number of young people at risk of custody, reception into care or exclusion from school.

Objectives

To reduce anti-social behaviour in at risk young people and to redirect them to prosocial activities.

Context

There is a national awareness of the difficulties that young people face who are displaying anti-social behaviour. The prognosis for such young people is poor with many going into custody, care or facing social exclusion. We applied to join this national research project in that we would have the financial backing to set up our own project. Now in our second year young people are benefiting and we are seeing a massive improvement in their behaviour and life chances that is maintained at 6 months follow- up. We also note the potential for large savings, less staff involved after the project with complex families, reduction in crime and children who would have otherwise gone into care staying at home.

Methods

The project is truly multi-agency with joint appointments of health, social care, education and YOS. Establishing the project has not been easy and there is a very active steering group. Interventions are all placed around MST and there is a clear model of supervision and governance, this means that for every family there are clear objectives and desired outcomes. MST is about helping parents to take responsibility for their children and about promoting families skills. One issue has been about enabling the system to manage the cultural change and about managing demand.

Results and evaluation

The project is now part of a randomised control study and there are very specific pre, during and post measurements. The research is ongoing. Locally we have evaluated the outcomes of approximately 48 young people so far. We are looking at benefits to the young people in terms of improvements in behaviour, days in school and reduction in crime. We are also looking at increases in prosocial activity. We are also looking at the benefits to services in terms of cost saving, staff time and number of meetings staff have to attend.

Key learning points

This is not an easy thing to try. The support of the national team and other local services has been essential. Other projects are always happy to share materials and advice. Multi-agency projects seem to do better and buy in throughout the organization is essential. Initially the project looks expensive and the system needs to understand this in terms of the real costs in managing complex cases via services as usual. There is a massive learning curve of MST staff in the first year and we noticed a tendency for professionals to send all of the most difficult cases immediately- this needs to be avoided and may result in a more negative view of the project than is true.

View the supporting material

Contact Details

Name:Deborah Thorp
Job Title:Head of Clinical Psychology Trafford CAMHS
Organisation:Children and Young People's Service
Address:CAMHS Basford House, 228 Seymour Grove
Town:Stretford
County:Manchester
Postcode:M16 0DU
Phone:0161 860 5157
Email:deborah.thorp@trafford.nhs.uk

 

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This page was last updated: 31 January 2011

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Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.