Transformative children's social care (Resilience Fund)

冠状病毒减少了儿童心理健康和社会护理方面本已稀缺的资源。英国最脆弱的儿童比以往任何时候都更加孤立，寄养/寄宿照顾者和养父母在满足儿童心理需求方面的支持也更少，而这种情况往往因疫情和由此导致的封锁而加剧。我们建议将一套变革性的心理筛查、培训和支持产品推向市场，这些产品源于临床专业知识和照看儿童十年的研究和开发。我们将在8个地方当局的1000多名儿童中试用和评估新产品，由临床医生领导的小型科技企业，地方当局委托联盟和安娜弗洛伊德国家儿童和家庭中心合作。我们可以改善弱势儿童及其照顾者的生活，同时为公共财政节省大量成本。大规模展示这一点将在整个英国推广，并打开国际市场。英国每年花费超过90亿英镑用于儿童社会护理服务，但对儿童的需求或改善其结果的有效方法知之甚少，尽管很明显，接受护理的儿童比同龄人做得更差，监禁率增加了50倍，物质滥用，无家可归，住院精神健康停留，和他们自己的孩子被转移到照顾。这导致每个护理离开者的公共钱包的额外终身成本为200万英镑。尽管被照顾儿童的心理健康问题非常严重，但没有可靠的结果指标用于这一人群。我们开发了一个创新的数字工具集（BERRI），以确定个别儿童的需求，包括他们的行为，情感健康，心理健康，发展，自我/他人风险以及建立关系的能力。这是第一个经过适当验证的措施，能够评估儿童轨迹的主要心理风险因素，并可以为照顾者提供个性化的报告和建议。然后，我们可以通过培训和视频咨询为护理人员提供支持，改善护理并防止安置失败。收集的数据可用于向专员提供关于需要哪些安置/服务的建议，并跟踪哪些是有效的。试点表明，弱势儿童的结果有所改善，再加上一个地方当局每周可能节省22，000英镑或每年114万英镑。大规模的概念验证有可能导致儿童社会关怀的巨大变化。

Coronavirus has reduced access to already scarce resources in children's mental health and social care. The most vulnerable children in the UK are more isolated than ever, and foster/residential carers and adoptive parents have less support to meet the psychological needs of their children, which have often been exacerbated by the pandemic and resulting lockdown. We propose to bring to market a transformative suite of psychological screening, training and support products, born out of clinical expertise and a decade of research and development with Looked After Children. We will pilot and evaluate the new products with over 1000 children across 8 local authorities, in a partnership between a clinician-led small tech business, the Commissioning Alliance of Local Authorities, and Anna Freud National Centre for Children and Families. We can improve the lives of vulnerable children and their carers whilst making significant cost savings for the public purse. Demonstrating this at scale will spread uptake across the UK and open up international markets.More than £9billion/year is spent on children's social care services in the UK, but very little is known about children's needs or what is effective in improving their outcomes, although it is clear that children who have been in Care do much worse than their peers, with a 50-fold increase in the rates of imprisonment, substance misuse, homelessness, inpatient mental health stays, and their own children being removed into Care. This leads to excess lifetime costs of £2million to the public purse per Care leaver. Despite very high levels of mental health problems amongst Looked After Children, no reliable outcome metrics are used with this population.We have developed an innovative digital tool set (BERRI) to identify the needs of individual children, in terms of their behaviour, emotional-wellbeing, mental health, development, risk to self/others, and ability to form relationships. It is the first properly validated measure able to assess the main psychological risk factors for the child's trajectory, and can provide individualised reports with advice for caregivers. We can then support carers with training and video consultancy, improving care and preventing placement breakdown. The data gathered can be used to advise commissioners about what placements/services are required, and track which are effective. Pilots have shown improved outcomes for vulnerable children, coupled with potential savings of £22,000/week or £1.14million/year in one local authority. Proof of concept at scale has the potential to cause a sea-change in children's social care.