Early Intervention: Securing good outcomes for all children and young people
2.23 Effective early intervention requires professionals to work well with children, young people and, often, their families, almost always on a voluntary basis
The spiralling costs of not intervening early and effectively
3.1 Essentially, the case for early intervention rests on the mounting evidence
demonstrating what happens when children and young people?s emerging difficulties are not spotted and addressed, coupled with promising evidence about the difference that programmes and approaches can make if delivered well, early on after difficulties have first appeared.
It is clear that in some cases, without identification, assessment and help, children?s problems become entrenched and then spiral and multiply, causing significant long term damage for them and for others around them, and creating big financial costs for a wide range of public services far into the future.
3.2 When the high costs of ?non intervention? are compared to the
significantly lower costs of intervening early, it becomes clear that early intervention is often the better approach
3.9 Results such as those set out above are exciting from both child welfare and cost effectiveness perspectives, because they suggest early intervention can offer significantly better outcomes and value for money than the later interventions that absorb the great bulk of service budgets
6.10 Some children, young people and families, for example, require low-level
support to help them get through a difficult patch, for example, support through Assessment for Learning. On the other hand, those with complex and enduring problems will often need high-intensity, evidence based interventions and a range of support over a longer period of time. This means different options need to be available for children, young people and families
Evidence-based Practice
6.20 Amidst the plethora of early intervention programmes that are available,
research suggests that the most successful programmes tend to share some common characteristics:
●● They are intensive. Programmes with strong impacts on child welfare outcomes tend to provide intensive services, meaning a high number of service hours, often coupled with a requirement for a high level of engagement from participants.
●● They focus on behaviour. Effective programmes are likely to take a behavioural approach (as opposed to an instructional approach), such as coaching parents one-on-one during play sessions with their children.
●● They include both parents and children. Many successful programmes take an approach that acknowledges the central role of the parent-child relationship in child outcomes.
●● They stay faithful to the programme. Some successful programmes have demonstrated the importance of maintaining adherence to the
programme model. When looser criteria have been applied the results have not been so good or may even make matters worse.
6.25 For understandable reasons the research is also clear that the availability
of people with the right training and skills to put an evidence-based programme into effect is a crucial factor influencing the outcomes.
6.26 Clearly, the professionals who deliver a programme need to be technically
proficient and equipped with the training to deliver it well. They also require good ?people skills?. Research has consistently found that children, young people and families who are in need of support, value and are more likely to engage with practitioners who are accessible, approachable and responsive. They are also more likely to take up services if they are
culturally sensitive
6.27 Not surprisingly, more generally it has also been found that the willingness
of parents and children to engage with a programme and to consider changing their behaviour makes a big difference to its eventual results
Keeping children and families engaged
6.28 A problem identified with many helpful programmes and approaches is the difficulty first of engaging children and families and second of keeping them on board; ?attrition? is a well known phenomenon, with the children and families who are most vulnerable particularly likely to disengage
Data and evidence
7.28 Systematically collecting and analysing data to produce evidence about what works and what doesn?t is a crucial element of an effective early intervention approach
CONCLUSION:
Government will:
2. Support the development and use of evidence-based early intervention practice by prioritising proven evidence-based
programmes in our improvement support for Children?s Trust partners, including the Family Nurse Partnership and training for the early years workforce to address any problems early through the Every Child a Talker and Social and Emotional Aspects of Development programmes