Provision for Young People With Challenging Care Needs

Sinclair Soutar

Executive Director

Kibble Education and Care Centre

About Kibble Specialist provider of services for children and young

people at risk

Our Charitable Mission

To found and endow in Paisley,

an institution for the purpose of

reclaiming youthful offenders

against the laws. Miss Elizabeth Kibble 1840

The Miss Kibble Reformatory Institution, Paisley 1859

Modern Day Kibble

• One of Scotland’s oldest charities and a leading social business

• Movement away from “bad boys school”

• Over 600 employees

• Early years to adulthood (5–25) support

• Young people from UK wide

• Majority with multiple placement breakdowns

• Integrated services support gradual transition back into the community

Integrated Services Our array of services offer gradual transitions for young people, based on need.

• Residential Care (58)

• Safe Centre (18)

• Early Years and Secondary Education

• Intensive Fostering Services

• Young Workforce Development

• Day Placement (35) and Outreach Services

• Community Housing (17)

• Housing Support

Kibble Safe Centre A safe, secure and supportive environment to help

young people in crisis

Safe Centre

• Purpose built in 2007 to extend Scottish secure sector. Currently 84 secure beds in Scotland

• Creating a new culture in 2007

• Boys and girls aged 12-18

• Highly-trained and qualified staff team

• Minimum staffing ratio of 1:2

• Largest provider of Specialist Intervention Services in Scotland

• Arrival via Children’s Hearing System or Court

Safe Centre

Safe Centre Layout

Safe Centre

• Three six bedded care houses all linked to residential step down and community alternatives

• Located on our main campus

• Management structure creates continuity

• Additional emergency bedroom option

• Exits are planned at the point of referral/arrival

• ‘Profile of Young People at Kibble’ research has highlighted the impact of significantly traumatic events and ACEs

At Kibble, 76% of boys and 77% of girls have experienced three or more types of adverse

childhood experiences.

(Profile of Young People at Kibble, Initial Findings 2015)

Safety, Connectedness and Coping (Bath, 2015)

To help young people transition to and from secure care, we prioritise safety, establish positive connections

and support them to cope with their life situations

Safety

• Getting the transition right. First impressions!

• Appropriate use of the environment

• Policies and procedures are fit for purpose

• Introduction of individual SSP’s

• Within 72 hrs of arrival, young people receive: - Comprehensive Health Assessment - First Level Psychological Assessment (FLPA) - Personal Support Plan (PSP) - Initial Risk Management Plan - My Kibble Journey / Pathway established - Family contact made by dedicated worker

Safety

• In-house Psychologists provide ongoing therapeutic support and interventions

• Full-time Looked After Children (LAC) nurse

• Regular GP/Dentist/Optician visits and monthly CAMHS consultations

Safety

• Culture centred on relational practice. “Relationship is the intervention” (Stuart, 2013)

• Hanging in, doing with, taking an interest

• Importance of predictability, consistency, structure and routine within the lifespace

• Familiarity in consistent and predictable staff team helps establish relationships and create feelings of safety for young people and their families

• Incentive scheme encourages young people to stick to care plan

“Yous turn peoples lifes around and make our life much better, you give us a reason to smile when we had every

reason to cry, yous have made me feel like I've had everything at times when really I didn't have much, yous showed me my life is worth living and no matter where I

wanna be in life I can get there!”

(Young person reflecting on their experience in Kibble Safe Centre)

Safety

Safety

• Creating a containing environment for staff - PFA

• All CYCW trained in working with self-harm and suicidal behaviours

• All CYCW are trained in Safe Crisis Management (SCM)

• SCM - managing challenging behaviour through use of primary and secondary intervention strategies

• Order of training

• Least Restrictive Alternative

Connectedness

• Commitment to developing positive, trusting relationships with young people and their families

• Campus viewed as a small community. Role of domestics, cooks and maintenance staff

• Continuity of care – each young person has allocated workers who remain throughout their Kibble journey

• Care staff work alongside parents, carers and extended families to ensure the best possible outcomes for young people

“The first time I felt loved beyond words was when Ann-Margaret came into my room and saw me in tears and

straight away she burst into tears too she said "oh god I'm meant to be professional here … Her actions meant the

world to me just like she did!”

(Young person reflecting on their experience in Kibble Safe Centre)

Connectedness – Supporting Families

• Systemic family work – dedicated team

• Helps bring families together to talk about problems and experiences as a family

• Contact with families within 72 hours

• Geography not a barrier – cross country travel and technologies support communication

• Each service has it’s own private family room

“What makes children get better from a trauma is connection to other human beings... those kinds of

interactions end up being much more therapeutic and healing than many of the other things that we try to do

with kids.”

(Dr Bruce Perry - Trauma, Brain and Relationship: Helping Children Heal)

Coping – Education

• School provides structure and routine. Curriculum for Excellence has a specific focus on entitlement, attainment, personalisation and choice

• Supportive learning environment – max of four pupils per class

• All teachers registered with General Teaching Council for Scotland

• 52 week curriculum

• Wider achievement: Duke of Edinburgh’s Award, Youth Leader and Arts Awards

Education Menu

Classroom

Coping - Education

• At the age of 15, young people can gain real life work experience and qualifications at KibbleWorks

• KibbleWorks is part of the senior phase

• Collective of youth training and employment enterprises

• Young people attend on a supported basis

• Skills can be gained in; hospitality, machinery, landscape gardening – aligned with LMI

• Qualifications – SVQ and City & Guilds

Coping

Coping - Education

• Opportunity to complement education with extra-curricular activities

• Workshops and evening sessions; arts and crafts, free running, DJ’ing, drama and technology

Coping – Specialist Intervention Services

• Every young person is closely supported by our in-house SIS team

• Provide trauma-informed psychological consultation, assessment and therapeutic intervention

• Range of interventions tailored to each young person’s individual needs

• Integrated approach - all young people and their families get the right support, at the right time, using the right therapeutic processes

Coping – Specialist Intervention Services

Coping – Space to Learn, Grow & Develop

• Given time and space to develop their identities, socialise and simply ‘be a teenager’

• They are encouraged to personalise their lifespace

• Promotion of healthy activities

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Questions?

Thanks for listening

sinclair.soutar@kibble.org