Ilm M3.01 Solving Problems and Making Decisions

ILM prudence Course Shaun Barratt Work based dateM3. 01 Problem Solving The Joint serve well for Disabled Children is a partnership developed by Enfields Childrens trust. It comprises specialist, inclusive, voluntary, health and education returns to upkeep and promote opportunities for every incapacitate children and their families in Enfield. The dish up is open to any disabled children and young commonwealth who encounter significant global delay, autism or emotional state threatening conditions under the age of 18.In my role as inclusion development manager I am responsible for enabling disabled children and young people to access mainstream activities of their choice within the borough. I provide the resources, module and training for any universal activity to substantiate identified disabled children. This ensures that all disabled children and their families argon supported to take part in and enjoy local community sprightliness, whenever executable using local ch ildcargon facilities, leisure and recreational activities.I am too part of the management aggroup tasked with generating new ideas to improve the lives of disabled children and their families. It is this role that we were presented with the following problem Significant routines of parents choose presented to the religious help requesting everyplace night breakout ( inbredly a night a substance for their child at a recognised respite provider). The price of over night short breaks (respite) is highly significant in the serve overall budget, far in excess of any other service we provide, and eve a shrimpy increase would put a huge strain on resources.Far to a greater extent cost in effect(p) is to build support mechanisms around the child and family in their own homes. This is done by building packages of support which provide short breaks but without the huge cost of outside provider overnights. So in arrange to understand this issue more we firstly requisiteed to realise what it was about the overnight breaks which were so benevolent and see if we could find another come-at-able ascendent. We decided to utilise our parents forum to fuck off ideas.Understandably this generated a wide array of reasons for why parents valued over nights so highly, however in that location were significant threads and themes which consistently appeared and by far the most significant was that a high resemblance of parents identified the shoot for a full night kip, nighthing they are unable to achieve due to being disturbed by their disabled child. In addition when asked about factors which significantly affect their quality of life peacefulness deprivation was one of the most significant factors right across the spectrum of need and demographic.There is a wealth of evidence to support the notion that sleep problems are far higher in the disabled population than in mainstream families (Pahl and Quine 2004) The service holds an away day twice a year a nd part of the posing was given to a brain storming session around the issue of sleep problems and what we as a service should do to address them. By involving the team in this process this leave ensure that any ideas generated forget have team self-control.A number of ideas were put forward, but by consensus there were four battlefields which were felt up were appropriate responses to the issue of demand for increase in over night provision. pic The first option was for the team to think more laterally in terms of what we offer to parents. This could be done by identifying call areas in the day that parents were struggling with and identify spare support during these generation. This could be around bed times and waking times etc. nd in turn offering parents more support to charge batteries through offering additional short breaks (a short break is an activity such as playschemes or after school groups etc). Another solution would be to analyse what the service is spendin g in other areas and cut other budgets significantly to fund additional overnights and in a similar vein to task the team with finding more cost efficacious over night breaks by opening up to tender to find possible other cheaper providers.The final and most popular idea was to offer some form of sleep coun manageing to modify parents to gain back control of this part of their lives through behaviour management and support to change their childs sleep habits. A simple decision do grids illustrates how this might meet the main areas of need as identified by the parents. Decision making seat Criteria qualifying more diverse Sleep noise Offer increased over Find cheaper over night respite schedule night respite options Cost ( ( ( effective Parental approval ( ( ( extensive term sustainability ( Improved sleep ( ( ( opportunities in short term Improved sleep in the ( unyielding term Intuitively the sleep interpellation program is an appropr iate response as it directly responds to the parents need for their sleep deprivation to be addressed.Its more sustainable than the others and its focussed on the area identified and not just fire armed combat and therefore a potentially proactive way of working which is easier for faculty to identify with. Its cost effective with just the initial outlay and staff focus time. Its solution focussed with clear parameters on intervention times. Parents allow hopefully support something which gives them a long term solution to their problem and not just a short term solution which is offered by overnights. A potential sleep programme training course was identified which would involve cinque members of staff being identified to be trained to cash in ones chips sleep counsellors. They would work directly with the parents and enable the arents to change bedtime routines and behaviours in mark to improve sleep patterns in the child. Before presenting to the joint service steering gr oup we carried out an study epitome to anticipate issues which may be raised in the presentation. SWOT abstract of sleep program Please see appendix (1) The use of a SWOT analysis provides a methodical and honest assessment of our function strengths and weaknesses for carrying out a defined sleep program. It will also expose threats which may pose a threat to its sustainability and opportunities afforded by the process. The objective of the analysis is to ascertain whether the sleep program is a workable affordable, sustainable response to the need for a sleep intervention process.Strengths in more detail The major strength of the programme when functioning to its potential is its affordability and sustainability. Even a minor reduction in over nights expenditure will see the program more than pay for itself. The initial outlay of training could be offset against respite savings. The difficulty is that onus work is difficult to quantify and illustrate as it hasnt happened, but a reduction in the number of looked after children may be apply as a key indicator. The program all the way tackles the root make water of the presenting problem whereas overnights give short term relief to parents the sleep problem itself is hush up there in the future.There is plenty of evidence to suggest that improved sleep is positively fit with improved cognitive performance (The national Sleep Foundation 2004) This would also have significant rival on incidences of challenging behaviours, reducing it dramatically (Green et al 2010) and better quality of life indexes for parents of disabled children (Prosper, Mard and Beecham 2011), twain of which could act as markers for the success of the program. The practical applications of a sleep program can be use to other complimentary areas of work (Sleep Scotland 2001) such as home care and other counselling conditions. Weaknesses in more detail Identification of our weaknesses needed to be done as constructively as possible with no blame or finger pointing, however several key points emerged The first is can the staff hours be found to sustain a sleep program? How can we illustrate that time worn out(p) in the program will in the long term reduce hours in other areas. own the current staff group the necessary communication skills to make effective counsellors?As the sleep service grows there will become a need for additional staff time, resources as well as someone to coordinate the service administer the service and manage the new counsellors. A fundamental unbelief is it possible for the recruitment process to reflect the need for new workers to potentially add to the service. Marketing and stigmatization are also time consuming as the service grows. All these growth factors had to be factored in to produce a long term picture Opportunities in more depth There are opportunities to offer the counselling service to outside agencies with a cost attached. There is no other same service within the bo rough so this is a viable option.This could help in sustaining the service or even to expand it. The publicity afforded of a proactive response to significant and widespread sleep problems, identified by the parents of Enfield themselves, will help put the service in a positive light. This in turn will help our cause when decisions on future cuts are made. This is in turn wishing the move politically for parents to have more control over their lives. Pro active approaches are also always easier to sell to staff by addressing the cause rather than fire fighting the effects. In its favour additional accompaniment streams are available to those ideas generated and supported by parents and children.More effective use of cash and resources will also appeal to stakeholders. The positive outcomes of a sleep program such as improved concentration of children resulting in a reduction of incidences of challenging behaviour, and increased educational achievement is going to appeal to a numb er of partners, which may influence them to invest. Finally and most importantly, an effective service will put less military press on other related services resulting in economies for the stakeholders Threats in more depth The current frugal climate is going to have a huge bearing on the success or other of the labor movement. Given this there is a danger that parents may interpret this as a cost eluding whole step around over nights.Parents may still need overnights despite intervention making it a costly additional service. Research needs to be carried to ensure their isnt a larger service such as MENCAP that can deliver the sleep service more economically. Does the political economic downswing means that projects which offer projected savings are less attractive than short term cuts to services? In order for the service to grow future training opportunities are essential, is this going to be viable when its acknowledged that the first budgets to be reduced are training bud gets. Are the patronage streams used currently likely to remain as further cuts are deemed necessary?Will the outlay of utmost(prenominal) training be viable if staff retention is problematic? Could collaborative efforts for example coordinating approaches with medical checkup interventions i. e. use of melatonin in conjunction with psychological interventions be more cost effective? Inter path working is essential for the sleep program to succeed, is the communication system robust enough for multi agency support? Will cuts mean only front line services that are statutory in reputation be preferred over seemingly peripheral services such as a sleep counselling service? Will elements of the service be put out to tender and is this likely to be picked up in this?Given the threats outlined by the swot analysis it is clear that in order to present a convincing case to our steering group it is necessary to present an outline and be for how the service might develop. The main objec tive would be could we illustrate the effectiveness of the sleep program as an intervention? Could we illustrate parental satisfactions as a response to sleep issues? Therefore we identified a diverse number of partners to carry out a pilot project. With it being multi agency the strain on any one service could be portrayed as manageable. The SWOT analysis illustrated that there are major potential benefits to partner agencies so there involvement and investment was essential. We would carry out analysis of the success or otherwise of a sleep clinic with a small number of parents from diverse backgrounds.They would be asked to fill in a number of satisfaction questionnaires prior to and after the intervention. Feedback on behavioural changes from a previously obtained baseline would be obtained from partner agencies involved ie schools. We would need to highlight circumstances when the intervention could have most benefit i. e. care plans in child protection cases, complex issue chi ldren or families in other types of crisis. All of these will have great appeal to senior management teams. by and by the pilot parents and senior management would be invited to a presentation of the results. An exercise would be given to the parents whereby they become budget holders.They would be given the money that they are entitled to for their children. They would then be given the cost of all services available to them. By this means parents will be able to see for themselves the cost effectiveness of the intervention and the huge costs of over night respite. They would be empowered to know how they could have a substantial package of support around them for the cost of very few overnights. The issue of sleep programs would be shown to be a very cost effective tool in obtain a good nights sleep. Finally the sleep clinic team would present to all partner agency staff. Cascading of skills would be essential and appeals for constructive critisism of the scheme could be made.Ess entially there has to be a selling process and ownership of the service throughout the joint service. If it is then a viable option we would meet with managers to move the project forward Appendix 1 Strengths weaknesses (i) Affordability and sustainability (i) Is there sufficient availability of staff to undertake the (ii) Tackles root cause of presenting problem training (iii) Cognitive improvements as a result of better quality (ii) Staff accomplished enough to communicate at the highest level sleep in order to make venture victorious (iv) Improved Staff skills set (iii) Who has time to coordinate project? (v) cascading of skills will appeal to budget holders (iv) healing(predicate) change can be time consuming (vi) reduction in aggressive incidences which are as a direct (v) Does recruitment reflect the need for these particular result of sleep deprivation skills? (vii) additional resource to offer families in crisis child (vi) Who is going to market and brand the se rvice? protection etc (vii) submit for administrator and stats holder (viii) a new approach to empowering parents to enable them to take control of their own lives opportunities Threats (i) Outsourcing counselling service to other agencies if proved(i) Parents may interpret this as a cost cutting measure around successful over nights (ii) Response to significant and widespread sleep problems (ii) Parents may still need overnights despite intervention identified by the parents of Enfield themselves making it costly additional service (iii) Above (ii) compliments the move politically for parents (iii) Could a larger organisation undercut the sleep service? to have more control over their lives (iv) political economic downturn means (iv) addressing the cause rather than fire fighting the effects(1) long term savings options less attractive than short term (v) Additional funding streams are available to those ideas cuts generated and supported by parents and children (2 ) Training budgets are the first to be cut when money is (vi) More effective of money and resources will appeal to tight threat to future growth stakeholders (3) Service once offered will need to grow to meet need is this Improved concentration of children and young people resulting viable? in a reduction of incidences of challenging behaviour, and (4) Are there more cost effective services already in existence increased educational achievement that that Enfield could tap into instead An effective service will put less pressure on other related services motivating for more overnights and better quality of sleep Increase in overnights by moving other budgets Offer diverse options to support parents in coping Support parents in managing their sleep Seek out cheaper respite units