The interventions identify the function of the challenging behaviour and deliver practical solutions to improve the individual's quality of life, reducing the need for residential placements, with a focus on them remaining at home or other supported homes
Target population
The cohort is young people with a learning disability and/or autism and displaying challenging behaviour, who professionals feel is at risk of going into residential care.
Location
Country
United Kingdom
Service delivery locations
Gloucestershire
Involved organisations
Configuration of contracting parties:
Direct contract between outcome payer and provider
Metric 1: Young person stays out of residential care for three months
Metric 2: Young person stays out of residential care for another three months (6 months)
Metric 3: Young person stays out of residential care for another three months (9 months)
Metric 4: Young person stays out of residential care for another three months (12 months)
Metric 5: Young person stays out of residential care for another three months (15 months)
Metric 6: Young person stays out of residential care for another three months (18 months)
Metric 7: Young person stays out of residential care for another three months (21 months)
Metric 8: Young person stays out of residential care for another three months (24 months)
Metric 9: Young person stays out of residential care for another three months (27 months)
Metric 10: Young person stays out of residential care for another three months (30 months)
Metric 11: Young person stays out of residential care for another three months (33 months)
Metric 12: Young person stays out of residential care for another three months (36 months)
Metric 13: Young person stays out of residential care for another three months (39 months)
Metric 14: Young person stays out of residential care for another three months (42 months)
Results
Gloucestershire Positive Behaviour Support started delivering services in October 2020 and will finish in June 2029. Data was last updated in June 2024. These are interim results.
Outcome achievements
Overall target is based on the high case scenario defined in the Life Chances Fund Final Award Offer or Variation Agreements.
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The graph above shows interim results for the project’s outcome achievements. Each bar represents a key participant outcome or metrics. Each metric is detailed above the graph (under the ‘Outcome metrics’ section of this page). Users can hover over the bars to access data on the expectations and achievements for that particular metric. Labels at the top of the bar represent the overall expectations for specific metrics, for the entire life of the project. The coloured section of the bar represents the project’s achievements so far.
Each bar takes the unit of analysis of the metric (if the metric is measured in number of individuals, the bar graph is representing individuals achieving that metric. If the metric is measured in weeks, the bar graph is representing weeks).
A note on targets (or expectations): the graph above shows the latest targets for the project. These targets are based on the best-case scenario expectations for every project. These targets may be different from the targets set at the start, as projects adapt to unexpected challenges or changes in circumstances. In addition, these targets could also work as a ‘cap’ for payments. We offer these parameters as a reference on outcome achievement projections. If projects are under implementation, they are not expected to have achieved any of these targets yet.
The commissioner's comment on this graph:
'The metrics demonstrate how long a child has been kept out of residential care. One of the children has recently reached Metric 10 which means they are still at home with their family 30 months after referral into the service. Supporting a child to stay at home through improving their quality of life is not only better for the child but also avoids the significant cost of a residential setting and the challenges with transitioning back into the community when they as they reach adulthood and their education placement ends, this can often be a crisis point.'
Outcome payments
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The graph above shows interim outcome payment results. The x-axis displays the years since the start date of the project to the anticipated completion date. The y-axis represents the value of the payments for outcomes realised by participants in the programme. The aim of this graph is to enable users to compare the initial expectations of the project against the actual value of the outcomes that were achieved.
The dotted lines represent the different plans that projects had at different moments- labelled as ‘Plans’ in the key. The data for these dotted lines (or single dotted line) comes from the outcome payment profiles that projects shared with the commissioners and their values represent expectations according to 'best-case scenarios' (if projects achieved as many outcomes as possible). There are different dotted lines as projects can renegotiate their payment plans as they face changes that affect delivery (such as the COVID pandemic) or adjust their expectations during the life of the project. Each dotted line is made of a set of points. Each point represents a quarter. Users can hover over those points and access data on the expectations for that quarter.
The solid line shows the outcome payments that the project already claimed and received- labelled as ‘Actual’ in the key. Squared points on the 'Actual' line indicate that the payment for that quarter was a COVID-19 medium-scenario grant. This was one of the temporary funding options offered to projects during the COVID-19 pandemic (this included activity payments based on projected medium-case performance scenarios). On the top-right corner, the ‘Plans’ and ‘Actual’ lines can be selected and deselected to change which lines appear in the graph.
A note on the representation of different payment profiles (or plans): when Life Chances Fund projects reprofile their payment plans, they use a template provided by the National Lottery Fund. When they complete data for the past quarters, some projects preferred to leave those cells blank, other preferred to repeat the previous expectations and other decided to complete those cells with data from actual payments. To avoid confusions around these different criteria, we start representing a plan from the moment when the plan is valid.
The commissioner's comment on this graph:
'The payment model is based on individual children and the avoidance of residential care and is therefore very focused on individuals and their outcomes. Although COVID had an impact on the service briefly it carried on with the appropriate precautions in place to ensure the health of the children and the Positive Behaviour Support (PBS) practitioners. There are no significant delays between outcome achievements and reporting, these both take place on a quarterly basis. The fundamental model has not changed during the pilot, the service works intensively with four families of children with learning disabilities and/or autism who are at risk of going into residential care. The PBS Service improves the child’s quality of life through developing their communication skills and increasing their access to the community, which in turn reduces incidents of behaviours that challenge.'
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