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General overview

Stage of development: Implementation

Policy sector: Child and family welfare

Date outcomes contract signed: Jun 2020

Start date of service provision: Oct 2020

Anticipated completion date: Jun 2029

Capital raised (minimum): GBP 150k (USD 186.11k)

Max potential outcome payment: GBP 1.77m

Service users: 10 individuals

Intervention

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

Commissioners/outcome payers

Service Providers

Investors

Intermediary organisations

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Outcome metrics

  • 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 December 2023. 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 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 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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