Tag Archives: mental-health

Norfolk PCC : Pilot to help vulnerable young people will provide a lasting legacy

A pilot to provide specialist support to families affected by child to parent abuse has been celebrating its positive outcomes.

The pilot has already offered support to 81 children and young people and their families.

Over 70 practitioners across Norfolk Children’s Services, Norfolk Youth Justice, NIDAS and some Norfolk schools have been trained to deliver Respect’s accredited intervention ‘The Respect Young Peoples Programme’ also known as the RYPP. The intervention is for families where children or young people aged 8-18 are displaying repeated abusive and harmful behaviour towards their parent or caregivers (including stepparents, adoptive parents, foster carers and kinship carers). This abuse can be physical, verbal, emotional, psychological, sexual, financial, damage to property, coercive and controlling.

Norfolk’s Police and Crime Commissioner, Sarah Taylor, said: “Thanks to funding from the Home Office’s Perpetrator Fund, this pilot has given us a rare opportunity to work closely with families experiencing child- and adolescent-to-parent violence and abuse. Some families experiencing this type of violence or abuse have said that they feel stuck between a rock and a hard place as they don’t necessarily know how to best cope with the situation but don’t want to get the police involved. By working with other organisations including NCC’s Children’s Services, Youth Justice and NIDAS, this project has worked with families to help transform the support available, which in turn has helped them navigate these difficulties.

“Early findings show this work had had a profoundly positive effect on families involved, with a reduction in the need to involve the police or other services in interventions.”

“This joined up approach represents true partnership working. The Child and Adolescent to Parent Violence and Abuse (CAPVA) project has been overseen by my office and delivered in partnership with Respect, Norfolk Constabulary, Norfolk Integrated Domestic Abuse Service (NIDAS), Youth Justice, Norfolk Children’s Services and Brave Futures. 

“As part of the project, NIDAS recruited two full time CAPVA advocates, a UK first, and Brave Futures provided therapeutic support for young people who require extra support prior to engaging in the RYPP. I am delighted that this project has trained 72 practitioners to deliver the RYPP directly to families and the work by these practitioners will provide a lasting legacy.”

Justine Dodds, Head of Respect Young People’s Service, said: “The Respect Young People’s Service (RYPS) has been delighted to work with the Norfolk Police and Crime Commissioner this year and last. The programme has two dedicated Children and Adolescent to Parent Violence and Abuse (CAPVA) workers whose only role is to work with families on this specific type of abuse.

“This is the first time the Respect Young Peoples Service has trained staff in schools. This has been very exciting, with the potential to reach families before they hit crisis point and are forced to contact statutory services.

“The awareness raising work that we have delivered across children’s services and police is helping to improve understanding and empathy, and to identify what is often a ‘hidden harm’. 

“We want to champion our partners and the people that we have trained so far. This programme has the potential to be truly transformational and preventative by stopping CAPVA, before it starts.”

The Respect Young People’s Programme – how does it work?

The Respect Young People’s Programme (RYPP) is voluntary, and both the young person and their parent/guardian must consent to take part and be willing to engage. The programme avoids blame and works together with both the parents/carers and young person, seeing them all as part of the solution. The programme is designed to enable families to identify negative behaviour patterns and work towards positive outcomes.

RYPP practitioners provide support, insight, and simple solutions to help to improve family relationships via weekly structured sessions and takes approximately three or more months to complete. Sessions are varied and use a variety of creative tools and techniques, underpinned by theoretical models – primarily social learning theory, cognitive behavioural approaches, restorative justice, and conflict resolution.

One RYPP practitioner supporting their client said:

“The family engaged well throughout and really took on board everything within the sessions. I feel very proud of how far they’ve come and the improvement in their relationship and conflict resolution.

“The positive change in behaviour and reduction in aggressive, violent and or abusive behaviour has been wonderful to witness and reinforces my belief in the programme.”

Therapeutic support for children and young people

As part of the CAPVA Project, therapeutic support is provided to children and young people via a new service known as Changing Futures. Delivered by Brave Futures, a spokesperson explained the benefits: “Changing Futures provides a safe environment where children and young people can explore their emotions, gain deeper insight into their behaviours, and minimise their impact on others. Our support encourages self-regulation and equips them with healthy coping strategies to better manage their future. We are already witnessing the positive effects of this therapeutic approach, as children and young people are building trust, applying strategies learned in sessions, and showing improved engagement with education and employment.”

Families have their say

One young person after taking part in the Respect Young People’s Programme said: “It’s 100% helped me and mum and we have conversations every day.  It’s not just helped me but it’s helped my whole family.  We’re much happier now.” 

Parents have fed back on how the programme has improved family life. One parent said: “It has been really helpful. My child has taken some tips from it and has been taking some things in and has been thinking a little bit before they act.”

Another parent said: “It is the first time in four years I have felt we have a worker who understands the issues, listens and affirms, and is able to come up with effective and positive interventions and it has been a completely invaluable experience which we will continue to benefit from. We’ve loved working with our RYPP worker.

Early findings from the pilot have shown that all RYPP practitioners have reported a reduction in violence and abuse for the families that have completed the programme.

*After completing the programme, 93% of parent/carers surveyed said it had helped to improve their relationship with their child. A resounding 100% of their children said that it had helped to improve their relationship with their parent/caregiver.

For more information about The CAPVA project

In March 2024, partners, practitioners, and academic experts came together to discuss best practice and to share academic research at The Nest in Norwich.  The day’s conference provided an opportunity for services across Norfolk to raise awareness of CAPVA, to network and to shine a light on the great work already achieved.

*Data collated as of 8 November 2024.

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International Child To Parent Abuse Conference

On October 14th, 2024, Parental Education Growth Support (PEGS) hosted an International Child to Parent Abuse (CPA*) conference online.  The conference was well attended, provided British Sign Language Interpreters for every presentation, and there were a range of speakers from around the globe with the goal of fostering “a collaborative environment where stakeholders can share knowledge and strategies to better support those impacted by CPA” (PEGSupport.co.uk).

A clear thread which ran through the day was the way in which different professionals, practitioners, and researchers were using a public health approach to understand CPA. 

The first speaker, His Honor Judge James Burbidge, highlighted that substance misuse is often found in cases that are seen in the Crown Court, providing two case examples of adult children, one was initially charged with attempted murder of her mother, the second was an adult child who had sexually assaulted his mother and planned to physically harm her. Julie Mackay provided case examples of patricide in her afternoon presentation. Substance misuse and serious mental health issues of the adult children were considered a prominent feature in every presentation. Amanda Warburton Wynn’s case study of a grandson who murdered his grandmother also referred to significant mental health issues and the pressures of mutual caring responsibilities. The lack of support for those supporting children or grandchildren with mental health challenges is a clear issue which has led to terrible outcomes for whole families.

More positively, PEGS have been working with Brightstar for many years, and they provide sessions for young people at risk of causing harm through a needs-based understanding (i.e. if a person has their needs met, they are less likely to cause harm). With a Believe, Belong, Become throughline, Brightstar begin each session with boxing, helping young people to meet their affective needs and regulate their emotions, they then continue to a behavioural session talking through thoughts and feelings (affective needs, relational needs). The importance of recognising unmet needs was also outlined by Jeremy Todd (Family Lives) through a violence-reduction programme of work in which parents are supported to understand and not normalise of minimise the harm, which includes supporting children with their neurodivergent, mental or emotional health needs.

Other, specific, CPA intervention programmes were outlined by Dr Andy Newman. A particular challenge in ‘what works’ for CPA is the lack of consistency, lack of long term data, and whilst many of the interventions mentioned have shown promising outcomes, it is clear that there is no one-size fits all, with some interventions being applied on populations they were not designed for (i.e. positive behavioural support for autistic children when it was designed for children with learning disability). What is clear is that there are many excellent services available, so much so that responses may be positive because of the good working practices, rather than the usefulness of a particular intervention.

NHS Safeguarding reported similar challenges, particularly regarding the relevance of neurodivergence and poor mental health in this area; that diagnoses are not labels, but a useful lens in which to understand a child’s experiences in the world. This concurred with Amanda Holt’s findings, who also found that parents would focus on the wellbeing of their child over their own safety. Both presenters, as well as Dr Silke Meyer in the afternoon session highlighted that a whole family approach, one which recognises that they have individual needs, as well as family needs, is important. Furthermore, recognise the wider family or systems, as many children live outside the family or with others in a parenting role.

A more systematic approach to tackling CPA was identified by Sarah Townsend who shared findings from her Winston Churchill Memorial Trust Travel Fellowship, exploring how New Zealand could learn from the UK and Australia when implementing policy guidance. How policy can stay ahead of progress is a challenge through, as highlighted by Emma Pickering, tech-facilitated abuse is evolving faster than policy-makers can keep up, and this has resulted in harmful artificial-intelligence generated imagery. Furthermore, just parents increasingly monitor their children’s locations using technology, children are doing the same for their parents.

How to help families through the lens of public health was clear throughout, with an emphasis on looking at how certain features of a person’s identity creating additional barriers to accessing support. Kate Fejfer spoke to how those from Eastern Europe have specific challenges when accessing support for domestic abuse more broadly, whereas Polly Harrar (CEO The Sharan Project) talked through the challenges South Asian families, and particular mothers, have when navigating CPA. Vulnerabilities of older adults was discussed by Rebecca Zirk, with Richard Robinson (Hourglass service) advocating for an older person’s commissioner, as Northern Ireland and Wales have one, but England and Scotland do not. 

PEGS is continuing to engage in a myriad of awareness raising activities of CPA, led by their founder Michelle John. Comments relating to the conference can be found on social media via #StandWithPEGS, and employers are encouraged to sign their CPA covenant to support any employees living with CPA.

Find out more about the event, and future PEGS events:  https://www.pegsevents.co.uk/

Nikki Rutter

*CPA is the preferred terminology of PEGS and the parents involved with them, and so is the language used throughout this blog.

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