Mentor’s Quality Assurance services provide guidance and tools to support local capacity building through developing and strengthening sustainable prevention networks at a local level. The alcohol and drug education review in Brighton and Hove not only allowed Mentor to work closely with schools to understand the current capacity and expertise, but also made links and developed strategies to strengthen communication and collaboration with other relevant actors within the community.
1. A case study: Mentor UK and
Brighton & Hove City Council
@Mentortweets | @MentorADEPIS | @PSHEedBH
Ecosystems of prevention:
building local practice
networks
2. Outline
• The evidence base in prevention
• Identifying the need – Brighton & Hove
• The reality – experiences of the local system
• Making the link between local reality and
evidence based practice
• Outputs – shaping policy, advocacy and
sustainability
• Exploring replicability
3. Who we are
Mentor is the UK’s authoritative voice in
protecting young people from the harms of drug
and alcohol misuse.
Research Programmes Policy
4. Our approach
A holistic, life-course, systemic approach to prevention:
Developing life skills that build resilience to risk.
Throughout a young person’s lifetime
CMOannualreport:2011‘Onthestateofthepublic’shealth’
5. The evidence base in
prevention
Mentor-ADEPIS is publicly acknowledged as
the leading source of evidence-based resources
for alcohol and drug education and prevention for
schools.
Evidence tells us what works
7. Implementing
the evidence
base
• Big gaps between evidence
base and reality 'on the
ground'
• Developing communities of
practice (COP) can bridge the
gaps
• Need to be localised to reflect
variations in local systems and
needs
8. Identifying the need:
Brighton and Hove
• Brighton & Hove is a unitary local authority on
the south coast of England
• Population of 273,000; 16% under 16 (Census,
2011)
• Has a strong and diverse cultural history,
hosting vibrant LGBTQ communities
• In the absence of statutory PSHE, local
schools deliver alcohol and drug education in a
variety of ways with inconsistent outcomes for
pupils
13. Making the link – what we did
Whole system
• Appraisal of local support
documents
• Staff survey on current
provision and gaps
• Pupil focus groups on
current provision
• Consultation with key
partners
Curriculum
• Support for PSHE networks
• Advice on suggested
learning outcomes for
alcohol and drug education
• Focused interviews with
PSHE leads and teachers
• 'Learning walks' to
ascertain gaps in delivery
styles
14. Outputs - shaping policy
• Comprehensive report on all
activities with themed
recommendations for
different levels of the local
system
• Accessible summaries for
partners, teachers and pupils
• Interviews with beneficiaries
– pupils and those delivering
Alcohol and drug education
• Increased fidelity of
approach and outputs
15. Outputs – impacting the
system sustainably
• Development of new drug and alcohol education policy
for schools
• Feeding back outcomes directly to PSHE leads,
headteachers and partners through local conference and
infographics
• Delivery of training to pastoral teams on YP and
substance use, including 'Train the Trainer' sessions for
local staff
• Enhancing links between schools and commissioned
specialist service
• Support area-wide normative campaigns on tobacco,
alcohol and cannabis
16.
17.
18. School identifier How confident do you
feel in responding to
pupil questions around
substance use?
How confident do you
feel in responding to a
drug related incident in
school?
School 1 (n=12) 2 2.3
School 2 (n=13) 0.8 0.7
School 3 (n=17) 1.1 1.6
Training for school
pastoral teams
• All participants were asked pre and post questions on their
confidence in dealing with drug related issues in schools. Self
reporting was on a scale of 1 – 6 ('not at all confident' to 'very
confident').
• The scores above represent average increases across each cohort
• Referrals to the local support service from these schools is being
tracked to evaluate impact on referrals
19. Outputs – measuring impact
• SAWSS and public health outcomes data
tracking trends in perceptions and self reported
behaviours around substance use
• Referral rates from schools to local specialist
services
• Follow up surveys with PSHE leads
• PSHE assessment activities
• Measurement against schools who didn't take
part
20. Exploring replicability
Challenges
1. Differing relationships
between PH and school
improvement across areas
2. Differing proportions of
academy schools
impacting LA influence
3. Absence of funding to
impact universal AND
specialist services
4. Variations in PSHE
delivery
Solutions
1. Flexible approach bespoke
to best fit local system
2. Support PH to engage
schools through statutory
responsibilities
3. Impacting whole school
approaches to engage
specialist services
4. Raising profile of PSHE
21. Reflections - positives
• Strong links between local education and
public health services
• Ensured joined up delivery model and
engagement of headteachers, service leads
and commissioners
• High engagement with schools in PSHE
networks and annual SAWSS to ensure future
delivery is based on identified need
• Local community of practice
22. Reflections - learning
• Promotion of positives and negatives of
differing PSHE delivery models
• Targeted delivery of harm reduction messages
according to need
• Pupil voice is essential in shaping delivery
• Accessing training for non specialist teachers
still an issue – both teachers and pupils raised
this as an issue
23. Reflections – further
developments
• Enhancing communication with schools and
targeted services to improve quality of referrals via
education routes
• Continuing CPD programmes for pastoral staff
• Explore use of new Mentor UK quality marks for
schools and services to enhance quality of delivery
• Extension into other areas of PSHE and risk taking
behaviour – now focusing on wider emotional
health and wellbeing (Charlie Waller Memorial
Trust)
24. Some brief questions…
1. Considering your local reality and referring to the
diagram shown in the presentation, discuss the
following:
a. Is a similar model feasible in your area?
b. What would be the challenges to implement such a model?
c. Who would be the key agent involved?
2. Reflecting on the links between the education and
public health systems:
a. Would a similar partnership be possible in your area?
b. If it is not already happening, how can the local community ensure
this is considered?
25. 3. Thinking of the scalability and
transferability of this model, and taking
into account what was previously
addressed, discuss and suggest three key
standards for implementation of a similar
model in different areas
Who we are
For 17 years, Mentor has developed specialist knowledge and experience in programme delivery to prevent and reduce risks, particularly from alcohol and drugs.
This helps build our evidence base of ‘what works’ for prevention – we draw on the best international scientific research available to inform our work and to help influence public policy related to the prevention of drug and alcohol misuse in the UK.
Our approach
In today’s complex world, young people need life skills that help them negotiate challenging situations and build their resilience to a range of negative risks.
We believe the best strategy for supporting the immediate and long-term well-being of children and young people is through a holistic life-course approach to intervention and prevention. This means targeting a variety of settings, including schools, communities and families, as well as ensuring interventions take place early and often, rather than acting in the later years when problematic behaviours are more difficult to address and change.
dispelling some more linear approaches, e.g.:
· Focus on providing drugs harm information alone does not work
· Awareness campaigns don’t work
· Only reaching YP via school doesn’t work
· D&A focus alone fails to recognise broader risks
· Focus on enforcement legislation (e.g. NPS) alone doesn’t work
Building our evidence base
Evidence is crucial to our work, as it helps ensure programmes are effective at protecting children and young people from the harms of drugs and alcohol.
The Alcohol and Drug Education and Prevention Information Service is a platform for sharing information and resources aimed at schools and practitioners working in drug and alcohol prevention.
The resources we have already produced draw on eight years of work with the Drug Education Forum, which supported local authorities and schools to implement best practice in drug education.
In April 2015, Mentor was granted additional joint government funding to manage the Centre for Analysis of Youth Transitions (CAYT) and integrate its repository of evidence-based impact studies into Mentor-ADEPIS.
What is evidence?
Guidance on the types of evidence based approaches and their characteristics
Many prevention programs are in place but how to select the most effective/with proven evidence behind it?
Define and recognise evidence-based. Main features:
programme effectiveness has been recognized through evaluations and rigorous studies assessing impact and outcomes
Replicability of the programme –outcomes and impacts reproduced across multiple settings-
Sustained effects over time
Prevention science has been expanding in recent years and it is now used to address practitioners and policymakers when selecting and designing interventions. Drawing on the previous criteria, prevention scientists produced International standards to assess prevention programmes.
The above table summarizes interventions and policies that have been found to meet quality standards for good evidence and yield positive results in preventing substance abuse by age of the target group and setting, as well as by level of risk and an indication of efficacy.
Realities for different areas change according to funding, designated roles, relationships btn education and public health, approaches to PSHE, status of schools (academy or not)
Communities of practice, informed by local realities and key partners, are essential for the implementation of EBP
B&H demographics
Data from PHOF
Data from PHOF
Activities were decided in conjunction with local services, with Mentor aligning these with evidence based approaches