Counting Every Adult (CEA) Service

 

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Quick Link to Referral

Contact information

Background

Chaos Index

Outcome

Process

 

Quick Link to Referral

The referral form can be found here. (updated August 2015)

 

Contact information

Tom Tallon

Project and Development Manager for Counting Every Adult

Direct Line: 01223 507172

Mobile: 07769 886968

Fax: 01223 475983

Cambridgeshire County Council

Adult Social Care

Box No. CC1310

Castle Court

Castle Hill

Cambridge

CB3 0AP

Background

The Counting Every Adult Service (CEA) uses The New Directions Team Assessment (NDTA) as a referral tool. This Chaos Index was developed by The New Directions Team in the London Borough of Merton is one of twelve pilots from the Adults Facing Chronic Exclusion (ACE) national programme. The CEA service in Cambridgeshire was developed as part of a pilot project backed by Making Every Adult Matter (MEAM), a coalition of four charities including Clinks, Drugscope, Homelesslink and Mind. The pilot was resourced by a local consortium including Cambridgeshire County Council, Cambridge City Council, Cambridgeshire NHS, Cambridgeshire Constabulary and Jimmy’s. The CEA service is based within Cambridgeshire County Council and works with all relevant stakeholders to better allow the opportunity for service users to improve the well being outcomes. As a result of this it is anticipated that, in most cases where engagement is achieved, there will be reduction in cost to the public purse as health and well being interventions become planned and fewer contacts with the criminal justice system are made.

Chaos Index

The development of the Chaos Index began by asking partners from the multi-agency steering group on the ACE project who they considered the new team would actually be serving based on real case studies from local services. Members of the steering group included Primary Care, Social Services, Mental Health Services, Housing, Youth Inclusion services, the Police, Drug and Alcohol services, Jobcentre Plus, the Learning & Skills Council and the volunteer bureau. Early discussions with the steering group combined with a review of the research evidence1 about people with chaotic lives who have multiple needs showed that a high proportion tend to have mental health problems, often in combination with substance use or personality disorder. The Chaos Index was piloted across several of the agencies from the multi-agency steering.

Outcome

MEAM looked at the effectiveness of identification and the consistency that the NDTA provided and considered it the most effective tool to identify adults facing chronic exclusions for the three pilots in Cambridgeshire, Derby and Somerset.

Process

Cambridgeshire has used the NDTA tool as a referral means since the service started in February 2011. The referring agency completes the NDTA and passes it to the CEA service. The client does not need to be present for the referral to be completed. The CEA service then contacts the referring agency to verify the assessment to ensure consistency and gather other key pieces of information to present to the CEA operational group. The operational group meets approximately six weekly and considers all new referrals made during the period. Referring agencies can request to be present or may be asked to attend as their depth of knowledge on the case will be greater, allowing points to be clarified. A referral may be accepted, declined or deferred. The referring agency of a declined referral will be contacted to explain the reasons and signposted to a more appropriate agency. Deferred referrals will be looked at again at the next operational group. This may be because more information is required or we are awaiting the outcome of an upcoming event, for example.