Tag Archives: Abuse

A pound invested in Keeping Safe saves services £23.00

communication disability and cost benefit analysis

 ‘For every pound invested in the Talking Mats Keeping Safe resource and training there is a potential saving to services of £23.00’ .This was the findings of a cost benefit analysis carried out during the development phase of the Keeping Safe Talking Mat resource.  A Cost-benefit analysis demonstrates the overall economic value of an intervention with numbers and evidence.

 The Keeping Safe resource

The Keeping Safe resource is a visual framework that has been developed and trialled over 6 years in partnership and with funding from various organisations e.g. Survivor Scotland, Scottish government , Kingdome Abuse survivors project and NHS Fife

The Keeping Safe resource provides:keeping_in_touch

  • A listening space for people with learning disability and communication difficulties to raise concerns and express their point of view.
  • A structure for staff to find out what people are thinking about their lives, and raise issues that can be difficult to discuss.

A reflective practice training was developed and  provided to over 700 staff to allow staff become familiar and confident with using the the resource

Findings of the cost benefit intervention

There is a significant financial advantage to services using Talking Mats. Analysis of six scenarios found that for each pound invested in the Keeping Safe training there is a potential saving to public services of £23.00. In learning disability services it is easy for costs to accelerate quickly. If services don’t respond effectively, challenging behaviours can escalate and relationships and placements are at increased risk of breakdown. Talking Mats can help provide staff with a comprehensive and accessible framework to help them listen to people who can find it difficult to articulate what is really going on for them e.g. issues of pain, relationships or levels of support. In this project 89% of Talking Mats resulted in staff learning new information about the person they were working with, even when they thought they knew them well.  The Talking Mats framework provides a way to turn these points of views into actions that can be monitored and reviewed. It is these early interventions that not only save money but improve quality of life.

Cost benefit Process

With support from Inspiring Scotland a cost benefit analysis was done that examined the cost of the Talking Mats intervention and any resulting actions. 6 cases were chosen from over 100 detailed descriptions of how practitioners working with people with learning disabilities had used the resource.  These descriptions  represented a cross spectrum of  people with learning disabilities in Scotland in terms of living situations e.g. living at home , in supported settings and an inpatients facility . They were also chosen to represent the comorbid conditions that often exist with learning disability e.g. autism, mental health and cerebral palsy. An alternative scenario was created and tested with critical friends as to the likelihood of what might have happened without the Talking Mats intervention. All the scenarios that were developed are  available here 20180110 scenarios cost benefit   The primary source of financial information and the subsequent calculations  was the Unit Costs of Health and Social Care produced by the Personal Social Services Research Unit (PSSRU) 2015/16 . This contains detailed cost estimates for a range of services such as care placements, NHS services, social work, mental health, and family interventions. This analysis can only be illustrative as assumptions are subjective.

The findings from our final report 160512 Keeping Safe report 2013-2016 showed that effective use of the resource   not only led to  improvements to quality of life for individuals but that it can save services money. Book a place on our  webinar and get the Keeping Safe  resource 20180122 Keeping Safe Webinar  or if face to face discussion is more your thing attend the advanced course in April 2018 – you get the resource with that booking too!

Keeping Safe and Safeguarding

keeping_in_touch

The Talking Mats  Keeping Safe Learning Disability projects ends but a resource that promotes safeguarding and well-being  continues.

The Keeping Safe Talking Mat provides a structured framework to ask someone ’How’s your life going?  We are grateful to the Scottish Government Keys to Life monies for funding the trials. Impact of use of the resource was gained by practitioners sending in examples of their use of Keeping Safe, and the outcomes and actions from the Mats were themed.

The resource has been shown as a helpful way to

  • discuss new information (89%). Staff frequently commented that using the Mats revealed things they had not known previously.
  • discuss and resolve fears (84%) . It provided a framework that was supportive for those more difficult and or sensitive conversations e.g.’ Usually when she expresses her feelings she can get either upset or angry. She did not get upset or angry at any point through doing the Talking Mats, although the subject and things she was saying was at times difficult issues.’
  • support thinking (89%) ‘It helps with memory and attention as she has something visual to keep her focused.’

RelationshipAs of June 2017, 609 people who work with adults with a learning disability in Scotland have the Talking Mats Keeping Safe Resource and are trained to use it. This includes a wide range of professions : clinical psychologists, social workers, advocacy workers, community nurses, support workers and allied health professionals.  21 people extended their training to become trainers themselves, and are now training people to use Talking Mats and the Keeping Safe resource in their geographical area.

Initially many staff thought using the resource would take too much time but in fact were really surprised to find how much quality information they got in a short space of time.  A cost benefit analysis demonstrated that using the Keeping Safe resource is cost effective for organisations i.e. for every £1.00 an organisation spends on the training and the resource, the potential financial benefit to the organisation is £23.00. We believe this is because the Mats create a powerful listening space and so that issues can be addressed timeously and not spiral out of control. This has not only a financial benefit but also a return in terms of an individual’s well-being and access to local non specialist services.

Although this resource was developed with adults with a learning disability, several people have reported  that they have found it useful with other client groups e.g. adults with acquired neurological disorders and young people particularly with mental health issues .

 

If you want to read in more detail about the design process behind the resource then please read this journal article published in the Tizard Learning Disability Review  More Than Pictures TLDR 2017

 

Keeping Safe -A new Talking Mats resource available to purchase

keeping_in_touch

The Keeping Safe Talking Mat resource provides a structured framework to ask someone ’How’s your life going?  It has 3 topics: Your Well-being;  Relationships; Thoughts and Feelings

Do you find it difficult discussing feelings with people who have limited understanding?

Do you have limited time to discuss sensitive issues with people?

Do you want to find out any issues which may be slowing recovery or preventing someone moving forward in life?

A cost benefit analysis demonstrated that using the Keeping Safe resource to create a listening space for people to think and share how their lives are going, is cost effective for organisations.

The design of the resource is described in the Tizard Learning Disability Review More Than Pictures TLDR 2017

It has been trialled and tested with people with learning disabilities throughout Scotland, but has also been used effectively with a range of people who find it difficult to discuss their life e.g. Young people with mental health condition.

It  has been shown as a helpful way to

  •      discuss new information (89%),
  •      discuss and resolve fears (84%)
  •      support thinking (89%)

This poster gives an overview of the project KS 2nd Poster (click to enlarge)

The Thoughts and Feelings topic uses a different top scale and this resource is best used by people who have completed Talking Mats Foundation Training.  If you want to buy it (£55.00 +VAT)  contact the office  www.talkingmats.com   tel. (+44) 01786 479511

The Keeping Safe project continues!

colleagues_classmates

 

The Scottish Government has granted further funding for the Keeping Safe Talking Mats training and resources.

This extension coincides with the launch of the  Keeping Safe report 2013-2016   at a seminar on Thursday 19th May at the Raploch Community Centre Stirling.  It’s great to hold our event during Learning Disability week where the theme is Celebrating Success.  This project has undoubtedly been a success.  234 Keeping Safe communication resources are in use across Scotland. Staff who have used the Keeping Safe resource report that it supports Safeguarding and  helps  people think how their life is going,  enabling them to express concerns they might  have,  either big or small.    The impact that the resource has on the lives of people with learning disability is powerful.  You can read more about this in our previous blog or in the  Keeping Safe report 2013-2016

The seminar on the 19th of May is an opportunity to share experiences and explore further some of the issues that exist for people with learning disabilities.

The next tranche of funding provides more training courses for:

  1. People who work with adults with learning disabilities in Scotland to learn the skills and use the resource to support listening to their service users and
  2. The staff who use the resource regularly to become Keeping Safe trainers and support the aim of ensuring adults with a learning disability in Scotland have access to this communication tool.  We particularly want to target geographical areas that do not yet have Keeping Safe trainers, e.g. Dumfries and Galloway and Aberdeenshire.

If you work with adults with learning disabilities in Scotland and would like to apply for Keeping Safe training please contact the office info@talkingmats.com  Application for

Striling course  19th August and 16th September is here;  20160610 training flier

Aberdeen Course 9th September and 7th of October is here 20160909 Aberdeen flier

Dumfries and Galloway course 20th October and 25th November is here 20161027 training flier

Further courses are being planned in the Autumn in Dumfries and Central Belt .Please contact  Info@talkingmats.com if you wish to be sent the relevant  flyer

Asking people with Learning Disability about their lives

health_and_wellbeing_topic

It is important that we ask people with learning disability about their lives and enable them to raise any concerns. Over the past couple of years we have been developing a Talking Mat called Keeping Safe.  It is a resource that gives people time to think about various aspects of their lives, and express how it is going for them.

234 staff in different parts of Scotland now have the resource and have been trained to use it. Feedback includes that using the Keeping  Safe resource can improve the quality of communication for both the person with a learning disability and the staff member in the following ways :

  • Staff frequently commented that using the Mats revealed things they had not known previously;

‘It gave so much information which we did not expect. It will assist in Adult Support and Protection feedback. It gave him his own say in things.’

‘allowed needs to be identified that I would not have thought to ask about,  such as the smoking and taking drugs.’

  • It enabled staff have a conversation about more sensitive and or difficult issues;

‘Usually when she expresses her feelings she can get either upset or angry. She did not get upset or angry at any point through doing the Talking Mats, although the subject and things she was saying was at times difficult issues.’

‘A has good communication skills but as we had a sensitive issue (personal care) to discuss I felt that a talking mat would allow us to explore this.’

  • It also helped the thinker ( the thinker is the person doing the mat ) to express their thoughts clearly

‘allowed this person to disclose things that they were struggling to disclose verbally.’

  • It helped with memory difficulties and kept the thinker focused on the topic

‘It  helps with memory and attention as she has something visual to keep her focused.’

  • The information gained reflected the thinker’s view and not the views of those around them

 ‘This resource gave this gentleman the power to say exactly what he was thinking and not what he thought someone wanted to hear.’

  • There was a lot of positive feedback on using the resource from people with learning disabilities

I adore this. The mats really helped me speak about my feelings.’

  • It was a quick way to get information. Initially many staff thought using the resource would take too much time but in fact were surprised to find how much information they got in a short space of time.

The stories gathered from using the resource are powerful and a final report is being prepared which will be launched at a seminar  on the 19th May during learning disability week . There are still some spaces on the seminar so if you would like to attend please contact info@talkingmats.com .

We are delighted that the Scottish Government is funding a further round of Keeping Safe Talking Mats training.  If you work with adults with learning disability in Scotland, and would like to apply to a Keeping Safe Talking Mats  training course then please email us for dates and the application form.