Troubled Families

The Troubled Families programme is a UK Government scheme under the Department for Communities and Local Government with the stated aim of helping troubled families turn their lives around.^[1]

Introduction

The Troubled Families programme was launched by the Prime Minister in 2011. Louise Casey became Director General, Troubled Families on 1 November 2011.^[2] The programme initially intends to change the repeating generational patterns of poor parenting, abuse, violence, drug use, anti-social behaviour and crime in the most troubled families in the UK, with the government investing some £4,000 per family over 3 years, and each family having an assigned family worker.^[3] Troubled families are defined as those that have problems and cause problems to the community around them, putting high costs on the public sector. The aim is to get 120,000 troubled families in England turn their lives around by 2015 and in particular to:

• get children back into school
• reduce youth crime and anti-social behaviour
• put adults on a path back to work
• reduce the high costs these families place on the public sector each year

Mental health problems are often found in such families.^[3] David Cameron summarised the nature of the families in his Oldbury speech (New Statesman, 15.12.11) saying

'...these families are the source of a large proportion of the problems in society. Drug addiction. Alcohol abuse. Crime. A culture of disruption and irresponsibility that cascades down the generations... a small number of these families cost an extraordinary amount of money. Last year £9 billion was spent on 120,000 families'.

Although the TFP was supposedly aimed at intensive support the political rhetoric was often pejorative.Louise Casey, the 'Troubled Families Tsar' told the Daily Telegraph (20.07.12)

'We are not running some cuddly social workers programme...we should be talking about things like shame and guilt...we have lost the ability to be judgmental because we worry about being seen as nasty to poor people'.

Eric Pickles, communities minister, told the Daily Mail (10.06.12)

'We have sometimes run away from categorising, stigmatising, laying blame. We need a less understanding approach'.

However most of the people targeted were not involved in crime or anti-social behaviour; most were not alcohol or drug dependent.Most were poor,unemployed and with very high levels of mental / physical illnesses and disabilites in adults and children which resulted in high state support costs (see characteristics section). It is unclear how assertive, non-negotiable intervention and benefit sanctions can eliminate these costs.The evidence for long term success in 'turning around the families' is absent and on 12.06.14 Casey told a meeting at Reform

'As hard as it is to accept,the truth is despite our best efforts over many years -and I include myself in that-we just haven't got it right. We haven't succeeded in getting these families to change or in stopping the transmission of problems from generation to generation-we just haven't.

Many areas of England and Wales have renamed their local Troubled Families programmes, including Families First in Gloucestershire and Wales, Building Resilient Families and Communities (BRFC) in Staffordshire, and Think Family in Birmingham^[4][5]

Characteristics

Troubled families are characterized by inter-generational transmission, large numbers of children, shifting family make-up, dysfunctional relationships and unhelpful family and friends social network, abuse, institutional care, teenage mothers, early signs of poor behaviour, troubles at school, anti-social behaviour, mental illness (particularly depression, impeding ability to function in life), and drugs & alcohol use.^[3] This description is based on anecdotal evidence collected by Casey from family interviews. However the definitive quantitative report, 'National Evaluation of the Troubled Families Programme', by ECORYS (July 2014) on the Dept. for Communities and Local Government website paints a somewhat different picture. 49% of those in the program are lone parent families. Underage pregnancy was statistically insignificant, with the under 18 conception rate sitting at only 2%. 90% of adults had committed no criminal offence and 93% of adults had no record of anti-social behaviour. Among children, 88% of children had no record of anti-social behaviour. Only 3% of adults were treated for alcohol dependency and a further 3% of adults were treated for drug dependency.

However the families were reported to suffer from high levels of health problems and disabilities. 46% had an adult or adults suffering a mental health problem; 33% of children had mental health problems. 32% of adults and 20% of children had a long-standing physical illness or disability; 39% had a child or children with SEN statements; 46% had a child with school problems; 15% had a child with a temporary exclusion. The families were also poor and in social housing. 74% were workless households; 83% received out of work benefits; 27% were in rent arrears; 21% were at risk of eviction.

The common characteristics shared by most families were poverty, unemployment, illness and disability and a high welfare cost to the state.

Progress

By November 2013 some 22,000 families had been 'turned round', based on metrics such as child school attendance and crimes committed,^[6][7] although at least some of these families continue to commit some crimes.^[8]

Casey does not believe people undertake behaviours to gain benefits, and that compulsory contraception, whilst reducing the number of children being born into such families, would lead to high-risk teens finding "something else to get into trouble with. Because they've got trouble in their souls, trouble in their heart, troubles in their head. So even if you brought in some draconian thing like that, they'd find something else to do that would actually be an expression of not having enough love or of having too much pain."^[9] But consider also Casey's and Pickles' comments in the introduction.

By March 2015 the Dept. for Communities and Local Government was claiming that 105,671 families of 117,910 processed had been 'turned around', some 89.6%. 8.9% of families had a member who had found a job. It could not be proved that the projects had achieved this. 80.7% had met the 'crime/ASB/education' target. However, only 7% of adults and 12% of children at project entry had an anti-social behaviour intervention.Only 10% of adults at entry had a proved offence (National Evaluation of the TFP, 2014). It must be concluded that most of the 80.7% families 'turned around' involved reduced truancy, not crime or ASB. According to the Dept. for Communities claims, each family cost the state £26,000 per annum at entry to the programme. The estimated average cost saving at exit was claimed to be £11,200 per family. This implies that although 89.6% of families had been 'turned around', 56.9% of the original family costs were still there (Troubled Families, Green Man Books,2015, ISBN 978-1514170588).

The 120,000 troubled families allegedly cost the state £9 billion per annum according to Cameron, Pickles and Casey at programme start up.However, Pickles told the House of Commons on 15.03.15 that £1.2 billion per annum would be saved. This was a hypothetical number based on assumptions that alleged improvements in behaviour would be sustained and depended on removing the high costs associated with disabled children and chronically sick, unemployed adults (Troubled Families, Green Man Books,2015,ISBN 978-1514170588). Pickles was challenged about the numbers in the House by Hilary Benn MP. Pickles responded

'The Rt. Hon. gentleman made a number of points on how we can demonstrate success and square the £1.2 billion with the £9 billion...this is notoriously difficult because governments of all types are absolutely terrible at measuring outcomes'

Expansion

In June 2013, the UK government announced its intention to extend this intensive help to 400,000 more families, committing £200 million in funding in 2015 to 2016. It expects, for every £4,000 spent on a family, an annual saving of £15,000 in the costs of the police, health and social services in dealing with the family.^[6]

Evaluation leak

An evaluation of the initial programme led by Ecorys was leaked to the BBC in August 2016.^[10] The evaluation stated that the programme had made "no discernable impact" on unemployment, truancy or criminality in the treatment families.^[10] The BBC said that the report was leaked by a senior civil servant who felt that government officials had suppressed the report because of its negative evaluation.^[10] The Department for Communities and Local Government denied this, however. The Guardian also noted the scheme had been set up in the wake of the 2011 England riots and was due to cost 1.3 billion pounds by the end of the expanded programme.^[11] The Early Intervention Family called for DCLG to publish the report in full, but the Department replied that the evaluation work was not yet finished.^[12]

Writing in the Guardian, Anna Bawden blamed the problems on the use of a payment by results system during a period when local government budgets were being cut and said, "The programme was bound to maximise waste."^[13]

Evaluation publication and Dispatches programme

The Evaluation by the National Institute for Economic and Social Research was published on 17th October 2016. The report found that there had been "no significant impact" of the scheme.^[14] A press release from NIESR stated, "we were unable to find consistent evidence that the programme had any significant or systematic impact".^[15] The Times reported the following day, "the report was published quietly last night after complaints from Whitehall insiders that it was being suppressed".^[16]

On the same day, the Channel 4 series Dispatches broadcast an investigation of the programme that was highly critical of the programme. Interviews with critics of the programme such as Stephen Crossley, Jonathan Portes and Gen Maintland Hudson suggested that the 99% success rate was achieved by councils' classifying minor complaints such as noise as evidence of being a troubled family so that they were more likely to turn the families around and by data matching of families previously worked with before the programme. Dispatches suggested that many of the problems targeted by the programme persisted in areas that claimed to have achieved 100% success.^[17]

The Evaluation was published shortly before a hearing before the Public Accounts Committee on 19th October. The Public Accounts Committee had expressed concerns to Sajid Javid, the Secretary of State for DCLG, on 5th October that the evaluation documents were not provided to the Committee in advance as were requested.^[18] On 17th October, the Committee tweeted followers to help it review the 765 pages of the Evaluation published late that day before the hearing on 19th October.^[19]

The collaboration of NIESR with the Dispatches programme was criticised by Louise Casey at the PAC hearing for not representing the caveats in the findings. NIESR later submitted further evidence to the PAC to dispute these statements.^[20]

See also

• Improving Access to Psychological Therapies

References

External links

• Helping troubled families turn their lives around
• National evaluation of the first Troubled Families Programme