Care leavers’ experiences of emotional wellbeing support while leaving care

Care leavers’ experiences of emotional wellbeing support while leaving care

Highlights

This report, produced by peer reviewers, covers qualitative research into the wellbeing needs of care leavers including challenges faced when transitioning out of care, relationships and other barriers.

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Summary

This report was produced by peer researchers, following a collaboration between Foundations – What Works Centre for Children & Families and the McPin Foundation on our Care Leavers’ Emotional Wellbeing (CLEW) project. The report specifically highlights the research conducted by four McPin peer researchers, individuals with personal experience of leaving care who were recruited, trained and supported by the McPin Foundation to carry out qualitative research for this project.

Aims

Through their interviews, the peer researchers aimed to improve understanding of:

  • Care leavers’ emotional wellbeing needs
  • Barriers and facilitators to accessing emotional wellbeing support
  • Transitions to adulthood and associated emotional wellbeing challenges
  • The role of different relationships in protecting, or diminishing, care leavers’ emotional wellbeing
  • How intersecting inequalities might impact emotional wellbeing
  • Care leavers’ perspectives on how emotional wellbeing support could be improved.

Method

The CLEW project focused on five local authorities in England and involved evidence reviews, qualitative research with professionals and care leavers, and a deliberative workshop. As a part of this work, peer researchers conducted semi-structured online interviews with seven care leavers, all under 26 years old, from four English local authorities. The peer researchers divided and coded the transcripts, using analysis workshops to allocate theme leadership and support one another in analysis and writing. Individual report sections were led by researchers with McPin research manager guidance, and a collaborative workshop ensured consensus among the researchers.

Key Findings

The report identifies a number of key findings:

  • Contributors to low emotional wellbeing: Participants described how unresolved childhood trauma and isolation caused by independent living and a disconnect from their peers can have a lasting negative impact on emotional wellbeing
  • Managing mental health and pathways to support: Participants recognised that managing mental health conditions affected their overall wellbeing, identifying therapy and financial support as key pathways to addressing these challenges
  • Transitions: Relationships, especially with Personal Advisors (PAs), play a central support role during the period of transitioning out of care. However, issues within these relationships, such as a lack of fit or inconsistency, can affect care leavers’ experiences of PA support.
  • Key facilitators and barriers: PAs provide tailored and flexible support which positively affects emotional wellbeing. However, inflexible services, bureaucratic processes, long waiting lists and a wider lack of understanding of care leavers experiences within services can hinder support.
  • Equality, diversity and inclusion: Participants felt misunderstood or stereotyped based on race or gender, affecting their experiences of care and support.
  • Aspirations and achievements: Participants shared a collective aspiration for a better future. Many described their dedication to improving the care system and helping others through volunteering, employment and other opportunities. Despite challenges, they have achieved many professional and personal growth goals.

The report makes a number of recommendations based on reflections shared by young people during interviews. These include recommendations aimed at local authorities and PAs, including:

  • Training in empathy and communication skills
  • Greater support with administrative tasks, and improved preparation for the transition out of care, with assistance from PAs coming earlier
  • Efforts to tackle discrimination towards, and stigmatisation, of care leavers

The report also makes a number of wider recommendations, including:

  • Prioritisation for care leavers on waiting lists for mental health and health care services
  • Flagging care experience within healthcare and mental healthcare records, alongside training on what care experience might mean for individuals
  • Giving care leavers the option to work with practitioners from minoritised ethnic groups
  • Improving the process for claiming Personal Independence Payment (PIP)

Delivery Partners

McPin Foundation

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Cost ratings:

Rated 1: Set up and delivery is low cost, equivalent to an estimated unit cost of less than £100.

Rated 2: Set up and delivery is medium-low cost, equivalent to an estimated unit cost of £100–£499.

Rated 3: Set up and delivery is medium cost, equivalent to an estimated unit cost of £500–£999.

Rated 4: Set up and delivery is medium-high cost, equivalent to an estimated unit cost of £1,000–£2,000.

Rating 5: Set up and delivery is high cost. Equivalent to an estimated unit cost of more than £2,000.

Set up and delivery cost is not applicable, not available, or has not been calculated.

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Child Outcomes:

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Supporting children’s mental health and wellbeing: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing child maltreatment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Enhancing school achievement & employment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing crime, violence and antisocial behaviour: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing substance abuse: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing risky sexual behaviour & teen pregnancy: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing obesity and promoting healthy physical development: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Evidence ratings:

Rated 2: Has preliminary evidence of improving a child outcome from a quantitative impact study, but there is not yet evidence of causal impact.

Rated 2+: Meets the level 2 rating and the best available evidence is based on a study which is more rigorous than a level 2 standard but does not meet the level 3 standard.

Rated 3: Has evidence of a short-term positive impact from at least one rigorous study.

Rated 3+: Meets the level 3 rating and has evidence from other studies with a comparison group at level 2 or higher.

Rated 4: Has evidence of a long-term positive impact through at least two rigorous studies.

Rated 4+: Meets the level 4 rating and has at least a third study contributing to the Level 4 rating, with at least one of the studies conducted independently of the intervention provider.

Rating has a *: The evidence base includes mixed findings i.e., studies suggesting positive impact alongside studies, which on balance, indicate no effect or negative impact.

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