2. Support

“Care experienced children and young people should have the same opportunities
as any child” – Abbie, OHOV

Here are the themes identified by young people within ‘Support’

Information

Inclusion

Access to support

Discretion when providing support

Personalised support

Involving children and young people in their support

Consistent, reliable support

Transitions

Mental health

Other support

Summary

Children in the care system and the Children’s Hearings System ...

Children and young people in the care system or the Children’s Hearings System may need support at various points in their lives. This support can range from simple signposting to relevant services or information, to more intensive, ongoing assistance that helps them navigate important life transitions. It might be something brief, like a one-off conversation, or something more sustained, such as a long-term, trusted relationship that offers care and stability over many years. Whether the support adults provide lasts ten minutes or ten years, it has the potential to make a difference to children’s lives. You can read about the personal and professional qualities children identified in the adults who support them, in the ‘Relationships with Key Adults’ section of this guide.

The importance of support

We spoke to children and young people about the support they had received, how they had accessed this support, what worked for them, and what improvements still need to be made. Children and young people talked about how it felt when support was missing at times when they needed it:

“I lived in a house with no heating and my windows had been smashed and they didn’t move me until it had an impact on my health. I was struggling because I didn’t get paid from college because of my attendance. I had no food.” – Alesha, OHOV

 “When children and young people aren’t being supported it can lead to them feeling anxiety, fear, guilt, and insecurity. It makes you feel alone”. – Jamie, OHOV 

Some children and young people shared examples of support that had made a positive difference during difficult times, for instance, a young man from the Inside Out group in Polmont spoke about a youth worker and project that had helped him when he was younger. He would tell them about his upcoming court cases, and they really listened. They tried to get him away from some of his troubles at home or in the community through activities like hillwalking and working in a burger van. He said they, “heavy duty scratched my back. They actually kept me out of jail when I was younger”.

    A discussion between OHOV board members Andrew and Neil on the subject of personalised support

    OHOV board member Achilles has written a poem about support

    Information

    Support might take the form of simply providing relevant, helpful information to children and young people, or signposting them to services that can provide this support. Young people have shared repeatedly that they need to receive this information in a way that suits them, with most young people saying written information is not enough – it needs to be backed up by a person, preferably someone they know, talking to them about it:

    “I need someone who is available to answer my questions.” – Ibrahim, St Mary’s Kenmure

    “It is essential that the services available to us are signposted to ensure our wellbeing.” – Andrew, OHOV

    “When I had court coming, staff would share the information in ways I could understand and in private.” – Eisa, St Mary’s Kenmure

    During a consultation, the young people at OHOV identified the following information as important and relevant to them:

    • Support for independent living
    • Access to financial support and budgeting skills
    • Advice on education and careers
    • Gateways to mental health support
    • Practical support with things like bank accounts and passports.

    Inclusion

    Whatever form the support takes, its purpose is to remove the barriers care experienced children and young people face and allow them to access the same opportunities as their peers. Support is about inclusion. Jamie, one of the young board members at OHOV, spoke fondly about her teacher who acquired funding so that she could be included in her Primary 7 residential trip, for example, as well as supporting her to take part in class:

    “She made me feel like I was like, really involved. She always made sure I took part during class. If I was feeling a wee bit anxious, or if I was having an off day or something we had this little cupboard, and she would decorate it and she made me feel so supported.” – Jamie, OHOV

    Reece from Youth Just Us talked about the ways his support worker at Scottish Throughcare and Aftercare helped him to feel included: 

    “She gives me opportunities to develop skills, makes sure the opportunities are what I am interested in. It gives me a sense of pride that the work I have done has made a difference.” 

    Some young people talked about times when they felt excluded from support. These examples were mostly centred around negative experiences at school:

    “I think schools just give up on you at the end and make you do any course to get rid of you. It comes down to what’s easiest for adults, not what’s best for children.”- Shaun, Quarriers

     “I got kicked out for low attendance because they say it showed I didn’t want to be there. I did want to be there. My friend had lower attendance than me but she was doing Highers, so they kept her.” – Alix, Quarriers

    “They want to get rid of you if you don’t have good grades. It doesn’t look good for them.” – Jemma, Quarriers

    Access to support

    The ability to access support when it’s needed was discussed by many of the children and young people. They spoke about under-resourced services, long waiting lists, practical barriers to support, and how it felt to need support from services that don’t have the capacity to provide it:

    “I feel mental health services should be easier to access, especially if you’re care experienced. It’s incredibly difficult to get help.” – Ash, OHOV

    “Sometimes care experienced people don’t have a permanent address. I was denied support when I needed it because I didn’t have a permanent address at the time.” – Poppy, OHOV

    “If you’re entitled to support, you shouldn’t have to wait for it as it’s there to meet your needs.” – Mani, St Mary’s Kenmure 

    “I was referred to CAMHS when I was young, but there was no one available to take me to appointments.” – Young person from Quarriers. 

    “You need support, and you know it’s just not there. You need it now, not in three years time, but waiting lists are so long…it feels like you’re totally on your own.” – Young person from Quarriers. 

    Discretion when providing support

    Some young people said that a barrier to accessing support was an unwillingness to ask for help due to how they would be perceived by others:

    “It’s incredibly difficult to get help without care staff questioning us. We feel judged, and often our poor mental health is used against us.” – Ash, OHOV

    “At my residential house I’m always around staff. I come off as needy and clingy because I always need to be around someone. I need support but don’t know how to ask.” – OHOV, board member 

    All of the young men we spoke to at Polmont Young Offenders Institution indicated that it’s “not normal to ask for help; asking for help is a weakness”, “who wants to be the weak one?” They suggested this leads to further trouble with peers or in the community as they need to be seen to have no weaknesses to survive. Where the help is readily available and part of their everyday life, it can be easier to access without fear of judgement. For example, if a mental health worker spends time on the wing speaking to the boys. Some of the young men said that growing up they didn’t see people asking for help with anything, so it wouldn’t occur to them to ask for help.

    Some of the young people we spoke to asked that support is offered discretely to avoid them feeling singled out or different:

    “I would prefer to start the school year the same as any other child, but to have the option of extra support if I needed it. I’d want this to be confidential, with only my teacher and guidance teacher knowing about it.” – Andrew, OHOV

    “My foster sister doesn’t know how far to go in the homework she gets. She sometimes goes too far in the homework or doesn’t do enough. The teacher put a star in her book to mark where to start and where to end. It was a subtle thing that helped her tremendously without singling her out, and it made such a difference.” – Wilson, The Fostering Network

    You can read more about the way in which children’s information is shared with different adults and agencies in the ‘Children’s Stories and Personal Information’ section of this guide

    Personalised support

    Young people talked about the importance of a personalised approach to support provision in order to best suit their needs. Some young people wanted the adults in their lives to treat them the same as they would any other young person: 

    “I don’t want to be treated any differently just because I’m care experienced. I shouldn’t be given special treatment. I don’t want them to keep asking me if I’m feeling ok. That does my head in.” – Lewis, OHOV

    “Some of us want to keep our home life separate from school…school is a safe place.” – Abbie G, OHOV

    Other young people wanted the adults in their lives to be aware of their circumstances so they could provide support without having to ask for it:

    “My school had somewhere you could go to if you were having a hard time. That really helped.” – Dylan, OHOV

    Young people said that the best way to ensure that support is tailored to their needs is by asking them what they need:

    “So how do you know what to do? Take a personalised approach. Ask if the child or young person needs additional support. If not, then treat the child like you would any other child. If the child does want additional support, ask the child what they need.” – Abbie G, OHOV

    “Support should be customised to meet the needs of the young person…change the support to match the young person’s life changes. I found it helpful to have extra homework to help me keep up. That suited me but might not suit every child.” – Andrew, OHOV

    “Recognise that not everything works for everyone. What works for me might not work for them.” – Young person from Rossie

    Paige, a young person from the National Leadership Network talks about differentiating support within families

    OHOV board member Liam talks about the importance of asking children about the support they need

    A discussion between OHOV Board Members Andrew and Neil on the subject of personalised support

    Involving children and young people in their support

    Some young people talked about the impact of receiving support that wasn’t suited to their needs. Involving children and young people in planning interventions can help with that:

    “Every time we would go in and there would be a support plan, and it wasn’t like she was hiding the computer, you know? I liked that. It was this open thing. It goes back to our information and how it’s kept and what’s been written about us. It was done really visually in front of me. And I think that was important and it’s that collaboration and then being able go back the next time, look at what we’d written, alright, have we achieved this? OK. Brilliant. Right, tick that off. That’s not needed anymore.” – Paige, National Leadership Network

    If children aren’t involved in planning support, interventions are less likely to suit their needs, and feel like something that is being done ‘to’ them rather than ‘with’ them:

    “When you don’t listen to me and just make assumptions about what I need, I don’t feel safe.” – Ash, OHOV

     “When you’re in that situation with people and they have already made the decision about your life, there is nothing you can do…I’m in a residential and I feel like the adults and people who are in charge, they always go by the ‘book’, or the regulations and rules and not by individuality or anything.” – Amelia, Experts by Experience

    To read more about children being involved in making the decisions that affect their lives, see the ‘Children’s Participation and Learning from their Voice’ section of this guide.

    Many of the children and young people we spoke to said that sometimes they didn’t feel involved in their support planning as they didn’t understand the support that had been put in place. Sometimes this was because of the overly complex language that was used. You can read the ‘language’ section of this guide for more information on this. 

    Some children and young people said that adults were sometimes vague about what support was being provided or didn’t inform them that something was going to happen:

    “When I got put in secure, I was told I was going to McDonalds. I never got that McDonalds.” – Liam, Experts by Experience

    “I was at St Mary’s and woke up one morning and my bags were packed. Then I was taken to Rossie.” – Young person from Rossie 

    “If a child or young person is on some kind of personalised plan of support, the contents of this plan should be communicated to them clearly. Adults should make sure children and young people have a good understanding of the care system. They should be told about what is happening and someone should be there to answer their questions.” – Poppy, OHOV

    OHOV board member Lisa gave an example of an advocacy worker who supported her to understand the decisions that were made at her children’s Hearing:

    “She would always come see me the day of the hearing. We’d go out for coffee that morning. She’d get my final views and she made, like, wee cards as well. It was like a wee dictionary, but it would like come up with simpler meanings of each decision. So if I didn’t understand it she would have, like, simpler ways to put it. And I think that really helped because at that age I was doing exams and stuff. How am I meant to focus on that if I’ve got other words that I don’t understand?”

    Daisy, a young person from Perth Champs, talks about a time when she didn’t feel involved or listened to when support was put in place

    OHOV Board member Ash talks about how it felt when an adult wasn’t clear when providing support to her.

    Consistent, reliable support

    The importance of consistent, reliable support was highlighted throughout conversations with children and young people:

    “Someone you know, who you can access easily and follows up on things is so important”. – Jason, Shetland Crew

    “Inconsistent support upsets and confuses us.” – Jamie, OHOV

    Some of the children and young people described their frustration when adults didn’t follow through with support that was planned. Some young people felt ignored:

     “They throw money at you to ‘shut up the situation’, meaning they will not be providing the right support… they’re more focused on getting the nail out of your head than understanding how you are really feeling.” – Reece, Youth Just Us

    “I almost got barred from my doctor because I got really frustrated with being passed around. I didn’t feel I had any control over my care.” – Danny, Youth Just Us

    “You’ve got to be suicidal to have your mental health taken seriously.” – Young person from Inside Out

    “Doctors just fob you off as a moody teenager. I’m an adult now. The meds just make you worse, that’s all they give you. It doesn’t solve the heart of the problem.” – Danny, Youth Just Us

    Some young people talked about their frustration when support had been promised but not delivered:

    “I hate when a social worker promises something or says they’re going to do something and then you get radio silence. Or they go on leave and don’t tell you or just don’t answer their phone.” – Young person from Falkirk Champs

    “I hate when you’re told something is going to happen about a certain situation you’re in and then nothing happens; you feel betrayed. It’s traumatic, especially if the situation you’re stuck in is a traumatic one.” – Skye, Quarriers

    “Don’t say it if you can’t do it. If it’s within your job role, make sure you do it.” -Reece, Youth Just Us

    “Unexpected leave is totally understandable however, if you know you are leaving, you should put steps in to fully support the young person. Offer safe transitions between workers when leaving roles.” – Reece, Youth Just Us

    You can read more about the importance of consistent and reliablesupportive adults in the ‘Relationships with Key Adults’section of the guide.

     

    OHOV Board Member Abbie and Elaine, the manager of her children's residential house talk about the importance of consistency in support

    Transitions

    A more common support need that is sometimes unmet for children and young people as they move through the care system is safe transitions. Some of the young people spoke about a drop off in support when they became teenagers:

    “They had a rainbow room at my school for people in care. They took you out of class on a Friday for the last hour of school. There were toys there and a teacher who would ask questions. You’d do play therapy and get peer mentoring. Secondary school was nothing like that.” – Skye, Quarriers

    “There’s a big difference between how you’re supported as a child and as a teenager. They don’t have time for you – they just expect you to get on with it.” – Bethany, Quarriers

    Many more of the young people spoke about feeling as though they’d fallen off a ‘cliff edge of support’ when exiting the Children’s Hearing System and beginning throughcare:

    “Transitions should never feel like a jump. Don’t assume that we’re coming into a new situation with experience. For instance, when supporting a young person in throughcare/aftercare don’t assume we know how to cook, clean, or find housing for ourselves.” – Achilles, OHOV

    “There’s a lack of communication – you need a proper ending, proper communication about big changes: asking if you still need someone – maybe there’s someone else that could help – some support in place if needed and properly finish up.” – Gemma, Experts by Experience

    “It would be better for the young person if Throughcare and Aftercare were involved earlier in the young person’s journey. Having to retell our experience while navigating a challenging time (moving into our own place) isn’t ideal.” – Achilles, OHOV

    “It should be clear how a child can leave the system, but there should be support in place. It can be like you’re free falling when you leave the system.” – Young person from OHOV

    “Every child’s circumstances are different when they leave the hearings system. If you are in care, it would be important to have full details of the supports and resources you will receive when you are no longer on an order. There can be confusion amongst children, professionals and carers about their responsibilities and entitlements.” – Young person from OHOV

    Young people shared a clear picture about a lack of support or clarity about entitlement to support, when they exited the hearings system. Rather than focus the exit plan on what they or their families needed to do to exit the hearings system, they all shared what should be in an exit plan to ensure their welfare and wellbeing needs are met, like their non- care experienced peers. The following areas needed to be covered according to the young people:

       What is expected of them and their family
       What support they are entitled to
       Where they will live
       Support with housing
       Resources for independent living

    We discussed transitions with several young men at St Mary’s Kenmure. Many of them felt they had poor experiences of moving between the community or other care settings to secure care. They knew pre-planning and preparation for this was not always possible but were able to speak about what might help future changes or transitions: 

    • Meeting key staff in advance 
    • Receiving information in advance 
    • Having a gradual introduction 
    • Maintaining relationships with staff from the place they were moving on from.

    Lisa, an OHOV board member, gave a positive example of a professional who supported her during a difficult transition: 

    “When I was moving to college, I was 16 and it was during COVID. My advocacy worker just left to go to Greece, so at that point I didn’t have anyone. But then I had a throughcare aftercare support worker and because COVID had just started we weren’t able to see each other, so it was hard to learn things. So she spoke to my respite care. She was helping me, like manage money, cooking and like all those things that I was going to need. Even after I’d moved out she checks in on me and asks how I’m doing and if I need any support.” – Lisa, OHOV

    Paige from the National Leadership Network speaks about how an enhanced transition programme helped her move from primary school to secondary

    Mental health

    Many of the young people we spoke to said that throughout their care journey they’d struggled to access support with mental health. Some of the young people said that mental health provision should be given more priority when supporting children and young people:

    “Mental health should be spoken about more than anything else.” – Alesha, OHOV

    “Mental health should be given more of a priority and taken into consideration when a child enters the care system.” – Poppy, OHOV

    A large number of children and young people said that they would like adults to take a trauma informed approach to providing support. The young people at OHOV designed a trauma informed guide for adults who support care experienced children and young people.

    Young men at St Mary’s Kenmure and at Polmont spoke about how mental health support works well for them when it is built in and does not need a further referral or gatekeeping process.  The OHOV board members have regularly said this should be the case for all care experienced children, with dedicated support from CAMHS:

    “We can’t overlook this or keep it separate from everything else. It’s so important and is part of everything.” – Emma, OHOV

    Paige also talks about why a trauma informed approach is important when working with children in care

    Other support

    We asked children and young people about the qualities they value in a supportive adult (see ‘Relationships with Key Adults). These qualities might be described as ‘ways of being’, e.g. ‘friendly’, ‘kind’, ‘honest’ etc. Some children went on to give examples of supportive actions and approaches; things that adults do, which demonstrate the qualities identified. 

    Summary

    Children and young people talked about the type of support they might need at different stages of their lives, such as help with mental health, or during transitions and periods of change. Some children and young people may find it difficult to ask for support for a variety of reasons, including a fear that others may perceive them as ‘weak’. Some children and young people prefer if support is offered discretely so that they don’t feel singled out or different from their peers. Support is most meaningful when it’s personalised to meet the needs of the child. Children and young people appreciate when adults take time to meet with them and get to know them, asking them what they need, and involving them fully in easy to understand, transparent plans of support. It is important that adults follow through on offers of support, promising only what can be delivered. 

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