Getting started - partnership, co-production and defining the problem
Hull joined the MEAM cohort in 2017, initially a coordinator was employed in the voluntary sector to work with 15 people, identified by a multi-agency team as those who services had been unable to effectively support in the past. As the work has progressed the operational team has moved into the Local Authority and expanded. As well as supporting a caseload of people who are are either currently or previously rough sleeping and/or involved in street activity in the city centre, the team also advises the wider system, including adult social care and housing, on their approach to working with clients experiencing multiple disadvantage.
Designing your intervention
The Operational MEAM work is carried out by a MEAM coordinator and two MEAM navigators who work directly with a caseload of 39 individuals. The work is overseen by a multi-agency operational group, chaired by the head of the Adult Safeguarding Board, as well as agreeing flexible approaches for the MEAM cohort, the group has also expanded to allow professionals to present cases who are not on the caseload, but who fit the criteria, to receive the same multi-agency flexible response.
Hull have recently deigned a package of training on multiple disadvantage and their local approach that will be rolled out to professionals across the system, to ensure that everyone working in service in the area has an understanding of the values and aims of the approach.
Sustainability and system change
The MEAM work is overseen by a senior partnership of statutory and voluntary sector professionals, chaired by the Director of Adult Social Care. The group look at cases from the MEAM caseload and address the systemic barriers that have led to issues in the individual’s support. Group members have the necessary seniority to make changes within their own services and systems based on the learning from the group. The group also has strong links into other local strategic boards such as the Health and Wellbeing Board and the Reducing Reoffending Board. Hull are also beginning to explore ways to ensure that their work both strategically and operationally includes people with lived experience.