Table 1
Overview of implementation process and key learning.
| STAGES AND TIMELINE OF THE WORK | ROLES | APPROACH | OUTPUTS | ITERATION/IMPACT |
|---|---|---|---|---|
| (3.3) Fact-finding; Learning by listening to local services Aug 2022 – Mar 2023 | Conducted by: GD | Semi-structured interviews and service mapping with 25 services. | Service data for system mapping and identifying overarching messages. | Identify gaps/demands, workforce needs; outcome measures; risks. |
| (3.4) Clinical Audit; Reviewing records of service transitions Oct – Dec 2022 | Conducted by: GD Supervised by: SM | 40 young people’s interactions within homelessness services; 20 with advocacy/20 without. | Journey mapping 6 months of case files; auditing information and sharing agreements. | Face-to-face meetings improved understanding and coordination |
| (3.5) Peer Researcher Placements; Exploring young people’s current lived experience Feb – Dec 2023 | Conducted by: SH Supervised by: GD & SM | Hosting two peer researchers at The Zone coproducing ‘Your Story’ project using Appreciative Enquiry (AE). | Collecting stories from 4 consenting young people for sense-making and journey mapping with services. | Emerging themes; picking up on trends; marrying above findings to develop Transitions Matrix forum. |
| (3.6) Transitions Matrix; Facilitate cross-sector, multi-agency networking and innovation forum (ongoing) | Co-facilitated by: GD | Co-facilitate a monthly forum for service introductions, updates, networking and innovation with Children and Adolescents Mental Health Services (CAMHS) transitions team. | 18 forums to date, each with 25-40 in attendance, information sharing, including training and 48 service presentations. | New partnership developments, from opportunities to network and for peer support and sharing best practice. 180 people on mailing list from 80+ services. |
| (3.7) Live case Test and Learn Pilot of the TP Approach Nov 23 – Mar 24 | Practice pilot: 4 x Trusted Professionals and other supporting professionals Cases observed by: GD, SM & SH Interviews with TP’s conducted by: SH Learning Groups Co-facilitated by: KK, SH, FG Write up: ALL Authors | Following 6 cases of young people in the homelessness system in real-time with identified TP; observations of multi-agency meetings. | Monthly update and cost-benefit demonstrated to strategic leaders and 3 interactive learning groups/workshops with involved professionals. | Positive practice shared and disseminated locally and nationally through evaluation reports. Ripples to other HDRC pilot work. |
| (3.8) Reflective Practice; Keeping a reflexive journal throughout. | Reflexive journal: GD, SH Debriefs between: GD & SM/SH/FG | Ongoing reflexive diaries and documentation; de-briefs with peer researchers and colleagues. | Learning from peer researcher placements; Secondment to HDRC. | Building capacity; research and learning champion for third sector across City. |
Figure 1
Mapping of local services and TP pulling support.
Figure 2
Visualization of Trusted Professional relational impact hypothesis.