listenup!Chapter 6 | 45Groups are run in the evenings – theservice mostly operates out-of-hours, allowingyoung people at attend after school or work.Staff are used to working unsocial hours.Project worker, Support @ The Junction, The Junction, ColchesterCase StudyCommunity Links in Canning Town foundthat some young people went throughseveral stages before actually using theservice. This could involve carrying thetelephone helpline number around withthem for a while, then deciding to call butfeeling unable to speak or just asking asimple question.They set up a text messaging service, whichmakes it easier for young people to makethe first contact quickly, because theyknow they can do so without having tospeak to anyone. They can ask a questionto which they’ll get a text reply. This can bethe stepping stone for the young person tothen access the service, and means they getsupport more quickly.Fitting in with young people’s livesThe organisations aimed to be as accommodatingas possible, and recognised that young peoplehad other commitments such as school, collegeand work. They also recognised that young peoplemay feel initially intimidated by a service and thatthere was therefore a risk of the young person notengaging with the service.The participants in Youth Crisis I stressed the need forservices that provided out-of-hours help (see wish listfor services at Appendix 1). The interviews with staffCase Study“Staff are flexible in where they agreeto meet young people and recogniseit is crucial that the young person iscomfortable. Sessions may be held, forexample, at a young person’s home, atschool or in a café. Outreach drug work isconducted on local estates and round thecentre of town in conjunction withthe YMCA.”The service also needs to be flexiblewhen young people begin to want to liveindependently:“Once this happens, young people oftenbegin to disengage and are less willing tojoin groups or visit a mental health worker.Support @ The Junction is pro-activein outreach work to attempt to engageindividuals who still need support but arereluctant to attend the service.”Project worker, Support @ The Junction,The Junction, Colchesterduring the <strong>Listen</strong> <strong>Up</strong> phase of the research revealedthat the amount of out-of-hours help available wasoften restricted by resources. Some services alsofound that there was insufficient local need for theseservices; for example, Streetwise in Newcastle foundthere was little uptake in the counselling serviceoffered on Saturdays.
listenup!46 | Chapter 6There was considerable variation in opening hoursand out-of-hours services at each organisation, butall offer evening work with young people. Someorganisations were able to offer greater out-of-hourssupport, sometimes depending on need:“An out-of-hours telephone service is providedso that those who are at high risk can contact theproject at any time.”Project worker, IceBreak, The Zone, Plymouth“If there is a major issue in the life of the youngperson, staff will ring them in the evenings, and inextreme circumstances staff will leave their mobileson so that the young person can contact them.”Project worker, Caterpillar Service,Barnardo’s Marlborough Road Partnership, CardiffFast accessThe seven partner sites which provided servicesdirectly to young people who needed support(Experience in Mind in Brighton and Hove providedtraining) were asked for specific details on how easyit was for young people to access their services, andhow quickly they could do so. In terms of location,all seven organisations stated that they were easilyaccessible for all or most of their catchment area.The average waiting time from referral to initialassessment/appointment was more varied. Oneorganisation was able to offer this on the same day.Four organisations offered this within two weeks,one within three weeks and one within four weeks.In addition, some organisations had drop-in servicesthat could be used during the waiting time.All seven organisations were able to provide a fast-trackservice for young people who were deemed to be ina state of crisis or urgent need for help. In each case,this was for more than just a one-off appointment, andusually included full access to the service or a longerterminterim service such as in The Market Place.Case Study“There is a fast-access service availablefor any young person a worker may beparticularly concerned about, for example,those having suicidal thoughts, those whohave attempted suicide or are otherwiseparticularly vulnerable.“Young people can be offered fourcounselling sessions to start almostimmediately, that can be used to help theyoung person create strategies for copingwhilst they are waiting for long-termcounselling.”Managing numbersProject worker, The Market Place, LeedsAlthough all the organisations were able to offer afast-track service for those in urgent need, there wasthe need for waiting lists in some places for nonurgentaccess. This was due not only to the volumeof young people trying to access the services, asIceBreak in Plymouth found:“As the project has progressed, the clients accessingthe service have had increasingly high levels ofneeds, with around three-quarters of young peoplepresenting with self-harm or suicide.”Project worker, IceBreak, The Zone, PlymouthThis has necessitated a process of assessing andprioritising young people by need, but to date thishas not let to any real difficulties.This approach is also taken by the Market Place inLeeds, which had seen an increase in the number ofyoung people wanting to use the service: