Evaluation of the Changing Futures programme: Third interim report

Introduction

This work evaluates the Changing Futures programme. The programme aims to improve support for adults facing multiple disadvantages. This includes homelessness, substance misuse and mental ill health.

The report presents individual, service and system level outcomes achieved after two years. It particularly focuses on trauma-informed approaches and how areas are joining up support for people.

Findings

Up to October 2023, 3,783 people had received direct support from the Changing Futures programme. Most (58.8 per cent) were still actively engaged.

There continues to be evidence of positive changes in people’s wellbeing and quality of life. Participants’ physical health is improving or being maintained for many.

Alongside this, there is a significant reduction in average attendances at A&E and ambulance call outs between baseline and the first follow-up point.

Changing Futures caseworkers use trauma-informed practice when working with participants, and this has resulted in staff reporting greater job satisfaction compared to previous roles.

There is also evidence that this is having a beneficial impact on participants. Trauma-informed approaches, along with small caseload sizes (between 7 and 12), help build trusting relationships and facilitate tailored support. This is leading to better engagement, not just with Changing Futures but with other services.

Our analysis shows a link between smaller caseload sizes and improved levels of participant need and risk.