Using the Outcomes Stars – from Practitioner to Trainer

Farida Thomson is a Trainer and Implementation Lead at Triangle. She previously worked as a geography teacher and an Early Help Worker for a local authority in London, UK. 

Using the Family Star Plus and My Star in practice

I love this job as it enables me to merge all my passions together. It allows me to apply my previous experience using the Star in a practitioner’s capacity to create really meaningful training sessions.

The first thing that stood out to me when I first began using the Star is that it is a visual tool that’s simple for all to understand and engage with. Traditionally, we were used to working with assessments that contained reams and reams of paragraphs, or tick-box exercises that provided little value or insight. The outcome areas on the Star were relevant and made sense to us as practitioners and the families that we were supporting, and this helped us to get to know our clients and their world in a holistic way. The Journey of Change and the ability to have an open conversation using a strengths-based approach made it even more valuable.

How did I use the Outcomes Star in my practice?

We used it with all of our families. The Family Star Plus was used to capture the parental voice and My Star to the capture child’s voice. The Star was a part of our assessment process and would have to be completed in the first four weeks, with reviews held every 12 weeks. If families didn’t want to engage or stopped engaging, we used a worker-only Star; we did not use the retrospective Star option. 

What affect did the Outcomes Star have?

It gave our clients a voice. Many said that they felt like we cared about them as a whole person and not just the issue they were presenting with. Many people said it was the first time they were able to really speak about issues they had hidden as either no one wanted to hear about them. or they were not asked about them as it was not their presenting issue. I remember one client describing it as “freedom to talk about me without feeling judged”.

As I began completing more Stars with my families, I realised how versatile and user-friendly it was. I could literally make it bespoke to each person I was supporting while still working within a framework that would provide consistency.

Some of the best Stars I’ve completed have been in a Children’s Centre setting. This enabled me to take the parent/carer out of the chaos of their home environment and allow them to feel safe to have an open and honest conversation. I’ve completed Stars in coffee shops, sitting in a park or during a drive.

Getting it wrong/right…

Initially we didn’t use the Star in a conversational way and there were a lot of 10’s. This demonstrated to us that we needed to change our approach in how to discuss things with our clients. It reiterated the importance of using the User Guide and being able to get accurate readings, as many staff members had forgotten the User Guide existed. We had Star Champions who ran surgeries and gave in-house training on difficult areas or top tips on hot topics. We also evaluated the barriers that were preventing staff from completing the Star in an effective way. Staff reported that they found it a burden to do both Outcomes Star completion and the Initial Assessment. We then added the outcome areas to case notes so that there was not a repetition of work and all elements linked together.

We also began to share the Outcomes Star during Team Around the Family (TAF) meetings using an multi-disciplinary team approach so that no one agency was working in isolation. The additional support, guidance and making it fit with the existing systems and processes that we had made an immense difference in productivity and accuracy.

How can the Outcomes Star data can be used?

The data helped us to identify areas of strength and weakness and gaps in the service or local area. Housing was a key need in our local area as there were over 4,000 people on the temporary housing list, however we couldn’t provide our clients with accommodation. We could, however, help them to look at housing options both in the social and private sector and prepare them to bid. Once we were clear about our boundaries, it made our job easier and our clients’ expectations more realistic.

Another gap in both our service and external services was that there was a 16-week waiting list for clients to access counselling. We identified that without some coping strategies, our clients were unable to make changes in key areas such as putting in a routine. I then trained in Cognitive Behavioural Therapy (CBT) and shared my learning with my colleagues so that we could provide short-term support and fill that gap.

The strengths of our service demonstrated that we were making immense changes in areas of routine and boundaries, and the Star helped us to evidence the changes.

Why should you use the Outcomes Star?

The Star really is a great way to build a relationship, have open and honest conversations and empower the people that we are supporting. The Star is something that we do with our clients and not to them, and this approach itself enables them to make long-lasting changes in their lives.

Guidance on how to use the new edition of the Family Star Plus within the Supporting Families Programme (2022-25)

All local authorities delivering Supporting Families must have an approved Outcome Plan setting out their family level outcomes against headline objectives set out in the programme guidance.

Since the start of the supporting families programme (formerly called the ‘Troubled families programme’), many local authorities have been using the Family Star Plus as part of evidencing outcomes within their approved Outcomes Plans.

This Family Star Plus was developed specifically to be aligned with the programme’s objectives, and the new Supporting Families outcomes framework was taken into account when creating the recently published 2nd edition of this version of the Star.  

We have produced guidance to show how the Family Star Plus (2nd edition) fits well with the requirements set out in the ‘Supporting Families Outcomes Framework 2022-25’:

The new framework identifies ‘Practitioner and/or self-assessment’ and ‘Validated outcome measures’ as part of the evidence within all of the headline areas, and the Outcomes Star, while collaboratively completed, fits within this category. The validation of the Family Star Plus as an outcomes measure, including evidence of ‘inter-rater reliability’ and ‘predictive validity’ is reported in a recent peer-reviewed journal article (Good & MacKeith, 2021). 

You can download our guidance on how to use the Family Star Plus (2nd Ed.) within the new Supporting Families framework here.

Please contact our Research Analyst, Dr Anna Good (anna@triangleconsulting.co.uk) if you would like to find out more.

Family Stars new editions April 2023: Our development from 2010 to today

Triangle developed the first Family Star in 2010, in collaboration with Camden Council in London as part of their innovative focus on outcome measurement. It was the 4th Outcomes Star Triangle developed and brought its own engaging challenges. In particular, the Family Star was to be completed with a parent, but the beneficiary was their child or children.

Whilst keeping a clear focus on the intended outcome – that children could thrive – the Star needed to recognise that, where parents face challenges in their lives, those needed to be addressed for their own well-being as well as to benefit their children.

Parents with lived experience helped to shape the Family Stars, based on the process of change they had gone through with support from the service.

Soon after the original Family Star was published, the government in England and Wales announced significant new investment in supporting vulnerable families – initially called the Troubled Families Initiative. This initiative included a focus on understanding and measuring outcomes for families, and the Star was perfect as a tool for doing that – or almost. To align even better with the framework, it needed more focus on parents, particularly on the parent’s own well-being and on helping parents into work, where appropriate.

In response, Triangle collaborated with Leicestershire County Council to create the Family Star Plus in 2012. This has since become one of the most widely used of the family of Outcomes Stars, particularly by local authorities in England.

Triangle then worked with collaborators in Scotland to produce materials which mapped the Family Star to SHANARRI, the Scottish Government outcomes framework for children and families.

Since these early Family Stars, Triangle has developed many more versions for children and families. My Star for children is widely used to give the voice of the child alongside the Family Star Plus or Family Star. There is also the lighter touch Family Star Early Years and then the Family Star (relationships), for use where the main focus is on the relationship between parents, including with mediation and looking after the child’s well-being in family breakdown. Triangle also developed more Stars for children and young people – preview versions of all of these and more are available to download from the website.

Triangle is committed to keeping the suite of Outcomes Stars up to date – we invest part of the Star Licence fee in this – and have a robust process for reviewing existing Stars and creating new editions. We used this to review the Family Stars in 2021-2022, as described in our previous blog and detailed in a development summary that will be published with the new editions in April. The result is new editions that are more person centred, accessible and trauma informed.

If you are a current user of the Family Star or Family Star Plus (practitioner or manager), please register to attend the launch webinar event.
If you can’t participate on the day, please register anyway, as we will share the recording and all new resources with you. you.

Stay updated
You can subscribe to our newsletter to receive updates directly to your inbox, so there is no need to keep checking for new blogs.

 

Triangle to launch new editions of the Family Star Plus and Family Star, April 2023

We are delighted to announce we have now finalised the new editions of the Family Star Plus and Family Star.

In April 2023, these new editions will be replacing the current editions on the Star Online.

What has changed?

The new editions have the same outcome areas and Journey of Change. The changes are to the language and resources to:

For example:

  • The top of the Journey of Change is now ‘managing well’
  • 8 is more clearly the end point for families with extra needs
  • The Star areas names are more client-centred e.g. How I feel, My children’s learning and Our family routine
  • Wording changes avoid any suggestion of blame or triggers for people, while keeping the essential clarity needed between stages

What people say about the new edition?

“We all feel that it is a significant improvement”.

“More family-focused and trauma-informed”.

“The language is more client-focused and strengths-based”.

“The wording is more friendly and positive”.

“This version will get better buy-in with the families we work with”.

“The visual scaling for parents uses appropriate language, and is concise and easy to understand”.

What next?

  • You will notice some changes to the wording when completing stars on Star Online or using the PDF documents 
  • If you use the Family Stars in your own software, we will provide what you need to update to the new edition
  • Update any internal documents with the new names of the outcome areas and Journey of change stages
  • The data is comparable with the current editions – we will advise on small differences – so there will be no interruption in your reporting
  • There is no need for additional training, though do consider a refreshing, to make sure you get the most from the Star.

Fit with the Supporting Families Outcomes Framework 2022-25

Since the start of the Supporting Families Programme, many local authorities have been using the Family Star Plus to evidence their outcomes. This new edition coincided with the publication of the  and we took this new framework into account when creating this new edition.

We are finalising a mapping document to show how the Family Star Plus (2nd Edition) is uniquely placed to evidence many of the family needs identified in the programme guidance. This will be published in Feb 2023.

Why did we do this review?

As a social enterprise, Triangle commits to investing part of the Star licence in keeping the suite of Stars under review and up to date. We keep abreast of changes in sectors and keep learning alongside our collaborators. We have a rolling program of reviews and new editions and are prioritising earlier, widely used versions, such as the Family Stars.

Join our webinar for more information  

Sara, Star Development Director, will be hosting a webinar on Zoom on Tuesday 25 April at 10am (UK time.)  Register HERE – register even if you can’t attend and we will send you the recording.

Stay updated 

You can subscribe to our newsletter to receive updates directly to your inbox, so there is no need to keep checking for new blogs.

*****

Related items

Psychometric factsheets and reports | Triangle (outcomesstar.org.uk)

Triangle measures what matters at GO Lab’s Social Outcomes conference

Triangle’s Co-founder and Director contributes to GO Lab’s Social Outcomes conference programme to share learning from using the Well-being Star in a large social prescribing  programme and how vital it is that measurement approaches are designed with relationship building and behaviour change in mind.

Hosted by The Government Outcomes (GO) Lab, the Social Outcomes conference brings together researchers, policymakers and practitioners working to improve social outcomes. Joy MacKeith, Triangle’s Co-founder and Director features at this year’s virtual event; she will share learning from 20 years of measuring individual outcomes to contribute to a debate about how commissioning approaches and Social Impact Bonds in particular can help or hinder the achievement of social outcomes.

Joy Said:

“When people design a Social Impact Bond or any other commissioning approach, they need to be mindful of how it will impact at the front line because that is where the real change happens. Research tells us that the quality of the engagement between workers and service users is absolutely critical to behaviour change but sometimes payment mechanisms can unintentionally impact in a negative way."

"The Outcomes Star has been designed to provide service-wide outcomes data whilst at the same time supporting that collaboration and helping people take the small steps that together add up to achieving their goals.“

Joy Mackieth

Joy is joined by Tara Case, Chief Executive of Ways to Wellness ­– a large-scale social prescribing service and the first health service in the UK (and globally) with social impact funding. Ways to Wellness, with Bridges Fund Management as investors and Newcastle Gateshead CCG as commissioners, has been using the Well-being Star since 2015 as part of the support their service provides and to capture client-reported wellbeing improvements; the Star was specified in the outcomes-based funding contract for the programme.

Tara said:

“We have found that the Well-being Star helps to open up conversations that might have been hard to broach without it.  It helps our Link Workers take a holistic approach and make links between different aspects of someone’s situation. It helps services to tailor what they do to support the person whilst also providing a standardised framework for reporting results.”

The Well-being Star was created for people living with a long-term health condition, to measure their progress in living as well as they can, and support self-management, rehabilitation and person-centred approaches. Triangle recently conducted further validation work on the Well-being Star within the Ways to Wellness service and shared their findings.

GO Lab’s Social Outcomes Conference runs 1st-4th September. Triangle is contributing to “Back to the Future? Learning from the UK”s experience with impact bonds: what should we take with us and what should we leave behind?” which takes place 15.30–17:00 (UK BST) on Tuesday, 1st September. You can register to attend free of charge via Eventbrite.

***

Triangle is the social enterprise behind the Outcomes Star™. Triangle exists to help service providers transform lives by creating engaging tools and promoting enabling approaches. Through the Outcomes Star, they work with services to promote and measure individual change and to enable learning at an individual, service, organisation and sector-wide levels. The Outcomes Star™ is an evidence-based management tool for both supporting and measuring change. For more information email info@triangleconsulting.co.uk.

Ways to Wellness is a service for people in the west of Newcastle whose daily lives are affected by certain long-term health conditions. GPs and their primary care teams use social prescribing to refer patients to the service. Ways to Wellness adds to and complements the medical support that people receive, to help them feel more confident to manage their long-term conditions and make positive lifestyle choices. For more information email info@waystowellness.org.uk.

The Well-being Star and The Family Star Plus are available to all organisations with a Star licence, and full training can be given for workers and managers. For more information on the Outcomes Star, please contact us on info@triangleconsulting.co.uk or +44 (0) 207 272 8765.