Glossary - Community Led Research

ACT Accessing Change Together: Middlesbrough Council's integrated adult social care service that brings support together for people facing domestic abuse, homelessness and substance use; trained advisers assess need and connect people to the right teams. read source
A&E Accident and Emergency: The NHS hospital service for serious injuries and emergencies: the consultant-led, 24-hour 'Type 1' A&E. Locally provided at James Cook University Hospital.
ASC Adult Social Care: The statutory function of a local authority to provide care and support for adults with care and support needs, governed by the Care Act 2014 (the s.1 'promoting individual well-being' principle underpins it). read source
ACEs Adverse Childhood Experiences: Potentially traumatic events or conditions occurring before the age of 18 (e.g. abuse, neglect, household adversity) associated with poorer health and social outcomes across the life course.
AE Advocate Educator: The Identification and Referral to Improve Safety (IRIS)-embedded specialist domestic-abuse worker who delivers whole-practice training to a GP practice and provides one-to-one advocacy to patients. In Middlesbrough the role is based at My Sister's Place.
Areas of complex need (five areas of work): The five overlapping areas of need that define who the programme works with: criminal justice, mental health, homelessness, domestic abuse and substance use. In South Tees a person must be in contact with two or more of these to access the service (South Tees Delivery Plan); the national Changing Futures cohort (MHCLG 2020 Prospectus) is defined more narrowly as three or more. These are the areas of work (the 'what'), distinct from the six delivery workstreams (the 'how').
ASK ME Ambassadors: The local delivery of Women's Aid's national 'Ask Me' community ambassador scheme (part of Change That Lasts), Middlesbrough Council-funded, training community members to recognise and signpost on domestic abuse. read source
BOLD Better Outcomes through Linked Data: The Ministry of Justice programme that links administrative data across homelessness, reoffending, substance misuse and victims pathways to study people with overlapping needs. read source
Beyond Housing: A registered provider of social housing operating across the Tees Valley and the wider region. A named partner on the South Tees Changing Futures Programme Board.
Brief intervention: A shorter touchpoint that does not move onto an Enhanced Case Worker (ECW) caseload. Counted in the team's attendance-reduction figures alongside intensive 1:1 intervention.
COM-B Capability, Opportunity, Motivation–Behaviour: A behaviour-change framework (Michie et al. 2011) used in implementation-science analysis of why training does or does not change practice.
CQC Care Quality Commission: The independent regulator of health and adult social care in England. read source
Caseworker: Lower case. Used in the wider national literature and by the Ministry of Housing, Communities and Local Government (MHCLG) for the same role South Tees calls 'Key Worker'. Where this report quotes national source material it preserves 'caseworker'.
CDP CDPSOFT: The software supplier behind the HOAMS case-management system / SHARP platform used locally. read source
CFE CFE Research: A research and evaluation consultancy; part of the national Changing Futures evaluation team (with Cordis Bright). read source
CF Changing Futures: The national programme testing system-change approaches for adults facing multiple disadvantage, jointly funded by Ministry of Housing, Communities and Local Government (MHCLG) and The National Lottery Community Fund (TNLCF); £91.8m across fifteen areas of England, 2021–2026. 'Changing Futures' on its own means this national programme; the local delivery is the South Tees Changing Futures Programme.
CAPVA Child / Adolescent to Parent Violence and Abuse: Abuse perpetrated by a child or adolescent against a parent or carer. Where those involved are both aged 16 or over it also falls within the statutory definition of domestic abuse (Domestic Abuse Act 2021, s.1). read source
Cleveland: The former county of Cleveland (1974–1996), created by the Local Government Act 1972 and abolished by the Cleveland (Structural Change) Order 1995, which replaced it with four unitary authorities — Middlesbrough, Redcar & Cleveland, Stockton-on-Tees and Hartlepool. The name survives in bodies whose footprint still covers that geography, notably Cleveland Police and its Office of the Police and Crime Commissioner (OPCC). read source
Clinical Lead: A named GP within an Identification and Referral to Improve Safety (IRIS)-accredited practice who acts as the practice's honorary domestic-abuse ambassador: the clinical point of contact the Advocate Educator (AE) builds a case-consultation relationship with, and the route through which whole-practice training and clinical-system prompts are embedded and sustained inside the surgery. Part of the IRIS specification; distinct from the Advocate Educator, which is a specialist domestic-abuse worker role rather than a clinical one.
ClRP Community-led Research Programme: Redcar and Cleveland Voluntary Development Agency (RCVDA)'s programme of community-led research, delivered in partnership with Teesside University for the Health Determinants Research Collaboration South Tees (HDRC ST). The vehicle through which this deep-dive series is produced.
CBA Cost-Benefit Analysis: A method for weighing the costs of an intervention against the monetary value of its outcomes.
CSEW Crime Survey for England and Wales: The Office for National Statistics (ONS) victimisation survey; nationally representative but not robust at local-authority level. read source
CJS Criminal Justice System: Criminal Justice System — the system of agencies (police, courts, prisons and probation) responsible for justice. One of the five disadvantage domains in the Changing Futures cohort definition.
Crisis Suite: The Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) Crisis Assessment Suite — a mental-health crisis walk-in and assessment facility at Roseberry Park Hospital, Marton Road, Middlesbrough. read source
DLUHC Department for Levelling Up, Housing and Communities: UK government department from 2021-2024, succeeded by the Ministry of Housing, Communities and Local Government (MHCLG). Co-funder with The National Lottery Community Fund of the Changing Futures Programme. read source
DWP Department for Work and Pensions: The UK government department responsible for welfare, pensions and employment support. read source
DHSC Department of Health and Social Care: The UK government department responsible for health and adult social care policy in England. read source
Desktop Review: A research method that draws solely on existing, already-available material — published and grey literature, policy and government documents, administrative and statistical data, and organisational reports — gathering and synthesising what is already known for a defined purpose, without generating new primary data through fieldwork, surveys or interviews. The broad desk-based method; a [[Literature Review]] is its narrower form, restricted to academic and research evidence. read source
DPH Director of Public Health: The senior officer each local authority must appoint (jointly with the Secretary of State) to lead its public health functions. read source
DA Domestic abuse: Behaviour by a person towards another to whom they are personally connected, where both are aged 16 or over and the behaviour is abusive — physical or sexual abuse, violent or threatening behaviour, controlling or coercive behaviour, economic abuse, or psychological, emotional or other abuse. read source
DAPN Domestic Abuse Protection Notice: An immediate, short-term notice issued directly by the police to give a victim of domestic abuse emergency protection. read source
DAPO Domestic Abuse Protection Order: A longer-term, flexible protective order granted by a court to protect a victim of domestic abuse. read source
DARA Domestic Abuse Risk Assessment: Domestic Abuse Risk Assessment tool, developed by the College of Policing as the successor to Domestic Abuse, Stalking and Honour-Based Violence (DASH). read source
DARE Domestic Abuse Routine Enquiry: The practice of routinely asking service users about domestic abuse, regardless of whether abuse is suspected. read source
DASH Domestic Abuse, Stalking and Honour-Based Violence: The risk-assessment checklist formerly used by police and partners to identify high-risk domestic abuse cases; held by the College of Policing and since replaced by the Domestic Abuse Risk Assessment (DARA). read source
DHR Domestic Homicide Review: Statutory multi-agency review after a death in which abuse is suspected. read source
Duty Worker: A Key Worker on rota providing the walk-in service at Redcar & Cleveland House (since August 2024) and Middlesbrough House (since 17 March 2025).
ECW Enhanced Case Worker: The role that delivers the programme's Enhanced Case Management workstream. Enhanced Case Workers support people who are already in the system, using a multi-agency 'team around the individual' approach, and reach out to people rather than waiting for referrals. It is a higher-intensity role than the Key Worker.
EEQ Entry / Exit Questionnaire: The internal pre/post survey the team gives to allocated adults at entry and again at case closure, covering three months of service contacts. Costed via the Greater Manchester Unit (GMU) Cost Database.
EbE Expert by Experience: A person whose contribution to a service, partnership or research draws on their living experience of the system being studied. Used in this report rather than “peer” or “service user” except where the latter is the established statutory term.
ERIC Expert Recommendations for Implementing Change: A compilation of discrete implementation strategies (Powell et al. 2015) used in implementation-science literature cited in this report.
FDAC Family Drug and Alcohol Court: A problem-solving court model for parents at risk of having children removed because of substance use. read source
Frequent attender: A person with five or more A&E attendances in a rolling 12-month period — the definition used in the British Red Cross (2024) Seen and Heard Dorset linked-data study, which the South Tees threshold matches (applied at both A&E and the Crisis Suite). The broader clinical convention (Royal College of Emergency Medicine) is five or more attendances in a year. A threshold, not a label for the person. read source
FL Fulfilling Lives: The 2014–2022 National Lottery Community Fund programme that preceded Changing Futures and piloted the multiple-disadvantage navigator role. Cited by site (e.g. Fulfilling Lives South East, Blackpool) where the source is site-specific.
FTE Full-time equivalent: Staffing expressed as a proportion of full-time hours. read source
GDPR General Data Protection Regulation: The data-protection framework governing personal data, given effect in the UK by the Data Protection Act 2018 (UK GDPR). read source
GIRFT Getting It Right First Time: An NHS England improvement programme. Cited in this report for its inspection feedback on the Crisis Suite Enhanced Case Worker (ECW) work. read source
GMU Greater Manchester CBA model: The Greater Manchester Combined Authority's Cost-Benefit Analysis (CBA) model — a framework, with an associated unit cost database, for estimating the fiscal and social value of interventions. read source
GMCA Greater Manchester Combined Authority: The combined authority for Greater Manchester and author of the Cost-Benefit Analysis model the team uses.
Harbour: Harbour Support Services — the specialist domestic-abuse charity delivering the Redcar & Cleveland model; with Changing Futures funding it hosts the GP Link Worker.
HCPC Health and Care Professions Council: The statutory regulator for a range of health and care professions in the UK (not doctors or nurses), established as the Health Professions Council by the Health Professions Order 2001 and renamed the HCPC in 2012. read source
HDRC Health Determinants Research Collaboration: The national National Institute for Health and Care Research (NIHR) programme funding local authorities and their partners to build research capacity on the wider determinants of health. South Tees is one such collaboration (see Health Determinants Research Collaboration South Tees (HDRC ST)). read source
HDRC ST Health Determinants Research Collaboration South Tees: The National Institute for Health and Care Research (NIHR)-funded local Health Determinants Research Collaboration South Tees, delivered in partnership with Teesside University. The programme within which this deep-dive series — and RCVDA's Community-led Research Programme — is produced. read source
HI Health Inequalities: Unfair and avoidable differences in health across the population.
HIU High Intensity Use: A pattern of very frequent, high-cost contact across services by a small number of people.
HMPPS HM Prison and Probation Service: The executive agency running prisons and probation in England and Wales. read source
Homeless Link: The English national membership body for frontline homelessness organisations; custodian of the Housing First England network and author of the 2017 seven-principles statement the series uses.
HAE Homelessness Assessment: The published Ministry of Housing, Communities and Local Government (MHCLG) statutory-homelessness dataset (the live tables), derived from the Homelessness Case Level Information Collection (H-CLIC). Subject to known gaps and reporting lag.
H-CLIC Homelessness Case Level Information Collection: The Ministry of Housing, Communities and Local Government (MHCLG) case-level reporting system for statutory homelessness. The published statutory-homelessness dataset derived from it is the Homelessness Assessment (HAE) series. Subject to known gaps and reporting lag.
HRA17 Homelessness Reduction Act 2017: Introduced the prevention duty (s.195, threatened with homelessness within 56 days) and the relief duty (s.189B, homeless and eligible). read source
HES Hospital Episode Statistics: NHS England activity dataset; historically under-coded for domestic abuse. read source
HF Housing First: A model that gives someone a permanent, unconditional home first, then wraps open-ended, person-led, trauma-informed support around them. In England it follows Homeless Link's seven principles (2017); it was originated by Sam Tsemberis and Pathways to Housing in New York in 1992.
HR Human resources: The function dealing with staffing, employment and people management.
IRIS Identification and Referral to Improve Safety: The evidence-based primary-care domestic-abuse training and referral programme developed by Gene Feder and colleagues at the University of Bristol; general practices are trained and given a direct referral pathway to a specialist advocate. National Institute for Health and Care Excellence (NICE)-endorsed; licensed and supported by the social enterprise IRISi.
IRIS+ Identification and Referral to Improve Safety — extended version (children and men): An Identification and Referral to Improve Safety (IRIS) adaptation extending to men, children and perpetrators. Not delivered in Middlesbrough as of May 2026. read source
IDVA Independent Domestic Violence Advocate / Advisor: A specialist domestic-abuse support worker for survivors at high risk of harm.
IPS Individual Placement and Support: An employment model in which specialists are embedded in mental-health teams; the strongest-evidenced employment intervention for adults with severe mental illness.
IG Information governance: The framework for handling information, especially personal data, lawfully, securely and appropriately.
ICB Integrated Care Board: The statutory NHS body that plans and commissions health services for a defined area. read source
ICP Integrated Care Partnership: The statutory joint committee of an integrated care system that agrees a health-and-care strategy for the area, bringing the NHS and local partners together. read source
ICS Integrated Care System: The partnership of NHS and local organisations that plans and delivers joined-up health and care for an area; made up of an Integrated Care Board and an Integrated Care Partnership. read source
ISC Intensive Supervision Court: A problem-solving court combining judicial oversight with probation and case-worker support as an alternative to short custodial sentences; piloted in England and Wales from 2023. read source
IRISi: The social enterprise (established 2017) that owns, licenses and supports the Identification and Referral to Improve Safety (IRIS) programme and its extension IRIS+ across the UK. Not an acronym: the name derives from IRIS.
JCUH James Cook University Hospital: The main acute hospital in Middlesbrough, operated by South Tees Hospitals NHS Foundation Trust. read source
KPI Key Performance Indicator: A measure used to track progress against an objective.
KW Key Worker: A Changing Futures worker who holds a small, relationship-based caseload, helping people navigate services and surfacing what needs to change in the system. In South Tees these are peer-mentor posts held by people with relevant lived experience. The Enhanced Case Worker is the higher-intensity version.
LVRN Lancashire Violence Reduction Network: Cited in the implementation literature as a comparator example of trauma-informed practice in a policing context. read source
Literature Review: A review method that systematically appraises the published academic and research literature on a defined question, using a stated search strategy and inclusion criteria to identify relevant studies, critically appraising their quality and synthesising their findings to establish the current state of knowledge. Ranges in rigour from a narrative review to a full systematic review. The desk-based review method restricted to academic and research evidence; narrower than a [[Desktop Review]], which also draws on grey literature, policy and administrative sources. read source
Lived Experience Board: The programme body through which people with lived experience gather, coordinate and prioritise what needs to change; the main hub feeding system- and service-change requests to the Programme Board. Underpins the co-production model that runs across all workstreams.
Live Well South Tees Board: The statutory Health and Wellbeing Board discharging the section 194 duty jointly for Middlesbrough and Redcar & Cleveland; the political-level governance board for the joint South Tees Public Health function, co-chaired by the political leaders of the two authorities. read source
Live Well South Tees Executive Board: The executive arm of the Live Well South Tees governance structure — the single forum where joint Public Health and each authority's Adult Social Care meet.
LA Local authority: A body responsible for local-government functions in its area; in England, the principal councils established under the Local Government Act 1972. read source
LGPS Local Government Pension Scheme: The funded pension scheme for local-government employees. read source
LHA Local Housing Allowance: The rate of Housing Benefit / Universal Credit housing element paid to private renters. read source
LW / GP Link Worker: The Harbour-employed GP Independent Domestic Violence Advocate / Advisor (IDVA) in Redcar & Cleveland. Dual-remit covering domestic abuse and substance use within the THRIVE partnership. 3.
MEAM Making Every Adult Matter: The England-wide coalition and partnership approach coordinating local responses for adults facing multiple disadvantage. The closest comparator approach to Changing Futures; each local MEAM partnership defines its own cohort within a shared frame. read source
MHCLG Ministry of Housing, Communities and Local Government: The UK government department co-funding Changing Futures. Named MHCLG to 2021, the Department for Levelling Up, Housing and Communities (DLUHC) 2021–2024, and MHCLG again from 9 July 2024. read source
MoJ Ministry of Justice: The UK government department responsible for the courts, prisons, probation and sentencing policy in England and Wales. Commissioned the Intensive Supervision Courts pilot and published the process evaluation cited in the Multiple Disadvantage report. read source
MARAC Multi-Agency Risk Assessment Conference: The multi-agency forum for managing the highest-risk domestic abuse cases. read source
MDT Multidisciplinary team: A team drawing together practitioners from different disciplines around a person.
MD Multiple disadvantage: The programme's cohort: in South Tees, adults in contact with two or more of five intersecting areas of complex need — criminal justice, mental health, homelessness, domestic abuse and substance use (the national Changing Futures cohort, per the MHCLG 2020 Prospectus, is three or more). The series adopts this working cohort definition as its primary frame. Hard Edges 'severe and multiple disadvantage (SMD)' is the foundational prevalence comparator. The sector (MEAM) frames multiple disadvantage as a systemic rather than individual issue — rooted in long-term poverty, trauma, abuse and neglect and compounded by discrimination — and as gendered, with women over-represented at the sharpest end (Gender Matters, 2020).
Mutually agreed outcome: Closure category recording that both the Key Worker and the adult agreed the support goals were met.
MSP My Sister's Place: A commissioned specialist domestic-abuse service in Middlesbrough; hosts the Identification and Referral to Improve Safety (IRIS) Advocate Educator.
NHS National Health Service: The publicly funded health system, created by the National Health Service Act 1946 (operational 5 July 1948) and now governed by the consolidating National Health Service Act 2006. read source
NICE National Institute for Health and Care Excellence: The statutory body (established by s.232 of the Health and Social Care Act 2012) that produces evidence-based guidance and quality standards for health and social care in England. read source
NIHR National Institute for Health and Care Research: The national funder of the Health Determinants Research Collaboration (HDRC) infrastructure.
NLP Neuro-Linguistic Programming: A communication and personal-development approach based on a claimed relationship between neurological processes, language and learned behaviour patterns. read source
NES NHS Education for Scotland: Author of the 2017 (refreshed 2024) Transforming Psychological Trauma Knowledge and Skills Framework.
FT NHS Foundation Trust: A semi-autonomous NHS provider organisation (NHS foundation trust). read source
NICE PH50 NICE Public Health Guideline 50 (Domestic violence and abuse: multi-agency working): National Institute for Health and Care Excellence (NICE) Public Health Guideline 50, Domestic violence and abuse: multi-agency working (2014); names Identification and Referral to Improve Safety (IRIS) and concludes domestic-abuse interventions are broadly cost-effective. read source
NRPF No Recourse to Public Funds: An immigration condition that excludes a person from most welfare benefits and from statutory homelessness assistance; significant for some cohorts in Middlesbrough. read source
NENC ICB North East and North Cumbria Integrated Care Board: North East and North Cumbria — the NHS Integrated Care System area covering South Tees. The NENC Integrated Care Board (NENC ICB) is the relevant NHS commissioning body for this geography. read source
North Star: A housing association (registered provider of social housing) operating across the Tees Valley.
Not ready to engage: Closure category for adults who disengaged either before or after allocation. A closure category, not a description of the person.
No Wrong Door: The principle that any agency contact should lead to coordinated support rather than bounce-back. A design rule the wider literature converges on; rigorously-evaluated operational forms are scarce.
NMC Nursing and Midwifery Council: The statutory regulator for nurses, midwives and nursing associates in the UK, established by the Nursing and Midwifery Order 2001. read source
OHID Office for Health Improvement and Disparities: The Department of Health and Social Care unit that published the 2022 working definition of trauma-informed practice.
OPCC Office of the Police and Crime Commissioner: The elected office responsible for the governance of policing in a force area — setting the police and crime plan and holding the Chief Constable to account; created by the Police Reform and Social Responsibility Act 2011. read source
Pathfinder Toolkit: Good-practice guidance on the health-service response to domestic abuse (Pathfinder Consortium, 2020), cited in the statutory guidance as good practice.
Pathways: The original Housing First model developed in New York by Sam Tsemberis and Pathways to Housing in 1992 (Tsemberis, 1999). The Pathways model is the high-fidelity baseline against which the seven principles are derived.
Persistent caller: Operational threshold used in the Police HQ Call Centre context: 5 or more calls in a one-month period. A threshold, not a label for the person.
PCC Police and Crime Commissioner: The elected office holder responsible for the governance of policing in a force area, setting the police and crime plan and holding the Chief Constable to account. read source
PCN Primary Care Network: A group of neighbouring GP practices working together, sitting beneath the Integrated Care Board (ICB). Established in England from 2019/20 through the Network Contract Directed Enhanced Service (DES) under the GP contract, as set out in the NHS Long Term Plan. read source
PHST Public Health South Tees: The joint Public Health function across Middlesbrough and Redcar & Cleveland.
RCT Randomised Controlled Trial: The evidence design most multiple-disadvantage programmes do not have, for ethical and practical reasons. The report names the evidence type on first citation.
REA Rapid Evidence Assessment: A structured evidence review with a defined search strategy and inclusion criteria, briefer than a full systematic review. read source
RE-AIM Reach, Effectiveness, Adoption, Implementation, Maintenance: The comparative implementation-science framework (Glasgow, Vogt and Boles, 1999) used to structure the cross-cutting analysis.
ReQoL Recovering Quality of Life: A patient-reported outcome measure (Keetharuth et al.) of quality of life for people with mental health conditions, used in the Changing Futures national evaluation.
RCVDA Redcar and Cleveland Voluntary Development Agency: The local infrastructure charity supporting voluntary and community groups across Redcar & Cleveland. The publishing host of this deep-dive series.
R&C Redcar & Cleveland: Local shorthand for the Borough of Redcar & Cleveland (and its council).
RP Registered Provider: Registered Provider of social housing. The statutory term for a social-housing provider (including housing associations) registered with and regulated by the Regulator of Social Housing under the Housing and Regeneration Act 2008. Preferred to 'housing association' where a statutory or commissioning point is being made. read source
ROI Return on investment: The financial return of an intervention relative to its cost.
RSAP Rough Sleeping Accommodation Programme: A Ministry of Housing, Communities and Local Government capital programme funding move-on accommodation for people who sleep rough or are at risk of doing so; a predecessor to later rough-sleeping programmes. read source
RSI Rough Sleeping Initiative: Central government revenue funding for rough-sleeping support, allocated in rounds. read source
SafeLives: National domestic-abuse charity that develops and stewards the evidence base and models for the high-risk response, including the Multi-Agency Risk Assessment Conference (MARAC) and the Independent Domestic Violence Advisor (IDVA) models. Known as Co-ordinated Action Against Domestic Abuse (CAADA) until it was renamed SafeLives in 2014. read source
Secondary trauma: Secondary trauma (secondary traumatic stress) — the trauma symptoms a worker can develop from exposure to the details of another person's traumatic experience; often relatively sudden in onset and closely mirroring post-traumatic stress.
Section 21 (Housing Act 1988): The 'no-fault' route by which a landlord could recover possession of an assured shorthold tenancy after the fixed term, without having to establish a ground. Abolished by the Renters' Rights Act 2025 (in force from 1 May 2026), which ended assured shorthold tenancies. read source
Section 8 (Housing Act 1988): The route by which a landlord seeks possession of an assured tenancy on one or more of the statutory grounds set out in Schedule 2 to the Act (for example rent arrears or breach of tenancy). The Schedule 2 grounds were amended and expanded by the Renters' Rights Act 2025. read source
SIRO Senior Information Risk Owner: The designated officer in an organisation responsible for information governance and data risk; referenced in this report in the context of data-sharing arrangements.
SMD Severe and multiple disadvantage: The Hard Edges framing, built around the overlap of homelessness, substance misuse and offending, with mental ill-health and poverty as cross-cutting factors. The foundational UK prevalence study: it estimated 58,000 adults in England experiencing all three domains in any one year, ~164,000 experiencing two of the three, and around 586,000 across all SMD categories (2010/11 data). Used in the series as a comparator to the Changing Futures cohort definition.
SHAP SHapley Additive exPlanations: A machine-learning method that explains how much each input feature contributes to a model's prediction, based on Shapley values.
SHAP Single Homelessness Accommodation Programme: A Ministry of Housing, Communities and Local Government capital programme funding accommodation and support for single people who are homeless or at risk, including young people. read source
SPOC Single point of contact: One named contact or route through which people reach a service.
SWE Social Work England: The statutory regulator for social workers in England, established under Part 2 of the Children and Social Work Act 2017. read source
South Tees: Middlesbrough and Redcar & Cleveland together — the two-local-authority geography of the South Tees Changing Futures Programme. Distinct from Cleveland.
STCFP South Tees Changing Futures Programme: The local delivery of Changing Futures across Middlesbrough and Redcar & Cleveland (population ~278,000), governed by the South Tees Changing Futures Programme Board.
South Tees Changing Futures Programme Board: The programme's governance board — chaired by a senior Redcar & Cleveland Borough Council officer and meeting monthly. It brings the partners together and acts on the change requests raised by the Lived Experience Board; day-to-day management sits with a Programme Management Sub-Group.
South Tees Hospitals NHS Foundation Trust: The NHS foundation trust that operates James Cook University Hospital and other acute and community services across South Tees. read source
SAMHSA Substance Abuse and Mental Health Services Administration: The US federal agency (part of the Department of Health and Human Services) whose 2014 report 'Concept of Trauma and Guidance for a Trauma-Informed Approach' underpins much UK trauma-informed practice. read source
System flex: The principle that the system adapts to the person rather than the person navigating the system. Used throughout the multiple-disadvantage literature; the report’s working definition of “the system” is set out in its own entry (see The system).
TEWV Tees, Esk and Wear Valleys NHS Foundation Trust: The specialist mental-health and learning-disability trust serving the Tees Valley. read source
Tees Valley: The five-local-authority combined-authority area: Middlesbrough, Redcar & Cleveland, Stockton-on-Tees, Hartlepool and Darlington.
TVCA Tees Valley Combined Authority: The sub-regional combined authority covering the five Tees Valley boroughs (Middlesbrough, Redcar & Cleveland, Stockton-on-Tees, Hartlepool and Darlington), led by the Tees Valley Mayor. read source
TVHF Tees Valley Home Finder: The sub-regional choice-based lettings scheme for social housing across the Tees Valley, commissioned by the Tees Valley Lettings Partnership and operating its Common Allocation Policy (TVLP CAP). read source
TVLP Tees Valley Lettings Partnership: The partnership that provides Tees Valley Home Finder (the sub-regional choice-based lettings scheme) and operates the Common Allocation Policy (TVLP CAP). Members: Middlesbrough Council, Redcar and Cleveland Borough Council, Stockton-on-Tees Borough Council, Beyond Housing and North Star.
TSAB Teeswide Safeguarding Adults Board: The multi-agency statutory board that coordinates adult safeguarding across the Tees area. read source
TA Temporary accommodation: Bed-and-breakfast, nightly-paid self-contained, hostel, or Local authority (LA)-/Registered Provider (RP)-managed accommodation provided to households owed a homelessness duty. Distinct from supported housing. read source
TNLCF The National Lottery Community Fund: The operating name since 2019 of the Big Lottery Fund — the UK's largest funder of community activity, distributing money raised for good causes by National Lottery players. Joint funder of Changing Futures with MHCLG. read source
The system: All the services around a person — health, housing, social care, justice, substance use, domestic abuse and welfare, whether statutory, commissioned or voluntary-sector — seen from the person's point of view rather than any one agency's. The related principle is that the system should adapt to the person, not the person to the system.
THRIVE Thrive Partnership: The Redcar and Cleveland partnership delivering England's first integrated Domestic Abuse and Substance Use (IDAS) service model: collaborative, trauma-informed support, commenced April 2022. Redcar and Cleveland Borough Council is its commissioning partner; the service is delivered by three partner charities: We Are With You (lead provider; core substance-misuse service), Harbour Support Services (core domestic-abuse service) and Intuitive Thinking Skills (recovery-based programme), working closely with Recovery Connections and other local partners. Built on shared values of being Trusting, Hopeful, Resilient, Involved, Valued and Empowered. read source
Trauma-aware / -curious / -informed / -responsive: The four developmental phases in the South Tees framework. An organisation is trauma-responsive when Trauma-informed practice (TIP) is the norm and no longer dependent on champions. No South Tees organisation in the evidence base has reached this phase.
Trauma-Informed Champion: A trained practitioner who has committed, via the Trauma-Informed Champions Charter, to embedding trauma-informed practice within their employing organisation. South Tees identified 67 named champions across 11 services.
Trauma-Informed Champions Charter: South Tees's local commitment to trauma-informed practice, funded through Changing Futures. It asks every service to recognise the impact of trauma and respond with kindness and compassion, built on six principles: safety; trust and transparency; choice and voice; collaboration; empowerment; and inclusivity.
TICA Trauma Informed Community of Action: A UK membership network and community of practice that builds trauma-informed training, resources and connections across health, mental-health and wellbeing services. Originally NHS-supported, now an independent community interest company (TICA C.I.C.). read source
TIP Trauma-informed practice: A whole-system approach to realising the prevalence of trauma, recognising its effects, responding by embedding that knowledge in practice, and resisting re-traumatisation. The series adopts the Office for Health Improvement and Disparities (OHID) (2022) England working definition, with Substance Abuse and Mental Health Services Administration (SAMHSA)'s (2014) four assumptions and six principles as the underlying framework. read source
TIPC Trauma-Informed Practice Co-ordinator: The named South Tees Changing Futures role responsible for running the Trauma-Informed Practice workstream.
Vicarious trauma: Vicarious trauma (vicarious traumatisation) — the cumulative, gradual transformation in a worker's own inner experience and worldview that results from empathic engagement with trauma survivors over time.
Victims and Prisoners Act 2024: Creates a statutory duty for local authorities, OPCCs and ICBs to collaborate on commissioning Domestic abuse (DA), sexual abuse and serious violence support, from April 2026. read source
VRU Violence Reduction Unit: Regional bodies established to coordinate approaches to serious violence; the VRU 2021–2023 learning paper on trauma-informed policing is cited in this report.
VCFSE Voluntary, Community, Faith and Social Enterprise: Voluntary, Community, Faith and Social Enterprise — the collective term for charities, community groups, faith organisations and social enterprises. The sector RCVDA works within and holds the deep-dive work on behalf of.
Vulnerabilities Service: The Public Health South Tees (PHST) service that houses the Changing Futures Key Working Team. Operationally led by the Vulnerabilities Manager.
WAWY We Are With You: We Are With You (formerly Addaction) — the commissioned substance-use service across Redcar & Cleveland.
Workstream: One of the strands the programme is organised into. The Delivery Plan sets out six: a governance strand (Programme Management and Ideas Factory) and five delivery strands — Enhanced Case Management, Innovation Fund, Key Worker Support, VCS Infrastructure, and Embedding Trauma-Informed Services. Workstreams are how the programme delivers, as distinct from the five areas of complex need that define who it works with.