common assessment framework. the way things used to be: healthcare staff youth offending team child...
TRANSCRIPT
Common Assessment Framework
The way things used to be:
Healthcare Staff
Youth Offending Team
Child Psychologist
Connexions PA
Educ. Welfar
e Officer
s
SENCO & Educationa
l psychologi
sts
LEA special
educational needs
EWSConnexio
nsCAMHS YOT
Universal Healthca
re
Socialworker
s
Social Servic
es
Health
Visitor
PCT
All Other Practitioners
All Other Agencies
Education Staff
Universal Education
Conduct
Disorder
Statement of SEN
Children in
Need
At Risk Registe
r
ASSET
APIRRisks
toparents
= assessment
= practitioner
= agency
Background to Integrated Working
Lord Laming’s enquiry in 2003 into the tragic death of Victoria Climbié identified fault lines in the system:
• Interventions only when the family’s situation got critical• Support sequential & intermittent• Poor communication between agencies• Little integration of services • Weak supervision & accountability
The Vision
Healthcare Staff
Youth Offending Team
Connexions PA
LEA Inclusion Services
Youth & Play Servic
e
Connexions
CAMHSYOT / YISP
PCT & Acute Health
Socialworker
s
Specialist
services
Housing
Birmingham Children & Young People’s Plan
All Other Practition
ers
Voluntary
Orgs
Education Staff
Universal
Education
Lead Practitioner
Service Directory
Information Sharing
Guidance
Common Assessment Framework
Local servic
es
CAMHS
MDT
Youth & Play Worke
rs
SENCO, Ed psychologist EWO’s
etc
Integrated Front-Line ServiceDelivery
Children’s Centres
Integrated YouthSupport
Children’sNSF
Extended Schools
Safeguarding
Youth crimeReduction
Children & Young People’s Board
Outcomes for children & young people
Background of CAF
Every Child Matters: Green paper, 2003
Every Child Matters: The Next Steps
The Children Act, 2004
Every Child Matters: Change for Children
Other Acts, Programmes, Policies
Published alongside the formal response to the report into the death of Victoria Climbié, the young girl who was horrifically abused, tortured, and eventually killed by her great aunt and the man with whom they lived.
Published; then The Children Act 2004 passed, providing the legislative spine for developing more effective and accessible services focused around the needs of children, young people and families.
Section 10: Duty to Co-operate to improve well-being
Section 11: Safeguarding and promoting welfare of childrenNational framework for local change programmes… shifting the focus from dealing with the consequences of difficulties in children(s) lives to preventing things from going wrong in the first place.
Birmingham Children’s Plan
Every Child Matters is a new approach to the well-being of children and young people from birth to age 19.
The Government's aim is for every child, whatever their background or their circumstances, to have the support they need to:
be healthy stay safe enjoy and achieve make a positive contribution achieve economic well-being
Be Healthy Physically, mentally, emotionally & sexually healthy Healthy lifestyles
Stay Safe Safe from maltreatment, neglect, violence & sexual exploitation; accidental injury & death
Safe from bullying & discrimination, crime & anti-social behaviour
Safe from crime & anti-social behaviour in & out of school
Have security/stability & are cared for
Enjoy & Achieve Ready for school, attend & enjoy school
Achieve national educational standards
Achieve personal & social development & enjoy recreation
Make a Positive Contribution Engage in law-abiding behaviour in & out of school
Develop positive relationships
Develop self confidence & deal with life changes
Achieve Economic Well-Being Engage in FE; ready for employment
Live in decent homes/sustainable communities
Live in households free from low-income
Aim of Every Child Matters
Standard assessment can be used by all agencies working with children/young
people
CAF – Assessment
Child/young person focused
-9mths to 19yrs (25yrs with ….disabilities or care leavers)
Based on consent
Holistic: multi-agency …response
Link to statutory assessments
CAF – Process
Integrated working
Engagement of parents /young people
Information Sharing
Transparent
Common Assessment Framework
The CAF as part of a continuumPromoting Children’s Well-being in Birmingham
I = Identification and action T = Transition N = Needs met
Go straight to level 4 as soon as risk of significant harm suspected
CommonAssessment Frameworkundertaken
CHILDSafeguard
& Promoting welfare
CH
ILD
’S D
EVEL
OPM
ENTA
L N
EED
S PAREN
TING
CAPAC
ITY
FAMILY & ENVIRONMENTAL FACTORS
Pre-CAF Checklist &
consider CAF Assessment
Referral for Statutory Assessment
Integrated Support PlanMeeting with practitioners and family
Lead Practitioner allocated
Pre Assessment Checklist Identify need
CAFComplete assessment with Child/Family
Gain consent for information sharing
ReviewMeeting with practitioners and family
Review progress on ISP
EvaluationFamily and Lead Practitioner evaluations
CAF Stages
CAF can be used with any unborn baby, new baby, child or young person who has additional, unmet needs
It does not need to be done with everyone
CAF is NOT child protection – where these concerns exist BSCB procedures should be followed
Common assessment is likely to be of help when:
• Age appropriate progress is not being made and causes are unclear
• The support of more than one agency is needed
Common assessment need not be done where:
• Progress is satisfactorily• Needs are already identified and are being met
• Needs are clear and can be met by the family or by the assessing agency
CAF or Not to CAF
Monica has recently arrived in Birmingham from Southampton. She is a single mother with four children; two boys of 13 and 3 yrs and two girls of 14 and 18 months. The children have no contact with their father who is currentlyin Prison.
Monica is keen to start a new life in Birmingham but is concerned that she has left behind her extended social support network.
Monica has been engaged in a substitute prescribing programme for the past 15 years and Southampton CDT has made arrangement for her treatment to be transferred to Aston CDT.
It is hoped that once settled she will be able to receive her treatment through the GP that she has recently registered with as they are part of the Shared Care Scheme.
CAF Case Study
As part of her transfer arrangements the Drug Worker at Aston CDT has undertaken a reassessment and devised a care plan to support Monica’s move to Birmingham. Monica is very proud of her children and is keen to support them in settling in Birmingham.
She discloses to the Drug Worker that she is worried that the 3 yr old boy is not talking very well and relies on his older brothers & sisters to communicate for him.
She also mentions that one of the reasons thatshe has left Southampton is that her 13 yr old son was getting involved with the ‘wrong crowd’ and that he has been very quiet since his Dad went to prison. She is concerned because he has already had a fixed term exclusion from school for ‘violent outbursts’.
What are the Drug Workers next steps………..
CAF Case Study
Concern about the child or young personof an Parent/Carer engaging with an Adult Service
Child or Young Personat risk of harm
Referral to Specialist Services(Child Protection)
Yes
No
Pre-assessment completedby Adult Service & sent to
appropriate agency
Pre-assessment reviewed by Agency
Multi-agencyResponse with CAF
1st Integrated Support Plan Meeting.Adult Service to attend to:
• Clarify role of Adult Service• Establish client confidentiality
• Contribute to ISP
If Parent withdraw fromAdult Service or treatment ends
ISP Review Meetings.
CAF Episode Ends
Child orYoung Personat risk of harm
No Yes
ISP Review Meetings.Adult Service to submit report using
CAF documentation
YesNo
No further action, butcontinue to
monitor situation
Follow your Agencies
safeguardingprocedures
Felt to beAt risk
Adult Services & theCommon Assessment Framework
Single agencyResponse
13 year old boy• Pre-assessment checklist:
• Anger management• Trauma of Dad’s arrest• Not settling to area• Behaviour at school• Social isolation• Potential pre-criminalised
Sent to School
Children’s Services next steps:
• After school activities• Counselling• Anger Management• PAYP – YISP• Connexions
CAF Process
CAF Case Study: Action Plan
18 month & 3 year old• Ineed2know.org.uk search for local Children’s Centre
Signpost Mum/phone call to Centre
• Social network for Mum• Mum’s & Toddlers Group• Day nursery Provision• 1st stage Speech & Language (SLT)
Referral on to Specialist SLT
14 year old girlReferral to Connexions