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EHA Assessment V2.16 Jan 2018

EHA Early Help Assessment 1NOTE: SEE APPENDIX A FOR THRESHOLD GUIDANCE TO SUPPORT COMPLETION OF THE FORM.

SafeguardingIs the child experiencing or at risk of significant harm?: ☐Yes ☐No

If you have determined that a child or young person is at risk of, or is being harmed, abused or suffering neglect contact the Multi-Agency hub on 01752 668000 or email [email protected] In an emergency, please dial 999.

Person completing this formTitleChoose an item.

Forename(s)Click here to enter text.Organisation typeOtherTel contact number (inc STD)Click here to enter text.Date assessment startedClick here to enter a date.

RoleClick here to enter text.SurnameClick here to enter text.Organisation nameClick here to enter text.EmailClick here to enter text.Name and contact details of Lead Professional (if different)Click here to enter text.

Assessment informationInterpreter required ☐Yes ☐No If Yes please choose from below:

Child’s first language Adult’s first language Choose an item. Choose an item.

Any special requirements for the meetingClick here to enter text.

mailto:[email protected]


EHA Early Help Assessment 2

Details of key person of concernForename(s)Click here to enter text.Date of birthClick here to enter a date.

GenderChoose an item.

MaleSurnameClick here to enter text.EthnicityChoose an item.Choose an item.

Family addressHouse/flat numberClick here to enter text.

PostcodeClick here to enter text.

First line of addressClick here to enter text.Family contact number (inc STD)Click here to enter text.Please enter contact details for the adult with primary care responsibility.Click here to enter text.

Family detailsPlease enter details of the parent(s) or significant adult(s) with parental responsibilities as the first family member(s), followed by additional children involved in the assessment

Title Forename Surname DoB Relationship Present

Click here to enter text.





































EHA Early Help Assessment 3Click here to enter text.






Who is already working with the family?Agency Contact Name Family

MemberTel contact

numberSupport Provided































Reason for assessmentReason for assessment for key person of concernPlease give a brief overview of concerns. Information that is more detailed will be requested in the next step of the assessment.Click here to enter text.Is the key person of concern already known to, or receiving support from, Plymouth City Council’s Special Educational Needs and Disabilities Service (SEND)?☐Yes ☐No ☐Unknown

Is there a Team Around Me (TAM) for this child/young person/Family?☐Yes ☐No ☐Unknown

Is the key person of concern a young carer (or have caring responsibilities)?A young carer is an individual child or young person under the age of 18, who provides unpaid help and support on a regular basis to family member, friend or relative. They may provide practical help, care, physical or emotional support to a person who is vulnerable for a wide variety of reasons, whether through age, physical or mental illness, disability or other issues such as substance misuse.☐Yes ☐No ☐Unknown


EHA Early Help Assessment 4Is there a Looked After Child (LAC) within this family (Adopted or Fostered)?☐ Yes ☐ No ☐ Unknown

What has already been tried / achieved with the family?Description Outcome

Click here to enter text. Click here to enter text.



Click here to enter text. Click here to enter text.Guidance NotesPlease complete the relevant sections of the Early Help Assessment.Section Page NumberEarly Years and Child Development 4Child, Young Person’s Education 5Child Safety 6Domestic Abuse 6Physical Health 7Mental Health 7SEN & Disability 8Anti-Social Behaviour, Offending 8Substance Misuse 9Housing & Debt(Environmental Factors)

9

Young Carer 10Young person training, 16+ 10

Early Years and Child DevelopmentLevel of need*Choose an item.

ConcernsPlease select all the relevant concerns☐Communication and language ☐Physical development ☐Personal, social and emotional development☐Understanding of the world ☐Other

Guidance notesIdentity, self-esteem, self-image and social presentation: Perceptions of self; knowledge of personal/family history; sense of


EHA Early Help Assessment 5Belonging, experiences of discrimination due to race, religion, age, gender, sexuality and disability. Family and social relationships:Building stable relationships with family, peers and wider community; helping others; friendships; levels of association for negativeRelationships. Self-care skills and independence: Becoming independent; boundaries, rules, asking for help, decision-making; changes to body; washing, dressing, feeding; positive separation from family.

Concerns / Needs / Vulnerabilities Strengths / Resources / Protective FactorsClick here to enter text. Click here to enter text.

* For further information and guidance regarding the levels of need, please refer to Appendix A.


EHA Early Help Assessment 6Child / Young person’s educationLevel of need*Choose an item.

Education history☐ Mainstream Education☐ Education, Health & Care (EHC) Plan☐ Special School☐ Has/is presently attending ACE

ConcernsPlease select all the relevant concerns☐ ASC ☐ADHD ☐ Learning Disability ☐ Physical Disability ☐ Experienced Bullying☐ Not making expected progress in school ☐Poor or non-school attendance ☐Transition☐ Exclusion or risk of exclusion ☐ Previous fixed term exclusion ☐ School Transfer ☐ Other

Guidance notesUnderstanding, reasoning and problem solving: Organising, making connections; being creative, exploring, experimenting; imaginative play and interaction. Participation in learning, education and employment: Access and engagement, attendance, participation, adult support, access to appropriate resources. Progress and achievement in learning: Progress in basic and key skills, available opportunities, support with disruption to education, level of adult interest. Aspirations: Ambition, pupil’s confidence and view of progress, motivation, perseverance.




EHA Early Help Assessment 7Child safetyLevel of need*Choose an item.

ConcernsPlease select all the relevant concerns☐ Child neglect ☐ Parenting capacity or concerns ☐ Lack of supervision or boundaries ☐ Child missing☐ Previous child protection / Child in need ☐ Physical abuse ☐ Honour based issues / Forced marriage☐ Female Genital Mutilation ☐ Radicalisation (Prevent) ☐ Child Sexual Exploitation ☐ Child Missing Health appointments ☐ Looked after Children ☐ Other

Guidance notesBasic care, ensuring safety and protection: Provision of food, drink, warmth, shelter, appropriate clothing; personal hygeine, dental hygiene; engagement with services; safe and healthy environment. Emotional warmth and stability: Stable, affectionate, stimulating family environment; praise and encouragement; secure attachments; frequency of house, school, and employment moves.Guidance, boundaries and stimulation: Encouraging self-control; modelling positive behaviour; effective and appropriate discipline; avoiding over-protection; support for positive activities.



Domestic abuse (DA)Level of need*Choose an item.

ConcernsPlease select all the relevant concerns☐ Incidences of domestic abuse in the past 6 months ☐ Exposure to domestic abuse ☐ Historical domestic abuse☐Other

Guidance notesWhat does DA look like: background to domestic abuse (timeframes, nature of behaviour, children present), offending; violence aggression, coercion, stalking. Involvement and engagement with DA support agencies for adults and children: PDAS, Freedom Project. Police involvement: CARAs/VISTs, welfare checks. Support Network: Community support, family network.





Physical healthLevel of need*Choose an item.

ConcernsPlease select all the relevant concerns☐Poor hygiene or presentation ☐Lack of access to health care ☐ Poor diet or healthy lifestyle☐Sexual health concerns ☐ Illness or injury ☐ Problematic dental health ☐ Visual /hearing impairment☐Teenage pregnancy ☐ Immunisations ☐ Child development / Meeting milestones ☐Other

Guidance notesGeneral Health: Conditions and impairments; access to and use of dentist, GP, optician; immunisations, developmental checks, hospital admissions, accidents, health advice and information. Physical development: Nourishment; activity; relaxation; vision and hearing; fine motor skills (drawing etc.); gross motor skills (mobility, playing games etc.). Speech, language and communication: Preferred communication, language, conversation, expression, questioning; games; stories and songs; listening; responding; understanding



Mental healthLevel of need*Choose an item.

ConcernsPlease select all the relevant concerns☐Behavioural problems ☐Stress, anxiety ☐Low self-esteem ☐Social isolation ☐Self-harm ☐Bereavement☐Bullying ☐Eating and/or sleep disorder ☐Diagnosed mental health issues ☐ Identity issues ☐Other

Guidance notesEmotional and social development: Feeling special; early attachments; risk taking behaviour; self-harm; phobias; psychological difficulties; coping with stress; motivation, positive attitudes; confidence; relationships with peers; feeling isolated and solitary; fears; often unhappy. Behavioural Development: Lifestyle, self-control, reckless or impulsive activity; behaviour with peers; substance misuse; anti-social behaviour; sexual behaviour; offending; violence and aggression; restless and overactive; easily distracted, attention span/concentration




EHA Early Help Assessment 9SEN and disabilityLevel of need*Choose an item.

ConcernsPlease select all the relevant concerns☐Communication and interaction ☐Cognition and learning ☐ Sensory and / or physical needs☐Social, emotional and mental health difficulties ☐ Child has Diagnosis ☐Child on Autism Pathway ☐ Child on DLA ☐Other

Guidance notesDiagnosis, Individual Education Plan in place, engagement with health professionals (Consultants, Speech and language, Communication Interaction Team (CIT), presentation and impact of SEN and disabilities on individual and wider family, status of Education Healthcare Plan (proposal, final and review dates), medication, adaptions and any OT involvement.



Anti-Social behaviour and offendingLevel of need*Choose an item.

ConcernsPlease select all the relevant concerns☐Disregard for community and personal wellbeing ☐Mistreatment of others ☐Environmental damage☐Misuse of public places ☐ Involved in Youth Crime ☐ Exposure to criminal behaviour ☐Radicalisation ☐Other

Guidance notesFamily history, functioning and well-being: Illness, bereavement, violence, criminality, anti-social behaviour; culture, size and composition of household; absent parents, relationship breakdown; physical disability and mental health; abusive behaviour. Wider family: Formal and informal support networks from extended family and others; wider caring and employment roles and responsibilities. Social and community elements and resources, including education: Day care; places of worship; transport; shops; leisure facilities; crime, unemployment, anti-social behaviour in area; peer groups, social networks and relationships; religion.





Substance MisuseLevel of need*Choose an item.

Concerns☐Drugs ☐Misuse of prescription drugs ☐ Alcohol misuse ☐Solvent abuse ☐Use of psycho-active substances ☐Other

Guidance notesFamily history, functioning and well-being: Practices putting health at risk, detrimental effect on physical or mental health/education/employment/ relationships, offending to obtain money for substances, offending under the influence, risk of type of substance used (solvents/class A/prescription), route administration risk (injection/smoking). Dust Assessment Tool/ specialist assessment



Housing and debt (environmental factors)Level of need*Choose an item.

Concerns☐Overcrowding ☐Unsuitable housing ☐Condition of home ☐Homeless or risk of ☐Low income family☐ Debt problems ☐Discrimination and social exclusion ☐Other

Guidance notesHousing: Water/heating/sanitation facilities, sleeping arrangements, reason for homelessness, condition of property, private or social housing tenancy, overcrowding. Finances and Debt: Income/benefits; effects of hardship, outstanding arrears and/or payment plans.




EHA Early Help Assessment 11Young CarerLevel of need*Choose an item.

Who are they caring for?☐ Parent/Carer ☐ Sibling ☐ Extended family ☐ Friend ☐ Multiple caring role

Does the person(s) they care for suffer from:☐ Mental Health Problems ☐ Chronic or severe ill health ☐ Disability (physical, sensory or learning)☐ Drug and /or alcohol misuse

On average how many hours per week is the young person providing care?☐ Less than 10 ☐ 10-20 ☐ 20-30 ☐ 30+

What types of care are being provided (tick all that apply)☐ Personal ☐ Practical ☐ Physical ☐ Emotional ☐ Parenting sibling

ConcernsPlease select all the relevant concerns☐ Caring role has an impact on emotional and physical well-being ☐ Unable to access support☐ Difficulties developing friendship and social networks ☐ No access to youth provision in local community☐ Other

Guidance notesSignificant impact on their childhood, especially education, social interaction, emotional and mental wellbeing, high levels of inappropriate care or inappropriate level of caring, high risk of social exclusion, experiencing difficulties at school, under achieving, (refer to child safety section).



Young person training, 16+Level of need*Choose an item.

ConcernsPlease select all the relevant concerns☐NEET (Not in Education, Employment or Training) ☐Current job at risk ☐Low income ☐Other

Guidance notesEngagement in training and education: level of engagement, subject/topic, regularity, barriers to engagement (disabilities, learning difficulties), Work and shifts, employment (part-time, full-time).



EHA Early Help Assessment 12* For further information and guidance regarding the levels of need, please refer to Appendix A.


EHA Early Help Assessment 13Wider Family ConcernsGuidance NotesNow please review the whole family needs and provide the level of risk and evidence for this in the table below.

Assessment Criteria

Individual (s) Level Concerns / Needs / Vulnerabilities

Early Years and Child Development

Click here to enter text. 1

1Click here to enter text.

Child, Young Person’s Education



Child Safety Click here to enter text. 1


Domestic Abuse Click here to enter text. 1


Physical Health Click here to enter text. 1


Mental Health Click here to enter text. 1


SEN & Disability Click here to enter text. 1


Anti-Social Behaviour, Offending



Substance Misuse Click here to enter text. 1


Housing & Debt Click here to enter text. 1


Adult not in education, employment or training




EHA Early Help Assessment 14Desired outcomes for:

Please provide a general summary of need that require intervention / support.

Child/Young Person/FamilyClick here to enter text.

Agencies and ProfessionalsClick here to enter text.

Lead professionalClick here to enter text.

Next stepsAn outcome based support plan is attached.

If you are not completing one please state why?Click here to enter text.Proposed plan start dateClick here to enter a date.

Proposed date of review meetingClick here to enter a date.

Date Assessment Completed (DD/MM/YYYY)Click here to enter a date.

Is this family engaged in a family group conference? ☐Yes ☐No

Would this family benefit from a family group conference? ☐Yes ☐No


EHA Early Help Assessment 15Assessment consentHas the assessment been agreed by the Parent/Carer? ☐Yes ☐NoHas the assessment been agreed by the Young Person? ☐Yes ☐No

I give my consent for Plymouth City Council, to request and share information regarding my family with internal and external agencies. I understand that this may include information to share where there are Safeguarding concerns or where there is a need to engage another agency to provide support for my family. I also understand that the information I share may be used for statistical and research purposes.

In most circumstances, the child or young person (if they are of an appropriate age and undertaking) or their parent and/ or carer should be provided with a copy of this assessment. Parents/Carers, children and young people must give their explicit consent for information to be shared with other agencies and/or other family members.

The only exception to this is where you have child protection concerns and consent has been denied or seeking consent may jeopardise the welfare of the child or young person. If you are unsure about whether or not to seek consent for information sharing, please contact Gateway on 01752 668000 or email [email protected]

Signature of Parent / Carer: Date:

Signature of Young Person(s): Date:

Signature of Lead Professional: Date:

Time: Venue:It is important to consider the whole needs of the family in the assessment, you will need to use your judgement whether it is appropriate to share the whole assessment with the whole family.

IMPORTANT: Once you have completed your whole family assessment and obtained a valid consent, the next step is to complete an outcomes based plan.

Due care should be taken when sharing the Early Help assessment with the whole family; e.g. there may be risks with sharing a whole assessment where there are concerns of domestic abuse or child protection issues.

mailto:[email protected]


EHA Early Help Assessment 16APPENDIX AGuidance Notes

Threshold descriptors to support assessment and identification for level of need in assessment domainsN/A To be entered to show consideration but not applicable

1Universal:Children and young people who are achieving expected outcomes and have their needs met within universal service provision without any additional support.

2

Early Help:Children and young people where some concerns are emerging and who will require additional support usually from professionals already involved with them. An early help assessment should be considered where the needs of the children are unclear or broader than one agency can meet. Consent required

3Targeted Early Support and Prevention:Children and young people who are causing significant concerns over an extended period or



where concerns recur frequently. A child has complex needs and an Early Help assessment should be completed as a minimum requirement. Information should be shared with The Gateway and this will be recorded. Consent required

4

Statutory Threshold:Children who are at risk or likely to suffer significant harm, including children with disabilities, highly complex or enduring levels of need that have not already been met by multi-agency involvement. A referral must be made to the Hub within the Plymouth Referral and Assessment Service.

For further information and guidance regarding the levels of need, please refer to the Plymouth Assessment Framework. A copy of which can be located at www.plymouth.gov.uk/documentlibrary/plymouthassessmentframework

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