Child’s Development - Wrexham · Web viewFamily no longer wanting to care for child Family...

APPENDIX 2

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WREXHAMCHIILDREN AND YOUNG PEOPLE

SERVICE

ELIGIBILITY CRITERIA FOR REFERRAL TOTHE SAFEGUARDING AND SUPPORT

DEPARTMENT

THRESHOLD FOR INVOLVEMENT DOCUMENT

What this guide does

This guide follows the assessment dimensions and areas of the National Framework for the Assessment of Children in Need and the Wales CAF, the common assessment framework used in the Team around the Child. This guide should be read in conjunction with the TAC Wrexham guide will help practitioners to assess the child’s level of need and know when to contact Children’s Safeguarding and Support for advice and when to make a referral. It therefore covers:

The child’s development The parents and carers The family and environment

It established thresholds for levels of need at 3 and 4 and for each assessment area gives examples of issues faced by children and their family to assist practitioners in their assessment of the relevant level. It does not cover every possible example in each assessment area. Not all children with needs assessed at tier 3 automatically require a service from Safeguarding and Support; other agencies may be better placed to provide appropriate support. Some guidance is offered to practitioners about alternatives.The child may have a tier 3 need in one assessment area, but if the above apply and the child’s other needs are at tier 2, then the TAC can be used. If the practitioner identifies that the child has tier 3 needs in more than one assessment area, is concerned that a child may be suffering or at risk of significant harm or that a serious crime has been or may be committed, they should ring Children’s Safeguarding and Support for advice by contacting the Child and Family Assessment Team (CAFAT, Grosvenor Road) Professional JudgementWhen identifying the level of need of child practitioners should use their own professional judgement, taking advice where necessary always consider not only the difficulties faced by the child but the child and family’s strengths as well always consider the impact of the child’s situation upon their health and well-being

Don’t forget – if you are concerned about a child, whatever you decide to do, you need the child / family’s consent to share information if you do not actually have a child protection concern

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SAFEGUARDING & SUPPORT SERVICES

Thresholds Diagram

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Assessment Framework/CAF Diagram

CAF AND NATIONAL ASSESSMENT FRAMEWORK TRIANGLEConsider all he dimensions of the CAF triangle when discussing the child or young person’s situation

Child’s DevelopmentHealthGeneral health including dental; Physical development; Impact of disability; ImmunisationsLearning and educationUnderstanding; reasoning and problem solving; Attention span and concentration; Progress and achievements; Participation in learning, education and employmentEmotional development and behaviourTemperament; Response to stress; Appropriate self control; Coping strategies; Lifestyle; Anti-social behaviourSelf imageViews and feelings about themselves; Sense of belonging and acceptance by family; Peers and wider society; Experience of discriminationFamily and social relationshipsQuality of relationship with parents or carers and siblings; Friendship patterns with peers and other significant peopleSocial presentationUnderstanding of how appearance, behaviour and any impairment are seen by others; Appropriateness of dress for age, gender, culture and religion; Personal hygieneSelf-care skillsAcquisition of practical, emotional and communication skills necessary for increasing independence (taking account of the impact of any impairment)

Parents and CarersBasic careProviding for the child or young person’s physical needs (food, drink warmth and shelter); Appropriate medical and dental care; Ensuring appropriate clothing and adequate personal hygiene Ensuring safetyEnsuring child or young person is adequately protected from harm; Contact with unsafe adults and children; Self harm; Hazards and dangers inside and outside the homeEmotional warmthEnsuring child or young person has secure, stable and affectionate relationships; Providing praise and encouragement; Appropriate sensitivity and responsiveness to child or young person’s needStimulationResponding and encouraging child or young person’s learning; Joining in play; Promoting learning opportunities; Ensuring school attendanceGuidance and boundariesDemonstrating and modelling appropriate behaviour; Avoiding over protection; Setting appropriate boundaries; Effective discipline and shaping of behaviour StabilityConsistency of emotional warmth over time and

responding in a similar manner to the same behaviour; Supporting contact with important relatives and other significant people

Family and EnvironmentFamily history and functioningComposition of household; Parental or sibling physical or learning disability, chronic physical or mental illness, bereavement, substance misuse, violence and criminality Wider family Support networks from wider family and others; provision of wider caring and employment roles and responsibilitiesHousingAdequacy of living arrangements (heating, water, sanitation, cooking facilities); Cleanliness, hygiene and safety; HomelessnessEmployment and work patternsEmployment and work patterns; Family’s attitude to work or the absence of work; Child or young person’s experience of workIncome and financeSufficiency of income or benefits; Use of resources available to family; Effects of hardshipSocial integrationDegree of acceptance and integration or isolation of family within the local community and peer groups and the importance attached to them Community resourcesAvailability, accessibility and standard of amenities – health centres, day-care, leisure, transport, worshipExtent of anti-social behaviour or crime

CAFAnd

NationalAssessmentFramework

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Child’s DevelopmentHEALTH

Wales CAF/ National Assessment Framework Assessment areas General health including dental; Physical development; Impact of disability; Immunisations

EXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners should contact one of the following : The GP The school nurse The health visitor / Surestart / Flying Start teamFollowing involvement of one of these practitioners a decision may be made to refer to Children’s Safeguarding and Support.The child’s health / wellbeing / development is significantly impaired by (or impairment indicated by) Consistently failing to reach their developmental milestones and

where concerns exist about their parent’s ability to care for them Developmental milestones unlikely to be met Overweight/underweight/enuresis – for example weight gain

falling 2 centile ranges or more Some chronic health problems Concerns about developmental progress e.g. overweight /

underweight / enuresis Very limited / restricted diet Learning significantly affected by health problems Significant and persistent dental decay Frequently missing routine and non-routine health appointments Frequent periods of illness unexplained by a recognised medical

condition Chronic or persistent substance and alcohol misuse Unsafe sexual activity Conception/termination Experiencing chronic ill health or diagnosed with a terminal illness

EXAMPLES OF TIER 4 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT IS NECESSARYClear allegation of harm

Actual serious injury/harm

Serious or persistent risk of injury/harm

Growth faltering and there is no ‘organic’ cause identified.

Parents refusing medical care

Development significantly impaired due to parenting

Lack of food linked to neglect

Sexual exploitation

Heavy end substance misuse

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Learning and educationWales CAF Assessment areas:Understanding; reasoning and problem solving; Attention span and concentration; Progress and achievements; Participation in learning, education and employmentEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners should (depending on age of the child) contact one of the following: Careers Wales Job Centre Plus The learning provider The child’s school The Early Years TeamFor staff in schools The education social worker The educational psychology service Education support staff

Following involvement of one of these practitioners a decision may be made to refer to Children’s Safeguarding and Support.The child’s health / well-being / development is significantly impaired by (or impairment indicated by)Progress Non-existent support in place for children who do not show

engagement in play or learning opportunities No interests/skills displayed Intervention measures not making any difference and no

progress or change taking place Physical and communication skills do not appear to be

progressing normally Caring responsibilities that affect their intellectual / educational

development

EXAMPLES OF TIER 4 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT IS NECESSARY

As level 3 but with the addition of indicators from other aspects of the child’s development, parents and carers or family and environment at level 4

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Significant difficulties in understanding and using language in comparison with age and general abilities

Inadequate progress despite School Action / School Action + statement

Participation Exclusion from nursery or school for behavioural reasons and is

at risk of permanent exclusion Irregular attendance has become established Reluctance of parents and carers to address non-attendance Non school-attendance procedures are ineffective Ongoing interventions required to maintain attendance Severe attendance problems (final warning letter) Severe difficulties sustaining home/school relationships Regular fixed term exclusionsSpecial Needs Severe or moderate learning difficulties

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Emotional development and behaviourWales CAF Assessment areas:Temperament; Response to stress; Appropriate self control; Coping strategies; Lifestyle; Anti-social behaviourEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners should contact one of the following : refer the child through EMARS to mental / emotional health

services contact the support staff in school / behaviour support service refer to YOS (prevention service)Following involvement of one of these practitioners a decision may be made to refer to Children’s Safeguarding and Support.The child’s health / wellbeing / development is significantly impaired by (or impairment indicated by) Severe difficulties coping and adjusting following emotional

upheaval, e.g. domestic violence, bereavement, family breakdown

Mental health issues emerging – conduct disorder, ADHD, autism, anxiety, eating disorders behaviour

Disruptive/challenging behaviour at school or in the neighbourhood

Cruelty to pets/animals Behaviour is sufficiently extreme to place them at risk of removal

from home Persistent and serious self-harming Alienates self from school and peers through extremes of

behaviour



Sexual behaviour being of concern to all professionals and others involved with the child - not receptive to advice from professionals

Self Harming likely to have a serious effect on the child or young person’s health or well being

Child or young Person is missing from home regularly or for long periods

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Self imageWales CAF Assessment areas:Views and feelings about themselves; Sense of belonging and acceptance by family; Peers and wider society; Experience of discriminationEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners should contact one of the following : School The health visitor / Surestart / Flying Start teamFollowing involvement of one of these practitioners a decision may be made to refer to Children’s Safeguarding and Support.The child’s health / wellbeing / development is significantly impaired by (or impairment indicated by) Demonstrating significantly low self-esteem in a range of

situations Evidence of significantly poor standards of hygiene Self image distorted and maybe demonstrating fear of

persecution Self-image being affected by significant caring

responsibilities within the home



Family and Social RelationshipsWales CAF Assessment areas:Quality of relationship with parents or carers and siblings; Friendship patterns with peers and other significant peopleEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might contact one of the following first :


Sexual activities between siblings

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YOS (prevention service) The school or make a referral to mental/emotional health services via

EMARSSafeguarding and support should be contacted if there is a risk of imminent family breakdownThe child’s health / wellbeing / development is significantly impaired by (or impairment indicated by) Relationship with family experienced as negative, critical or

rejecting Family no longer wanting to care for child Family experiencing a crisis likely to result in the breakdown

of care arrangements Inability to sustain appropriate peer relationships Unresolved issues arising from parents divorce/death or

parent / carer The child and its peers being involved in challenging

behaviour Conflict in relationships The child having been previously been looked after by a

local authority

Inappropriate sexualised behaviour between peers Suffering physical, emotional or sexual harm or neglect Child abandoned by their carer.

Social presentationWales CAF Assessment areas:Understanding of how appearance, behaviour and any impairment are seen by others; Appropriateness of dress for age, gender, culture and religion; Personal hygieneEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE.


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If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners should contact one of the following : Support staff at the child’s school A youth worker (older child) The health visitor (younger child)The child health and disability team within Children’s Safeguarding and SupportFollowing involvement of one of these practitioners a decision may be made to refer to Children’s Safeguarding and Support. The child’s health / well-being / development is significantly impaired by (or impairment indicated by) Child’s personal hygiene and appearance having an impact

on the number of friends the child has Unable to discriminate and likely to put self at risk Severe disability – relies on others to meet needs

Child persistently watchful and wary in all settings Child or young person’s presentation suggests misuse of drugs or

alcohol and parents or carers are not responding appropriately. Sexually precautious behaviour places child at risk of abuse or

exploitation

Self-care skillsWales CAF Assessment areas:Acquisition of practical, emotional and communication skills necessary for increasing independence (taking account of the impact of any impairment)EXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE EXAMPLES OF TIER 4 AND ABOVE WHERE A REFERRAL TO

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APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners should contact one of the following:

Refer into CAMHS / emotional / mental health support services

Contact Surestart / Flying Start / health visitor for the younger child

Following involvement of one of these practitioners a decision may be made to refer to Children’s Safeguarding and Support

The child’s health / well-being / development is significantly impaired by (or impairment indicated by)

Independence Child prematurely taking care of self at a level that is

inappropriate The child is being impaired from developing age appropriate

skills to assist them in becoming independent. Appearance reflects poor care Persistent inappropriate risk-taking

CHILDREN’S SAFEGUARDING AND SUPPORT IS NECESSARY


Parents and CarersBASIC CARE

Wales CAF Assessment areas:Providing for the child or young person’s physical needs (food, drink warmth and shelter); Appropriate medical and dental care; Ensuring appropriate clothing and adequate personal hygieneEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL

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TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact Safeguarding and Support for advice

Refer to Surestart / Flying Start / health visitor

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) Significant concern about prospective parenting ability,

resulting in the need for a pre-birth assessment. Parents’ previous history of struggling to care for child or

sibling. Parents may not be able to provide care for physical or

intellectual or social reasons Inability to recognise health needs for self or child such that

the child’s health and development likely to be significantly impaired

Parent is struggling or unable to provide adequate care or meet the child’s needs

Multiple births/several children aged under 4 severely impacting upon the family’s ability to cope

Parental reluctance to engage with required services (for example concealed pregnancy, a history of not engaging with ante-natal and post-natal care)

The child frequently being taken to casualty or GP, suffering from accidental injuries

The child not receiving or following treatment for a recognised medical condition

The child being rarely clean or appearing poorly cared for The child being mostly undressed and the home cold Parents showing little warmth Haphazard supervision Parents are unable to care adequately for a child with

disabilities


Basic care is rarely consistent Parents have seriously abused/neglected the child Previous child has been removed from parents care and no further

risk assessment has been completed Parents own needs means they cannot keep child safe Parents to do not recognise or accept danger and do not protect

child/ young person from harm

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Ensuring safetyWales CAF Assessment areas:Ensuring child or young person is adequately protected from harm; Contact with unsafe adults and children;Self harm; Hazards and dangers inside and outside the home

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EXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact Safeguarding and Support for advice Refer to Surestart / Flying Start Contact the police

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) History of violence between the adults in the household The child never being encouraged to meet or play with other

children Continued deteriorating attachment issues between

parent/carer and child The child having experienced several different changes of

primary carer; changes of carer continue (eg child moves back and forth between relatives/parents)

Inadequate supervision of children / children being minded by inappropriate adults or inappropriate older children

The child being exposed to unsafe adults or unsafe behaviour by adults



Recent History of violence between the adults in the household Children missing from home for prolonged periods

Emotional WarmthWales CAF Assessment areas:Ensuring child or young person has secure, stable and affectionate relationships; Providing praise and encouragementAppropriate sensitivity and responsiveness to child or young person’s need

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EXAMPLES OF TIER 3 AND ABOVE AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact Safeguarding and Support for advice Refer to Surestart / Flying Start Refer to CAMHS

The child’s health / wellbeing / development is significantly impaired by (or impairment indicated by) Child receiving erratic or inconsistent care Parents’ own emotional needs compromising those of their

child Child having multiple carers but no significant relationship to

any of them Lack of attachment in relationship with parent Lack of emotional warmth, warm physical contact or comfort The child being encouraged by another adult to take a

negative view of a parent Parent undermining the child and / or the child’s

relationships with others


Parents inconsistent highly critical or apathetic towards child together with a lack of warmth resulting in emotional abuse.

Family life so chaotic that there is a lack of basic routines to ensure child’s needs are met.

Child has no one to care for them Child has multiple carers resulting in no consistency and stability in

their care arrangements

StimulationWales CAF Assessment areas:Responding and encouraging child or young person’s learning; Joining in play; Promoting learning opportunities;

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Ensuring school attendanceEXAMPLES OF TIER 3 AND ABOVE AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact Safeguarding and Support for Advice Refer to Surestart / Flying Start Secure support / advice for the parents Contact the school support staff

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) No constructive leisure time or guided play that would lead

to the child’s healthy development Parents encourage school non-attendance No contact between the school and the child’s family Child receiving little stimulation A child with a learning disability has no individual education

plan The child having frequent unexplained absences from

school and numerous unscheduled changes of school


The child is receiving no relevant stimulation appropriate for age The child is exposed to pornography or other exploitative/harming

material

Guidance and Boundaries

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Wales CAF Assessment areas:Demonstrating and modelling appropriate behaviour; Avoiding over protection; Setting appropriate boundaries;Effective discipline and shaping of behaviourEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact Safeguarding and Support for advice Refer to Surestart / Flying Start Refer to the education support staff Refer to the YOS (prevention service)

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) Erratic or inadequate guidance provided to the child/young

person Parents’ struggle to set boundaries or act as good role

model Child or Young Person’s behaviour being out of control Parents not being receptive to advice from professionals


The child is Exposed to pornography or other exploitative/harming material

Frequent smacking of a child / harsh and persistent physical or verbal chastisement

Parent promotes the child’s involvement in activities inappropriate to child’s age or understanding that result in harm to the child.

STABILITYWales CAF Assessment areas:

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Consistency of emotional warmth over time and responding in a similar manner to the same behaviour; Supporting contact with important relatives and other significant people EXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Refer into Safeguarding and Support Refer to Surestart / Flying Start Secure support / advice for the parents

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) Parental instability affecting capacity to nurture Erratic or inconsistent care Having episodes of poor quality care Multiple carers, with whom the child has no significant

relationship Lack of home routines


Family life so chaotic that there is a lack of basic routines to ensure child’s needs are met.

Child has no one to care for them Child has multiple carers resulting in no consistency and stability in

their care arrangements

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Family and EnvironmentFAMILY HISTORY AND FUNCTIONING

Wales CAF Assessment areas:Composition of household; Parental or sibling physical or learning disability, chronic physical or mental illness, bereavement, substance misuse, violence and criminalityEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact CAFAT for advice Refer into Safeguarding and Support Refer to Surestart / Flying Start Secure support / advice for the parents

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) Family being under stress without extended network of

support Sever impact of acrimonious divorce/ separation Family having serious physical/ mental health difficulties Parents or carers experiencing one or more of the following

problems affecting their parenting: mental ill-health, substance dependency or domestic violence

Family characterised by conflict and serious chronic relationship problems

Family goes missing Parents continually out to child care professionals Child has significant caring responsibilities particularly for an

adult with mental health difficulties


Persistent domestic violence

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WIDER FAMILYWales CAF Assessment areas:Support networks from wider family and others; provision of wider caring and employment roles and responsibilities EXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact Safeguarding and Support for advice Refer to Surestart / Flying Start Secure support / advice for the parents

The child’s health / wellbeing / development is significantly impaired by (or impairment indicated by) The child suffering isolation as a result of family being

socially isolated Parents having no role model, not understanding the

importance of routines. Parent(s) having experienced abuse and/or being

accommodated by the local authority as a child Children or Young People being subject to Kinship Care

arrangements set up by Children’s Social Care Services Family having a poor or no relationship with extended family Destructive or undermining involvement from extended

family


Children/ Young People who are privately fostered.

Individuals in the wider family who present a risk to children/ young people and who are likely to be in contact with them

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HousingWales CAF Assessment areas:Adequacy of living arrangements (heating, water, sanitation, cooking facilities); Cleanliness, hygiene and safety; HomelessnessEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact Housing for advice Contact Safeguarding and Support for advice Refer to Surestart / Flying Start Secure support / advice for the parents

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) Poor state of repair, temporary, inadequate or overcrowded

housing Housing deemed unfit for habitation Homeless family in temporary housing Frequent changes of home Homeless Rent arrears putting family at risk of eviction Prosecution/eviction proceedings Family/guardian of the child/young person under notice to

quit their accommodation Family seeking asylum or being refugees or failed asylum-

seekers



The child being an unaccompanied asylum seeker

Employment and Work Patterns

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Wales CAF Assessment areas:Employment and work patterns; Family’s attitude to work or the absence of work; Child or young person’s experience of workREFERRALS WOULD NOT BE MADE TO CHILDREN’S SAFEGUARDING AND SUPPORT UNLESS THERE WERE ADDITIONAL INDICATORS FROM OTHER ASPECTS OF THE CHILD’S DEVELOPMENT. PARENTS AND CARERS OR FAMILY AND ENVIRONMENT AT TIER 3If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Refer to Surestart / Flying Start / Genesis Secure support / advice for the parents Careers Wales Job Centre Plus

The child’s health / well-being / development is significantly impaired by (or impairment indicated by)

Parents being unable to obtain employment due to poor basic skills / mental or emotional health difficulties / drug or alcohol dependency

Parents’ long term unemployment Parents and other members of the family hold negative

attitudes towards work

REFERRALS WOULD NOT BE MADE TO CHILDREN’S SAFEGUARDING AND SUPPORT UNLESS THERE WERE ADDITIONAL INDICATORS FROM OTHER ASPECTS OF THE CHILD’S DEVELOPMENT,. PARENTS AND CARERS OR FAMILY AND ENVIRONMENT AT TIER 4

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Income and FinanceWales CAF Assessment areas:Sufficiency of income or benefits; Use of resources available to family; Effects of hardshipEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact Safeguarding and Support for advice Refer to Surestart / Flying Start / Genesis Secure support / advice for the parents Job Centre Plus

The child’s health / wellbeing / development is significantly impaired by (or impairment indicated by) Serious debts/poverty or extreme financial difficulties

impacting on ability to have basic needs met Parents being deep in debt

REFERRALS WOULD NOT BE MADE TO CHILDREN’S SAFEGUARDING AND SUPPORT UNLESS THERE WERE ADDITIONAL INDICATORS FROM OTHER ASPECTS OF THE CHILD’S DEVELOPMENT,. PARENTS AND CARERS OR FAMILY AND ENVIRONMENT AT TIER 4

Social Integration24

Wales CAF Assessment areas:Degree of acceptance and integration or isolation of family within the local community and peer groups and the importance attached to themEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact the Police Contact community groups Secure support / advice for the parents

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) Family being subjected to racial harassment or abuse Poor access to universal resources and targeted services Extreme isolation


Unaccompanied Asylum Seeking child or young person

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Community ResourcesWales CAF Assessment areas:Availability, accessibility and standard of amenities – health centres, day-care, leisure, transport, worshipExtent of anti-social behaviour or crimeEXAMPLES OF TIER 3 AND ABOVE WHERE A REFERRAL TO CHILDREN’S SAFEGUARDING AND SUPPORT MAY BE APPROPRIATE. If this is the only domain in which ‘Tier 3 and above’ needs are recorded, practitioners might

Contact community resources Contact the Police / YOS in the case of anti-social

behaviour by or towards the family Contact the local youth club / play scheme

The child’s health / well-being / development is significantly impaired by (or impairment indicated by) Lack of community support / tolerance or hostility towards the

child, young person family Experiences of social isolation which compromise the child’s

safety and well-being


Unaccompanied Asylum Seeking child or young person Allegations of Harm by person in a position of trust

The thresholds in the above Guidance have been developed using a number of different organisation’s criteria for establishing levels of need and different guidance documents. These are

North East Wales Health Trust - Child and Family risk assessment tool

Shropshire’s Information and Assessment Thresholds

The Wales CAF assessment areas Every Child Matters guidance 1989 and 2004 Children Acts Stoke on Trent – Eligibility Framework

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Acronyms

CAF – Common Assessment Framework - A system that is being introduced across Wales to enable professionals and volunteers working with children to develop a common approach to assessment

CAFAT – Child and Family Assessment Team within the Safeguarding and Support DepartmentCAMHS – Child and Adolescent Mental Health ServicesEMARS – Electronic Multi Agency Referral SystemTAC – Team around the Child (A new approach to working with children that is being introduced across Wales to

improve co-ordination of services at an individual child level).YOS – Youth Offending Service

Specialist Terms

Child in Need – A child defined as being in need of local authority services under section 17 of the Children Act 1989.

Eligibility Criteria – The criteria that enable people making a referral and social workers undertaking an assessment to identify whether a child is eligible for a specific service.

Section 47 – An investigation under the Children Act 1989 to determine whether or not a specific child is at risk of abuse or neglect.

Threshold – The point at which a child's identified needs move from requiring 1 level of service provision to another. There are 4 levels in total. Level 1 being universal services and level 4 being child protection services.

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