Neglect Strategy 2017 – 2022 Launch...Neglect Strategy 2017 – 2022 Launch Supporting the...

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#DontAcceptNeglect Neglect Strategy 2017 – 2022 Launch Supporting the prevention and reduction of neglect in Leeds

Transcript of Neglect Strategy 2017 – 2022 Launch...Neglect Strategy 2017 – 2022 Launch Supporting the...

Page 1: Neglect Strategy 2017 – 2022 Launch...Neglect Strategy 2017 – 2022 Launch Supporting the prevention and reduction of neglect in Leeds • Quantify the extent of neglect in the

#DontAcceptNeglect

Neglect Strategy 2017 – 2022Launch

Supporting the prevention andreduction of neglect in Leeds

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• Quantify the extent of neglect in the city

• Ensure practitioners are able to recognise neglect at the earliest opportunity and provide appropriate and timely responses

• Evaluate practice and its effectiveness in order to assure ourselves of its quality and can continuously improve

Don’t accept neglect!

Strategic Aims

Reduce the prevalence and impact of neglect within Leeds

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Strategic Objectives

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• Analysis of the existing multi-agency workforce development offer with regard to neglect, and uptake

• Refresh the city wide workforce development offer as required

• Increase profile of neglect through a city wide communications campaign

• 2017 LSCB Annual Conference

• Ongoing workforce development activities.

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• Develop practice guidance around working with children, young people and their families where there is neglect

• Review the Early Help Practice Guidance to include providing support to neglect through Early Help

• Review the LSCB Neglect Policy and existing procedures for working with neglect

• Seek agency assurance with regards to the above and that they will review their own effectiveness on a regular basis.

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• Develop a multi-agency data set demonstrating the prevalence of, and response to, neglect in the city

• Analyse the data locally and compare it with national (comparators) data and published reports and research

• Provide regular reports on findings

• Identify themes and trends, using this information to inform our service developments.

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• Develop a programme of neglect themed multi-agency audits and share what we have learnt across the partnership

• Quality assure refreshed workforce development offer

• Consult children, young people and their families to find out what has helped and has made the most impact for them

• Consult with practitioners about their confidence levels, their perceptions of impact of their work and what support they may still need to do this work.

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Don’t accept neglect!

What next?• Development of action plan

• LSCB Neglect Policy and Procedure reviewed and refreshed

• Development of practitioners guidance

• LSCB Annual Conference – September 2017

• LSCB training review and refresh

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To be ‘SAFE’Attached & Secure

‘CHANCE’ to learn and

develop

‘LOVED’

Physical ‘CARE’

WHAT DO CHILDREN NEED?

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NSPCC2 report 33% contacts due to neglect

9% children reported neglect on survey of children receiving counselling3

NSPCC report 21% increase in contacts83% contacts due to abuse

Nationally 2.2% reduction in referrals to social care

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Nationally1

50% of assessments-abuse/neglect

46% CPP – neglect 17.5% CIN – neglect

Leeds1

33% of assessments-abuse/neglect

29% CPP – neglect 18% CIN – neglect

Cruelty against children reports willful acts by caregivers recorded by police, increase from 8.3% to 11.5%2

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01020304050607080

physicalabuseneglect

% of children who came for child protection medicals

0123456789

Reason for LAC

no. of children

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Emotional Abandonment Medical Neglect Nutritional Neglect Educational neglect Physical neglect Failure to provide supervision and

guidance

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Medical Neglect› Immunisations, DNAs, Medications, Medical

Advice Nutritional Neglect

› Faltering Growth, Obesity Educational Neglect

› School Attendance, Young Carers Physical Neglect

› Food, Clothing, Shelter, Infestations Failure to Supervise

› Injuries (sunburn, animal bites, scalds), ED attendances

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Drug use Maternal Nutrition Violence

› 30% DA starts in pregnancy and escalates in 35%

Antenatal Care

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CHRONOLOGY of neglect to show persistent nature of abuse

MULTI-AGENCY working – information from health, education, family

HEALTH – non attendance, poor engagement, not following health advice causing or exposing to RISK

HEALTH surveillance – imms, dentist, HV, not taking to GP when advised

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OBSERVATIONS: interaction between

carer & child Supervising child in

clinic Response to snacks Response to toys Too independent for

age (coping skills) Behaviour

EXAMINATION: Growth – obesity or

failing to thrive Clothes - too tight/too

loose Skin, hair, nails Thermal injury –

cold/heat Cleanliness Physical injury –

bruising/burns Illness – anaemia,

uncontrolled problems

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To assess impact on well being – physical and emotional

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Perry, BD and Pollard, D. Altered brain development following global neglect in early childhood. Society For Neuroscience: Proceedings from Annual Meeting,New Orleans, 1997

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Risk of fatalities as high as physical abuse› Inadequate Supervision› Nutrition issues› Poor access to health care

Erodes self esteem› 123 suicide in 15-19 years and 10 suicides in 10-14

years in 20152

Pervasive & cumulative effect resulting in need for long term costly interventions› Mental health, eating disorders, self harm› Substance misuse, criminality, relationship issues

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Is the parenting “good enough?”

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Neglect still remains a significant concern for professionals and public

Recognition of neglect is complex and deciding on level of harm can be difficult – is it willful or is it circumstances?

Remember the long term adverse effects on child’s brain and well being

Take time to reflect on our own practices

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Neglect

Steve Walker, Director of Children’s Services

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Neglect • 1 in 6 assessments undertaken in Leeds and

nationally involve neglect;• Neglect is the most frequent recent for children

becoming subject to a child protection plan (45% nationally; 29% in Leeds);

• Neglect is usually due to factors that impact on parenting capacity – poverty; parental mental health or drug and alcohol issues and parental learning disability

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The National Context• Between 2010/11 and 2015/16, English local authorities

cut spending by 27 per cent in real terms;• Local authority budgets have been cut by £18bn in real

terms since 2010;• This is equivalent to a fifth of spending by England’s

300-plus local authorities, whose budget for running services, from social care to road sweeping, has been reduced at twice the rate of cuts to UK public spending as a whole;

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The National Context• In England, the cuts

have been much greater in proportionate terms for more deprived authorities;

• It is striking that spending on social care rose by 8 per cent in more affluent authorities, but fell by 14 per cent in more deprived areas;

THE COST OF THE CUTS: THE IMPACT ON LOCAL GOVERNMENT AND POORER COMMUNITIES JRF 2015

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The National Context

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Leeds: Approach• Protected our Children’s Centres and integrated early

years services developing Best Start; • Strong local neighbourhood partnerships of schools and

services;• Worked with the CCGs to get TAMHs into all our schools

and developed MINDMATE website with young people• Invested in families – developed Family Group

Conferencing offer for families; improved our services for Kinship Carers;

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Leeds: Approach

• Research;• Evidence based approaches;• Self Knowledge;• Doing the simple things better;

Allocated, Seen, Assessed, Plan, Review• Restorative Approach: High Support

and High Challenge• Investing in practice

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Leeds: Approach

• Multi Systemic Therapy;• Family Group Conferencing;• Mocking Bird;• Case Managers to improve practice in proceedings;• Family Drug and Alcohol Court

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Our response

• Further innovation:• Restorative Early Support Teams: strengthening

local partnerships with additional social work capacity

• Restorative Adolescent Service: new approaches to working with young people

• Centre for Excellence: sector led improvement –professional development and support