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Common Assessment Framework The way things used to be: Universal Healthcare PCT CAMHS YOT Connexions Social Services EWS LEA special educational needs Universal Education All Other Agencies Healthcare Staff Health Visitor Child Psychologist Youth Offending Team Connexions PA Social workers Educ. Welfare Officers SENCO & Educational psychologists Education Staff All Other Practitioners Risks to parents Conduct Disorder ASSET APIR Children in Need At Risk Register Statement of SEN = agency = practitioner = assessment 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 Children & Young People’s Board Birmingham Children & Young People’s Plan PCT & Acute Health Housing CAMHS Healthcare Staff Local services CAMHS MDT Information Sharing Guidance Integrated Front-Line Service Delivery YOT / YISP Connexions Specialist services Youth Offending Team Connexions PA Social workers Common Assessment Framework Youth & Play Service Youth & Play Workers Lead Practitioner Children’s Centres Extended Schools Integrated Youth Support Safeguarding Children’s NSF Youth crime Reduction LEA Inclusion Services Universal Education Voluntary SENCO, Ed psychologist EWO’s etc Education Staff All Other Practitioners Service Directory Outcomes for children & young people Orgs Background of CAF Published alongside the formal Every Child Matters: Green paper, 2003 response to the report into the death of Victoria Climbié, the young girl who was horrifically abused, tortured, andChildren eventually Published; then The Act Every Child Matters: The Next Steps killed bypassed, her greatproviding aunt and the 2004 man with whom legislative spinethey forlived. developing more effective and accessible services focused around the needs Section 10: Duty to Co-operate to The Children Act, 2004 of children, young people and improve well-being families. Section 11: Safeguarding and promoting welfare of children National framework for local Every Child Matters: Change for Children change programmes… shifting the focus from dealing with the consequences of difficulties in children(s) to preventing Birminghamlives Children’s Plan Other Acts, Programmes, Policiesthings from going wrong in the first place. Aim of Every Child Matters 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 Make a Contribution Achieve Economic Well-Being Enjoy &Positive Achieve Be Healthy Stay Safe stay safe Safe from neglect, violence & sexual exploitation; Engage inmaltreatment, law-abiding in && out of school Ready FE; ready forbehaviour employment for school, attend & enjoy school Physically, mentally, emotionally sexually healthy enjoy achieve accidental injuryand & death Develop positive relationships Live in decent homes/sustainable communities Achieve national educational standards make a positive contribution Safe from bullying & discrimination, crime & anti-social behaviour Healthy lifestyles Develop self confidence &development deal with life &changes Live in households from low-income achieve economic well-being Achieve personal &free social enjoy recreation Safe from crime & anti-social behaviour in & out of school Have security/stability & are cared for Common Assessment Framework Standard assessment can be used by all agencies working with children/young people CAF – Process CAF – Assessment Integrated working Child/young person focused Engagement of parents /young people -9mths to 19yrs (25yrs with ….disabilities or care leavers) Information Sharing Based on consent Transparent Holistic: multi-agency …response Link to statutory assessments Promoting Children’s Well-being in Birmingham The CAF as part of a continuum Common Assessment Framework undertaken Referral for Statutory Assessment Pre-CAF Checklist & consider CAF Assessment CHILD Safeguard & Promoting welfare FAMILY & ENVIRONMENTAL FACTORS Go straight to level 4 as soon as risk of significant harm suspected I = Identification and action T = Transition N = Needs met CAF Stages Pre Assessment Checklist Identify need CAF Complete assessment with Child/Family Gain consent for information sharing Integrated Support Plan Meeting with practitioners and family Lead Practitioner allocated Review Meeting with practitioners and family Review progress on ISP Evaluation Family and Lead Practitioner evaluations CAF or Not to CAF 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 Case Study 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 currently in 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 that she 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……….. Adult Services & the Common Assessment Framework Concern about the child or young person of an Parent/Carer engaging with an Adult Service No No further action, but continue to monitor situation Yes Child or Young Person at risk of harm Follow your Agencies safeguarding procedures Yes No Pre-assessment completed by Adult Service & sent to appropriate agency Pre-assessment reviewed by Agency Single agency Response Multi-agency Response with CAF Referral to Specialist Services (Child Protection) Felt to be At risk 1st Integrated Support Plan Meeting. Adult Service to attend to: • Clarify role of Adult Service • Establish client confidentiality • Contribute to ISP ISP Review Meetings. Adult Service to submit report using CAF documentation If Parent withdraw from Adult Service or treatment ends ISP Review Meetings. Child or Young Person at risk of harm CAF Episode Ends No Yes CAF Case Study: Action Plan 18 month & 3 year old • Ineed2know.org.uk search for local Children’s Centre 13 year old boy • Pre-assessment checklist: • • • • • • 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 girl Referral to Connexions 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