Level One: Two: Family History, Functioning & Good relationships within family, including when parents are separated Few significant changes in family composition Good access and use of universal services Family live in an area unaffected by unrest Extended Family and Social & Community Resources Sense of larger familial network and good friendships outside of the family unit Family is integrated into the community Good universal services in neighbourhood Housing Accommodation has appropriate facilities Security of tenure and absence of harassment Employment & Income Parents able to manage the working or unemployment arrangements and do not perceive them as unduly stressful Reasonable income over time, with resources used appropriately to meet individual needs Family History, Functioning & Well-Being Parents have some conflicts or difficulties and minor incidents of domestic abuse (which have not involved children) have been reported Child has experienced loss of significant adult through separation or bereavement Child has caring responsibilities Parent or sibling has received custodial sentence Sibling with disability or significant health problem Refugee family able to access community resources Asylum seeking family able to access community resources Impact of multiple births/number of pre-school children Family live in an area affected by civil unrest but are not directly involved Extended Family and Social & Community Resources Limited support from friends and family Some social exclusion experiences Family may be new to the area Family experiencing harassment or discrimination or are victims of crime Adequate universal resources but family may have access issues Housing Adequate / poor housing without some basic amenities Uncertain tenure / rent arrears Frequent change of address Employment & Income Parents have limited formal education affecting ability to find employment Periods of unemployment of the wage earning parents Low income from work or welfare benefits Some early concerns regarding debt Family and Environmental Factors Level Three: Level Four:
Family History, Functioning & Well-Being Incidents of domestic abuse between parents have been witness by children and/or caused them distress Acrimonious divorce / separation Child is principle carer for parent, sibling or other family member Parent or sibling is in custody Family have serious physical and mental health problems Refugee family without access to community services Asylum seeking family refused the right to remain Family strain due to impact of civil unrest Extended Family and Social & Community Resources Family has poor relationships with extended family or little communication Family is socially isolated and limited support from extended family Parents socially excluded Parents experience stress without support network Poor quality universal resources and access problems to these and targeted services Housing Poor state of repair, inadequate temporary or overcrowded housing Eviction in process / awaiting temporary housing Employment & Income Parents find it difficult to obtain employment due to poor skills Parents experience stress due to unemployment or overworking Sustained low income Serious debts / poverty impact on ability to have basic needs met Family History, Functioning & Well-Being Significant parental discord and domestic abuse that is witnessed by children, who appear to be affected by domestic violence. Violence from siblings / parents Imminent family breakdown and risk of becoming looked after Schedule One offender is living in the family Wider Family Family have serious physical and mental health problems that pose a significant risk to the child’s and development Refugee family socially isolated and scapegoated by community Asylum seeking family denied right to remain and awaiting deportation without access to funds or other support Family breaking up or a member is absent du to civil unrest Extended Family and Social & Community Resources Destructive / unhelpful involvement from extended family No effective support from extended family Family chronically socially excluded Poor quality services with long term difficulties with accessing target populations Housing Physical accommodation places child in danger Homeless and is not eligible for temporary housing from official bodies Employment & Income Family unable to gain unemployment due to significant lack of basic skills or long term difficulties e.g. substance misuse which affects their ability to provide basic care and parenting Chronic unemployment that has severely affected parents own identities and has seriously impacted on ability to parent (see parenting domain) Family / young person not entitled to benefits with no means of support Extreme poverty / debt impacting on ability to care for child and have basic needs met; food, warmth, essentials, clothing
Voluntary sector workers working with children with additional needs Thresholds of Need Services Available to Children across the Four Levels of Need: CAMHS Needs: Level 1 – Base Population Level 2 – Children with Additional Needs Level 3 – Children in Need Level 4 – Children with Complex and/or Acute Needs Assessments: Routine FHNA, school medical screening, GP diagnosis Preliminary Assessment Specialist Assessment Specialist Assessment Services (inc. referral Tier One: children’s emotional health and well0-being needs are met by professionals currently engaged with the child. There is no specialist CAMHS service at this level. For example, recommendations regarding lifestyle choices; positive parenting advice Tier Two: assessment, treatment and intervention. Some families will to tier 2 services, other are referred through by Tier 1 staff as a consequence of its complexity, levels of risk and persistence. CAMHS services are provided through Family Centres and direct work in people’s homes. For example, professional consultation and assessment; group work to groups identified as requiring CAMHS services; family therapy; advice about building sense of self, identity and individual psychotherapy; parent management training; NLP (Neuro-Linguistic Processing); behaviour therapy; cognitive therapy; Tier Three: assessment, management and treatment of children and adolescents whose mental health needs cannot be managed at Tier 2 because of the complexity, risk, persistence and interference with social functioning and normal development. In addition to those services provided at Tier Two, the following may be provided: self-regulation therapy; eye movement desensitisation Reprocessing (EMDR) Tier Four: In-patient assessment, treatment and intervention for adolescents who are referred from Tier 3 services due to their mental health problems being extremely complex, high-risk and persistent. provision of specialist intervention on a regional basis which would not be in every locality Professionals: practitioners paediatricians Visitors Workers In addition to those professionals providing services at Level 1, the following professionals may become involved at Level 2: In addition to those professionals providing services at Level 1 and 2, the following professionals may become involved at Level 3: In addition to those professionals providing services at Level 1, 2 and 3, the following
in community and voluntary organisations providing direct provision to children. care social workers psychologist Justice Workers Psychiatric Nurses mental services (for example, Family Centres) provided or commissioned by the Trust for children with the more complex needs Psychologists Psychiatric Nurse Specialists Work staff with specific child and adolescent mental health expertise professionals may become involved at Level 4: Psychologists Psychiatrists Paediatricians Thresholds of Need Services Available to Children across the Four Levels of Need: Education Level 1 – Base Population Level 2- Children with additional Needs Level 3- Children in Need Level 4-Children with Complex and/or Acute Needs Assessments: Key Assessments Termly / tests and reports Public Exams Discipline Record SENCO – Stage 1or2 Code of Practice for SEN UNOCINI Preliminary record SENCO – Stage 3,4 or 5 of Code of Practice for SEN Statement of Special Education Services: School or pre-school group manages all aspects of child’s education and learning needs School manages all aspects of education and learning needs with advice from Education Support Services work with the school to support the child through the provision of specialist services Education Support Services, schools and services work together as a multi-disciplinary/ agency response to address the child’s needs Professionals: Teacher for Child Protection Care Staff In addition to those professionals providing services at Level 1, the following In addition to those professionals providing services at Level 1 and 2, the following In addition to those professionals providing services at Level 1, 2 and 3, the following
professionals may become involved at Level 2: Support Services as necessary Welfare Service Psychologist Support Team professionals may become involved at Level 3: Educational Needs professionals Units Support professionals may become involved at Level 4: Programme After Children Education Support Team Support Programmes Offenders Support Thresholds of Need Services Available to Children across the Four Levels of Need: PSNI Level 1 – Base Population Level 2- Children with additional Needs 3- Children in Need 4-Children with Complex and/or Acute Needs Assessments: PSNI needs assessment UNOCINI information notification/Preliminary Assessment UNOCINI Assessment/Joint Protocol Assessment UNOCINI Assessment Joint Protocol Assessment Services (inc referral route): Protection and well being of all children. This will be achieved through prevention and education examples of which are outlined below: Education CASE – Provision of good citizenship programme, healthy lifestyles and crime prevention. APU – Information on staying safe on our roads, Road traffic Engaging with children and people who are displaying signs of risk taking behaviour. To also engage with those C&YP who are victims and witnesses to crime. Example of which is outlined below: Risk Taking Behaviour: ASB – Preventative measures including voluntary contracts with police, specialised officers providing guidance and support, Responding to children and people suspected of involvement in criminal activity and engagement with vulnerable Children and young people. Example of which is outlined below: Sexual Activity: Child abuse investigation, deployment of MASRAM services, engagement of support services, referral to Responding and engaging with all those children and young people involved in critical and or high risk situations that requires immediate police intervention. Incidents referred to in 3 that include additional aggravated factors, which will escalate the risk to Level 4 and will receive enhanced police response proportionate to the needs identified.
legislation, alcohol misuse on our roads. DRUGS – Provision of prevention of drugs and substance misuse programme. referral to external agencies (support services), education packages (CASE), Youth Diversion Scheme. external agency, multi-agency meetings. Professionals: Below are a range of disciplines within policing that can provide a range of services to meet children’s needs: Beat officers Road policing officers Domestic abuse officer Youth Diversion officer Community & schools officer Minority liaison officer In addition to those disciplines outlined in Level 1 the following may become involved in Level 2: Public Protection officers Family liaison officers Investigate officers In addition to those disciplines outlined in Level 1 and 2 the following disciplines may become involved: Child abuse investigators MASRAM officers As outlined in Level 3.