Psychological and emotional needs or challenging behaviours are not having an impact on the young person’s health and well-being. OR Mood disturbance or anxiety or periods of distress, which are having an impact on their health and/or well-being but respond to prompts and reassurance. OR Requires prompts (beyond those expected for the young person’s age) to motivate self towards activity and to engage in care planning, support and/or daily activities. OR Some incidents of ‘challenging’ behaviour. A risk assessment indicates that the behaviour does not pose a risk to self, others or property or a barrier to intervention. The person is compliant with all aspects of their care. Mood disturbance or anxiety symptoms or periods of distress do not readily respond to prompts and reassurance and have an increasing impact on the individual’s health, learning or everyday living. OR Due to their psychological or emotional state the individual has withdrawn from many attempts to engage them in support, care planning and/or daily activities. OR ‘Challenging’ behaviour that follows a predictable pattern. The risk assessment indicates a pattern of behaviour that can be managed by skilled carers or care workers who are able to maintain a level of behaviour that does not pose a risk to self, others or property. The person is usually compliant with care, although there me some exceptions. Mood disturbance or anxiety symptoms or periods of distress that have a severe impact on the individual’s health and/or well-being across the majority of environments. OR Due to their psychological or emotional state the young person has withdrawn from any attempts to engage them in care planning, support and daily activities. OR ‘Challenging’ behaviour that poses a significant risk to self, others or property. This is not characteristic of the person’s age. The risk assessment indicates that planned interventions are effective in minimising but not always eliminating risks. Compliance is variable but usually responsive to planned interventions. Impact Rating for Social, Mental and Emotional Health: C - Low Impact B - Moderate Impact A - High Impact DOMAIN 4: Sensory and/or Physical C - Low Impact B - Moderate Impact A - High Impact TO BE COMPLETED BY THE APPLICANT
Sensory The young person has been identified as having auditory and/or visual sensory impairments. The child is maintaining placement at school and has strategies for home as well. Management of general advice is sufficient. Physical Physical difficulties have a mild impact on access to activities of daily living. Difficulties might be seen in the areas of: walking on uneven surfaces, inclines, and walking in crowds or confined spaces. performing gross motor skills such as running and jumping. performing functional fine motor skills such as writing and self care skills Moving from the floor to standing and from a chair to standing. Sensory Auditory or visual impairments are impacting on the young person’s ability to access some community environments. Moderate levels of supervision are needed. Appropriate adaptations are required to help the young person continue with everyday activities. Physical Physical difficulties have a moderate impact on access to activities of daily living. Children walk indoors and outdoors on a level surface with an assistive mobility device. Children may climb stairs holding onto a rail. Depending on upper limb function, children may propel a wheelchair manually or are transported when travelling long distances or outdoors on uneven terrain. Children move in and out of a chair using a stable surface to push on or pull up with their arms. Children are unlikely to be able to perform gross and fine motor skills such as running, jumping or moderate dexterous activities. Sensory Significant and pronounced sensory impairments. High levels of supervision are likely to be needed. Appropriate adaptations are required to help the young person continue with everyday activities. Physical Physical difficulties have an extremely high impact on access to activities of daily living. Physical impairment restricts voluntary control of movement and the ability to maintain antigravity head and trunk postures. All areas of motor function are limited. Children rely on wheeled mobility at home school and in the community. Children may achieve self mobility using a powered wheelchair or have no means of independent mobility and are transported. Functional limitations in sitting and standing are not fully compensated for through the use of adaptive equipment and assistive technology. Impact Rating for Sensory and / or Physical abilities: C - Low Impact B - Moderate Impact A - High Impact