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CIC and Health. Thresa McCarthy/Jill Sim Children in Care Nurses. Policy Context. Healthy Lives, Brighter Futures: the strategy for children and young people’s health (2009) Statutory Guidance on Promoting the Health & Well-being of Looked After Children (2009)

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CIC and Health

Thresa McCarthy/Jill Sim

Children in Care Nurses

policy context
Policy Context
  • Healthy Lives, Brighter Futures: the strategy for children and young people’s health (2009)
  • Statutory Guidance on Promoting the Health & Well-being of Looked After Children (2009)
  • The NICE Quality Standard of the Health and wellbeing of looked-after-children and young people (2013)
effects of trauma and neglect on the child in care
Effects of Trauma and Neglect on the Child in Care
  • These functions may be diminished or lost:
    • language, especially spoken language
    • words for feelings
    • sense of meaning and connection
    • empathy
    • impulse control
    • mood regulation
    • short term memory
    • capacity for joy
physiological effects
Physiological Effects
  • Perpetual extreme levels of stress arousal
  • may lead to:
    • hyper vigilance and loss of ability to concentrate
    • altered vision and hearing
    • hyperactivity or dissociation
    • avoidance of potential triggers to trauma
    • altered sleep patterns
    • altered eating patterns
    • compulsive self harm
    • attempts to self medicate with substances
what is the impact
What is the impact?
  • Neglect and unmet emotional needs
  • Children may:
        • be slow to learn to walk and talk
        • be very passive and unable to be spontaneous
        • have feeding problems and grow slowly
        • find it hard to develop close relationships
        • be overfriendly with strangers
        • find it difficult to make and sustain relationships
        • be unable to play imaginatively
        • think badly of themselves
        • be easily distracted and find it difficult to learn
children in care physical health need
Children in Care - ‘Physical Health Need’
  • Two thirds of Children in Care have at least one physical complaint most commonly eye and or sight problems, bedwetting, speech or language problems, difficulty in co-ordination, and asthma. (Meltzer et al 2003)
  • 52% of Children in Care for a year had a physical or health condition that required out- patient treatment. (Skuse et al 2001)
  • Three quarters of children with a mental health disorder also had at least one physical complaint. (ONS 2002)
  • (Quoted in the Guidance on Promoting the Health & Wellbeing of LAC, 2009)
children in care lifestyle choices
Children in Care -“Lifestyle choices”
  • DRUGS & ALCOHOL:
  • In 2003
  • One in twenty with a mental health disorder drank alcohol daily
  • One in five had used cannabis
  • Next most popular substances were ecstasy and glue (ONS 2003)
  • In 2007
  • 5% identified as having a substance misuse problem of whom two thirds received treatment
  • (formerly DCSF 2008 now Department for Education)
  • In 2008
  • YP in care reported drinking alcohol, smoking and experimenting with sex at an early age but only 11% reported experimentation with drugs ( CAFCASS 2008 )
children in care lifestyle choices1
Children in Care“Lifestyle choices”
  • Higherlevel of substance misuse , including smoking, among Children in Care than among the non – care population (Meltzer et al 2003)
  • SMOKING:
  • One third 11-17year olds are smokers
  • 69% of those in residential care
  • (DCSF 2008)
children in care lifestyle choices2
Children in Care“Lifestyle choices”
  • Sexual Health
  • Teenage girls in Care are 2.5 times more likely to become pregnant than other teenagers – Social Care Institute for Excellence 2004
  • - This is more likely if they are placed in residential as opposed to foster care.
  • Children and Young people in Care are at increased risk of sexual exploitation. The Children’s Society 2012.
role of cic nurse
Role of CIC Nurse
  • Undertake a holistic comprehensive health assessment
  • Inform/support & challenge health professionals and others
  • including CiC Clinical Supervision/advocacy and interpretation of health information
  • Liaise with other CiC Nurses – Countywide/Regionally/Nationally
  • Multi Agency Training - to a multi Agency Audience including Carers
  • Lead and contribute to audits
  • Influence Policy & Strategic Planning, Locally and Nationally
  • Work with Partners
  • Client focused meetings -
issues of consent
Issues of Consent
  • Parental responsibility.
  • Fraser Guidelines.
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VSK East and South.
  • Brook House
  • John Wilson Business Park
  • Reeves Way
  • Whitstable
  • CT5 3SS
  • Tel: 01227 284475
  • VSK West and North.
  • Commercial Services
  • Gibson Drive
  • Kings Hill
  • West Malling
  • Kent
  • ME19 4QG
  • Tel: 01732 525355
service for ola other local authority children
Service for OLA (Other Local Authority) Children
  • 1 Specialist Nurse –Sally Galbraith
  • 2 Part time administrators based at:-
  • Aylesham Health Centre
  • Aylesham
  • Kent
  • CT3 3BB
  • Tel: 01304 843768
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