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Common Assessment Framework

Common Assessment Framework. The way things used to be:. All Other Agencies. Universal Education. Social Services. LEA special educational needs. Universal Healthcare. PCT. CAMHS. YOT. Connexions. EWS. All Other Practitioners. Education Staff. Social workers. Healthcare Staff.

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Common Assessment Framework

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  1. Common Assessment Framework

  2. The way things used to be: All Other Agencies Universal Education Social Services LEA special educational needs Universal Healthcare PCT CAMHS YOT Connexions EWS All Other Practitioners Education Staff Socialworkers Healthcare Staff Health Visitor Child Psychologist Youth Offending Team Connexions PA Educ. Welfare Officers SENCO & Educational psychologists Risks to parents Conduct Disorder ASSET APIR Children in Need At Risk Register Statement of SEN = agency = practitioner = assessment

  3. 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

  4. Integrated Front-Line Service Delivery Children’s Centres Extended Schools Integrated Youth Support Safeguarding Children’s NSF Youth crime Reduction The Vision Children & Young People’s Board Birmingham Children & Young People’s Plan Voluntary Orgs Universal Education Specialist services LEA Inclusion Services PCT & Acute Health Housing CAMHS YOT / YISP Connexions Youth & Play Service All Other Practitioners Education Staff Socialworkers Healthcare Staff Local services Youth Offending Team Connexions PA Youth & Play Workers SENCO, Ed psychologist EWO’s etc CAMHS MDT Information Sharing Guidance Common Assessment Framework Lead Practitioner ServiceDirectory Outcomes for children & young people

  5. Every Child Matters: Green paper, 2003 Every Child Matters: The Next Steps The Children Act, 2004 Every Child Matters: Change for Children Other Acts, Programmes, Policies Background of CAF Published alongside the formal response to the report into the death of Victoria Climbié, the young girl who was horrifically abused, tortured, and eventually killed by her great aunt and the man with whom they lived. Published; then The Children Act 2004 passed, providing the legislative spine for developing more effective and accessible services focused around the needs of children, young people and families. Section 10: Duty to Co-operate to improve well-being Section 11: Safeguarding and promoting welfare of children National framework for local change programmes… shifting the focus from dealing with the consequences of difficulties in children(s) lives to preventing things from going wrong in the first place. Birmingham Children’s Plan

  6. Be Healthy • Physically, mentally, emotionally & sexually healthy • Healthy lifestyles • Stay Safe • Safe from maltreatment, neglect, violence & sexual exploitation; accidental injury & death • Safe from bullying & discrimination, crime & anti-social behaviour • Safe from crime & anti-social behaviour in & out of school • Have security/stability & are cared for • Enjoy & Achieve • Ready for school, attend & enjoy school • Achieve national educational standards • Achieve personal & social development & enjoy recreation • Make a Positive Contribution • Engage in law-abiding behaviour in & out of school • Develop positive relationships • Develop self confidence & deal with life changes • Achieve Economic Well-Being • Engage in FE; ready for employment • Live in decent homes/sustainable communities • Live in households free from low-income 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 • stay safe • enjoy and achieve • make a positive contribution • achieve economic well-being

  7. Standard assessment can be used by all agencies working with children/young people Common Assessment Framework • CAF – Process • Integrated working • Engagement of parents /young people • Information Sharing • Transparent • CAF – Assessment • Child/young person focused • -9mths to 19yrs (25yrs with ….disabilities or care leavers) • Based on consent • Holistic: multi-agency …response • Link to statutory assessments

  8. The CAF as part of a continuum PARENTING CAPACITY CHILD’S DEVELOPMENTAL NEEDS CHILD Safeguard & Promoting welfare FAMILY & ENVIRONMENTAL FACTORS Promoting Children’s Well-being in Birmingham Common Assessment Framework undertaken Referral for Statutory Assessment Pre-CAF Checklist & consider CAF Assessment Level 2 Level 3 Level 1 Level 4 Go straight to level 4 as soon as risk of significant harm suspected I = Identification and action T = Transition N = Needs met

  9. 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 CAF Stages Evaluation Family and Lead Practitioner evaluations

  10. 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

  11. 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.

  12. 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………..

  13. Adult Services & the Common Assessment Framework Concern about the child or young person of an Parent/Carer engaging with an Adult Service No Yes Follow your Agencies safeguarding procedures No further action, but continue to monitor situation Child or Young Person at risk of harm Yes No Pre-assessment completed by Adult Service & sent to appropriate agency Pre-assessment reviewed by Agency Referral to Specialist Services (Child Protection) Single agency Response Multi-agency Response with CAF 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 Child or Young Person at risk of harm Yes ISP Review Meetings. No CAF Episode Ends

  14. CAF Case Study: Action Plan • 18 month & 3 year old • Ineed2know.org.uk • search for local • Children’s Centre • 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 • 13 year old boy • Pre-assessment checklist: • 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 14 year old girl Referral to Connexions

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