- Concerns re diet, hygiene, clothing;
- Has some chronic health problems;
- Missing routine and non-routine health appointments;
- Substance misuse;
- Developmental milestones are unlikely to be met;
- Concerns around mental health;
- Teenage pregnancy (multi agency response).
Education and Learning, e.g.
- Significant learning needs and may have a Education, Health and Care Plan;
- Poor school attendance and punctuality;
- Some fixed term exclusions;
- Not engaged in Education or reaching Educational potential.
Emotional and Behavioural Development, e.g.
- Finds it difficult to cope with anger, frustration and upset;
- Disruptive/challenging behaviour at school or in neighbourhood and at home;
- Cannot manage change;
- Unable to demonstrate empathy;
- Repeated episodes of self harm.
- Is subject to discrimination, e.g. racial, sexual or due to disabilities;
- Demonstrates significantly low self-esteem in a range of situations.
Family and Social Relationships, e.g.
- Has lack of positive role models;
- Misses school or leisure activities;
- Peers also involved in challenging behaviour;
- Involved in conflicts with peers/siblings;
- Regularly needed to care for another family member.
Social Presentation, e.g.
- Is provocative in behaviour/appearance;
- Clothing is regularly unwashed;
- Hygiene problems.
Self-care Skills, e.g.
- Poor self-care for age, including hygiene;
- Precociously able to care for self.
- Difficult to engage parents with services;
- Parent is struggling to provide adequate care;
- Previously looked after by Local Authority;
- Professionals have serious concerns regarding e.g. parental drug and alcohol misuse, learning difficulties, mental health etc.
- Perceived to be a problem by parents;
- May be subject to neglect;
- Experiencing unsafe situations.
- Receives erratic or inconsistent care;
- Has episodes of poor quality of care;
- Parental instability affects capacity to nurture;
- Has no other positive relationships.
- Not receiving positive stimulation, with lack of new experiences or activities.
Guidance and Boundaries
- Erratic or inadequate guidance provided;
- Parent does not offer a good role model, e.g. by behaving in an anti-social way.
- Has multiple carers;
- Has been "looked after" by the Local Authority.
Family History and Functioning
- Incidents of domestic violence between parents;
- Acrimonious divorce/separation;
- Family have serious physical and mental health difficulties.
- Family has poor relationship with extended family or little communication;
- Family is socially isolated.
- Poor state of repair, temporary or overcrowded.
- Parents experience stress due to unemployment or "overworking";
- Parents find it difficult to obtain employment due to poor basic skills.
- Serious debts/poverty impact on ability to have basic needs met.
Family's Social Integration
- Parents socially excluded;
- Lack of a support network.
- Poor quality universal resources and access problems to these and targeted services.