Caption: Level Three - Preventative Services - Multi Agency Response
1. Development Needs of Baby (including unborn Child), Child or Young Person

Health, e.g.

  • 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.

Identity, e.g.

  • 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.
2. Parents and Carers 3. Family and Environmental Factors

Basic Care

  • 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.

Ensuring Safety

  • Perceived to be a problem by parents;
  • May be subject to neglect;
  • Experiencing unsafe situations.

Emotional Warmth

  • 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.

Wider Family

  • 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.

Community Resources

  • Poor quality universal resources and access problems to these and targeted services.