By Beverly Washington,2014-08-12 19:05
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    Agreed Definitions of Tiers of Need For

    Hackney Child Wellbeing Model

     Universal Safeguarding

Tier 1

    Child uses universal services and may at times require some general support.

    This is the earliest level of prevention and intervention. In general, the child’s emerging needs are isolated and less entrenched. They will often yield positive outcomes with minimal intervention and usually do not require an integrated response.

Targeted Safeguarding

Tier 2 A (CAF Part 1)

    A child has additional needs that would benefit from additional specific support to keep the problem from escalating.

    At this level, a child’s needs may be more complicated and require an integrated response from a variety of practitioners within the universal setting. These practitioners may come from a range of disciplines.

    Any concerns associated with family and environmental issues will generally be low level and able to be addressed by signposting (e.g. debt advice) or extended services within schools or children’s centres (e.g. parenting courses).

Tier 2B (CAF Part 2)

    There are multiple concerns about the child/young person and family and the family is not engaging with/responding to Tier 1 and Tier 2a services.

    At this level, parenting and/or environmental factors may have a major negative impact on the child’s ability to achieve the five outcomes.

    Providing effective integrated support requires the significant coordinated involvement of adult support services such as housing, substance abuse teams and adult mental health teams.

Child Protection (Responsive Safeguarding)

Tier 3

    The child and/or family has difficulties that have already caused significant adverse effects.

    Children with Tier 3 needs require specialist services and may be in a family environment that is harmful. They are already experiencing poor outcomes and need specialist and statutory support to address their needs and those of their families.

    There is an increasingly likelihood of many more poor outcomes, often passed through the generations, the more problems that are present in the wider family.

    Agreed Definitions of Tiers of Need For

    Hackney Child Wellbeing Model

Child Factors

    ; Is healthy and well ; Chronic or serious ; Occasional self harm ; Child persistently ; Has a healthy diet illness ; Substance misuse runs away

    and appears well ; Low self esteem potentially damaging ; Child’s behaviour/

    nourished ; Frequent to activities place self ; Is registered with GP accidents/illness health/development or others at

    and basic services ; Mild level of ; Organic failure to imminent risk

    such as dentist, disability thrive ; Inappropriate

    optician ; Developmental delay ; Multiple A & E sexualised behaviour ; Can manage their ; Under/over weight attendances causing ; Concerns about non-

    treatment for any ; Illegal employment concern organic failure to

    conditions (e.g. ; Challenging ; Child has caring thrive

    asthma) and take behaviour that responsibilities that ; Significant

    part in everyday life parents find difficult impact significantly developmental delay

     to manage on behaviour/ where concerns

     ; Bullying/being development about parenting

    bullied ; Challenging capacity exist

    ; Difficulties with peer behaviour caused by ; Injuries not

    relationships parenting/ consistent with

    ; Poor concentration environment explanation

    ; Low motivation ; Out of ; Disclosure of abuse

    ; Difficulties with school/excluded and from child/young

    school attendance family unengaged person

    Agreed Definitions of Tiers of Need For

    Hackney Child Wellbeing Model

    Parenting Factors

    ; Consistent parenting ; May have mental or ; Substance and /or ; Very young child left providing physical health needs alcohol misuse alone

    appropriate guidance that do not affecting parenting ; Substance misuse and boundaries significantly affect ; Criminal or anti-affecting ability to

    ; Child’s physical the care of the child social behaviour function

    needs are ; Unsupported parent affecting parenting ; Child/young person adequately provided ; Not accessing ; Physical or mental rejected from home

    for ante/post natal care health needs that ; Evidence of

    ; Parenting generally ; Post natal depression affect the care of fabricated/induced demonstrates praise, ; Difficulties with the child illness

    emotional warmth managing child’s ; Learning difficulties ; Inability to judge and encouragement sleeping, feeding or that affect dangerous situations

    ; Development crying parenting ; Unable to protect facilitated through ; Inappropriate anxiety ; Child or young child from harm

    play regarding child person being asked ; Persistent concerns

    ; Positive family health to take on have been raised relationships, ; Child/young person inappropriate caring about child and

    including between not exposed to responsibilities parent(s) refusing to separated parents new/stimulating ; Chaotic, intolerant, engage with

     experiences critical or rejecting professionals

    ; Condoned absence parenting ; Emotional neglect

    from school ; Concerns about where intervention

    ; Inconsistent or harsh physical care of the has failed to be

    parenting child effective

    ; Lack of consistent ; Child/young person ; Adult mental health is

    boundaries and deliberately kept significantly

    guidance out of school impacting on the care

    ; Relationship ; Difficulties of the child; Any carer

    difficulties that providing emotional for the child presents

    impinge on child warmth as acutely mentally

    ; Isolated or ; Physical health unwell and /or

    unsupported parents needs that affect attempts significant

    ; Unsupportive or the care of the child self harm and/or

    negative parents ; A known but stable children are the

     mental illness that subject of parental

    affects the care of delusions

    the child ; Severe emotional

     abuse of child/young

    person causing severe


    ; Child sexually

    abused/Schedule 1

    offender in household

    ; Significantly

    physically harms

    child/young person

    Agreed Definitions of Tiers of Need For

    Hackney Child Wellbeing Model

    Family and Environmental Factors

    ; Good family ; Inadequate/over-; Inadequate/over-; Lack of adequate

    relationships crowded housing crowded housing is food, warmth, ; Family feels ; Socially or physically likely to significantly essential clothing

    accepted by the isolated impair health or ; Schedule 1 offender

    community ; Lack of appropriate development in contact with or ; Family members are stimulation/home ; Homeless in living with the family

    physically well and not conducive to temporary ; Children constantly

    mentally stable play accommodation appear dirty and ; Family has positive ; Sibling with disability ; Hygiene of home clothing is

    relationships with or significant health environment is a inappropriate to

    and appropriate problems cause for concern season

    support from others ; Regular truanting and has not ; Homeless and ; Income is consistent ; Family experiencing improved with destitute

    and sufficient to harassment, intervention ; Scale 3 or 4 domestic

    meet basic family discrimination or are ; Family involved in violence as per

    needs the victims of crime criminal activities Barnardo’s guidance ; Lives in an area that ; Minor disturbances ; Children often wear ; Family home used

    has good age in neighbourhood inappropriate for drug taking,

    appropriate facilities ; Children sometimes clothes/appear prostitution, illegal

    wear inappropriate unkempt activities clothes or appear ; Family does not have ; Imminent family unkempt money to meet basic breakdown

    ; Some money needs

    pressures, but basic ; Scale 2 domestic

    needs are met violence as per

    ; Neighbourhood is Barnardo’s guidance

    not safe for children to play outdoors

    ; Scale 1 domestic

    violence as per

    Barnardo’s guidance

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