Table -

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Development of baby, child or young person
Area of Risk	4 - High Level Need Acute Services	3 - Child in Need Statutory Services	2 - Vulnerable Child/ Children with additional needs CAF & targeted services likely to be required	1- Universal Universal services
Health	Acute mental or physical health needs or behavioural difficulties including life threatening self harm, suicide Profound/severe and/or multiple disabilities Suspected non-accidental injury Sexually active (under 13) Teenage pregnancy(under 13)	Significant mental or physical health needs or behavioural difficulties including persistent self harm and substance misuse Moderate disabilities Severe developmental delay Failure to thrive Multiple A&E attendance causing concern	Moderate/mild mental or physical health needs or behavioural difficulties Mild disability Developmental delay Maternal/baby health issues Occasional self harm Experimenting with drugs/alcohol Poor diet/nutrition/obesity Poor health/dental care Illness - frequent or chronic Persistent minor health problems resulting in poor attendance/engagement Early sexual awareness Teenage pregnancy (under 18)	Physically healthy Registered with GP & accessing appropriate health services Meeting developmental milestones Regular dental care Adequate and nutritious diet
Emotional and social development	Endangers own life through self harm/substance misuse/eating disorder Child has suffered or may have suffered physical, sexual or emotional abuse or neglect/has been subject to 'Child in Care' proceedings Involved in prostitution or trafficking	Association with criminally active/substance misusing peers Siblings/parents offending Child persistently running away from home/school Puts own health at risk through self harm/substance misuse/eating disorder Suffered moderate neglect/chaotic parenting At risk of sexual exploitation or prostitution Child has suffered or may have suffered physical, sexual or emotional abuse or neglect leading to Child Protection services	No positive relationships Involvement in criminal activity Difficulty forming relationships with others/peers Siblings/parents offending Suffering bullying, discrimination or harassment Dysfunctional family relationships impacting on child/ difficult family relations Child finding it difficult to manage and control actions and emotions Inappropriate responses and actions Child finding it difficult to cope with anger, frustration Lacks understanding of how actions impact others Difficulty managing change Vulnerability to emotional problems - anxious, angry, defiant	Positive attachment to significant adult Age appropriate friendships Positive relationships with peers No mental health concerns
Behavioural development	Child's behaviour puts own life in danger e.g. self harm/substance misuse/eating disorder Violent/aggressive/anti-social behaviour Multiple criminal incidents Subject to Acceptable Behaviour Contract/Anti Social Behaviour Order Offences leading to court appearance	Child's behaviour puts health at risk e.g. self harm / substance misuse/eating disorder Behavioural problems likely to cause school exclusions Violent/aggressive/anti-social behaviour Criminal incident Previously subject to Final Warning or reprimand	Low level substance misuse Bullying Disruptive behaviour Impulsive/lack self control Suspected criminal activity Brought to notice of police	Age appropriate behaviour and self control No concerns about substance misuse, lifestyle, aggression or potential offending
Identity including self esteem, self image and social presentation	Family environment impacting on identity (substance misuse/ poverty/unemployment/ crime)	Enduring racial abuse Family environment impacting on identity (substance misuse/poverty/unemployment/ crime)	Child prevented from making links with own community Subject to discrimination Low in confidence Insecurity around identity Lacks self esteem	Positive sense of self (including race/religion) Sense of belonging
Family & social relationships	'Child In Care' Child subject to Child Protection Plan Child has suffered or may have suffered physical, sexual or emotional abuse or neglect Child presents as severely neglected	Child subject to Child Protection Plan Child experiencing multiple carers Privately fostered Dysfunctional family relationships impacting on child Disabled children for whom there are excessive requests for respite care Child presents as moderately neglected Child has significant caring responsibilities that impact on development	Over-protected child unable to develop own identity Child has caring responsibilities Dysfunctional family relationships impacting on child Inconsistent relationships with family and friends Unresolved issues arising from parental issues (divorce, death, disputes etc) Difficulty sustaining relationships Child unable to build stable relationships with others Child lacks positive role models	Stable and affectionate relationships with parents/carers
Self-care skills and independence	Acute mental/physical health needs/behavioural difficulties impacting on ability to care for self Profound/severe and/or multiple disabilities impacting on ability to care for self	Significant mental/physical health needs/behavioural difficulties impacting on ability to care for self Severe developmental delay impacting ability to care for self Social circumstances impacting on ability to care adequately for self/own safety	Easily led/intimidated or bullied Poor problem solving and/or practical self care and social skills Overprotected/unable to develop independence Impaired self care skills through disability Over friendly, withdrawn and/or isolated Slow development of age appropriate self care skills	Age appropriate self care skills. Age appropriate respect for boundaries and rules
Learning	Excluded from school No education provision Regular breakdown of education provision	Pre-school child seriously under stimulated so as to impair development Multiple temporary exclusions At risk of permanent exclusion Persistent truanting with parental acceptance Statement of Special Educational Need	Pre-school child under stimulated Fixed term exclusions Poor punctuality English as second language Lacks motivation/poor concentration/engagement Unexplained absences/truanting School has concerns about engagement with education/progress Lack of access to safe play Child Missing Education Learning difficulties Speech and language therapy required Not reaching education/learning potential Often appears tired in school On School Action or School Action Plus of Special Educational Need Code of Practice Home/school link not well established	Pre-school child with access to appropriate play/stimulation & developmental opportunities. Attending school regularly and no concerns about achievement or engagement with education Acquiring a range of skills and interests
Parents and Carers
Area of Risk	4 - High Level Need Acute Services	3 - Child in Need Statutory Services	2 - Vulnerable Child/ children with additional needs CAF & targeted services likely to be required	1- Universal Universal services
Basic care, safety and protection	Mental or physical health problem, learning disability or chaotic substance misuse that severely impacts on ability to provide basic care for child No parent or carer available to provide basic care/child abandoned Unable to protect from significant harm including contact with unsafe adults Allegation or reasonable suspicion of serious injury/abuse Extreme domestic violence	Mental or physical health problem, learning disability or substance misuse that impacts on ability to provide basic care for child. Inability to recognise health care needs in self or child so therefore child's health & development will be significantly impaired Ongoing domestic violence Adult substance misusers living in/visiting the home Requesting child is housed elsewhere Child at risk of being looked after	Inability to recognise health care needs for self or child Poor maternal health/not accessing ante or post natal health care Mental or physical health need that may impact on ability to provide basic care Parent struggling without support Child may be exposed to dangerous situations in home or community Substance misuse/alcohol misuse affecting general parenting Poor ante natal care/depression Parent unable to meet child's special needs without support Young carer - inappropriate caring responsibilities for siblings or parent Inappropriate child care arrangements inc many different carers Inconsistent basic care Young inexperienced parent Poor social presentation inc. inappropriate clothes (age, weather), unclean, 'smelly' Parent struggling with own emotional needs	Parent (s) provide for child's physical needs e.g. appropriate nutrition, clothing, medical & dental care Protection from danger and harm in the home and elsewhere
Emotional warmth and stability	Child is rejected/ abandoned Child/parent relationship at risk of breakdown Child beyond parental control	Child has experienced multiple main carers Parents unable to provide stable family environment Parents highly critical of child and provide no warm encouragement/praise Privately fostered Very chaotic parenting	Parent's problems affect capacity to nurture. Child may have different carers Over anxious of child's health Unsupported parent Lack of warmth Family disputes impacting on child including contact with parent Poor home routine Susceptible to bouts of chaotic/erratic parenting Complex family dynamics results in ongoing level of instability	Stable and affectionate relationships with parents / carers Warm regard, praise and encouragement Parents provide secure and consistent parenting /caring
Guidance, boundaries and stimulation	No effective boundaries set - child out of control/ offending etc. Parent and child disengaged from education# No access/no interest in accessing constructive leisure activities	Parent(s) do not offer good role model - e.g. anti-social behaviour/domestic violence Development of young child impaired through lack of appropriate stimulation/play Significant condoned absence from school Inadequate leisure facilities or support given to access them Significant levels of parenting difficulties including no/lack of supervision, erratic parenting, intolerant, critical and rejecting	Parent(s) provide inconsistent boundaries/responses Parent provides limited interaction/stimulation for young child Condoned absence from school/kept from school Learning not encouraged/supported Needs assistance to access leisure activities Lack of exposure of child to new experiences/interaction with others Lack of response to concerns raised regarding child or young person Inadequate supervision of child Child spends much time alone Child/young person engaging in anti social behaviour	Parents provide appropriate guidance & boundaries to help child develop as responsible citizen Facilitates cognitive development through interaction & play Positive regard for education & achievement Accesses appropriate leisure activities
Family and Environment
Area of Risk	4 - High Level Need Acute Services	3 - Child in Need Statutory Services	2 - Vulnerable Child/children with additional needs CAF & targeted services likely to be required	1- Universal Universal services
Family history, functioning and well-being	Family breakdown related in some way to child's behavioural difficulties Significant mental or physical health difficulties within the immediate family Past or current incidence of abuse, neglect, serious domestic violence or substance misuse Adults who pose an actual or potential risk to children	Incidents of domestic violence or substance misuse Moderate mental or physical health difficulties within the immediate family Family with history of Child Protection registration/previous removal of child Family involved in criminal activity/received custodial sentence	Family conflicts or difficulties that may involve children History of involvement with statutory service Loss of significant adult through bereavement or separation Mild/moderate physical or mental health difficulties in immediate family Multiple births/high number of pre-school children Family seeking asylum or refugees Sibling/parent involved in criminal activity Difficulty with parental engagement Family not coping Parental dispute Young carer (parent/siblings) Privately fostered Living with relations	Good family relationships, including where parents are separated
Wider Family	Destructive relationships with wider family	Family is socially isolated Family has poor relationships or no contact with extended family	Limited support from family/friends	Larger familial network and good friendships outside of the family unit
Housing, employment and financial considerations	Physical accommodation places child in danger Chronic and long-term employment due to significant lack of basic skills or long standing issues such as substance misuse/ offending, etc. Extreme poverty/debt, impacting on ability to care for child	Overcrowded or temporary housing In poor state or repair Difficult to obtain employment due to poor basic skills Parents experience continuing stress due to unemployment or 'overworking' Serious debts/poverty impacting on ability to meet family's basic needs	Barely adequate/poor/temporary accommodation Housing causing family stress Periods of unemployment causing stress Low income/financial hardship Difficulties managing household finances Low level debt/in need of financial advice Lack of affordability for basic amenities including household fuel and food Frequent housing moves Parental/family stress from overworking Chronic unemployment affecting parents/family significantly	Accommodation has basic amenities and appropriate facilities Parents able to manage working or unemployment arrangements adequately Reasonable income over time with resources used appropriately to meet individual needs
Social and community elements and resources	Poor quality or lack of universal & targeted services with long term difficulties accessing target populations Chronic social exclusion	Poor quality universal services and access problems for family Family not accessing targeted services Family is socially excluded	Adequate universal services but family may not be accessing them Family new to the area Family experiencing harassment or discrimination Poor social contacts Asylum seeking/refuge family	Good universal services in the neighbourhood Family integrated into the community Good social networks

Development of baby, child or young person

Parents and Carers

Family and Environment