NORTHERN HEALTH AND SOCIAL CARE TRUST CHILD SEXUAL EXPLOITATION GUIDANCE FOR STAFF November 2015 Page 1 INTRODUCTION Trust staff are well aware of the vulnerability of children and young people to sexual exploitation and of the need to work with them, their families and with other key agencies and groups to protect them. The CSE protection work undertaken by the Northern Health & Social Care Trust is co-ordinated by a multi-disciplinary crossDirectorate group, ably supported by the Trust Senior Social Work Practitioner re: CSE. This group recognises the need to provide Trust staff with support and guidance in how best to respond to concerns that a child or young person is being, or is at significant risk of being, sexually exploited. The guidance set out in this pack (available as hard copy ring binder and on the Safeguarding Children page on Staffnet) will help provide this. Marie Roulston Director of Children Services CONTENTS Page 2 1. Guidance for Staff Completing Child Sexual Exploitation Risk Assessments 2. Terms of Reference for Trust/PPB CSE Weekly Meetings 3. Missing 3+ Times Guidance for Social Work Staff 4. Trust Referral Process re; Barnardos Safe Choices Service Appendices 1. Interim Regional Guidance for the Management of Child Sexual Exploitation Referrals 2. Child Sexual Exploitation Risk Assessment Appendix 1a 3. Child Sexual Exploitation Appendix 2 4. Young People Missing 3+ Times Checklist Page 3 CHILD SEXUAL EXPLOITATION Guidance For Staff Completing CSE Risk Assessments 1. All relevant Trust staff, particularly family and childcare social workers have a responsibility to ensure that they are familiar with the Interim Regional Guidance – Management of Child Sexual Exploitation Referrals and updates as they are circulated. 2. When staff have a concern that a child/young person is at potential risk of CSE they should, as a starting point, complete the CSE Risk Assessment Form (Appendix 1a). 3. Issues/situations where consideration should be given as to whether a young person could be at risk of CSE include; Periods of going missing Associating with older persons especially if the young person is refusing to provide details of the individuals Presenting as having more money/goods than would be expected Misuse of alcohol/drugs/substances Getting into cars of people not known to parents/carers Inappropriate use of social media Change in presentation following use of social media/phone etc Disclosure of a significantly older boy/girlfriend Discovery of sexually explicit items/messages on electronic devices owned by young person 3rd party disclosures of sexual interactions/activities in respect of young person Attending parties known to be attended by older persons Self-disclosure of sexual exploitation 4. All completed CSE Risk Assessment Forms (Appendix 1a) to be e-mailed to the Trust Senior Practitioner for CSE – frankie.nolan@northerntrust.hscni.net . 5. In cases where CSE Score is 16+ or where the score is less but the Social Worker or the Trust’s Senior Practitioner for CSE are of the opinion that this lower score does not reflect the level of risk the CSE Risk Assessment (Appendix 1a) and the Appendix 2 Form must be completed and forwarded to the Senior Practitioner for CSE. 6. Where the Senior Practitioner for CSE is of the opinion that the threshold is met to consider the child/young person’s name being included on the CSE Master List they will contact the social work staff who have completed the Appendix 1a/Appendix 2 Forms and arrange a meeting with a relevant member of the Public Protection Branch CSE Team to progress. 7. If the Senior Practitioner for CSE agrees that a case should be considered for the CSE master List and the Appendix 2 has not been completed, the Senior Practitioner for CSE will request the relevant social worker to complete this and will copy their line manager into this request. Page 4 8. Once the Senior Practitioner for CSE has received the Appendix 1a/Appendix 2 Forms they will arrange with police colleagues for the case to be discussed at a joint PPB CSE/Trust meeting. The Senior Practitioner for CSE will advise the relevant social work staff of the date, time and venue of this meeting. It is expected that the relevant social worker or an appropriate substitute will attend. 9. The Senior Practitioner for CSE will provide the social worker with minutes of the joint police/Trust meeting which will include actions and a risk management plan. 10. All cases added to the CSE Master List will be reviewed at intervals no greater than 3 months. 11. The social worker must update the Appendix 1a and Appendix 2 after significant incidents and ensure that police colleagues and the Senior Practitioner for CSE are provided with details and a copy of the updated forms. 12. When completing a CSE Risk Assessment form Appendix 1a staff must give consideration to the health/sexual health need of the child/young person. Consideration to be given to the need to a referral to the Rowan/GP/LAC nurse as appropriate. 13. When social work staff identify a person of concern who may be responsible for the CSE these individuals must be reported to the appropriate authorities – PSNI and Gateway. 14. If the scoring of Appendix 1a falls within the moderate or significant risk ranges, or it is the professional opinion of the social worker completing the forms, that the child is at significant risk of CSE, a PJI1 must be completed and processed as per regional guide lines. Page 5 Terms of Reference for Trust/ PPB CSE Weekly Meetings The joint Trust Social Services and Public Protection Branch CSE meetings are to ensure that all cases scoring 16+ or where the score is less but the Social Worker and/or the Trust’s Senior Practitioner for CSE are of the opinion that this lower score does not reflect the level of risk are discussed on a joint agency basis and all cases on the CSE Master List are reviewed on a minimum 3 monthly basis. 1. Twice weekly meeting will be established between PPB CSE staff, Senior Practitioner for CSE and relevant Trust staff 2. Meetings will alternate between the PPB station and Trust premises. Agenda of cases to be discussed will be developed in advance of the meeting and the Senior Practitioner for CSE will invite the young person’s social worker, senior practitioner or senior social worker to attend. 3. Every relevant Appendix 1a that scores 16+ (or where professional opinion is that the case is high risk despite a lower score) will be discussed at this joint agency meeting. 4. In cases where there is active involvement with Barnardos Safe Choices the relevant staff member will be invited to attend these meetings. 5. All cases on the CSE Master List will be reviewed at a minimum of every 3 months. 6. In the 3 monthly review directly before the young person turns eighteen yearsold a member of the Trust’s Adult Safeguarding Specialist Team will be invited to attend to facilitate transfer to the service if appropriate. 7. Minutes of these meetings will be completed by the Trust Senior Practitioner for CSE and disseminated to all relevant Social Services and PPB CSE staff. These minutes will include all decisions and actions agreed at the meeting. 8. Overarching trends/patterns of concern will be identified at the joint meetings for discussion, consultation and dissemination to relevant authorities. 9. If any issues/problems are identified with respect to collaborative working between PSNI and the Trust staff a resolution will be sought at the meeting and if not successful will be brought to the attention of the relevant managers. 10. The Terms of Reference for these meetings will be reviewed 6 months after initial implementation to assess their effectiveness. Recommendations arising from this review will be made to relevant Trust and PSNI managers. Page 6 Missing 3+ times Guidance for Social Work staff Each month the Trust’s Senior Practitioner for Child Sexual Exploitation receives information from the police setting out the names of the young people living in the NHSCT area who have been reported missing 3 times or more in the past six month period. The Senior Practitioner for CSE will check these names and identify if a CSE Risk Assessment (Appendix 1a) has been completed in relation to the young person. This information will then be distributed to the social workers involved who will review and consult with their line manager to decide if a CSE Risk Assessment (Appendix 1a) needs to be completed or updated. In order to protect these vulnerable young people it is essential that social work staff complete the attached Children Missing 3+ Times Checklist and return it to the Trust’s Senior Practitioner for CSE. Page 7 CHILDREN MISSING 3+ TIMES LIST PROTOCOL 1. The Senior Practitioner for CSE receives the list each month from PSNI. This list provides the names for all young people who have been reported to the police as missing three times or more in the past 6 months. 2. If the list is not received the Senior Practitioner for CSE will request the list from the PSNI PPU Central Referral Unit. If there is an on-going problem with the provision of the list the Senior Practitioner for CSE will bring this to his manager’s attention. 3. On receipt of the list the Senior Practitioner for CSE will check the names against the names on the CSE Master List and check if he has received a CSE Risk Assessment (Appendix 1a). These details will be added to the Missing 3+ Times List. 4. The Senior Practitioner for CSE will send the Missing 3+ Times List with the additional information from the CSE Master List and the CSE Risk Assessment Forms to the relevant SWSM. It is sent to the relevant SWSM in order that they are able to have an overview of the CSE cases in their teams and actions that have been taken or may need to be taken. 5. In each case the Senior Practitioner for CSE will ask, via the relevant SWSM, that the Missing 3+ Times Checklist (Appendix 3) is completed by the named social worker for each young person. This checklist is to be returned to the Senior Practitioner for CSE (cc to the relevant SWSM) so that demographic data and analysis of actions relating to children going missing can be collated by them. 6. When completing a CSE Risk Assessment Appendix 1a staff should consult the Guidance For staff Completing CSE Risk Assessments Page 8 Trust Referral Process re: Barnardo’s safe Choices Service Barnardo’s Safe Choices is a specialist service working with young people who are affected by child sexual exploitation. They offer young people the opportunity to engage in a therapeutic environment to help them recognise the abusive process they have experienced and to overcome this. The outcome of this work aims to reduce the risk of children and young people being sexually exploited and to help reduce the number of missing episodes from home or care, which can make young people vulnerable to being exploited. Referral Criteria Presently it has been agreed that the Safe Choices will only accept referrals that are scoring moderate (11-15) or significant risk (16+) on the current CSE Risk Assessment. In exceptional circumstances where the Risk Assessment for the young person is less that 11 but is assessed by the PPU and the Senior Practitioner for CSE that the criteria for significant risks are met i.e. on the CSE Master List this referral will be considered as a suitable referral to Safe Choices. Given the demand on this service it has been agreed that each Trust will identify a Safe Choices gate-keeper to assist with all future referrals. The gate-keeper for the NHSCT is Frankie Nolan, Senior Social Work Practitioner for CSE. Referral Process The referral process is as follows: 1. The Safe Choices referral form signed by the social worker, young person and parent/carer and an up-to date CSE Risk Assessment is to be forwarded to the Senior Practitioner for CSE– not Safe Choices. If the Senior Practitioner for CSE considers that there is a need for additional information the he will contact the referrer and discuss. 2. The Senior Practitioner for CSE will review and quality assure the material and forward to Safe Choices as appropriate. The Senior Practitioner for CSE will confirm in writing to the referring social worker when the referral has been forwarded to Safe Choices. 3. In all cases that meet the threshold for referral to Safe Choices the Senior Practitioner for CSE will liaise with the referring social worker to discuss and advise on the Interim safety Plan. Page 9 4. Once the referral has been accepted by Safe Choices it is the responsibility of the referring social worker to contact Safe Choices in relation to updates and an allocation date. 5. When Safe Choices allocates the referral within the service the social worker will be notified by Safe Choices. 6. Should there be any concerns/issues regarding services provided by Safe Choices these should, in the first instance be the relevant social worker/senior social worker but if not resolved the Senior Practitioner for CSE should be advised. Page 10 APPENDICIES Page 11 Interim Regional Guidance – Management of Child Sexual Exploitation Referrals October 2014 Page 12 Regional Guidance – Management of Child Sexual Exploitation Referrals Introduction This paper sets out regional guidance on the management of Child Sexual Exploitation (CSE) cases coming to the attention of Health & Social Care Trust Staff within Northern Ireland. To achieve this it considers the responsibilities of Trusts within legislation and several regional policy documents namely; the Children (NI) Order 1995 and associated Guidance and Regulation; Cooperating to Safeguard Children (2003); the Area Child Protection Committee’s Regional Policy and Procedures (2005): Regional Guidance on PSNI Involvement in Residential Units – Safeguarding of Children Missing from Home and Foster Care (2012), the Protocol for Joint Investigation of Alleged and Suspected Cases of Child Abuse by Social Worker and Police Officers - Northern Ireland (2013) and the Regional Residential Childcare Policies (2012) namely child sexual exploitation page 29 – page 34. A regional Social Services child sexual exploitation Managementl Group was established in 2013 which recognised the need to agree consistent regional guidance for all social work staff working in both residential units and community teams to ensure clarity of process and engagement with the various interagency fora. Child Sexual Exploitation – a definition Child sexual exploitation is a form of sexual abuse in which a person(s) exploits, coerces and/or manipulates a child or young person into engaging in some form of sexual activity in return for something the child needs or desires and/or for the gain of the person(s) perpetrating or facilitating the abuse.’ (SBNI 2014, adopted from CSE Knowledge Transfer Partnership NI). gain of the person(s) perpetrating or facilitating the abuse.’ (SBNI 2014, adopted from CSE Knowledge Transfer Partnership NI). CSE is difficult to identify and is not a crime per se. It is made up of a number of other offences. The challenge is joining together those links and identifying it as CSE. Young people rarely report CSE so professionals need to be actively looking for and reporting it. The offender typically plays on the victim’s insecurities making them feel “special” or “loved”. The victim might nonetheless feel ashamed of the sexual activity itself or of ancillary activities such as the consumption of drugs or alcohol, further increasing their reluctance to come forward. Adults may misunderstand the grooming process and assume that the young person was a willing participant in a relationship rather than the victim of sexual abuse. This can further amplify the victim’s sense of shame If you are concerned that a young person is vulnerable to CSE or suspect he/she is a victim of CSE the ACPC’s regional policy and procedures should be initiated and followed. Page 13 Operational & Strategic Interagency Arrangements The Regional Guidance on PSNI Involvement in Residential Units – Safeguarding of Children Missing from Home and Foster Care (2012) provides a useful framework for interagency working (p42-43). This Guidance requires an Operational Liaison Group to be established which meets monthly (or more frequently if required) to share information, identify patterns of absconding, implement and monitor action plans and develop preventative strategies. The Guidance also requires a Strategic Liaison Meeting to take place on a quarterly basis to develop and monitor strategies for interagency working, improve communication, inform regional developments and link with regional safeguarding bodies. Management of Individual Cases Cooperating to Safeguard Children (2003), the Area Child Protection Committee’s Regional Policy and Procedures (2005) and the Protocol for Joint Investigation of Alleged and Suspected Cases of Abuse by Social Worker and Police Officers Northern Ireland (2013) provide clear guidance and procedures on the management of individual cases where a young person is considered to be suffering, or at risk of suffering, significant harm. Child sexual exploitation is a form of child abuse and as such the procedure for its management is set out in chapter 5 (Recognition, Referral and Investigation) and chapter 9 (Child Protection in Specific Circumstances – specifically paragraphs 9.72 - 9.92) of the Area Child Protection Committee’s Regional Policy and Procedures (2005) which must be followed at all times. This procedure complements chapters 5 & 9, and provides additional clarity to Social Workers and Social Work Managers on specific processes where child sexual exploitation is suspected. The Regional Guidance on PSNI Involvement in Residential Units – Safeguarding of Children Missing from Home and Foster Care (2012:p10) places additional duties on Trusts to inform the PSNI where child sexual exploitation is a concern “Any information that is disclosed to a member of staff that leads to a concern that the child/young person is being sexually exploited or where they come across information that would raise such concerns (i.e. seeing indecent texts/images on a child/young person’s mobile) this matter should be brought to the attention of police as soon as possible.”. Where applicable, Children’s Homes must also ensure compliance with the statutory regulations governing their service provision and notify the Regulation, Quality and Improvement Authority of events as per Schedule 5: “C2 - Child Protection Enquiry – Instigation and outcome of any child protection involving a child accommodated in the home” “C4 -Sexual Exploitation – Involvement or suspected involvement of a child accommodated in the home in sexual exploitation”. Page 14 Procedure If the child/young person is not currently known to Family and Child Care or Looked After Services a referral should be completed using a UNOCINI alongside the Child Sexual Exploitation risk assessment (Appendix 1a) and forwarded to the local Gateway/Single Point of Entry Service. An initial assessment will be undertaken by the Gateway Service in consultation with relevant colleagues, residential keyworker/carer/parent (as appropriate) and professional judgement applied to ascertain the level of potential or actual risk. If the child/young person is known to Family and Childcare or Looked After Services, and there are indicators of potential child sexual exploitation, the social worker will conduct an initial assessment of the information, complete the risk assessment (Appendix 1a), adhering to the guidance notes (Appendix 1b). This should be completed in consultation with relevant colleagues and professional judgement applied to ascertain the level of potential or actual risk. If a specific risk(s) of abuse through CSE is suspected/identified, in respect of the Gateway service, the social worker will review and update the risk assessment, and complete the Young People at Risk of CSE proforma (Appendix 2) capturing significant incidents and events to support the concerns. Similarly, in respect of current cases, if a specific risk(s) of abuse through CSE is suspected/identified through the completion of Appendix 1a, the social worker should complete the Young People at Risk of CSE proforma (Appendix 2) capturing significant incidents and events to support the concerns. Having considered all the information, and it is considered that the child or young person is suspected to be at risk of significant harm through Child Sexual Exploitation, the Social Worker, with their agreement of their Manager, will refer the matter, along with all the documentation, to the relevant Child Abuse Investigation Unit and ‘The Protocol for Joint Investigation by Police Officers and Social Workers of Alleged and Suspected Cases of Child Abuse – Northern Ireland’ instigated. The same documentation should be copied to your Trust senior practitioner attached to the co-located team (see below). Northern Trust: frankie.nolan@northerntrust.hscni.net South Eastern Trust: steven.mcneill@setrust.hscni.net Belfast Trust: maeve.gillen@belfasttrust.hscni.net Southern Trust: carmel.weir@southerntrust.hscni.net Western Trust: charmaine.mcnally@westerntrust.hscni.net Completion of Appendix 1a should be considered following each episode of the young person going missing in keeping with the following definition:- Page 15 “Anyone whose whereabouts cannot be established and where the circumstances are out of character or the context suggests the person maybe subject of a crime or at risk of harm to themselves or another” The Regional Guidance regarding Safeguarding of children missing from Home and Foster Care (May 2012) should also be implemented. When there are sufficient grounds to consider the young person at risk of suffering, or likely to suffer significant harm a strategy discussion/meeting should take place to plan the investigation in accordance with the ‘Protocol for Joint Investigations by Social Workers and Police Officers, of Alleged and Suspected Cases of Child Abuse (2013: Chapter 5) and a detailed safety plan should also be developed with the young person and their carers. If appropriate (taking into consideration the duel process guidance) the child protection procedures as set out in chapter 5 of the Area Child Protection Committee’s Regional Policy and Procedures (2005) will be the primary process for the management of the case. “Actions may include the use of Harbourer’s Warning Notices, offences under the Sexual Offences (NI) Order 2008, for example, Article 21 (arranging or facilitating commission of a sex offence against a child), Article 22 (grooming), trafficking offences within the UK under Section 58 of the Sexual Offences Act 2003, etc. On some occasions this may necessitate a case being declared ‘organised or complex’ which will require a planned and coordinated response as set out in Chapter 6 of the ‘Protocol for Joint Investigation of Alleged and Suspected Cases of Abuse by Social Worker and Police Officers - Northern Ireland’. It may also necessitate the use of the reluctant witness process outlined in Appendix F”. Record Keeping “Quality recording is central to good practice within children’s services and is an integral part of a social worker’s responsibility. Good recording helps to focus the work undertaken with children and families and assists with continuity when workers are unavailable or change. It is an essential monitoring tool for managers and provides evidence for investigations and enquiries. Clear and accurate records are vital in providing documented evidence of social work involvement with children and their families. Recording enables service users to hold the service to account in terms of the work being undertaken with them.” (Administrative Systems Recording Policy, Standards, and Criteria - DHSSPS) Accurate and timely record keeping is essential. Good quality record keeping enhances service provision and the outcomes for those children, young people and family members who become involved in investigative processes. Investigations are also highly likely to be subjected to some level of review, judicial or otherwise, Page 16 Record keeping will include accurate details of the following: Referral information to both Social Services and Police including completion of appropriate pro-forma; Communications between Police, Social Services or others pertaining to the investigation; Strategy discussions including grounds for decisions, identified actions and timeframes; Contacts with children including Pre-interview Assessment 4 Interviews with witnesses including children and medical examinations. It is important concerns in relation to young people are recorded. Relevant information such as the car registration plates, colour, make and model of the car are recorded on the young person’s case records and reported to the local police. Information related to known associates or individuals of concern should also be detailed on the young person’s records. Page 17 Child Sexual Exploitation Risk Assessment (Appendix 1a) Name of Child Date of Birth Name of Worker Completing Assessment Date of Assessment: Parent / Guardian Details Legal Status: Gender M / F For Information only – has sexual exploitation ever previously been identified as an issue for this child? 1 . □ Yes – confirmed □ Yes – suspected □ No Does the child have a pattern of going Missing? 2 .□ Yes (please select one box from 2b & note where this information is detailed e.g. Missing Report) □ How to complete the form. 2b. occasionally □ frequent and short episodes □ frequent and prolonged episodes Vulnerability – Please tick ALL vulnerability factors that apply, whether known or suspected. Please only leave boxes blank where the risk indicator does not apply. 3Moderate No Risk Factors – Please tick the box if the risk indicator is present now OR if it has been present at any time during the last 6 months. Tick ALL indicators that apply. Factors that may inform decision making have been added in as bullet points. Additional information relating to them may be provided on the ‘Follow on Information Sheet’. Significant Risk Indicators – If the risk indicator is not present and has not been present at any time in the last 12 months, leave both columns blank If the risk indicator is present now, or has been present at any time during the last 6 months (but not in the 6 months preceding that tick the first column only) If the risk indictor has not been present in the last 6 months, but was present between 6 and 12 months ago, tick only the second column. If the risk indicator has been present in the last 6 months AND in the 6 months prior to that, please tick both columns so we are aware of the prolonged nature of the risk. .□ Underlying Vulnerabilities (please tick all that apply) Vulnerabilities Tick if present now or at any time in past (score = 1 per tick) Vulnerabilities Emotional neglect by parent/carer/family member Family history of domestic abuse Physical abuse by parent/carer/family member Family history of substance misuse Sexual abuse ( known or suspected) Family history of mental health difficulties Breakdown of family relationships/ isolation Low self esteem Learning Disability Unsuitable /inappropriate accommodation/ placement Adapted from Barnardo’s NI CSE Risk Assessment Tool Isolated from peers/ social networks Page 18 Tick if present now or at any time in past ( score = 1 per tick) Moderate Risk Indicators Moderate Risk Indicators Tick if present now or at any time in last 6 months ( score = 1 per risk ticked Moderate Risk Indicators Tick if present now or at any time in last 6 months ( score = 1 per risk ticked) Staying out late Frequency With who When Issues on return Appearance Demeanour Concerns around Sexual Health Multiple callers ( unknown adults/ older young people) Peers/ Siblings who have been sexually exploited ( known or suspected) Use of mobile phone that causes concern Calls Multiple Sims / phones Time & Frequency of calls Behaviour post call Expressions of despair ( self harm, overdose, eating disorder, challenging behaviour, aggression, loss of interest in appearance) Exclusion, or unexplained absences, from school or not engaged in school/college/training/ work Disclosure of sexual/physical assault, followed by withdrawal of allegation Drugs Misuse Type of Drug Legal Highs Alcohol Misuse Frequency of use Substance Misuse Aerosols Solvents Use of internet that causes concern Prolonged / Inappropriate use of social media Comments/ Professional judgement Living independently and failing to respond to attempts by worker to keep in touch. Accommodation type Duration of stay Issues arising Significant Risk Indicators (please tick appropriate column based on when indicator was present – tick both columns if present in both time periods) Significant Risk Indicators Tick if present now or during the last 6 months ( score = 5 per risk ticked) Tick if present between 6 and 12 months ago ( score = 1 per risk ticked) Periods of going missing overnight or longer Older and /or controlling ‘boy/girlfriend’ Physical abuse by that older ’boy/girlfriend’/ Physical injury without plausible explanation Emotional abuse by that older ’boy/girlfriend’ Entering /leaving vehicles driven by unknown adults Unexplained acquisition of money, clothes, drugs/alcohol or other items Frequenting ‘party houses’ operated by adults / peers Comments / Professional Judgement Total Score 0-5 = No Risk 6-10 = Mild Risk 11-15 = Moderate Risk 16 or over = Significant Risk Current Risk Score Adapted from Barnardo’s NI CSE Risk Assessment Tool Page 19 Current Risk Level CHILD SEXUAL EXPLOITATION JOINT RISK ASSESSMENT PRACTITIONER GUIDANCE NOTES (Appendix 1b) About the Joint Risk Assessment The Child Sexual Exploitation joint risk assessment is an adaptation of the Barnardo’s Northern Ireland Sexual Exploitation Risk Assessment which in turn was developed out of the SERAF model developed by Cymru (Wales). The CSE Joint Risk Assessment is to be used as an interim multi agency risk assessment tool whilst a more comprehensive Northern Ireland specific tool is in development. The following Guidance provides a brief outline as to how the Risk Assessment should be used by social care practitioners. For Practitioners who have used the Barnardo’s Risk Assessment there will be very little change in how the Joint Risk Assessment is completed. The scoring mechanism remains the same and any additions have been introduced to assist in informing decision making and not to add another level of bureaucracy. These are presented in 3 different sections – underlying vulnerabilities; moderate risk factors and significant risk factors – each of which have an accompanying score (see section D as to how to calculate risk score) Definition of child sexual exploitation Child sexual exploitation is a form of sexual abuse in which a person(s) exploits, coerces and/or manipulates a child or young person into engaging in some form of sexual activity in return for something the child needs or desires and/or for the gain of the person(s) perpetrating or facilitating the abuse.’ (SBNI 2014, adopted from CSE Knowledge Transfer Partnership NI). Section A: Underlying Vulnerabilities This section of the risk assessment form includes factors that we know may render children and young people vulnerable to being targeted for child sexual exploitation. You should tick the box if the vulnerability is present now OR if it has been present at any time in the young person’s life. Please tick ALL vulnerability factors that apply, whether known or suspected. Please only leave boxes blank where the risk indicator does not apply. Section B: Moderate Risk Indicators This section of the risk assessment form includes indicators that are associated with risk of/potential indication of abuse through sexual exploitation. You should tick the box if the risk indicator is present now OR if it has been present at any time during the last 6 months. As above, please tick ALL indicators that apply. Section C: Significant Risk Indicators These risk indicators are very prevalent in cases where children and young people are at risk of or are being abused through sexual exploitation. Adapted from Barnardo’s NI CSE Risk Assessment Tool Page 20 This section is a little more complicated - there are four possible ways to record an answer in this section: 1. If the risk indicator is not present, and has not been present at any time in the last 12 months, leave both columns blank. 2. If the risk indicator is present now, or has been present at any time during the last 6 months (but not in the 6 months preceding that) tick only the first column. 3. If the risk indicator has not been present in the last 6 months, but was present between 6 and 12 months ago, tick only the second column. 4. If the risk indicator has been present in the last 6 months AND in the 6 months prior to that, please tick both columns so we are aware of the prolonged nature of the risk. The different columns have different scores, so it is important that you record this accurately. Section D: Calculating the Risk Score For each underlying vulnerability and moderate risk indicator that is present, score 1. For each significant risk indicator that is present in column 1 score 5. For each present in column 2 score 1. If present in both columns, score a total of 6 for that indicator. Calculate total score. The categorization of scores is as follows: 0-5 No current risk 6-10 mild risk 11-15 moderate risk 16 or over significant risk. See table on next page for explanation of risk levels and suggested associated actions. Please note, the risk assessment tool only measures current risk at the point of assessment. Risk may increase or decrease as circumstances change, often significantly within a short period of time. For this reason, we recommend regular review of the level of risk, through completion of the risk assessment tool. Adapted from Barnardo’s NI CSE Risk Assessment Tool Page 21 CATEGORY OF RISK Category 1 No Current Risk (score of 0-5) Category 2 Mild Risk (score of 610) Category 3 Moderate Risk (score of 1115) DESCRIPTION ASSOCIATED ACTIONS A child or young person who may be ‘in need’ but who is not currently at particular risk of being groomed for sexual exploitation A vulnerable child or young person who may be at risk of being groomed for sexual exploitation A child or young person who may be targeted for opportunistic abuse through exchange of sex for drugs, accommodation (overnight stays) and goods etc. Educate to stay safe Review risk following any significant change in circumstances Undertake preventative work with young person on risk awareness and staying safe Review risk following any significant change in circumstances Category 4 Significant Risk (score of 16 plus) Clear indication that a child or young person is at significant risk of, or is already being, sexually exploited. At this stage, sexual exploitation is likely to be habitual and often self-denied. Coercion/control is implicit Adapted from Barnardo’s NI CSE Risk Assessment Tool Refer to ACPC Regional Policy and Procedures and Co-operating to Safeguard Children May 2003 Convene a multi-agency meeting to share information and formulate a protection plan, with agreed actions for all relevant partners Schedule a review meeting and review risk following any significant change in circumstances Prioritise work with the child/young person around risk reduction and keeping safe Refer to ACPC Regional Policy and Procedures and Co-operating to Safeguard Children May 2003 Convene a multi-agency meeting to share information and formulate a protection plan, with agreed actions for all relevant partners Schedule regular review meetings and review risk following any significant change in circumstances The protection plan should include measures to protect the child from both immediate and longer term risk and should involve longterm intensive work with the child/young person An effective response to concerns around sexual exploitation must also prioritise the identification, disruption and prosecution of suspected perpetrators Page 22 YOUNG PEOPLE AT RISK OF CHILD SEXUAL EXPLOITATION (Appendix 2) Details of Young Person Name DOB/Age Address Date of Admission / Placement: Educational Employment Placement Legal Status Soscare Number ____________________________ Current Placement Secure Care: With Parents ISU Children’s Home Foster Care Other (please specify) (double click on box and choose ‘checked’) Placement History Date: From – To Placement Reason Changed Parent/Carer with Parental Responsibility Name Telephone Number Name of Social Worker / Trust: Name Telephone Number FIT/FS Gateway Lac IST 16+ Is the Young Person on the CPR? Yes No (If Yes List categories and dates registered/de-registered) Dates Registered Categories Known To Other Agencies Professional Name Agency Telephone Number Details of involvement Date Child Sexual Exploitation Assessment Completed: (Please attach a copy) Date Completed by: dapted from Barnardo’s NI CSE Risk Assessment Tool Page 23 Policing District CSE Assessment Score Risk Level: No Moderate Is Sexual Exploitation identified as a CURRENT issue for this child? Yes – Confirmed Yes – Suspected Low Significant Not of concern Chronology of missing / unauthorised absence episodes Date Details of Incident – to include outcome of return to home interview Length of Time Missing Risk Management 1. Details of Risk Management Strategy in place. 2. Risk Management Arrangements: List of meetings, dates and agencies attending. Name / Designation of People Contributing to the Protection / Support Plan: Name (Please Print) Designation/Role 1. Parent / Carer / Keyworker 2. Social Worker 3. PSNI Officer / PPU Please add / delete rows as required Signed: 1. _________________________ Date: _________________ 2. _________________________ Date: _________________ 3. _________________________ Date: _________________ dapted from Barnardo’s NI CSE Risk Assessment Tool Page 24 Child Sexual Exploitation Risk Assessment (Appendix 1a) Name of Child Date of Birth Name of Worker Completing Assessment Date of Assessment: Parent / Guardian Details Legal Status: Gender M / F For Information only – has sexual exploitation ever previously been identified as an issue for this child? 1 . □ Yes – confirmed □ Yes – suspected □ No Does the child have a pattern of going Missing? 2 .□ Yes (please select one box from 2b & note where this information is detailed e.g. Missing Report) □ How to complete the form. 2b. occasionally □ frequent and short episodes □ frequent and prolonged episodes Vulnerability – Please tick ALL vulnerability factors that apply, whether known or suspected. Please only leave boxes blank where the risk indicator does not apply. 3Moderate No Risk Factors – Please tick the box if the risk indicator is present now OR if it has been present at any time during the last 6 months. Tick ALL indicators that apply. Factors that may inform decision making have been added in as bullet points. Additional information relating to them may be provided on the ‘Follow on Information Sheet’. Significant Risk Indicators – If the risk indicator is not present and has not been present at any time in the last 12 months, leave both columns blank If the risk indicator is present now, or has been present at any time during the last 6 months (but not in the 6 months preceding that tick the first column only) If the risk indictor has not been present in the last 6 months, but was present between 6 and 12 months ago, tick only the second column. If the risk indicator has been present in the last 6 months AND in the 6 months prior to that, please tick both columns so we are aware of the prolonged nature of the risk. .□ Underlying Vulnerabilities (please tick all that apply) Vulnerabilities Tick if present now or at any time in past (score = 1 per tick) Vulnerabilities Emotional neglect by parent/carer/family member Family history of domestic abuse Physical abuse by parent/carer/family member Family history of substance misuse Sexual abuse ( known or suspected) Family history of mental health difficulties Breakdown of family relationships/ isolation Low self esteem Learning Disability dapted from Barnardo’s NI CSE Risk Assessment Tool Page 25 Tick if present now or at any time in past ( score = 1 per tick) Unsuitable /inappropriate accommodation/ placement Isolated from peers/ social networks Moderate Risk Indicators Moderate Risk Indicators Tick if present now or at any time in last 6 months ( score = 1 per risk ticked Moderate Risk Indicators Staying out late Frequency With who When Issues on return Appearance Demeanour Concerns around Sexual Health Multiple callers ( unknown adults/ older young people) Peers/ Siblings who have been sexually exploited ( known or suspected) Use of mobile phone that causes concern Calls Multiple Sims / phones Time & Frequency of calls Behaviour post call Expressions of despair ( self harm, overdose, eating disorder, challenging behaviour, aggression, loss of interest in appearance) Exclusion, or unexplained absences, from school or not engaged in school/college/training/ work Disclosure of sexual/physical assault, followed by withdrawal of allegation Drugs Misuse Type of Drug Legal Highs Tick if present now or at any time in last 6 months ( score = 1 per risk ticked) Alcohol Misuse Frequency of use Substance Misuse Aerosols Solvents Use of internet that causes concern Prolonged / Inappropriate use of social media Comments/ Professional judgement Living independently and failing to respond to attempts by worker to keep in touch. Accommodation type Duration of stay Issues arising Significant Risk Indicators (please tick appropriate column based on when indicator was present – tick both columns if present in both time periods) Significant Risk Indicators Tick if present now or during the last 6 months ( score = 5 per risk ticked) Periods of going missing overnight or longer Older and /or controlling ‘boy/girlfriend’ Physical abuse by that older ’boy/girlfriend’/ Physical injury without plausible explanation Emotional abuse by that older ’boy/girlfriend’ Entering /leaving vehicles driven by unknown adults Unexplained acquisition of money, clothes, drugs/alcohol or other items Frequenting ‘party houses’ operated by adults / peers Comments / Professional Judgement dapted from Barnardo’s NI CSE Risk Assessment Tool Page 26 Tick if present between 6 and 12 months ago ( score = 1 per risk ticked) Total Score 0-5 = No Risk 6-10 = Mild Risk 11-15 = Moderate Risk 16 or over = Significant Risk Current Risk Score dapted from Barnardo’s NI CSE Risk Assessment Tool Page 27 Current Risk Level YOUNG PEOPLE AT RISK OF CHILD SEXUAL EXPLOITATION (Appendix 2) Details of Young Person Name DOB/Age Address Date of Admission / Placement: Educational Employment Placement Legal Status Soscare Number ____________________________ Current Placement Secure Care: With Parents ISU Children’s Home Foster Care Other (please specify) (double click on box and choose ‘checked’) Placement History Date: From – To Placement Reason Changed Parent/Carer with Parental Responsibility Name Telephone Number Name of Social Worker / Trust: Name Telephone Number FIT/FS Gateway Lac IST 16+ Is the Young Person on the CPR? Yes No (If Yes List categories and dates registered/de-registered) Dates Registered Categories Known To Other Agencies Professional Name Agency Telephone Number Details of involvement Date Child Sexual Exploitation Assessment Completed: (Please attach a copy) Date Completed by: CSE Assessment Score dapted from Barnardo’s NI CSE Risk Assessment Tool Risk Level: Page 28 No Moderate Low Significant Policing District Is Sexual Exploitation identified as a CURRENT issue for this child? Yes – Confirmed Yes – Suspected Not of concern Chronology of missing / unauthorised absence episodes Date Details of Incident – to include outcome of return to home interview Length of Time Missing Risk Management 3. Details of Risk Management Strategy in place. 4. Risk Management Arrangements: List of meetings, dates and agencies attending. Name / Designation of People Contributing to the Protection / Support Plan: Name (Please Print) Designation/Role 1. Parent / Carer / Keyworker 2. Social Worker 3. PSNI Officer / PPU Please add / delete rows as required Signed: 4. _________________________ Date: _________________ 5. _________________________ Date: _________________ 6. _________________________ Date: _________________ dapted from Barnardo’s NI CSE Risk Assessment Tool Page 29 Appendix 3 MISSING 3+ TIMES CHECKLIST Child’s Name: Social Worker’s Name: Social Work Team: Were you already aware of these periods of missing? Yes No If yes what was the source of the information? Has a CSE Risk Assessment (Appendix 1a) been completed that takes into account the dates gone missing? Yes No If yes date completed and score If no what was the rationale for not completing? Has a decision since receiving the 3+ missing information be taken to complete CSE Risk Assessment (Appendix 1a(? Yes No dapted from Barnardo’s NI CSE Risk Assessment Tool Page 30