Step 1 & 2: Identify Vulnerability Factors / Risk Indicators Vulnerability Factors (tick all that apply) Living in a chaotic or dysfunctional household (including parental substance use, domestic violence, parental mental health issues, parental criminality) History of abuse (including familial child sexual abuse, risk of forced marriage, risk of ‘honour’ based violence, physical and emotional abuse and neglect) Recent bereavement or loss Gang association either through relatives, peers or intimate relationships (in cases of gang associated CSE only) Attending school with young people who are sexually exploited Learning disabilities Unsure about their sexual orientation or unable to disclose sexual orientation to their families Friends with young people who are sexually exploited Yes/No Risk Indicators (tick all that apply Missing from home or care Physical injuries Drug or alcohol misuse Involvement in offending Repeat sexually-transmitted infections, pregnancy and terminations Absent from school Change in physical appearance Living in a gang neighbourhood Evidence of sexual bullying and/or vulnerability through the internet and/or social networking sites Evidence of sexual bullying and/or vulnerability through the internet and/or social networking Receipt of gifts from unknown sources Living in residential care Recruiting others into exploitative situations Living in hostel, bed and breakfast accommodation or a foyer Poor mental health Low self-esteem or self-confidence Self-harm Young carer Thoughts of or attempts at suicide Homeless/ sofa surfing Yes/No Step 3: Complete the CSE Risk Factors Matrix RISK LEVEL 1 / Low NUMBER OF INDICATORS BEHAVIOURS Regularly coming home late or going missing REQUIRED ACTION (BRIEF POINTS) - Overt sexualised dress - Low Risk Low risk cases do not usually meet the threshold for Social Care intervention but should have individual or multi-agency intervention through the EHAP. Sexualised risk taking including on the internet ONE OR MORE INDICATORS IDENTIFIED - Unaccounted for monies or goods Associating with unknown adults or other sexually exploited children - Discuss with manager/NSP Contact CSE & Missing coordinator Return interview (if missing) EHAP Notify MISPER Police if the child or young person is going missing Keep detailed records of incidents/risks Keep chronologies Reduced contact with family/friends Notes: Sexually transmitted infections Experimenting with drugs/alcohol Poor self image, eating disorder, some self-harm CONSIDERATIONS No child under 13 can be categorised as LOW. No child with a learning disability can be categorised as LOW. RISK LEVEL 2 / Medium NUMBER OF INDICATORS Getting into cars with unknown or known CSE adults Being groomed on internet Medium Risk As indicated above, the indicators are a guide to assisting the exercise of professional judgement. In relation to the medium level indicators, should professional judgement determine that there is reasonable cause to suspect that the child is suffering or likely to suffer significant harm requiring investigation under S47 of the Children Act, then the procedures detailed under the higher level of risk should be followed. BEHAVIOURS Any of the above AND ONE OR MORE INDICATORS IDENTIFIED Clipping i.e. offering to have sex with the intention of robbing the victim, then running before sexual activity Disclosure of physical/sexual assault with no substantiating evidence to warrant a S47 enquiry, followed by withdrawal of complaint Reports of involvement in CSE such as seen in “hot spots” Older boyfriend/girlfriend REQUIRED ACTION (BRIEF POINTS) As above for low risk level plus: - Referral into ECIRS (if not an allocated case) - Strategy meeting - Refer to MASE - If not S47, EHAP to be completed within 10 working days - Police discussion regarding investigation needs/MISPER. Non school attendance or excluded Staying out overnight with no explanation Breakdown of placements due to behaviour Unaccounted monies or goods i.e. mobiles, drugs, alcohol, clothing Self-harm requiring medical assistance Multiple sexually transmitted infections Repeat offending Gang association or membership Notes: CONSIDERATIONS Where a child/young person is considered to be at risk or likely to be at risk of significant harm or if the NSP is not available, a referral must be made immediately to ECIRS. RISK LEVEL 3 / High NUMBER OF INDICATORS High Risk It is envisaged that the use of an Initial Child Protection Conference (ICPC) in cases of sexual exploitation will be relatively rare, but will take place where there are a number of other concerns alongside the sexual exploitation, in particular neglectful or collusive parenting. Where sexual exploitation remains the critical issue, the CSE & Missing coordinator will chair the ICPC. Where the other issues indicate significant harm, but sexual exploitation is not the primary risk factor, the case will be passed to a Child Protection Advisor. Any of the above AND ONE OR MORE INDICATORS IDENTIFIED BEHAVIOURS REQUIRED ACTION (BRIEF POINTS) Child under 13 engaging in sexual activity Pattern of street homelessness and staying with an adult believed to be sexually exploiting them Child under 16 meeting different adults for sex Removed from red light districts by professionals due to CSE Being taken to clubs/hotels for sex with adults Disclosure of sexual assault and then withdrawal of disclosure/statement - Abduction and forced imprisonment - Disappearing from the system with no contact with support Being bought/sold/ trafficked Under 16 with multiple miscarriages and terminations Indicators of CSE in conjunction with chronic alcohol and drug use Indicators of CSE alongside serious self-harming Receiving a reward for recruiting other peers to CSE - - - - Discuss with Manager/NSP Discuss with CSE & Missing coordinator Referral into ECIRS (if not an allocated case) Strategy / CP conference Refer to MASE Joint investigation with the Police and Social Care Ensure information is recorded Use chronologies Notes: CONSIDERATIONS Where a child/young person is considered to be at risk or likely to be at risk of significant harm or if the NSP is not available, a referral must be made immediately to ECIRS.