INTEGRATED ASSESSMENT FRAMEWORK A MULTI AGENCY GUIDE Adult Services and Parent Support Part 2 1 Introduction Parenting Support and Parenting Capacity The importance of staff working with adults who have responsibility for caring for children cannot be underestimated. For adult services, it is recognised that staff will work undertake their own assessments, e.g. single shared assessment and care pathways. For the purposes of this integrated assessment framework, the relevance is for adults who have children or who may have the care of children. Roles and Responsibilities There is an expectation that if working with an adult, as described above, that particular questions need to be considered to establish whether there is a need for additional support for the child and family. What is Parenting Capacity? Parenting capacity refers to parents' ability to nurture their children, protect them from risk and enhance their developmental experiences. Parenting capacity is the ability to parent in a good enough manner long term. It is different from parenting ability where an individual may be able to parent for a short period of time in specific circumstances but not have the capacity to parent effectively long term. An understanding of how a family usually functions and how it functions when under stress can be very helpful in identifying what factors may assist parents in carrying out their parenting roles. Of particular importance is the quality and nature of the relationship between a child’s parents and how this affects the child. For example, sustained conflict between parents is detrimental to children’s welfare. The quality of relationships between siblings may also be of major significance to a child’s welfare. Account must be taken of the diversity of family styles and structures, particularly who counts as family and who is important to the child. (See Appendix 6 within Integrated Assessment Framework) Information Gathering and Sharing One of the fundamental components of assessment is information gathering. All workers should undertake direct checks within their own service and with other agencies working with the child and family, to clarify if there has been previous contact with other agencies or services, and if so, what the problem was at that time and what solutions were found. This could include all social work services, housing, education, health, police and the voluntary sector. Some of these checks can be facilitated by using Client Tracking System. For all children there will be a named person. For example if the child is under 5 years of age the named person will be the health visitor. It may be in the first instance than contact is made with the named person. In general, consent should be sought before the sharing of information using the Parenting Support Information sharing form, and consent, when sought, should be informed and explicit. Children and families should understand what is going to be shared, the reasons for this and the implications. 2 However there are exceptions where consent of the parent is not needed to share information. If a child is considered to be at risk of harm, relevant information must always be shared for their protection Circumstances where even the act of seeking consent may place a child or other person at risk. Practitioners must be aware of this and must consider whether seeking consent may present a risk. If the decision is that seeking consent may present a risk, consent should not be sought and this decision and the reasons for it recorded appropriately. The assessment of parenting capacity is integral to all assessments of children and young people. There are lots of factors which can affect the capacity of adults to parent such as a learning disability, physical disability, mental illness, domestic abuse and substance misuse. Some factors may result in short term problems, while others can be longer term. As a worker in contact with an adult who is living with, or having regular contact with, children, whether their own, or a partner's, it is important that you gather some information on the situation in which the child lives in order to begin to consider whether the adults problems are affecting their ability to parent. Definition of the Parenting Task To meet a child's developmental needs a parent must: provide the child with basic care ensure the safety of the child provide emotional warmth provide appropriate stimulation provide guidance and boundaries provide stability Where the child/family is an open case to Children's Services in the Social Work Department, the responsibility for gathering the necessary information for assessing parenting lies with them. You may need to check client tracking/the social work IT system (K2) to see if there are other services already involved. If Children's Services are involved there is no need for workers in adult services to complete the Parenting Support Form, Where children's services are involved there is an expectation that workers from both adult services and children's services will share information and work together to contribute to the assessment of the child or young person. In addition, workers in adult services may be asked to contribute to the Child's Plan, (see Part 4 of the Integrated Assessment Framework. For many parents contacting adult services, there will be no children's services social work involvement. If more than one adult service is involved (e.g. housing and criminal justice services) an agreement must be reached as to who is deemed the 'lead' service', and that service will be responsible for completing the assessment, aided by the information of the other service(s). 3 The Parenting Support Form Although the guidance refers to parenting capacity, for the purposes of the direct work with the parent, the form to present the information on is called the Parenting Support Form - Adult Services. The form should be completed by adult service workers who have contact with parents/service users where additional supports are felt to be needed to ensure that the child's needs are better met. Where the contact is 'one off' or very short, the form should be completed in as much detail as possible, to assist you in deciding if more support is needed. If the support is required from a single agency, the completed form should be sent to that agency. Where there are possible areas which might need support, the service/worker identified to take this on will add to the form/assessment over the initial weeks of contact as their relationship with, and knowledge of, the family grows. If you have immediate concerns about a child then refer to your representative on the Multi-Agency Screening Hub. The Form provides some possible questions to be asked where you know there is a child living in the house, or visiting the house. These are based on the definition of parenting above and are deliberately focused on the needs of the child(ren). The format and areas to be covered should be shared with the parent(s) from the beginning of your involvement. The Form should be used as a document to forward to any other agency where it has been identified there is a need for additional support. This can include the Multi Agency Screening Hub. Some questions are clearly age dependent and there will be some information you will be able to gather only if you have direct contact with the child. It will be important to note what information you cannot gather (there is a box in the form entitled 'no information at present'), as well as what information you can. All these questions are only a guide of areas to be covered. More questions will undoubtedly arise from the conversations you have with your service user. The main question to bear in mind to ask, whatever information you gather is, "How does this affect your child(ren)?" and to look at each child as an individual as they will all have different needs and potentially be at different degrees of risk dependent on their ages and needs. Where alcohol and/or drug misuse is an issue please also complete the Drug and Alcohol Checklist. Where domestic abuse is an issue please also complete the SPECSSS (Separation, Pregnancy, Exclusion, Cultural Factors, Suicide, Stalking, Sexual Violence) and Domestic Abuse Risk Checklist. If you identify a cluster of risk factors (3 or more) you should speak to your manager or identified Child Protection Lead 4 NON-DISCLOSURE OF INFORMATION On the front page of the form there is a box regarding non-disclosure of information. If you are advised or become aware that information such as the address of the parent or child should not be disclosed to others (e.g. where the mother is residing in a refuge after fleeing domestic abuse or a Children's Hearing has ordered the nondisclosure of the child's address) then you should note this with a YES in the box, and give more details within the appropriate part of Section 2 - SAFETY. Under each of the sections there are headings - Direct observation of child (if applicable). If you see a child then you will be able to fill in this part. If not, just note that the child was not present. At each heading on the form, you will find the link to the Scottish Government Getting It Right For Every Child (GIRFEC). These are: Safe, Healthy, Active, Nurtured, Achieving, Respected, Responsible and Included (often referred to as "SHANARRI"). You do not need to write something in all headings it depends on the age and needs of the child and what supports are needed. If, in collecting information about the household, you become aware that an adult causing concern (e.g. previous violence or abuse to any adult or child including domestic abuse, threats to staff members, substance misuse) is linked to, or has moved into, the family you are working with, this information must be shared across all relevant agencies involved with the children (health, education, social work). If you have concerns from the information you gather, you must discuss the action to be taken with your manager and, where available, your identified child protection specialist. It is crucial to gather information about the parents/carers strengths as well as any areas of difficulty they are experiencing. The emphasis is on early intervention and support for parents. It is also important to differentiate between the parent's aspirations and intentions, and the daily reality of their behaviour. Assessment needs to be based on evidence and realistic expectations rather than on optimism alone. For all assessments: there must be clarity of purpose about the questions to be answered by the assessment process; evidence, and not unsubstantiated opinion, of what is seen, heard and read must be carefully collected and recorded; attaching meaning to the information collected must distinguish the child’s and family’s understanding from that of professionals; there must be clarity about the sources of knowledge which inform professional judgement; severity, immediacy and complexity of the child’s situation will have important influences on the pace, scope and procedural formality of assessment; co-ordinated and holistic assessments must be followed by judgement leading to clear decisions and co-ordinated and holistic planning and intervention/action; and 5 there has to be clarity about what has to change, how it will be achieved, in what timescale and how it will be measured and reviewed Some of the important questions that will determine the process of assessment are, for example: what are the strengths to be built on? what are the difficulties that need addressing? Analysis of need and assessment If it is assessed that there is a need for additional support or that another agency should be involved the worker that has completed the parenting support form should forward this to which ever agency can provide additional support alongside your own agency where appropriate. Where the SPECSSS+ Domestic Abuse Risk Checklist highlights a cluster of risk factors (indicating a high risk domestic abuse case) this should be discussed with your manager or identified child protection lead. Making Judgements It is very important to ensure that judgements are made and considered before decisions are taken. The intervention should be considered first, on the basis of the assessment, identified need and what is known to best address this need. The second stage is to make decisions regarding intervention in the light of the availability of resources. (See Appendix 9 of the Integrated Assessment Framework.) 6 PARENTING Getting it Right for Every Child. You will see that all the headings are covered - with some areas covering more than one heading). The two Checklists (Drug and Alcohol/SPECSSS + Domestic Abuse Risk) provide additional information when considering these well being indicators Basic needs GIRFEC - Healthy/Nurtured food - balanced nutrients drink warmth shelter/secure base clean and appropriate clothing appropriate bed and bedding adequate personal hygiene medical and dental care getting to school Safety GIRFEC - Safe Different at different ages and stages Protected from harm and danger safe adult supervision - not to be left alone, or with strangers harmful and dangerous substances, unknown, unsafe adults, in the home and elsewhere Emotional warmth GIRFEC - Nurtured Includes ensuring the child’s requirements for secure, stable and affectionate relationships with significant adults, with appropriate sensitivity and responsiveness to the child’s needs. The child is: specially valued secure loved comforted and cuddled praised encouraged This includes aspects such as putting the child's needs before their own, giving consistent emotional warmth Guidance and boundaries GIRFEC - Respected/Responsible Demonstrating and modelling appropriate behaviour so that the child will develop an internal model of moral values, conscience and appropriate social behaviours. This includes: problem solving anger management/ control of emotions consideration for others effective discipline (consistent and predictable) not over protective Parental responses change and develop according to child’s developmental progress. Authoritative parenting - authority plus consistent warmth 7 Stimulation GIRFEC - Achieving/Active/Included Promoting the child's learning and intellectual development through encouragement cognitive simulation social opportunities effective communication play educational opportunities Stability GIRFEC - Nurtured A stable family environment Secure attachment to primary caregivers Consistency/predictability of behaviour Contact with family members and significant others Previous parenting experience Family and environmental factors GIRFEC - Safe/Active/Included Extended family Housing Employment Income Social integration Use of community resources Neighbourhood and social networks (Some of these are covered in previous questions) 8