Families First Assessment

This word copy of the Families First Assessment can be used to record information gathered when assessing the strengths and needs of the family.

Family Name: ______

Date Assessment Started: ______

Date Assessment Completed: ______

Assessment completed by: ______

Assessors Agency ______

Keyworker is ______

You can contact your Keyworker on ______-

Services (including GP/educational setting/ Health visitor and other professionals working with the family or a family member)

Name of service/agency / Contact name of worker / Telephone number / Which family member linked to this service / What support are they providing

What the Family Would Like to Change

Why has this assessment been started and what is the intended outcome?

As part of the assessment the following views were gathered from the children/young person(s) in your family:

WHAT ARE THE CHILDREN(S) VIEWS?

And from the other family members:

WHAT ARE THE VIEWS OF THE OTHER FAMILY MEMBERS? (Separate boxes for each family member as applicable)

Brief Family Overview

Family History and story – (where relevant include wider family history)

Wider family history (where relevant)

How are things at the moment?

(This section is needs based so if no need box stays empty, in EHM system toggle heads can be used to evidence individual family member needs)

Children in need of help- including children, who go missing, at risk of sexual exploitation and show signs of neglect)

Mental Health/Emotional Wellbeing - please give details including support in place

Drug and/or alcohol abuse – if yes please give details including support in place

Sexual Health

Health and Wellbeing – e.g. - Physical health, diet, exercise, long term health conditions - please give details including support in place

Education - (2-18 years) include attendance, children missing education and exclusions

Employment, housing or money matters – including debt and rent/mortgage arrears; young people not in education, employment or training, homelessness or risk of homelessness

Healthy Relationships – include Domestic abuse, inter-family conflict and actual or risk of family breakdown - please give details including support in place

Community and Social behaviour – young people and adults, including any recent history of being a victim or offending

Are there signs of Neglect / Yes/No
Has a Graded Care Profile been completed / Yes/No
If Yes date of completion and outcome / If no: Please give reason
·  Consent needs to be obtained
·  Not trained
·  Other services leading on GCP
·  To be completed

Caring Responsibility

Are any of the adults carers’? / Yes/No
If yes details in this box
Do any of the children/young people have a caring responsibility? / Yes/No
If yes state which child/young person and outline their caring role and support currently in place.

Parenting

Basic care - include comments on stimulation, guidance and boundaries and stability (include all parents who the children spend two days or more with each week)

Family Dynamics (highlight positive and challenging relationships including both parents, even if in separate households, and extended family carers)

The Parent, Carer, Young Person, Child or Family Agreement (a consent form will need to be signed once the information is recorded on the EHM system and the print out version is shared with the family.)

·  We/I understand that the information we/I give will help me plan the things that I can do and the support to get things going well again
·  We/I understand that my information will be stored safely as per Data Protection Act 1998
·  We/I give my/our permission for this information to be shared with other professionals to plan what is needed. I understand that where there is immediate risk of harm the practitioner will follow Hertfordshire Safeguarding Children’s Board safeguarding reporting procedures.
We/I understand the information that is recorded on this form will be stored and used for the purpose of providing services to:

We/I have had the reasons for information sharing and information storage explained to me and I understand those reasons.

Name of Parent /Carer/Young Person
Signature / Date
Name of Parent/Carer/Young Person
Signature / Date
Are there any individuals, organisations, or services that you do not wish information to be shared with? (if yes please provided details)

As requested, your family are opted IN/OUT (DATE OF OPT OUT) of sharing information with the Department for Communities & Local Government (DCLG) for national evaluation and research of local support services for families. Your decision will not affect this assessment, any benefits or other services you get. It will not be possible to identify individuals in the research reports we receive back from DCLG and your information will be handled with care and in line with the law. This research will help DCLG understand and improve the services your family and other families in England receive in the future.

Name of Keyworker -
Signature / Date

Your family’s plan (This section of the assessment outlines the action plan for the family which should be agreed with them. This is based on the conclusions of the assessment).

Families First Theme / What do you want to achieve? / Action / Who’s / By When / Support method / Family member

Expected Review date: ______

*Remember if you are concerned about the safety and welfare of a child, young person or family member, you should follow Hertfordshire’s Children’s Safeguarding Board procedures. If the child/young person/family member is at risk of significant harm you must contact the police (999) and make referral via Customer Service Centre - 0300 123 4043.

Once you have met with the family and completed the Families First Assessment the information must be recorded on the EHM system. A printed version of the form is then shared with the family and signed by them confirming it is a true reflection of your discussion with them.

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