EHA Early Help Assessment 1

NOTE: SEE APPENDIX A FOR THRESHOLD GUIDANCE TO SUPPORT COMPLETION OF THE FORM.

Safeguarding
Is the child experiencing or at risk of significant harm?: ☐Yes ☐No
If you have determined that a child or young person is at risk of, or is being harmed, abused or suffering neglect contact the Multi-Agency hub on 01752 668000 or email
In an emergency, please dial 999.
Person completing this form
Title
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Forename(s)
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Organisation type
Other
Tel contact number (inc STD)
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Date assessment started
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Surname
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Organisation name
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Email
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Name and contact details of Lead Professional (if different)
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Assessment information
Interpreter required ☐Yes ☐No If Yes please choose from below:
Child’s first language Adult’s first language
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Any special requirements for the meeting
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Details of key person of concern
Forename(s)
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Date of birth
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Gender
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Ethnicity
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Family address
House/flat number
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First line of address
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Family contact number (inc STD)
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Please enter contact details for the adult with primary care responsibility.
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Family details
Please enter details of the parent(s) or significant adult(s) with parental responsibilities as the first family member(s), followed by additional children involved in the assessment
Title / Forename / Surname / DoB / Relationship / Present
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Who is already working with the family?
Agency / Contact Name / Family Member / Tel contact number / Support Provided
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Reason for assessment
Reason for assessment for key person of concern
Please give a brief overview of concerns. Information that is more detailed will be requested in the next step of
the assessment.
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Is the key person of concern already known to, or receiving support from, Plymouth City Council’s Special Educational Needs and Disabilities Service (SEND)?
☐Yes ☐No ☐Unknown
Is there a Team Around Me (TAM) for this child/young person/Family?
☐Yes ☐No ☐Unknown
Is the key person of concern a young carer (or have caring responsibilities)?
A young carer is an individual child or young person under the age of 18, who provides unpaid help and support on a regular basis to family member, friend or relative. They may provide practical help, care, physical or emotional support to a person who is vulnerable for a wide variety of reasons, whether through age, physical or mental illness, disability or other issues such as substance misuse.
☐Yes ☐No ☐Unknown
Is there a Looked After Child (LAC) within this family (Adopted or Fostered)?
☐ Yes ☐ No ☐ Unknown
What has already been tried / achieved with the family?
Description / Outcome
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Guidance Notes
Please complete the relevant sections of the Early Help Assessment.
Section / Page Number
Early Years and Child Development / 4
Child, Young Person’s Education / 5
Child Safety / 6
Domestic Abuse / 6
Physical Health / 7
Mental Health / 7
SEN & Disability / 8
Anti-Social Behaviour, Offending / 8
Substance Misuse / 9
Housing & Debt
(Environmental Factors) / 9
Young Carer / 10
Young person training, 16+ / 10
Early Years and Child Development
Level of need*
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Concerns
Please select all the relevant concerns
☐Communication and language ☐Physical development ☐Personal, social and emotional development
☐Understanding of the world ☐Other
Guidance notes
Identity, self-esteem, self-image and social presentation: Perceptions of self; knowledge of personal/family history; sense of
Belonging, experiences of discrimination due to race, religion, age, gender, sexuality and disability. Family and social relationships:
Building stable relationships with family, peers and wider community; helping others; friendships; levels of association for negative
Relationships. Self-care skills and independence: Becoming independent; boundaries, rules, asking for help, decision-making; changes
to body; washing, dressing, feeding; positive separation from family.
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.

Child / Young person’s education
Level of need*
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Education history
☐ Mainstream Education
☐ Education, Health & Care (EHC) Plan
☐ Special School
☐ Has/is presently attending ACE
Concerns
Please select all the relevant concerns
☐ ASC ☐ADHD ☐ Learning Disability ☐ Physical Disability ☐ Experienced Bullying
☐ Not making expected progress in school ☐Poor or non-school attendance ☐Transition
☐ Exclusion or risk of exclusion ☐ Previous fixed term exclusion ☐ School Transfer ☐ Other
Guidance notes
Understanding, reasoning and problem solving: Organising, making connections; being creative, exploring, experimenting; imaginative play and interaction. Participation in learning, education and employment: Access and engagement, attendance, participation,
adult support, access to appropriate resources. Progress and achievement in learning: Progress in basic and key skills, available opportunities, support with disruption to education, level of adult interest. Aspirations: Ambition, pupil’s confidence and view of progress, motivation, perseverance.
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.

Child safety
Level of need*
Choose an item.
Concerns
Please select all the relevant concerns
☐ Child neglect ☐ Parenting capacity or concerns ☐ Lack of supervision or boundaries ☐ Child missing
☐ Previous child protection / Child in need ☐ Physical abuse ☐ Honour based issues / Forced marriage
☐ Female Genital Mutilation ☐ Radicalisation (Prevent) ☐ Child Sexual Exploitation ☐ Child Missing Health appointments ☐ Looked after Children ☐ Other
Guidance notes
Basic care, ensuring safety and protection: Provision of food, drink, warmth, shelter, appropriate clothing; personal hygeine, dental hygiene; engagement with services; safe and healthy environment. Emotional warmth and stability: Stable, affectionate, stimulating family environment; praise and encouragement; secure attachments; frequency of house, school, and employment moves.
Guidance, boundaries and stimulation: Encouraging self-control; modelling positive behaviour; effective and appropriate discipline; avoiding over-protection; support for positive activities.
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.

Domestic abuse (DA)
Level of need*
Choose an item.
Concerns
Please select all the relevant concerns
☐ Incidences of domestic abuse in the past 6 months ☐ Exposure to domestic abuse ☐ Historical domestic abuse
☐Other
Guidance notes
What does DA look like: background to domestic abuse (timeframes, nature of behaviour, children present), offending; violence aggression, coercion, stalking. Involvement and engagement with DA support agencies for adults and children: PDAS, Freedom Project.
Police involvement: CARAs/VISTs, welfare checks. Support Network: Community support, family network.
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.

Physical health
Level of need*
Choose an item.
Concerns
Please select all the relevant concerns
☐Poor hygiene or presentation ☐Lack of access to health care ☐ Poor diet or healthy lifestyle
☐Sexual health concerns ☐ Illness or injury ☐ Problematic dental health ☐ Visual /hearing impairment
☐Teenage pregnancy ☐ Immunisations ☐ Child development / Meeting milestones ☐Other
Guidance notes
General Health: Conditions and impairments; access to and use of dentist, GP, optician; immunisations, developmental checks, hospital admissions, accidents, health advice and information. Physical development: Nourishment; activity; relaxation; vision and hearing; fine motor skills (drawing etc.); gross motor skills (mobility, playing games etc.). Speech, language and communication: Preferred communication, language, conversation, expression, questioning; games; stories and songs; listening; responding; understanding
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.

Mental health
Level of need*
Choose an item.
Concerns
Please select all the relevant concerns
☐Behavioural problems ☐Stress, anxiety ☐Low self-esteem ☐Social isolation ☐Self-harm ☐Bereavement
☐Bullying ☐Eating and/or sleep disorder ☐Diagnosed mental health issues ☐ Identity issues ☐Other
Guidance notes
Emotional and social development: Feeling special; early attachments; risk taking behaviour; self-harm; phobias; psychological difficulties; coping with stress; motivation, positive attitudes; confidence; relationships with peers; feeling isolated and solitary; fears; often unhappy. Behavioural Development: Lifestyle, self-control, reckless or impulsive activity; behaviour with peers; substance misuse; anti-social behaviour; sexual behaviour; offending; violence and aggression; restless and overactive; easily distracted, attention span/concentration
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.

SEN and disability
Level of need*
Choose an item.
Concerns
Please select all the relevant concerns
☐Communication and interaction ☐Cognition and learning ☐ Sensory and / or physical needs
☐Social, emotional and mental health difficulties ☐ Child has Diagnosis ☐Child on Autism Pathway ☐ Child on DLA ☐Other
Guidance notes
Diagnosis, Individual Education Plan in place, engagement with health professionals (Consultants, Speech and language, Communication Interaction Team (CIT), presentation and impact of SEN and disabilities on individual and wider family, status of Education Healthcare Plan (proposal, final and review dates), medication, adaptions and any OT involvement.
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.

Anti-Social behaviour and offending
Level of need*
Choose an item.
Concerns
Please select all the relevant concerns
☐Disregard for community and personal wellbeing ☐Mistreatment of others ☐Environmental damage
☐Misuse of public places ☐ Involved in Youth Crime ☐ Exposure to criminal behaviour ☐Radicalisation ☐Other
Guidance notes
Family history, functioning and well-being: Illness, bereavement, violence, criminality, anti-social behaviour; culture, size and composition of household; absent parents, relationship breakdown; physical disability and mental health; abusive behaviour. Wider family: Formal and informal support networks from extended family and others; wider caring and employment roles and responsibilities. Social and community elements and resources, including education: Day care; places of worship; transport; shops; leisure facilities; crime, unemployment, anti-social behaviour in area; peer groups, social networks and relationships; religion.
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.

Substance Misuse
Level of need*
Choose an item.
Concerns
☐Drugs ☐Misuse of prescription drugs ☐ Alcohol misuse ☐Solvent abuse ☐Use of psycho-active substances ☐Other
Guidance notes
Family history, functioning and well-being: Practices putting health at risk, detrimental effect on physical or mental health/education/employment/ relationships, offending to obtain money for substances, offending under the influence, risk of type of substance used (solvents/class A/prescription), route administration risk (injection/smoking). Dust Assessment Tool/ specialist assessment
Concerns / Needs / Vulnerabilities / Strengths / Resources / Protective Factors
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* For further information and guidance regarding the levels of need, please refer to Appendix A.