Protocol for Working with Children and Young People in Need (Continuum of Need Model)

Protocol for Working with Children and Young People in Need (Continuum of Need Model)

WINDSCREEN

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Development of Child or Young Person

Health

Universal / Vulnerable / Complex / Acute
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-  Appropriate height & weight
-  Physically healthy
-  Development checks & immunisations up to date
-  Adequate & nutritious diet
-  Regular dental & optical care
-  Good emotional development
-  Motor skills within normal range – crawling, walking, running, climbing, games, drawing, jigsaws
-  Speech, language & communication appropriate to age.
-  Growing level of age appropriate
-  Good state of mental health
-  Sexual activity appropriate to age
-  No misuse of substances
-  No self-harm or risk of self-harm
-  Access to & use of appropriate health advice & information / -  Weight not increasing at expected rate
-  Slow in reaching developmental milestones and/or not attending routine appointments
-  Persistent minor health problems – perhaps resulting in less than 80% nursery/school/college attendance
-  Frequent accidents or A&E attendances
-  Poor or restricted diet
-  Not registered with a GP
-  Dental/Health care not sufficient – poor attendance for dental/medical checks or treatment
-  Experimenting with tobacco / alcohol (age dependant)
-  Too early sexual activity
-  Vulnerability to mental health problems e.g. acrimonious divorce of parents, unduly anxious, angry or defiant
-  Poor language stimulation environment e.g. TV always on or soother/dummy always in use
-  Ability to understand and use language limited for their chronological age
-  Poor ability to attend & listen in comparison to their chronological age
-  Some difficulties in making themselves understood in comparison to their chronological age
-  Family history of speech & language/communication difficulties / -  Child has chronic health problems
-  Concerns about development progress e.g. overweight/underweight/enuresis
-  Learning significantly affected by health problems
-  Limited/restricted diet
-  Significant & persistent dental decay
-  Missing routine & non-routine health appointments
-  Developmental milestones are unlikely to be met
-  Unsafe sexual activity
-  Smokes / substance misuse
-  Conception/termination
-  Difficulties in coping with anger & frustration
-  Some evidence of superficial, non-persistent self-harm
-  Some concerns about mental health
-  Mental health issues emerging 0 conduct disorder, ADHD, autism, anxiety, eating disorders
-  Significant difficulties in understanding & using language in comparison with age & general abilities
-  Inability to make themselves understood with both familiar & unfamiliar adults
-  Limited or inappropriate interaction with peers in relation with age & general development
-  Behaviour and/or educational attainment is directly affected by ability to communicate / -  Child has severe disability
-  Health conditions or impairments which significantly affect everyday life functioning, whether chronic or acute, including obesity
-  Child has severe chronic health problems
-  Development milestones are unlikely to be met
-  Sexual exploitation
-  Dangerous sexual activity and/or early teenage pregnancy
-  Uncontrolled use and/or psychological/physical dependency on substances
-  Any intravenous drug use
-  Involvement in drug dealing/exploitation by drug dealers
-  Acute mental health problems – threat of suicide/suicide attempts, psychotic episode, sever depression
-  Regularly indulges in self-harming behaviour
-  Inability/unwillingness to understand or communicate feelings
-  Evidence of phobias/psychological difficulties
-  Suffers from periods of acute depression
-  Medical/physical difficulties which affect the development of speech/language skills etc e.g. cleft palate, severe head injury, cerebral palsy
-  Severe speech & language impairment in comparison with their age & cognitive skills
-  Sever social impairment with little interest in interacting with others
-  Severe dysfluency (stutter) affecting child at school & in the home environment
-  Feeding & drinking difficulties

Protocol for Working with Children and Young People in Need (Thresholds Protocol) Page 2 of 3