Level Two - Preventative Services - Single Service Response

Health, e.g.

• Defaulting on immunisations/checks;
• Is susceptible to minor health problems;
• Slow in reaching developmental milestones;
• Minor concerns re diet/hygiene/clothing;
• Smokes;
• Starting to default on health appointments;
• Continence problems, over/underweight;
• Teenage pregnancy (targeted service).

Education and Learning, e.g.

• Have some identified learning needs that place him/her on Early years/School Action/School Action Plus of the Code of Practice;
• Poor punctuality;
• Pattern of regular school absences;
• Not always engaged in learning, e.g. poor concentration, low motivation and interest;
• Not thought to be reaching his/her educational potential;
• Reduced access to books/toys.

Emotional and Behavioural Development, e.g.

• Some difficulties with peer group relationships and with adults;
• Single episode of self harm (inc substance misuse);
• Some evidence of inappropriate responses and actions;
• Can find managing change difficult;
• Starting to show difficulties expressing empathy.

Identity, e.g.

• Some insecurities around identity expressed, e.g. low self-esteem for learning;
• May experience bullying around "difference".

Family and Social Relationships, e.g.

• Some support from family and friends;
• Has some difficulties sustaining relationships.

Social Presentation, e.g.

• Can be over-friendly or withdrawn with strangers;
• Can be provocative in appearance and behaviour;
• Personal hygiene starting to be a problem.

Self-care Skills, e.g.

• Not always adequate self-care, e.g. poor hygiene;
• Slow to develop age-appropriate self-care skills.

Basic Care

• Parental engagement with services is poor;
• Parent requires advice on parenting issues;
• Professionals are beginning to have some concerns around child's physical needs being met.

Ensuring Safety

• Some exposure to dangerous situations in the home or community;
• Parental stresses starting to affect ability to ensure child's safety.

Emotional Warmth

• Inconsistent responses to child by parent(s);
• Able to develop other positive relationships.

Stimulation

• Spends considerable time alone, e.g. watching television;
• Child is not often exposed to new experiences.

Guidance and Boundaries

• Can behave in an anti-social way in the neighbourhood, e.g. petty crime;
• Parent/carer offers inconsistent boundaries.

Stability

• Key relationships with family members not always kept up;
• May have different carers;
• Starting to demonstrate difficulties with attachments.

Family History and Functioning

• Parents have some conflicts or difficulties that can involve the children;
• Has experienced loss of significant adult, e.g. through bereavement or separation;
• May be needed to look after younger siblings;
• Parent has physical/mental health difficulties;
• Multiple changes of address.

Wider Family

• Some support from friends and family.

Housing

• Adequate/poor housing;
• Family seeking asylum or refugees.

Employment

• Periods of unemployment of the wage earning parent(s);
• Parents have limited formal education;
• Parents starting to feel stressed around unemployment or work situation.

Income

• Low income.

Family's Social Integration

• Family may be new to the area;
• Some social exclusion experiences.

Community Resources

• Adequate universal resources but family may have access issues.