See also: • Authoritarian Paradigm Collapse • Education or Indoctrination • Fractal Abuse
Children Services Abuse:
Initial Assessment
8 May 2011
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This is the Initial Assessment that Obelix and her colleague Cathy delivered on Thursday 23 September 2010 with specific instructions to Helen that it was confidential and for her alone unless she gave anyone else permission to read it.  Dave, Helen, Obelix and Cathy sat down in the kitchen and Obelix and Dave spoke whilst Helen was scanning the report.  Helen had not read 18 sentences before she got up and left the room.








Initial Assessment


SUMSHIRE


ICS Client ID

Case ID

Child/Young Person Name

Date of Birth

Other Name

Current Address

Home Address

Assessment Start Date
999999

_______________

Helen Tallulah Hook

31/01/1994

Helen Hook

80 Haslet Road, Biston, AZ1 1ZA

As above

06/09/2010


The information in this report was based on the information available on 20/09/2010

































INITIAL ASSESSMENT RECORD
An initial assessment is defined as a brief assessment of each child referred to social services with a request for services to be provided.
This should undertaken within a maximum of 7 working days from the date of referral but could be very brief depending on the child's circumstances. In completing this initial assessment, if it is known that a core assessment will be required, social work staff should make a professional judgement about whether it is necessary to complete all sections before beginning a Core Assessment. The Initial Assessment Record continues the process of systematic information gathering commenced in the Referral and Initial Information Record. An initial assessment is deemed to have commenced at the point of referral to social services or when new information on an open case indicates an initial assessment should be repeated.


CHILD/YOUNG PERSON'S DETAILS

Family Name

Date of Birth

ICS Client ID

Current Address

Hook

31/01/1994

999999

80 Haslet Road, Biston,
AZ1 1ZA
Given Names

Gender

Case ID

Main Contact
Number
Helen Tallulah Hook

Female

_______________

01234 567890


Date Referrral
Received

06/09/2010


Date Initial
Assessment
Commenced
06/09/2010



REASON FOR INITIAL ASSESSMENT, INCLUDING VIEWS OF CHILD/YOUNG PERSON AND PARENT/CARERS
The Initial Assessment Record provides a summary of the work undertaken by social services in collaboration with other agencies. As part of an initial assessment, the child should be seen. This includes observation and communication with the child in an age appropriate manner.

Helen currently resides with her father Dave in a property belonging to her paternal grandfather, who also lives in the household with Helen's paternal grandmother, and a cousin named Ben. They have lived in this property for the last two and a half years.

Referral received from nursing staff at Biston Hospital with concerns for Helen:

Sandy Shore (Sister, Sight Nurse Biston Hospital), called regarding a young lady by the name of Miss Helen Hook. Helen has been admitted to the gynaecology ward. Helen has expressed some concerns to the staff stating her parents separated some time ago and her father took her out of school a year and a half ago and started to home school her. Sandy said Helen does not appear to have any outside contact.


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When staff attempted to give her some medication she was distressed and being comforted by her father, he was laying on the bed with her on the ward. Father stayed with her most of the night and staff persuaded him to go home. Sandy said when staff asked Helen what religion she was she stated she was into witchcraft. One question staff have to ask all patients is if they are pregnant. Helen stated to staff she wasn't but wishes she was. Helen had to undress and undressed in front of her father. Sandy said father is persistent he wants to stay on the ward. Sandy and the staff are finding his behaviour quite strange. Mr Hook (father) stated to staff he would like Helen to see a counsellor as she is scared of staff. Sandy states Helen will stay in hospital overnight.

Initial assessment carried out in order to further investigate the concerns of nursing staff and ascertain the welfare of Helen.

SOURCES OF INFORMATION
Agencies should be consulted and involved as appropriate as part of the initial assessment. Parental permission to contact other agencies should be obtained unless permission seekeing may itself place a child at risk of significant harm. It should be ascertained whether other professionals agree to the information provided being shared with the child and / or family.

Date(s) Child/Young Person And Family Members Seen/Interviewed

Date

11/08/2009
Name(s) Of Family Member(s)
Interviewed
Miss Hellen Tallulah Hook
Child Seen
During Interview
Yes
Seen Alone

Yes



Involvements Contributing To Initial Assessment

Name

Obelix Mahjong


Role

Key Worker

Main Assessor
Parental Consent
Obtained
Unknown


Date Consent
Given/Withheld
__________





CHILD/YOUNG PERSON'S DEVELOPMENTAL NEEDS
All children and young people develop over time. Parents have a responsibility to respond appropriately to the child/young person's needs. The purpose of this section is to identify areas of strength and areas of developmental need, in order for resources to be allocated appropriately to ensure the optimum development of this particular child/young person. You may consider using the HOME Inventory and relevant Questionnaires and Scales (Department of Health et al. 2000) during the Initial Assessment. The parent's capacity to respond should be considered in relation to basic care, ensuring safety, emotional warmth, stimulation, guidance, boundaries and stability. For further information, consult the Framework for the Assessment of Children in Need and their Families (2000) pp. 19-23. If the child/young person or other children in the household have been the subject of child protection concerns, please record the implications for the child/young person's current circumstances.


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HEALTH

Child's needs: Please give details including strengths and current needs
Helen is registered with the Maladrot surgery and was referred to Biston hospital on 03/09/2010 via the emergency out of hours service at the surgery. She was complaining of severe abdominal pain and nausea. Nursing staff state that Helen would not allow any medical staff to examine her, and refused x-rays and scans, so a diagnosis was not made until 05/09/2010. This was suspected appendicitis which the consultant wanted to treat with intravenous antibiotics. This was also refused until my visit on 06/09/2010.
Parenting Capacity: Please give details including strengths and current needs
Helen's father, Dave, acted appropriately in contacting the GP and bringing her into hospital, however there were concerns that he supported Helen's refusal of treatment.


EDUCATION

Child's needs: Please give details including strengths and current needs
Helen is clearly a child with high academic ability, and she particularly enjoys creative writing. She has enrolled in a college course which allows the study of 5 GCSE's however her ill health may delay the starting of this course.
Parenting Capacity: Please give details including strengths and current needs
Dave states that he removed Helen from school some two years ago as a result of her distress and inability to cope with school life. This has resulted in investigations from Educational welfare officers and other professionals because of information passed on by Helen's mother. Because of this Dave was advised to home school Helen, although he states that he 'won't pretend that [he] educates her', she simply indulges in her interests of writing, fashion design and research. This is a concern as with no educational qualifications Helen is unlikely to achieve her full potential.


EMOTIONAL AND BEHAVIOURAL DEVELOPMENT

Child's needs: Please give details including strengths and current needs
Helen talks a great deal of her distress at the difficult separation of her parents, and how she feels her mother has attempted to 'make life difficult in any way possible' for herself and her father subsequently. It is clear that there are some emotional difficulties for Helen around this subject and resulting from it; of which one of the main issues is her distressing responses to stress and change.
Parenting Capacity: Please give details including strengths and current needs I am concerned that Dave's emotional responses to Helen as well as his removal of her from school have reinforced her own emotional behaviour in terms of separation anxiety when not with Dave, her reactions to stress, change and her peers; and have created a reliance on her father which is unusual for a child of 16 years.


IDENTITY

Child's needs: Please give details including strengths and current needs




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Helen has been able to demonstrate her individuality and personality in choice of clothes and developing interests. She has chosen herself not to have contact with her mother, and holds an extremely negative view of her. As there is no contact with her mother, Helen has no positive female role models, and is aware of this issue herself.
Parenting Capacity: Please give details including strengths and current needs
No concerns.

FAMILY AND SOCIAL RELATIONSHIPS

Child's needs: Please give details including strengths and current needs
Helen has stated herself that she is a 'recluse', isolated from her peers and the outside world. She has some close friends in Sumbury where she used to reside however she does not have regular contact because of the distance in location. Dave gave a portrayal of Helen where she found it difficult to relate to peers and 'doesn't like to engage with people'. In the light of this I was surprised at how open and eager to speak with me Helen appeared, however Helen did state that she loves to talk to people but does not get the opportunity as a 'recluse'. This is clearly a concern as Helen has not had much opportunity recently to integrate with her peers.
Parenting Capacity: Please give details including strengths and current needs
There were concerns from nursing staff that there was inappropriate physical contact and attention from Helen's father. Therefore Helen and Dave's relationship and the boundaries of it need to be explored further.

SOCIAL PRESENTATION - CHILD/YOUNG PERSONS DEVELOPMENTAL NEEDS

Child's needs: Please give details including strengths and current needs
I observed Helen on the ward in the hospital, where she was not dressed particularly appropriately- wearing a vest top and underwear rather than pyjamas. These clothes did appear clean however. Helen was more than willing to engage with me, and in fact seemed to enjoy having someone to speak to. She is an articulate and clearly highly intelligent young person.
Parenting Capacity: Please give details including strengths and current needs
Helen's father did not seem concerned about her attire at the hospital.

SELF-CARE SKILLS - CHILD/YOUNG PERSONS DEVELOPMENTAL NEEDS

Child's needs: Please give details including strengths and current needs
Helen has appropriate self care and hygiene skills for her age. However I am concerned about her emotional development and preoccupation with 'losing her identity' through the removal of her choices. She explained that this was a reason for refusing treatment at the hospital.
Parenting Capacity: Please give details including strengths and current needs
Dave's caregiving behaviour is encouraging Helen's dependence on him which is inappropriate for a child of her age.

PARENT/CARERS ATTRIBUTES
Research shows that the following are the most likely to affect parenting capacity: physical illness, mental illness, learning disability; substnace/alcohol misuse; domestic violence; childhood abuse; history of abusing children. It is important to
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record that an issue is present, to whom it refers and its affect on parenting. It is also important to record details of asults who might pose a risk of significant harm to the child/young person. Consider whether a separate carer's assessment is required under the Carers and Disabled Children Act 2000. It is important to be aware of parent(s)/carer(s) strengths as well as the difficulties they are experiencing.

__________
Attributes of parents'/carers' capacities which affect their ability to
respond appropriately to the child/young persons' needs
Not known or declared

No
Should a referral be made to adult services?




FAMILY AND ENVIRONMENTAL FACTORS
Please record relevant historical information as well as that relating to the current situation. It is important to record details of any adults who are considered to or are likely to be posing a risk of significant harm to the child/young person.


Family history and functioning
Helen's father was granted sole residency of her in 2004 following what is termed a very distressing separation from her mother.

Wider Family
Helen and her father reside in the home of Helen's paternal grandparents however both state that relationships are very strained, and therefore Helen spends most of her time in her bedroom.

Housing
Helen have moved around a considerable amount over the last 6years, and came to Biston in 2008. They currently reside in the house of Dave's parents.

Employment
Dave states he is a software engineer by trade as well as an 'abstract film maker' however he is not currently in employment.

Income (please include information regarding financial difficulties)
Dave is currently in receipt of state benefits.

Family's social integration
Both Helen and her father are socially isolated, and Helen does not have much opportunity to integrate with her peers. Helen has described herself to me as a 'recluse'.

Community resources
There is easy access to all local resources in Biston

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ANALYSIS OF INFORMATION GATHERED DURING THE INITIAL ASSESSMENT
The analysis should identify the factors that have an impact on different aspects of the child's development and parenting capacity, and explore the relationship between them. This process of analysing the information available about the child's needs, parenting capacity, wider family and environmental factors should result in a clear understanding of the child's needs, and what types of service provision would best address these needs to ensure the child has the opportunity to achieve his/her potential. It is important to include any evidence that the child is suffering or likely to suffer significant harm.

Helen is clearly a very intelligent young person, however given the issues raised within this assessment I am concerned that she may not reach her full potential without intervention from Children's Services. There are clear needs around education, emotional health and her isolation from her peers which has been reinforced by her father's emotional response towards Helen. These issues have impacted on her health in terms of a refusal of treatment and Helen's father's support of this decision, as well as her social and emotional development. In light of these concerns I feel that further investigation in the form of a Core assessment is necessary.



DECISIONS
This section should be completed following discussion with the team manager.

Yes
Is the child/young person a child in need as defined in the Children Act
1989?

Yes
A child in need whose vulnerability is such that they are unlikely to
reach or maintain a satisfactory level of health or development without
the provision of services

No
A child in need whose health or development will be significantly
impaired without the provision of services (is suffering or is likely to
suffer significant harm)

No
A child in need who is disabled. Record the types of impairment using
the children in need categories

_______
If a child's name is not on the disability register, have the parents
consented to it being place there?




FURTHER ACTIONS ARISING FROM THE INITIAL ASSESSMENT
Whenever there is reasonable cause to suspect that a child is suffering, or is likely to suffer significant harm, there should be a strategy discussion involving social services, the police and other agencies as appropriate. Immediate legal action to protect the



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child includes court orders applied for by the local authority, the Police and orders, such as an injunction, applied for by a parent to protect a child.

Action
Instigate Core Assessment

Notes



If developmental needs are identified in a child/young person and services are not to be provided (or are not available), please explain why
N/A



The completed Initial Assessment Plan should be discussed with the child/young person and their parents/carers. A copy should be provided to the child and appropriate family members, unless to do so would place the child/young person at risk of significant harm.

Child/Young Person's comments on this assessment and plan. Please record any areas of disagreement.


Parents'/Carers' comments on this assessment and plan. Please record any areas of disagreement.





This information should not be shared with other professionals unless the child (as appropriate) or family member has given their consent for specific information to be shared with a particular agency for a stated purpose. Third party information should not be shared unless permission to do so has been obtained. The identity of anonymous referrers should not be disclosed.

No
Has the report been discussed with the child/young person?

If it has not been discussed with the child/young person, when will this be done?
Next visit

No
Has the report been discussed with the parents/main carers?

If it has not been discussed with the parents/main carers, when will this be done?
Next visit

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No
Has the child/young person been given a copy of the report?

If it has not been given to the child/young person, when will this be done?
Next visit

No
Have the parents/main carers been given a copy of the report?

If it has not been given to the parents/main carers, when will this be done?
Next visit


15/09/2010
Date Initial Assessment Completed
N/A




Reason the Initial Assessment was not completed within 7 days




Date
Name and Signature of Social Worker Completing Initial Assessment
15/09/2010
Obelix Mahjong

Allocated To/Team
Obelix Mahjong/Childrens Someplace

Date
Authorised By
16/09/2010
Damon Markham















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INITIAL PLAN
The Initial Plan should specify the services to be provided to respond to the child/young person's identified developmental needs. Services may be provided while further assessment(s) is/are being carried out. The Initial Plan should include services being provided to parent(s)/carer(s). The planned outcomes set out in this plan should be: Specific and Measureable, Achievable, Related to the assessed needs of the child/young person and Time related.

CHILD'S DEVELOPMENTAL NEEDS
Child/Young person's identified developmental need and strengths and difficulties


Planned Outcome


Actual Outcome


Service Details

Frequency

Start Date
Person/Agency


Action Detail

Start Date              End Date
Person/Agency


















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PARENTING CAPACITY
Parents' capacity to respond to child/young persons developmental needs


Planned Outcome


Actual Outcome


Service Details

Frequency

Start Date
Person/Agency


Action Detail

Start Date              End Date
Person/Agency
























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FAMILY AND ENVIRONMENTAL FACTORS
Family and environmental factors affecting parenting capacity and child/young persons developmental needs


Planned Outcome


Actual Outcome


Service Details

Frequency

Start Date
Person/Agency


Action Detail

Start Date              End Date
Person/Agency





Operational Date of Initial Plan

____________________


Date Initial Plan will be Reviewed

____________________


End of Report










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