Level 3 – Development of the Baby or Child
Health
- Physically unwell
- Concerns re diet, hygiene, clothing
- Child has some chronic/recurring health problems; not treated, or badly managed
- Missing routine and non-routine health appointments
- Weight gain – drop in centiles
- Limited or restricted diet, e.g. no breakfast; no lunch money
- Concerns about developmental progress, e.g. overweight/underweight; bedwetting/soiling
- Developmental milestones are unlikely to be met
- Dental decay
- Smokes/ other regular substance misuse
- ‘Unsafe’ sexual activity
- Learning significantly affected by health problems
- Significant speech language difficulties/delay or disordered development
- Child has significant disability
- Mental health issues emerging
- Sexual activity which cause concern and/or sexually harmful behaviour
Emotional development
- Good quality early attachments e.g. conduct disorder; ADHD; anxiety; depression; eating disorder; self-harming
- Frequent accidents
Behavioural developments
- Does not accept responsibility for own actions; finds it hard to understand how own actions impact on others or learn from consequences
- Disruptive/challenging behaviour at school, home or in the neighbourhood
- Starting to commit offences/re-offend
- Interacts negatively with peers in learning and play contexts
- Child/young person is withdrawn, isolated/unwilling to engage
- Concerns of absences from home without parental consent
- *Emerging behaviours which could suggest CSE
Identity and self-esteem
- Child subject to persistent discrimination, e.g. racial, sexual or due to disabilities
- Demonstrates significantly low self-esteem/confidence in a range of situations
- Victim of crime or bullying
- Signs of deteriorating emotional well-being/mental health
- May not discriminate effectively with strangers
- Clothing is regularly unwashed or unsuitable
- Presentation (including hygiene) significantly impacts on all relationships
- Child lacks confidence or is watchful or wary of carers/people
- May be aggressive in behaviour/appearance
Family and social relationships
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Relationships with carers characterised by inconsistencies
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Child has lack of positive role models
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Child appears to have undifferentiated attachments
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Misses school or leisure activities
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Involved in conflicts with peers/siblings
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Lack of friends/social network
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May have previously had periods of LA accommodation
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Concerns of absences from home without parental consent
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*Emerging behaviours which could suggest CSE
Self-care skills and independence
- Disability prevents self-care in a significant range of tasks
- Child takes little or no responsibility for self-care tasks compared with peers
- Child lacks a sense of safety and often puts him/herself in danger
- Child is main carer for family member
Learning
- Identified learning needs that are being addressed at school level.
- Regular underachievement causing concern at school
- Poor nursery/school attendance and punctuality
- Poor home-nursery school link
- Some fixed-term exclusions
- Very limited interests/skills displayed
- Not in education (under 16)
- Not in education, employment, or training post 16