Neglect is the persistent failure to meet a child's basic physical and/or psychological needs, likely to result in the serious impairment of the child's health or development.
Neglect may occur during pregnancy as a result of maternal substance abuse. Once a child is born, neglect may involve a parent or carer failing to:
- Provide adequate food, clothing and shelter (including exclusion from home or abandonment)
- Protect a child from physical and emotional harm or danger
- Ensure adequate supervision (including the use of inadequate care givers)
- Ensure access to appropriate medical care or treatment
It may also include neglect of, or unresponsiveness to, a child's basic emotional needs.
However, specific needs which are often considered under the banner of failing to meet 'basic needs' include:
- Medical neglect
- Nutritional neglect
- Emotional neglect
- Educational neglect
- Physical neglect
- Lack of supervision and guidance
As a coordinated multi-agency response to address neglect, the SSCP has developed the Salford Neglect Strategy for children, young people and families which has been developed in conjunction with the Salford Early Help Strategy. A key component of the strategy is the use of the Thriving Families and Neglect Tool.
- Salford Thriving Families and Neglect Strategy 2020-2023 (Adobe PDF Format, 1mb)
- Salford Neglect Needs Assessment (Adobe PDF format, 3.8mb)
- Ways in which children can experience neglect (Adobe PDF format, 471kb)
Thriving Families Neglect Tool
Child neglect is a huge priority in Salford, and a key change is being introduced over the next few months to help professionals and practitioners identify cases of neglect. The brand new ‘Thriving Families Neglect Tool’ will be available to you to aid your discussions with families, guide you on what to ask and what to look for and give you more confidence to identify neglect. It’s simple and easy to use and we’ve had really positive feedback from a range of professionals who have been involved in testing.
This new assessment tool for identifying neglect is the result of meetings with professionals, evidence gathered during the Neglect Needs Assessment and the evidence base from research about what works in working with, and assessing how the needs of children are being met.
It includes the best elements of a number of different existing models such as the Graded Care Profile and the ithrive model from the Anna Freud Centre to create a new evidence-inspired tool which fits todays parenting, families and the pressures they are facing. It recognises that, in line with the new Salford strategy, sometimes parents/carers just help at a low level/few areas and there is likely to be better engagement when working in a strengths based way.
The key objective in creating this new assessment tool to replace the Graded Care Profile in Salford, is to have a format that enables natural discussion and assessment by the professional and parent together, signposting to things that may help along the way. The latter makes the document more strengths based, supports a confident professional in understanding potential support and helps towards a holistic assessment.
- Greater focus on what good looks like, why the areas of need are important, and desired outcomes
- Removal of tick boxes and lengthy pages of scoring
- Addition of emotional health and well-being
- Addition of capacity to change
- We have adopted an approach within the assessment which supports practitioners and families to identify and discuss needs relating to a lack of money or problem debt, which demonstrates the adverse impact of poverty on children and parents and forms a critical part of the city’s approach to Tackling Poverty
- Included information and training to support the tool using Trauma responsive systems
- Complete revision of all sections, merging some areas, bringing descriptors up to date to reflect current family life.
- There are two additions at the top of each section. The first box will contain information we include about ‘what good looks like’ and the second a box for the worker/parents to write a general description of lived experiences on the heading (what happens). This better captures evidence to back up the ‘judgements’ , view lived experiences, opportunity for parents views and an initial moderation between parent/worker views. This should also provide greater evidence for formal procedures, should it be needed.
- Revised guidance
- Inclusion of the ten elements of need from the Youth Council
|Young People said....||It' in the tool in..|
|Education||Stimulation and Education|
|Respect of emotions||Emotional Wellbeing
Stimulation and Education
Capacity to change
|Health (Overarching 11th one)||Physical Care|
As with any new evidence-inspired model, Salford Safeguarding Children Partnership and agencies in Salford will use, review, refine prior to finalising, followed by independent evaluation after 6 then 12 months after implementation to determine the usability and impact of the tool on improving outcomes for children and their families. We hope that this will then become part of the evidence base for other areas and a new generation of tackling neglect.
Further information and training for practitioners and managers on Thriving Families and Neglect is available via the SSCP Virtual Training programme including:
- Tuesday 8th September, 9.30am-12 noon
- Tuesday 22nd September,9.30am-12 noon
- Friday 2nd October 1pm-3:30pm
Thriving Families and Neglect Tool webinars
- Thursday 1st October 2020 – 2.00pm – 3.30pm
- Thursday 8th October 2020 – 10.00-11.30am
- Monday 12th October 2020 – 1.00pm – 2.30pm
- Tuesday 13th October 2020 – 2.30pm – 4.00pm
Multi-Agency Risk Assessment Model Tools
'The Multi Agency Risk Assessment Model (MARAM) is a framework for screening and assessing risk in services for children and families. It assists agencies to accurately identify levels of need in working with families.
The Multi Agency Risk Assessment Model includes two key components.
- Risk Screening followed by the Risk Assessment are tools that check cases for indication of concerns about significant harm in relation to children. These will be implemented in different ways by different agencies. It should however, include:
- Asking the critical question, 'do you have any concerns about significant harm?'
- Recording your decision
- Acting on the decision
- Screening routinely and regularly
Risk Assessment is a detailed framework for undertaking an assessment of the risk of significant harm. It explores components including the capacity of parents, the child's needs, level of harm, prediction for the future and what may make harm, significant. Assessing the threshold of significant harm guidance is also available to accompany the Risk Assessment form.
The MARAM framework is also supported by
- Two Assessment Tools for Understanding Neglect
- Three Assessment Tools for understanding Capacity to Change
- 7 Steps of Contemplation
- Continuum of Motivation
- Change Checklist
Further information on the MARAM tools, guidance and leaflets are also available on the secure upload page. All completed tools should be stored within your agency and shared where relevant with other agencies according to safeguarding procedures and Data Protection guidelines.
Worried about a Child
All enquiries concerning the welfare or safety of a child must go through the Bridge Partnership on the online referral form.
If you have any safeguarding queries, please call The Bridge Partnership on 0161 603 4500 (Monday to Friday from 8.30am to 4.30pm). If you need to speak to somebody outside these hours, please call the Emergency Duty Team on 0161 794 8888.
If you have any queries around early intervention and prevention services or submitting the MARAM tools via secure upload, please call 0161 603 4239.
Details of all the latest news from the Salford Safeguarding Children Partnership.