Measuring Care Helping Families Awareness session Why do

Measuring Care, Helping Families Awareness session • Why do we need it? • What is it? • How can it help in assessment of neglect ? EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Graded Care Profile 2

Graded Care Profile 2 Measuring care, Helping families Why focus on child neglect? is the most common reason for a child to be subject to a child protection plan. One in ten 11– 17 year olds report severe neglect 12 9, 8 10 8 features in 60% of serious case reviews. is the most common concern for which adults contact the NSPCC helpline. 4 7 7, 1 6, 7 6 9, 8 4, 8 6, 9 4, 8 2, 6 2 0 Boys Girls Total Contact sexual abuse is the most prevalent form of child IS maltreatment in the UK. EVERY CHILDHOOD WORTH FIGHTING FOR Severe physical abuse Severe neglect by a parent or guardian ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Child neglect …

Graded Care Profile 2 Measuring care, Helping families Neglect is the most common reason why children are placed on a child protection plan. SCR Family M (SCR in to 5 siblings) identified that despite long term concerns about neglect professionals found it hard to identify and assess the impact of this on the children EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. GCP 2 in Wiltshire

Graded Care Profile 2 Measuring care, Helping families • • • Death Delayed development Emotional difficulties - anger, anxiety, sadness or low self-esteem Mental health problems such as depression, eating disorders, (PTSD), suicidal thoughts, self harm Problems with drugs or alcohol Poor physical health Struggles with relationships Difficulties with learning, lower educational attainment, difficulties in communicating Behavioural problems including anti-social behaviour, criminal behaviour EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Why do we care? Effects of neglect

Graded Care Profile 2 Measuring care, Helping families In summary It can be subjective and prone to bias There is a high threshold for recognition It’s difficult to capture and compare It can be complex and intergenerational EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Assessing neglect can be difficult

Graded Care Profile 2 GCP 2 Tool What is the Graded Care Profile 2 Training Graded Profile v 2 Dawn Hodson Paul Anderson With thanks to Patrick Neil Peter Richards EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Measuring Care, Helping Families

Graded Care Profile 2 Measuring care, Helping families An evidenced-based assessment tool for evaluating levels of parental care – what is life like for the child Uses a graded scale (1=best 5=worst) to capture levels of physical and emotional care Theoretically sound Identifies strengths as well as weaknesses Targets aspects of neglectful care Provides evidence that can inform care and intervention plans EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Graded Care Profile: what is it?

Graded Care Profile 2 Measuring care, Helping families Strengths of the GCP Improved Assessment Process On a 5 point scale, the usefulness of GCP was rated as 4 or 5 in two thirds of cases (N=114) EVERY CHILDHOOD IS WORTH FIGHTING FOR More objective, evidencebased assessment Identifies parental strengths as well as areas of concern Unpacks parenting – improved breadth and depth of assessment Promotes a child centred approach Participative process that promotes parental engagement ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. What the research said

Graded Care Profile 2 Measuring care, Helping families Support decision making at all levels and between levels Support a better understanding of parents’ capacity to and ability to sustain change Describe when sub-optimal care becomes neglectful Bring what life is like for the child to the forefront EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Graded Care Profile 2: it can

It will enable more objective assessment of the level of neglect in the families that I work with. Midwife It will enable us to proactively focus on evidencing our concerns in a structured, supportive and thorough way to ensure that we provide the right signposting and possible further action for children experiencing neglect. Primary School GCP 2 tool will allow me to identify neglect in a measurable way and make decisions on how best to proceed to ensure the needs of the young person are met appropriately. Secondary School EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Measuring Graded Profile 2 me when considering neglect. The tool. Care will support It is care, very Helping families concise and structured which will remove any emotions involved and help me to focus. Nursery

Graded Care Profile 2 Measuring care, Helping families Early help – identify needs and areas of strengths Supports social work practice and decision making – ICPC or Review EVERY CHILDHOOD IS WORTH FIGHTING FOR Can support legal decision making and as part of the court bundle ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Where in the system can you use GCP 2 to support decision making

Graded Care Profile 2 Measuring care, Helping families Replace good professional practice Assess the reason for the neglect – Replace good engagement EVERY CHILDHOOD IS WORTH FIGHTING FOR Measure impact ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. However GCP 2 does not:

Graded Care Profile 2 Measuring care, Helping families GCP 2 has been found to be reliable and valid. It can be used in the knowledge that it has sound psychometric properties, and is a reliable and valid The inter-rater reliability assessment test ensures that when tool in aiding practitioners in two people thedifferent assessment of child neglect. undertake the GCP 2 at different times their findings can confidently be compared EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. GCP 2

Graded Care Profile 2 Measuring care, Helping families DEVELOPMENT PHYSICAL Nutrition Acceptance Housing Approval Stimulation Mutual engagement Areas and subareas of GCP 2 Grades (1=best) (5=worst) Responsiveness EMOTIONAL EVERY CHILDHOOD IS WORTH FIGHTING FOR Clothing Hygiene Health In carers’ presence When carer is absent SAFETY ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Disapproval

Graded Care Profile 2 Measuring care, Helping families Get baseline measurement Assess the current quality of care Ensure interventions are targeted EVERY CHILDHOOD IS WORTH FIGHTING FOR Monitor progress ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Purpose: where neglect is suspected

EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. What the tool actually looks like

Graded Care Profile 2 Measuring care, Helping families Social workers Family support workers Teachers, early years, home school link workers Health staff Parents Young people EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. Who can use the tool?

It is licensed and you will have to pass a test to show you can use the tool confidently If you have any questions please contact wscbtraining@wiltshire. gov. uk EVERY CHILDHOOD IS WORTH FIGHTING FOR ©NSPCC 2017 Registered charity England Wales 216401. Scotland SC 037717. The GCP 2 training will give you knowledge, skills confidence and resources to undertake a GCP 2 assessment