Growth and development.pdf
Growth and development.pdf Growth and development.pdf
HighlandA Partnership in Practice (PiP) agreement underpins improvements in services for people with alearning disability and to date progress includes:• development of a learning disability database;• appointment of local area co-ordinators;• use of direct payments; and• appointment of review officers for people with a learning disability, to ensure individualsneeds are being met.Organised joint working between health and social care staff is focused on a pilot communitylearning disability team in Ross and Cromarty.The Council and NHS Highland have developed an action plan to implement the mental healthframework formulated with the help of the Mental Health and Well Being Support Group. InRoss and Cromarty a joint community mental health team has been established to supportpeople with a severe and enduring mental illness. The team, which has a single manager, isdeveloping joint recording and single assessment.The implementation of single shared assessment for all community care groups is underway. Abespoke generic core assessment tool has been developed and training for health, social workand housing practitioners is being delivered from September 2002.There are multi-agency links for services for people with a hearing impairment, but no similararrangements are in place for people with a visual impairment. The Council has plans for asensory impairment resource centre, based at Raigmore Hospital, to create an opportunity fora multi-agency partnership for both visually and hearing impaired people.The Council and the Health Board have commissioned a new deaf communication service. Forpeople who are deafblind the Council commissions supported accommodation run by Sense(Scotland) and guide/communicators provided by Deafblind Scotland.A Joint Committee for Action in Community Care has appointed a Joint Future ImplementationManager and, on the advice of a task group, has decided to align rather than pool budgets forolder people. From spring 2002 health and social work staff responsibilities at localmanagement level were aligned, as an interim step to integration of management at area level.145
3. Performance: Children and FamiliesBalance of care – Looked afterchildren (aged 0-17)At home 163 3.4 3 138 2.9 3With friends/relatives/other community 50 1.1 2 74 1.6 1With foster carers/prospective adopters 123 2.6 2 120 2.5 3In residential accommodation 55 1.2 2 57 1.2 2Total 391 8.2 2 389 8.1 3Key performance indicators1999-2000actual1998-1999actual1999-2000per 1,0001998-1999per 1,000QuartileQuartile2000-2001actual1999-2000actual2000-2001per 1,0001999-2000per 1,000QuartileQuartileChild protection (CP) referrals 354 8.3 2 431 10.2 1(aged 0-15)Children subject to a CP case 252 6.0 1 231 5.5 1conference (aged 0-15)Children placed on CP register 176 4.1 1 175 4.1 1(aged 0-15)Adoption applications in year 21 0.4 2 15 0.3 3(aged 0-17)Stranger adopter applications 10 0.2 2 8 0.2 3(aged 0-17)The overall rate of looked after children is now fairly low. A relatively low rate live with fostercarers and a relatively high rate are in residential accommodation. The rate living with friendsor relatives is high, having increased between 1999 and 2001.Highland has a high rate of child protection referrals and a high rate of children are subject to acase conference and have their names placed on the child protection register. This has beenrecognised by the Director of Social Work and the Child Protection Committee. Plans areunderway to commission an independent review of trends in registration and associatedpractice. The rate of adoption applications is fairly low. A programme of training in permanenceplanning is being rolled out for all social workers, and management monitoring of permanencecases has been implemented.The Council has published policies and procedures for the education of looked after childrenand has allocated resources for this aspect of service. Progress has been made in meeting theLearning with Care recommendations relating to:• multi-disciplinary assessment;• care planning;• quality assurance;• full-time education; and• individual educational targets.Following an audit of residential units, the Council has consulted each looked after andaccommodated child and provided IT and other educational equipment in these units.146
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Highl<strong>and</strong>A Partnership in Practice (PiP) agreement underpins improvements in services for people with alearning disability <strong>and</strong> to date progress includes:• <strong>development</strong> of a learning disability database;• appointment of local area co-ordinators;• use of direct payments; <strong>and</strong>• appointment of review officers for people with a learning disability, to ensure individualsneeds are being met.Organised joint working between health <strong>and</strong> social care staff is focused on a pilot communitylearning disability team in Ross <strong>and</strong> Cromarty.The Council <strong>and</strong> NHS Highl<strong>and</strong> have developed an action plan to implement the mental healthframework formulated with the help of the Mental Health <strong>and</strong> Well Being Support Group. InRoss <strong>and</strong> Cromarty a joint community mental health team has been established to supportpeople with a severe <strong>and</strong> enduring mental illness. The team, which has a single manager, isdeveloping joint recording <strong>and</strong> single assessment.The implementation of single shared assessment for all community care groups is underway. Abespoke generic core assessment tool has been developed <strong>and</strong> training for health, social work<strong>and</strong> housing practitioners is being delivered from September 2002.There are multi-agency links for services for people with a hearing impairment, but no similararrangements are in place for people with a visual impairment. The Council has plans for asensory impairment resource centre, based at Raigmore Hospital, to create an opportunity fora multi-agency partnership for both visually <strong>and</strong> hearing impaired people.The Council <strong>and</strong> the Health Board have commissioned a new deaf communication service. Forpeople who are deafblind the Council commissions supported accommodation run by Sense(Scotl<strong>and</strong>) <strong>and</strong> guide/communicators provided by Deafblind Scotl<strong>and</strong>.A Joint Committee for Action in Community Care has appointed a Joint Future ImplementationManager <strong>and</strong>, on the advice of a task group, has decided to align rather than pool budgets forolder people. From spring 2002 health <strong>and</strong> social work staff responsibilities at localmanagement level were aligned, as an interim step to integration of management at area level.145