Growth and development.pdf
Growth and development.pdf Growth and development.pdf
MidlothianThe CMHT, and the aligned community care team use close working links to provide careprogrammes primarily for people with more complex needs. Training, including preparation forthe Adults with Incapacity Act, has been a significant feature of improving mental health services.All-Lothian progress has been made in developing and delivering a shared assessment toolbased on Carenap E. The intention is to implement the new processes for all groups, not justolder people. Complementary tasks are involving health interests and developing appropriateinformation systems – with a target implementation date in early 2003.The number of people receiving a community care service for physical disability more thanhalved between 1999 and 2001, although the rate remains higher than in many other authorities.The Council funds the Thistle Foundation to run Connect Midlothian to provide a one-to-oneservice, as part of the Council’s services for people with a physical disability. Still at a pilot stage,the service has succeeded in building confidence and providing opportunities for people, mainlywithin their current living arrangements.Midlothian leads the Lothian sensory needs joint planning group, which has prepared an actionplan for service improvements. Midlothian is examining potential improvements in tracking futureneeds assessments for children with sensory impairment.Under service level agreements Visual Impairment Services South East Scotland provides aservice to the visually impaired and deafblind, and the Edinburgh and East of Scotland DeafSociety provides a parallel service for the deaf. Both services are being reviewed.A joint steering group has been formed involving all local agencies and key interests, to progressthe Joint Future agenda, but it has yet to offer plans for joint management or for greater serviceintegration on the ground. The focus is on setting up joint structures and joint resourcing.3. Performance: Children and FamiliesBalance of care – Looked afterchildren (aged 0-17)1999-2000actual1999-2000per 1,000Quartile2000-2001actual2000-2001per 1,000QuartileAt home 102 5.6 2 89 4.9 2With friends/relatives/other community 30 1.6 1 46 2.5 1With foster carers/prospective adopters 57 3.1 2 41 2.2 3In residential accommodation 33 1.8 1 37 2.0 1Total 222 12.1 1 213 11.6 1Key performance indicators1998-1999actual1998-1999per 1,000Quartile1999-2000actual1999-2000per 1,000QuartileChild protection (CP) referrals 120 7.4 3 103 6.3 3(aged 0-15)Children subject to a CP case 44 2.7 3 54 3.3 1conference (aged 0-15)Children placed on CP register 37 2.3 2 46 2.8 1(aged 0-15)Adoption applications in year 8 0.4 2 6 0.3 3(aged 0-17)Stranger adopter applications 4 0.2 2 3 0.2 3(aged 0-17)163
The rate of child protection referrals is relatively low. Though a high rate of children are subjectto a case conference and the rate of children who become registered is higher than in manyother authorities. There is a low rate of adoption applications.The rate of looked after children is high. The rate of looked after children living with friends andrelatives has increased, while the rate living at home has decreased. The number living withfoster carers has decreased and the rate is now low, compared with many other authorities.The rate of children in residential accommodation remains high, although the number inresidential schools has declined, as has the number permanently living in residential homes.Rates and numbers are affected by the impact of drug misusing parents. There has beenconsiderable pressure on foster placements.To develop alternative services to residential school placements, a primary and secondaryschool-age base has been identified and both teachers and children and family supportworkers are to be recruited to them. Surestart Midlothian services have been commissionedand the use of after-school care clubs has been funded for children with special needs.Outreach services from Midfield and the Hawthorn Centres help children and young people inthe community to develop self-esteem and work to prevent them becoming looked after.Outreach is supplemented by increased use of breakfast clubs, after school clubs and holidayplay schemes, with social work making additional contributions to accommodate morechallenging young people.The implementation of recommendations of Learning with Care has still to be completed:• all looked after children have care plans but a number of children cared for by familiesremain without plans;• all but a few children have permanent full-time education;• all schools have a designated senior member of staff to oversee looked after children;• joint training programmes for social work and teaching staff have been undertaken andthere is a programme for future training; and• an audit of social work residential units and foster carers has led to specific funding offacilities for looked after children, including the provision of an education tool kit.The data held by education on the educational attainment and exclusion record of looked afterchildren is collated manually with social work records.Throughcare and aftercare are the responsibility of the children and families team, supportedwhere appropriate by staff in residential units. Future numbers of children leaving care havebeen forecast. Accommodation providers are ready to support young people leaving care, butlack of local further education provision may restrict training opportunities.Since early 2001 Children First has run the Midlothian Young Carers Project, providing supportand advice to meet the individual needs of local young people who care for a dependentrelative at home. Individual and group activities are provided. About 36 young people are usingthe service and new referrals are still being received.164
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The rate of child protection referrals is relatively low. Though a high rate of children are subjectto a case conference <strong>and</strong> the rate of children who become registered is higher than in manyother authorities. There is a low rate of adoption applications.The rate of looked after children is high. The rate of looked after children living with friends <strong>and</strong>relatives has increased, while the rate living at home has decreased. The number living withfoster carers has decreased <strong>and</strong> the rate is now low, compared with many other authorities.The rate of children in residential accommodation remains high, although the number inresidential schools has declined, as has the number permanently living in residential homes.Rates <strong>and</strong> numbers are affected by the impact of drug misusing parents. There has beenconsiderable pressure on foster placements.To develop alternative services to residential school placements, a primary <strong>and</strong> secondaryschool-age base has been identified <strong>and</strong> both teachers <strong>and</strong> children <strong>and</strong> family supportworkers are to be recruited to them. Surestart Midlothian services have been commissioned<strong>and</strong> the use of after-school care clubs has been funded for children with special needs.Outreach services from Midfield <strong>and</strong> the Hawthorn Centres help children <strong>and</strong> young people inthe community to develop self-esteem <strong>and</strong> work to prevent them becoming looked after.Outreach is supplemented by increased use of breakfast clubs, after school clubs <strong>and</strong> holidayplay schemes, with social work making additional contributions to accommodate morechallenging young people.The implementation of recommendations of Learning with Care has still to be completed:• all looked after children have care plans but a number of children cared for by familiesremain without plans;• all but a few children have permanent full-time education;• all schools have a designated senior member of staff to oversee looked after children;• joint training programmes for social work <strong>and</strong> teaching staff have been undertaken <strong>and</strong>there is a programme for future training; <strong>and</strong>• an audit of social work residential units <strong>and</strong> foster carers has led to specific funding offacilities for looked after children, including the provision of an education tool kit.The data held by education on the educational attainment <strong>and</strong> exclusion record of looked afterchildren is collated manually with social work records.Throughcare <strong>and</strong> aftercare are the responsibility of the children <strong>and</strong> families team, supportedwhere appropriate by staff in residential units. Future numbers of children leaving care havebeen forecast. Accommodation providers are ready to support young people leaving care, butlack of local further education provision may restrict training opportunities.Since early 2001 Children First has run the Midlothian Young Carers Project, providing support<strong>and</strong> advice to meet the individual needs of local young people who care for a dependentrelative at home. Individual <strong>and</strong> group activities are provided. About 36 young people are usingthe service <strong>and</strong> new referrals are still being received.164