Ol 1J -^ "^3 <*3 "^3 ^3 -^ C! Ol Ol Ol Ol 1J INITIAL ASSESSMENT RECORD In completing this initial assessment, if it is known a core assessment will be required, social work staff should make a professional judgement about whether it is necessary to complete all sections before beginning a Core Assessment. Name Gender Address Date of birth Telephone number Date Initial Assessment commenced Date completed The Government's Objectives for Children's Social Services (1999) requires an initial assessment to be completed within 7 working days. Agencies contacted/involved during Initial Assessment (please tick) G.P. D H.V. D Nursery D E.W.O. D School D Community D Community D Dentist D Y.O.T. D Police D Mental Health Paediatrician School Nurse D Other D Other D Reason for Initial Assessment, including views of child/ young person and parents/carers INITIAL ASSESSMENT RECORD 1 of 4 Child/young person's developmental needs All children change and develop over time. Parents have a responsibility to respond appropriately to the child's needs. The purpose of this section is to identify areas of strength and areas of developmental need, in order for resources to be allocated appropriately to ensure the optimum development of this particular child/young person. Please give details including strengths and current needs Health Education Emotional and behavioural development: Selfcare skills Identity and social presentation Family and social relationships 2 of 4 INITIAL ASSESSMENT RECORD Parents '/carers' capacities to respond appropriately to the child/young person's needs Please record strengths as well as difficulties/problems. Basic care Ensuring safety Emotional warmth Stimulation Guidance and Boundaries Stability Issues affecting parents '/carers' capacities to respond appropriately to the child/young person's needs It is important to be aware of parent(s)/carer(s) strengths as well as any difficulties they are experiencing. Research shows that the following are most likely to affect parenting capacity: Physical illness, mental illness, learning disability; Substance/alcohol misuse; Domestic violence; Childhood abuse; History of abusing children. Family and environmental factors which impact on the child and family Please give details of history and current situation Family history and functioning Social resources: wider family; community resources; social integration Housing Employment, income (please include information concerning financial difficulties) INITIAL ASSESSMENT RECORD 3 of 3 Summary Summary of developmental needs of child or young person, parents'/carers' capacities to respond to the child's needs appropriately, and any family or environmental factors impacting on the child/family Further action Allocation of specific services Date service provided: Referral to other agencies Service:____________________________ i________i________i________i Agency:____________________ Service:____________________________ i________i________i________i Agency:____________________ Service:____________________________ i________i________i________i Agency:____________________ Service:____________________________ i________i________i________i Agency:____________________ Date of referral: Hold strategy discussion Date i________i________i__ D Initiate s47 enquiries D Date i________i________i________i Practice note: Core assessment should be commenced at the point s47 enquiries are initiated. Immediate legal action to protect child D Type of legal action______________________________ Date i______i______i______i Core assessment D Date Core assessment commenced i______i______i______i Specialist assessment(s) commissioned Yes D No D Reason(s) for Further Action: Signature of worker completing assessment Signature of Team Manager____________ Date Date Copy of Assessment given to family members as appropriate D Date sent/given Allocated to Signed------ Team Date Team Manager 4 of 4 INITIAL ASSESSMENT RECORD © Crown Copyright 2000 ISBN 0 11 322437 0