Wednesday, 22 May 2013

Community Care Live 2013 conference - key Children and Family highlights...





Child Sexual Exploitation:

Speakers included Peter Davies, CEO of CEOP, Carlene Firmin – lead policy advisor at Office of Children’s Commissioner, Jane Grauberg, UK director of Strategy at Barnardos
I had to leave the session to go to next one before Jane spoke, so missed some.

Key points:

-          we need to understand how online and offline worlds are merged for children and young people
-          CEOP are creating a detailed action plan to train police in the UK to have all the necessary capabilities to work with sex ex by end of March 2014
-          Sex exploitation was defined as ‘vulnerability meets power’
-          Young people are often exploited via social network pages being hijacked and then being manipulated to perform sex acts over webcam
-          All about agencies working together to join the dots ie care homes knowing kids going missing, police knowing those same kids are presenting frequently at night, sex health clinics – knowing that young people keep coming back each month to test for infections or wanting pregnancy tests…
-          Its inaccurate to see this in terms of ethnicity. Often its viewed as Asian men exploiting white girls. Definitely not this simple and often BME girls are less likely to come forward for cultural reasons – promoting this view will just reinforce that they are not worthy of support

Research by Office for Children’s Commisioner:


These were the top consistent traits of those who were likely to be sexually exploited:

  1. growing up in chaotic households ie DV, PSM, MH problems
  2. histories of abuse within the family – could include forced marriage, honour based violence
  3. BEREAVEMENT – this one is less known – could be loss of parent or sibling, multiple bereavement experienced through being in a gang, possibly general loss felt through going into care
  4. growing up in a gang affected neighbourhood
  5. being at a school with victims of sex ex (even if you personally don’t fall into any of the categories above…it’s just being persuaded to go to ‘parties’ by peers.)

Warning signs post abuse:

  1. going missing, repeatedly. Not always overnight, sometimes missing in day or during school – less tracked
  2. physical injuries – including burning, broken bones, eg fingers
  3. alcohol or drug misuse – hence substance misuse agencies need to be trained
  4. offending – if part of a gang might be persuaded to carry drugs or firearms, if exploited by group might be persuaded to shoplift- ie alcohol and then drink it before exploitation, or criminal damage
  5. repeat presentations at sexual health centres eg for pregnancy testing

very rare for child to come forward as victim
BME children more likely to be found through faith and BME charities, especially outside of London. They are less often reported missing to police.

Important to consider breadth of models of sex ex – not helpful to talk of Rochdale and Oxford as the same – they are very different. Oxford v organised all around country, Rochdale much more local scale.

Muslim Women’s Network is working hard because it’s often described as crimes on white girls, and BME girls need to come forward more.

Disproportionate no. of victims in care, in children’s homes outside of borough. Government bringing in regulations on this and better training for staff

More training needed around issue of consent.
And thinking needs to be done about we manage disclosure – ie how do we protect someone who discloses especially if they are in a gang as they are now a ‘snitch’.

Centre for Mental Health report released yesterday:

Edward Timpson – Children’s Minister talk:

I personally found this pretty dull – very clichéd and mainly going over policies and reforms we know are happening.

Lots of talk about Frontline
Govnt are developing training modules on fostering and adoption
Child Sex exploitation – this summer will see a comprehensive review of training and career pathways of those working in children’s homes
Talk about speeding up proceedings to 26 weeks in family courts re deciding if children are going into care – C&F bill
Want to see many more children stay LAC til 18 – sign off will soon be needed from Director of Children;s Services for a child to leave care pre 18
Supporting LAs to give care leavers £2000 setting up home allowance


Adoption talk:
CEO of Coram, Head of Fostering and Adoption at Essex County Council, Adopter and author

The focus was on the new ‘passport’ concept given to adopters to allow them to access more services and whether this was possible given the lack of resources at the moment.

Plan is for Passport to articulate clearly for adopters what their entitlements and access are eg priority educational access, parity in parental leave

Looking into possibility of Adoption Support Fund – but question over whether adopters would know how to spend it ie on accredited therapy

Coram offer Webster Stratton module of training for adopters and STOP programme for parents of adolescents as well as music and art therapy

Talked about how there should be fast track referrals for all adopted children ie within health services

Although the Adoption Support Services regulations 2005 show that Las should already provide support and services to adopters, the provision is very patchy. Therapeutic services is a major challenge as attachment and behavioural difficulties are off the agenda.

How can respite be achieved well given children’s previous experiences of multiple placements?

Focus on the legal gap – ie assessment must be carried out but after the assessment it is up to LA discretion as to whether to actually provide services.

Ofsted don’t scrutinise what support is available 5-10 years down the line

Adoptive mother spoke a lot about how the child has missed out on adequate parenting and will often have a negative view of themselves and of their world- leading to feelings of hopelessness, helplessness and worthlessness. Think how young people will behave through their life trajectory with these views about the world being a hostile and dangerous place. If the world hates me, I’ll hate it back – hence link between care system and prison.

She advocated for adopters and foster carers to be included in the therapy process to show that they recognise the horrendous experience their child has been through but that they love and accept them and are there to support them through it.

She challenged the fact that CAMHS is only available if child is in permanent placement but surely often a barrier to permanency is the child’s mental health issues leading to instability.

Also said we need to address birth parents’ needs and they need independent counselling not from the LA that removed their child!

Single Assessment Tool training:

Importance of looking at histories of parents to look at patterns, strengths and resilience which might help to identify future risks but need to be clear that their history does not dictate that this abuse/neglect will happen again.

Helpful circular questions when working with parents:

-          when you were a child, who was the least/most caring person to you?
-          If you could go back in time, and tell your father how to look after you, what would you tell him?
-          If your mum could see your parenting now, what would they say are the similarities and differences? – this helps to show their level of insight and scripts that might be played out

These questions can help in creating a genogram and developing hypotheses. Also to develop chronologies.

Be curious about the family and think about whose story is being prioritised and whose may be being sidelined, is this the only version of the truth, could there be another story?

Consider plotting it on matrix to show – extent of the consequences and the probability of reoccurrence.

Importance of systemic thinking: it’s not helpful to be blaming one person but should be looking at relationships ‘no-one changes under a negative connotation’ – need to help parent see the possibilities.

As well as risk, look at the exceptions to abuse and neglect, assume the problem is not happening all the time to find strengths and resilience.

Then think about safety plan – what are the desired outcomes, how would we plan, who is responsible, what are the timescales

Changes to LAC and remand:

Legal Aid, Sentencing and Punishment of Offenders Act 2012

Prior to the above (LASPOA) 17 year olds were being treated as adults, often sent to prison while on remand as a default option. United Nations Conventions on Rights of a Child were criticising how young people were being treated. Now been a rewrite of the remand provisions for 12-17 year olds. A disproportionate representation of children were being put in custody on remand. However since the cost of this has been transferred to the local authority, it has been reduced.

YP in children’s homes are being accelerated to youth custody for offences that wouldn’t get picked up on if they lived with their families.


There is now the reformed youth remand framework – Dec 2012.
When children are placed on remand in custody they become LAC.
Not allowed to remand children to secure accommodation unless there is a realistic expectation of getting custodial sentence.

19th April 2013, there was revised care planning regulations.

If the child is LAC:

-          LA may only have short-term relationship with these people as the average remand time is 42 days.
-          LA does not have responsibility for day to day arrangements of children’s care – but need to be satisfied that arrangements meet their needs
-          If child is already on care order and remanded to youth detention accommodation, or if they become LAC through remand, a detention placement plan is required which must be reviewed by an IRO and children’s wishes and feelings must be recorded.

A detention placement plan must include: (this replaces the need for Care plan and placement plan)

-issues around safeguarding
- Contact arrangements
- arrangement for social work visits, contact between visits
- will there be independent visitor
- how YDA staff will meet health and education needs
- child’s personal history, religious, cultural, language needs and how they’ll be met
- how YDA will help meet self-care needs and capacity for independent living
-name and contact details of key professionals eg SW, IRO, IV, Virtual Headteacher

AND arrangements for aftercare…will they have LA accommodation or any other services?

-          if they’ll be homeless, will need to be LAC under Southwark Judgement, Child in Need
-          or will they need s17 support for families?

Issues:
Are complaints made to youth justice board or LAs?
How is information shared?
Do young people have access to advocacy?
More joint training needed
Are there issues of parents feeling negative about child entering care system without court proceedings or s20 style consent.

Can see: National Standards Youth Justice, Secure Training Centre rules, Prison service policy about safeguarding issues – PSI 08/2012

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