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Vulnerable Families

The following pathway should not be read as stand-alone and MUST be read in conjunction with Section 3: Pathways.

  • This pathway captures families with higher levels of vulnerability. This pathway interlinks with the Safeguarding pathway and some families will cross between both.

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2 - 5 years

2 - 5 years

Core Purpose 1, 2

Transition Support Planning

Health Visiting

Partnership with EYS, children’s centre outreach workers, school nurse, HV, parents and carers, school staff.

Improve the transfer of information from early years settings to school.
Partnership links CC to EY setting and CC to schools Data sharing /child learning journals.

Joint accountability for EYFSP results.

Home visits.

Antenatal

Antenatal

Core Purpose 1, 2, 3

Reduce the need for more complex service intervention and risk of/actual child abuse/ neglect.

Childrens Centres & EYFS

Social Work Early support for individual vulnerable/targeted families.

Birth - 5 years

All Age Groups (0-5 years)

Core Purpose 1, 2, 3

Childrens Centres & EYFS

Signpost to a range of support service relevant to the individual families needs.

All Age Groups (0-5 years)

Core Purpose 1, 2, 3

Reduce the need for more complex service intervention and risk of/actual child abuse/ neglect.

Childrens Centres & EYFS

Social Work Early support for individual vulnerable/targeted families.

1 - 3 years

Core Purpose 1, 2, 3

Reduce the need for more complex service intervention and risk of/actual child abuse/ neglect.

Childrens Centres & EYFS

Outreach home visiting family support, targeted and needs led service to address individual needs of the family.

Promote positive bonding.

Access for hard to reach families.

Reduce risk of/actual child abuse/neglect.

1 - 3 years

Additional Visits

Health Visiting

During the New Birth to 1 year period visits may be more frequent due to family need.

If there are concerns about immediate safety and welfare of a child a referral must be made to Children’s Social Care.

Liaison / communication with other agencies / services / GP’s.
Planning in partnership with the family, establishing a therapeutic relationship, identifying vulnerability factors e.g. postnatal depression, child with additional needs, health needs of the child.

  • Work with teenage parents not on Family Nurse Partnership (FNP) programme.
  • Work in collaboration with Learning Difficulties team to support parents. Use of local collaboration/coordination protocol when working with adults with Learning Difficulties. (Example of good practice ACCORD protocol developed in Suffolk)
  • Supporting families with physical/communication difficulties
  • Empowering / fostering resilience with families
  • Empowering families to access other services e.g. Relate
  • Referral to English as a second language service where appropriate.
  • Signposting and support attendance at Behaviour Management Programmes and provision of “walk to door” for Postnatal Health Promotion Group

All Age Groups (0-5 years)

Incredible Years (Webster Stratton)

Health Visiting

Consider referral to parenting support groups:

  • Incredible babies
  • Infant Massage (as part of Universal offering)
  • Locally commissioned parenting groups.

All Age Groups (0-5 years)

Delivery of Care Of the Next Infant (CONI) programme.

Health Visiting

Delivery of CONI programme to support the family with the increased anxiety caused by the death of a previous child.

All Age Groups (0-5 years)

Parent Health Education Sessions

Report Writing

Tailored Package (This package may be repeated a number of times to deal with the individual needs of the parent at any given time in the child’s development.)

Health Visiting

  • Delivery of parent health education sessions in the home which include:
    • Support to bring about behaviour change
    • Stop Smoking
    • Diet and nutrition
    • Safety issues in house and car
  • Domestic Abuse work including Multi Agency Risk Assessment Conference (MARAC) reports
  • Work with Mental Health Services to support either parent already receiving services (and contribute to care package lead by Specialist Team Action)
  • Delivery of tailored packages that will address the individual needs of the family e.g.
    • Management of sleep issues
    • Intensive support on understanding infant behaviour.
    • Support regarding routine and coping with tiredness
    • Support with planning and cooking meals.

All Age Groups (0-5 years)

Core Purpose 2

Address individual needs of the family Promote positive bonding.

Access for hard to reach families.

Reduce risk of/actual child abuse/neglect.

Childrens Centres & EYFS

Family Support Worker provision - the service provision is needs led and encompasses issues such as:

  • Promoting positive bonding -use of tools such as Brazelton NBO
  • Facilitate access to health education focussing on baby feeding, weaning and wider nutritional issues
  • Targeted one:one infant massage – home based (where appropriate)
  • Support to access appropriate groups/specialist groups
  • Support in Domestic Abuse
  • Liaison with other agencies and communicate effectively and share information

Targeted interventions such as Solihull Parenting Groups. Delivery of Mellow Parents programme.

Signpost to appropriate groups and liaison – communicate and share information.

All Age Groups (0-5 years)

Core Purpose 2,3

Targeted support which promote parenting skills to reflect local demographic data and need e.g. teenage parents/travellers/BME programme.

Access for hard to reach families.

Childrens Centres & EYFS

Targeted groups sessions to reflect local demographic need.

Needs led service encompasses issues such:

  • Promoting positive bonding and parenting skills and practice
  • Support to parents and families regarding age appropriate behaviour

Support to access appropriate groups/specialist groups.

Liaison with other agencies and communicate effectively and share information.

All Age Groups (0-5 years)

Provision of additional support.

Health Visiting

Consider referral to parenting support groups:

  • Incredible years (Webster Stratton)
  • Locally commissioned groups delivered by other agencies

All Age Groups (0-5 years)

Core Purpose 2, 3

Information & advice

Childrens Centres & EYFS

Information, advice and guidance on child care opportunities.

Support parents in the selection and application process for child care particularly those eligible for free child care at 2 years.

2 - 5 years

2 - 5 years

Core Purpose 1, 2

Transition Support Planning

Childrens Centres & EYFS

Partnership with EYS, children’s centre outreach workers, school nurse, HV, parents and carers, school staff.

Improve the transfer of information from early years settings to school.

Partnership links CC to EY setting and CC to schools Data sharing/child learning journals.

Joint accountability for EYFSP results.

Home visits.