Contact with GP for Contact with Carers with Institutional neglect • • • • depression specialist agency serious issues Suicidal thoughts • History of chronic for depression, of depression, • mental health mental health in learning – Long term treatment disabilities, • unemployed Postnatal substance misuse • Low cognitive depression Homeless • • functioning Poor attachment Not in treatment • • Characteristics of Poor physical with children • carers presentation Socially isolated • Arrive late at school Inhibited, withdrawn, Infants- poor pre Self-harm • • • • Poor presentation passive, rarely smile, attachment behaviours Mental ill health • • Hungry autistic type behaviour of smiling, crying, eye Sexualised • • Tired and self-soothing contact behaviour • Miss initial health Relationships Children-impulsive, Failure to thrive • • • • checks shallow, lack hyperactive, attention Recurrent illnesses • reciprocity deficit, cognitive Lack confidence Going missing • • Disinhibited: impairment and Poor attachment Out of education • • • with parents clingy, very developmental delay, Significant risk CSE • Anxiety and low self friendly eating problems, poor • Characteristics of esteem Not accessing early relationships • children years School exclusion Minor accidents at • • High absence from Moderate risk CSE home • • Poor dental hygiene school • Poor school Mild risk CSE • • attendance Not at risk CSE • Clutter Dirty home and Material and children Urine soaked • • • • Disorganised home emotional poverty mattresses, dog • Hoarding Poor physical and Head lice faeces, filthy plates, • • • Not enough mental health Homes and children rags at the window • • furniture Poor hygiene dirty Children left in cot or • • Lots of animals Regularly attending and smelly serial care giving • • • Not attending A&E Child essentially • • alone-severe appointments Poor dental hygiene neglect, absence of • selective What attachment. professionals Unable to get into • house notice Severe dental • disease Key Indicators - Depressed/Passive Neglect
Characteristics of carers • Contact with GP for depression • History of chronic mental health • Long term unemployed • Low cognitive functioning • Poor physical presentation • Socially isolated • Contact with • Carers with specialist agency serious issues for depression, of depression, mental health – in learning treatment disabilities, • Postnatal substance misuse depression • Homeless • Poor attachment • Not in treatment with children • Institutional neglect • Suicidal thoughts Characteristics of children • Arrive late at school • Poor presentation • Hungry • Tired • Miss initial health checks • Lack confidence • Poor attachment with parents • Anxiety and low self esteem • Minor accidents at home • Poor dental hygiene • Poor school attendance • Not at risk CSE • Inhibited, withdrawn, passive, rarely smile, autistic type behaviour and self-soothing • Relationships shallow, lack reciprocity • Disinhibited: clingy, very friendly • Not accessing early years • High absence from school • Mild risk CSE • Infants- poor pre attachment behaviours of smiling, crying, eye contact • Children-impulsive, hyperactive, attention deficit, cognitive impairment and developmental delay, eating problems, poor relationships • School exclusion • Moderate risk CSE • Self-harm • Mental ill health • Sexualised behaviour • Failure to thrive • Recurrent illnesses • Going missing • Out of education • Significant risk CSE What professionals notice • Clutter • Disorganised home • Hoarding • Not enough furniture • Lots of animals • Not attending appointments • Poor dental hygiene • Dirty home and • Material and children emotional poverty • Poor physical and • Head lice mental health • Homes and children • Poor hygiene dirty • Regularly attending • and smelly A&E • Urine soaked mattresses, dog faeces, filthy plates, rags at the window • Children left in cot or serial care giving • Child essentially alone-severe neglect, absence of selective attachment. • Unable to get into house • Severe dental disease Key Indicators - Depressed/Passive Neglect