Child's Developmental Needs Child's Developmental Level 1 2 3 Level 4 Needs Universal Needs Additional Needs Complex Needs Critical Needs HEALTH Developmental milestones Slow in reaching Developmental milestones Developmental milestones are met developmental milestones are delayed unlikely to be met and/or failure to thrive This includes growth and development as well as Regular health care Starting to default on Missing routine and Missing specialist health physical and mental appointments are met regular health care health care care appointments and/or wellbeing. The impact of appointments and/or not appointments multiple A&E attendance genetic factors and of any registered with GP or causing concern impairment to be dentist considered. It involves Adequate diet, hygiene Minor concerns re diet Concerns re diet Significant concerns re receiving appropriate and clothing (under/overweight), hygiene diet (under/overweight), health care when ill, an hygiene and clothing and clothing hygiene and clothing adequate and nutritious Not using substances or Emerging substance Substance misuse and/or Substance misuse and/or diet, exercise, self-harming misuse and/or self-harm self-harm causing concern self-harming causing immunisations where significant concerns appropriate and Not engaging in Early sexual activity and/or Sexual activity which Sexual activity and/or developmental checks, inappropriate sexual emerging sexually harmful cause concern and/or sexually harmful behaviour dental and optical care activity behaviour sexually harmful behaviour causing significant and, for older children, concern appropriate advice and Needs of disabled child Disabled child needs Severely/ profoundly Disabled with information on issues that being met by universal additional support from disabled child requires significant, complex and have an impact on health, services targeted community support from specialist permanent additional including sex education services services needs requiring protection and substance misuse and support Concern that a child's disability is being used to mask maltreatment by caregivers
Child's Developmental Needs Child's Developmental Needs Level 1 Universal Needs 2 Additional Needs 3 Complex Needs Level 4 Critical Needs HEALTH This includes growth and development as well as physical and mental wellbeing. The impact of genetic factors and of any impairment to be considered. It involves receiving appropriate health care when ill, an adequate and nutritious diet, exercise, immunisations where appropriate and developmental checks, dental and optical care and, for older children, appropriate advice and information on issues that have an impact on health, including sex education and substance misuse Developmental milestones are met Slow in reaching developmental milestones Developmental milestones are delayed Developmental milestones unlikely to be met and/or failure to thrive Regular health care appointments are met Starting to default on regular health care appointments and/or not registered with GP or dentist Missing routine and health care appointments Missing specialist health care appointments and/or multiple A&E attendance causing concern Adequate diet, hygiene and clothing Minor concerns re diet (under/overweight), hygiene and clothing Concerns re diet hygiene and clothing Significant concerns re diet (under/overweight), hygiene and clothing Not using substances or self-harming Emerging substance misuse and/or self-harm Substance misuse and/or self-harm causing concern Substance misuse and/or self-harming causing significant concerns Not engaging in inappropriate sexual activity Early sexual activity and/or emerging sexually harmful behaviour Sexual activity which cause concern and/or sexually harmful behaviour Sexual activity and/or sexually harmful behaviour causing significant concern Needs of disabled child being met by universal services Disabled child needs additional support from targeted community services Severely/ profoundly disabled child requires support from specialist services Disabled with significant, complex and permanent additional needs requiring protection and support Concern that a child's disability is being used to mask maltreatment by caregivers
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