Change in sporting leisure Change in appearance activities/ interests (e.g. including sudden increase no longer interested in in make up or tattoos and football / dancing when piercings etc they used to be) Comments: Vulnerability Factors (select all appropriate options) Live in a chaotic or Low self-esteem or Parents with mental health Live in residential or foster care or unstable dysfunctional family confidence problems adoptive placement Drugs or alcohol abuse Mental health problems Sexually active Subject of bullying History of sexual abuse Social or learning Recent bereavement or loss Homeless within the family difficulties Parents with drugs or Migrant, refugee or Unsure of their sexual Previous victim of CSE alcohol abuse asylum seeker orientation Lack of protective factors History of domestic abuse within family within family Comments: Page 4 of 5 Additional Comments
Change in appearance including sudden increase in make up or tattoos and piercings etc Change in sporting leisure activities/ interests (e.g. no longer interested in football / dancing when they used to be) Comments: Vulnerability Factors (select all appropriate options) Live in a chaotic or dysfunctional family Low self-esteem or confidence Parents with mental health problems Live in residential or foster care or unstable adoptive placement Drugs or alcohol abuse Mental health problems Sexually active Subject of bullying History of sexual abuse within the family Social or learning difficulties Recent bereavement or loss Homeless Parents with drugs or alcohol abuse Migrant, refugee or asylum seeker Unsure of their sexual orientation Previous victim of CSE Lack of protective factors within family History of domestic abuse within family Comments: Page 4 of 5 Additional Comments
cse_screening_tool.docx