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U & S Policy - title
Nottinghamshire County Council logo DAAT - Nottinghamshire County Drug and Alcohol Action Team
Sunday 20 May 2012

8. Disclosure and Risk Assessment

Risk assessment which may lead to disclosure, should be based on the Assessment Framework Triangle (see Appendix 2, section 2 in U&S policy).
  • Any disclosure will require a detailed and ongoing risk assessment involving line management when appropriate. The worker must not lose sight of the need to keep the child or young person informed and supported throughout the process
  • Workers will sometimes need to share general information with colleagues or Line Managers / other agencies. (Foster Carers consult their Supervising Social Worker and the child's Social Worker)
  • Information sharing may be necessary to conduct a thorough risk assessment that protects the safety of the child or young person and the worker.

Assessment Framework Triangle:

Assessment Framework Triangle
The needs of the child Provided through
Child's
Developmental
Needs
Health
  Education
  Emotional & Behavioural Development
  Identity
  Family & Social Relationships
  Social Presentation
  Self care skills
Parenting
Capacity
Basic Care
  Ensuring Safety
  Emotional Warmth
  Stimulation
  Guidance & Boundaries
  Stability
Family &
Environmental
Factors
Family History and Functioning
  Wider Family
  Housing
  Employment
  Income
  Family's Social Integration
  Community Resources

8.1. Child Protection Considerations Specific to Substance Use and Risk Assessment:

Our shared knowledge informs us that substance use does not automatically equate to significant 'risk of harm', but in some situations it may.
Where substance use is persistent and hazardous to mental or physical well being, consider whether the behaviour is symptomatic of:
  • Physical abuse
  • Sexual abuse
  • Emotional abuse
  • Neglect
  • Self-harm
  • Domestic violence (See Appendix 2.3)
  • Sexual exploitation
  • The substance misuse of a parent, carer, sibling, or significant other.
Important: the use by a parent or significant other does not automatically equate to abuse, or neglect and must be considered as part of a full assessment using the Assessment Framework Triangle, above.
(See U&S Policy Appendix 2, section 2, 2.1 and 2.3).

8.2. Substance Use and Significant 'Risk of Harm' - Breaching Confidentiality:

Situations to be considered where substance use may present significant 'risk of harm' include the following examples:
  • Is the child or young person being used by others i.e. "running" or "stashing" or "trafficking"?
  • Where there is a clear medical emergency and an ambulance is called
  • Where there is the risk of overdose
  • Where the child or young person is under 18 years old and is considered not to be of sufficient age or understanding to be aware of the risks to themselves, or the advice given (see Appendix 3)
  • Where there is the risk of possible abuse, exploitation or injury that may occur in connection with (or as a result of) intoxication and / or dependency
  • Where there is a risk of infection with blood borne diseases if injecting equipment is being shared
  • Initiation of other children and young people into injecting substances. Are they being injected or having substances administered by someone else? (i.e. by force, the influence of an older person or by request)
  • There is a refusal to stop the use of intoxicating substances on the premises (see section 12. to 35. and Appendix 5)
  • Where the child or young person is deemed to be exploiting others by the supply of illegal substances or by the encouragement of use (see section 12. to 35. and Appendix 5)
  • Where significant quantities of illegal substances are found on premises. (see section 12. to 35. and Appendix 5)
  • When the substance is being used persistently, in large quantities, in an unsafe way or unsafe environment (see section 12. to 35. Appendix 5)
  • When there is a risk of serious crime being committed, which would potentially place someone at risk
  • Where the child or young person is at significant 'risk of harm' or is currently self-harming (see Appendix 2,section 5 in U&S policy)
  • When a child or young person is at risk of sexual exploitation or violence in the home, or outside (see Appendix 2.3).