SUFFOLK FAMILY GROUP CONFERENCING SERVICE

Transcription

1 Case Number: Allocated to: SUFFOLK FAMILY GROUP CONFERENCING SERVICE REFERRAL FORM Child/ren or Young Person/Young People being referred (extra space at end of form) Date of Birth Girl Date of Birth Girl Date of Birth Girl Parents

2 Carers/Adult Siblings/Very Important People (extra sheet available) Name Relationship Name Relationship Name Relationship Referrer Name: Team/Unit/School: : Direct Telephone No: The FGC referral cannot be processed unless the possibility of an FGC has been discussed with family. In addition, the FGC should be discussed with the Young Person wherever possible. Has the possibility of a Family Group Conference been discussed with the family? Yes No Has the possibility of an FGC been discussed with the child/young person? Yes No Is this referral to Suffolk FGC Service recorded on COMPASS? Yes No This information is useful to track future access to records requests

3 Are there, or do you have child protection concerns in relation to this case? YES / NO If yes, please indicate nature of concerns Is this/are these child/ren young person/people currently under any statutory order? If so please indicate which Act and Section and identify any specific conditions or requirements of that order/those orders If there are any issues not highlighted on this form that the FGC practitioner needs to be aware of before first contact with the family e.g. risk factors, danger of violence, please specify below:

4 PLEASE INDICATE WHICH CATEGORIES ARE APPLICABLE: CASES ARE PRIORITISED ACCORDING TO THIS GRID CATEGORY OR CATEGORIES Please Indicate which categories are appropriate Please tick any relevant boxes 10 Accommodation 11 C/YP Needing Accommodation (e.g. Post PPM) 12 CYP at risk of needing accom (e.g. Pre PPM) 13 CYP looked after 14 C/YP Looked After returning home 15 CYP leaving care 20 Child Protection 21 CYP sub to Child Protection Plan 22 CYP at risk of registration 23 Domestic abuse 24 Bullying 30 Family support 40 Behavioural difficulties 50 Education 31 CYP in family under stress 41 Anti-social or criminal behaviour 51 Child Excluded from school 32 Alcohol/drug addiction in family 42 Substance abuse 52 Child at risk of exclusion from school 33 Mental health problems in family 43 Self-esteem 53 School Attendance 34 Difficulties arising from divorce/ sep 44 Bereavement 54 Transition 35 Young carer 45 General behavioural difficulties 60 Diversity 61 Disability 62 Race 63 Sexuality 64 Culture Other Specify:

5 Other Agencies Involved: Contact: Agency: : Tel No: Contact: Agency: : Tel No: Contact: Agency: : Tel No: Contact: Agency: : Tel No: Any other comments: Please complete the report that will be used in information time at the Family Group Conference and submit the report with the referral. The report needs to be focussed on what needs to change; there should be sufficient information to inform the Conference of the specific concerns that have brought about the referral. Writing the report at the point of referral means that the FGC process will be focussed on the reason for the FGC. It will be shared initially with core family members (usually those with PR) who will be asked to consent to the report being shared with other family members.

6 INTRODUCTION The report needs to be focussed on what needs to change; there should be sufficient information to inform the Conference of the specific concerns that have brought about the referral. It should inform the agenda for the FGC meeting itself Writing the report at the point of referral means that the FGC process will be focussed on the reason for the FGC. The report will be shared initially with core family members (usually those with PR) who will be asked to consent to the report being shared with other family members. GUIDANCE The key part of the report is the statement of Bottom Lines what has to change. These must not be prescriptive: if we are merely telling what people to do as we tell them there is no purpose in engaging in the FGC process which is about participation and partnership between two parties each with legitimate interests in the child or children involved. Good bottom lines are often framed as questions i.e. Flossy needs to be safe from harm: How can the family ensure that Flossy is safe? or The violent arguments between Mum and Dad are causing Charlie emotional harm: How can the family stop Charlie being exposed to arguments?

7 REPORT SECTION NAME/S Name/s of Child/ren or Young Person/people: BOTTOM LINES What are your/your agency s bottom lines for the conference? Bottom lines are not negotiable: they need to address what must happen, but not how it must happen. These bottom lines will be discussed with the family and will be used (unless revised) at the Family Group Conference

8 REASON FOR CURRENT INVOLVEMENT Why is your agency currently involved with the child/ren or young person/s RESOURCES Information on any resources that could be provided by your agency to support the plan

9 CONDITIONS Before the family makes its plan, what plans or parts of plans would not be acceptable to your agency? For instance, is there any place where the child or young person would not be allowed to live, or are there any people who must not be in contact with the child or young person. Does the family need any additional information, to ensure that the plan they construct at the FGC is acceptable to your agency? PLEASE NOTE THAT CONDITIONS NEED TO BE LEGALLY SUSTAINABLE Report writer Signature Name Date of report Agency

10 Please return completed form: Post: Suffolk FGC Service The Kingsfield Centre, Chilton Way, Stowmarket, IP14 1SZ By Fax: IMPORTANT PLEASE NOTE BEFORE FAXING: For Information Security purposes, please call us on /61 before you fax the form, so that we can ensure someone is available to receive the fax. We will then call if the fax doesn t arrive. If you have any questions about this form or Family Group Conferencing, please call Sharon Morris; Hilary Cheesman or Russ Edwards on /62 or russ.edwards@scf.suffolkcc.gov.uk

11 ADDITIONAL KEY PEOPLE SHEET Additional Child/ren or Young Person/Young People being referred Date of Birth Girl Date of Birth Girl Date of Birth Girl Other Important People