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Helping Vulnerable Children Needs Assessment

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Transcript of Helping Vulnerable Children Needs Assessment

Background
There is no single approach to defining vulnerability in children.
Helping Vulnerable Children Needs Assessment
Warwickshire Joint Strategic Needs Assessment 2015
National research found that adverse childhood experiences (ACE) are strongly related to adverse behavioural, health and social outcomes
The purpose....
To try to ascertain Warwickshire's cohort of vulnerable children
To inform the production of a new Priority Young People Strategy 2015-2018
To provide an evidence-base to inform commissioning decisions across children's health and social care.
Demographics
2014
2024
118,800
6.0% increase
126,000
Warwickshire's estimated population of children and young people aged 0-18 years
over 7,000 children
Rugby
borough has the largest proportion of 0-18 yr olds who account for
23.6%
of the population.
Stratford on Avon
district has the smallest proportion of 0-18 year olds, accounting for
20.2%
of the population.
Deprivation
Warwickshire is comprised of 339 LSOAs of which:
fall into the

20% most deprived

in England
20
8
fall into the

10% most deprived

in England
This equates to approximately 11,500 children aged 0-18 years living in the most deprived areas in Warwickshire
Almost half of children in Warwick are estimated to live in the
least
deprived neighbourhoods in Warwickshire
Nearly a quarter of children in Nuneaton & Bedworth are estimated to live in the
most
deprived neighbourhoods in Warwickshire
Priority Families
A UK Government scheme to help 'turn around' families with complex and difficult lives, illustrated by worklessness, crime, truancy & anti-social behaviour.
Children in these families are a key vulnerable group in Warwickshire.
Vulnerable Groups
There were
3,797
children in need in Warwickshire at 31st March 2015; this equates to
3.4%
of Warwickshire's child population.
Of which:
690
were LAC &
536
were subject to a CPP
Nuneaton and Bedworth
consistently has the
highest
rate of children & young people subject to a CPP, the
highest
number of young carers & sits in the
top 20%
of local authorities nationally when considering the rate of looked after children.
children aged 0-17 years were estimated from Census 2011 data to be providing unpaid care in Warwickshire.
Just under half of all missing asylum seeking children since 2011 have been Vietnamese
Mental Health
Half
of those with mental health problems first experience symptoms by the age of
14
and
three-quarters
by the age of
18
.
Very little data is available on the prevalence of mental health disorders in children and young people in Warwickshire, especially in terms of
unmet
or
unexpressed

need
.
Rates of hospital admissions for self-harm among young people in Warwickshire have
doubled
.
Although Warwickshire continues to see a decrease in the proportion of under 18s being admitted to hospital for alcohol-related conditions, the rate of admissions in Nuneaton & Bedworth & Rugby have increased by over 6% from 10/13 to 11/14.
Education and Youth Employment
There is a
clear gap
between the educational attainment of the majority of children and those from particular groups that are vulnerable to underachievement
This gap is often detectable at as young as
22 months
and widens throughout the education system
Three
in
five
of Warwickshire's children achieve a good level of development by the end of their reception year. However, achievement is not as high for children with EAL, children receiving FSM and children with a SEN. For all these vulnerable groups, the gap in attainment is
wider
than the national average & the
gap has widened since 2013
.
Education and Youth Employment
One in five
pupils were considered to be disadvantaged in the Key Stage 4 year group in 2013/14.
In 2014, only 34% of disadvantaged pupils in Warwickshire achieved 5 or more A*-C GCSEs including English and Maths compared with 66% of other pupils; a difference of 32ppts
Education and Youth Employment
Being NEET between the ages of 16 and 18 years is a major predictor of:
unemployment
low income
teenage motherhood
depression
poor physical & mental health
One in six young people who are NEET will never secure long-term employment, costing on average over £56,000 per young person.
The majority of young people who are NEET do not face multiple or complex barriers to engagement, therefore could be prevented from becoming NEET if they are targeted with the right intervention early on.
The proportion of young people in Warwickshire who are NEET has increased for the first time in seven years, from 3.6% in 2012/13 to 5.5% in 2013/14
Crime
Children exposed to domestic abuse suffer significant harm from the effects of witnessing such violence.
Under-reporting of abuse, domestic violence and sexual assault is acute, meaning the true extent of the issue remains hidden.
7x more likely to commit suicide
50% more likely to abuse alcohol or drugs
Likely to commit 76% of crimes as young juventiles
Warwickshire's Sexual Abuse Referral Centre saw 131 children and young people aged 0-17 years in 2013/14. A quarter of these children were identified as having vulnerability factors:
In Q4 of 2013/14, RoSA worked with a total of 148 children in Warwickshire, of whom:
Crime
Rates of young people aged 10-17 receiving their first reprimand, warning or conviction have been reducing in Warwickshire, from their peak in 2006/07 (2,000 per 100,000 population) to a low of 327 in 2013/14.
Of which:
Children in Need
Unlikely to achieve or maintain a reasonable standard of health or development without receiving services by the local authority
Their health or development is likely to be impaired without the provision of such services
They are disabled
Looked after children
Local authorities take children into care to
improve
outcomes for them and, as corporate parents, should have
equally high aspirations
for the children they look after
Children aged between
10 and 15 years
represent the
majority
of looked after children in Warwickshire (39%).
The number of LAC has increased by
8.5%
over the past 5 years. Warwickshire's rate of LAC (62) is
higher
than the England average (60) &
considerably higher
than Warwickshire's statistical neighbours (49).
Vulnerable Groups
Unaccompanied asylum seeking children (UASC)
The local authority has a duty to protect and support unaccompanied asylum seeking children
National shift in the number of applications received for asylum from unaccompanied children from Afghanistan in 2009 to Albania in 2014.
It is not uncommon for UASC to go missing from care and to never be found/returned to care.
77 UASC were accommodated by Warwickshire in 2014, of whom 62% were aged 16-18. 86% were male.
Vulnerable Groups
Young Carers
Young carers are
twice
as likely to report that their health is
'not good'
compared with their peers who provide no care. Young carers who provide more than
50 hours
of unpaid care a week are
five times
more likely to report their health as 'not good'
This compares with
Stratford on Avon
district which sits in the
lowest 20%
of local authorities nationally for rates of LAC.
Anxiety
: 3.3%, 2,447 children
Depression
: 0.9%, 667 children
Conduct Disorders
: 5.8%, 4,301 children
Physical Health
Over
half
of all reception age and year 6 pupils who are overweight/obese in Warwick district, attend a school in the
20% least deprived
area in the county.
Key Messages
Adolescence is a key period for establishing life-long health and social behaviours.
Too often, focus is on addressing the consequences of adverse childhood experiences (ACEs) rather than prevention.
Help is needed for parents to provide safe and supported childhoods.
Those with ACEs are more likely to propagate a cycle that exposes their own children to ACEs.
'Softer' indicators of vulnerability are often overlooked as they require a much deeper understanding of family characteristics, relationships and social circumstance.
2014 What about YOUth? survey on smoking attitudes & prevalence of 15 year olds in Warwickshire
"Smoking gives people confidence"
14%
"Smoking helps people relax"
55%
"Smoking is not really dangerous, it only harms people who smoke a lot"
11%
"Smokers stay slimmer than non-smokers"
17%
Any Questions?
Full transcript