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1.2.9 Protocol between Child Health and Disability Teams (CHAD) and the Locality Teams

SCOPE OF THIS CHAPTER

This procedure explains how the Child and Health Disability (CHAD) Team will support disabled children, young people and their families living in Leeds.

This chapter was re-written and added to the manual in December 2016.


Contents

  1. The Children’s Act 1989 Definition of a Child in Need and Disability
  2. Key Outcomes for Disabled Children, Young People and their Families
  3. Which Children and Young People does CHAD work with?
  4. Referrals to CHAD
  5. Assessment
  6. Section 47 Enquiries


1. The Children’s Act 1989 Definition of a Child in Need and Disability

The Children Act 1989 sets out the duty of every local authority to provide services for children in need, their families and others in order to:

Safeguard and promote the welfare of children within their area who are in need: and so far as is consistent with that duty, to promote the upbringing of such children by their families, by providing a range and level of services appropriate to those Children’s needs.

A child is defined as a child in need if:

  • They are unlikely to achieve or maintain, or to have the opportunity of achieving or maintaining, a reasonable standard of health or development without the provision for him of services by a local authority;
  • Their health or development is likely to be significantly impaired, or further impaired, without the provision of such services; or
  • They are disabled.

The Children’s Act definition of disability states that:

A child is disabled if he is blind, deaf or dumb or suffers from mental disorder of any kind or is substantially and permanently handicapped by illness, injury or congenital deformity or such other disability as may be prescribed. (Development means physical, intellectual, emotional, social or behavioural development; and health means physical or mental health).


2. Key Outcomes for Disabled Children, Young People and their Families

This procedure explains how the Child and Health Disability (CHAD) Team will support disabled children, young people and their families living in Leeds.

The council has several key outcomes for children and young people that are described in the Leeds Children and Young People’s Plan 2015 – 19. These include:

  • All children are safe from harm; by helping children and young people live in safe and supportive families and ensuring that the most vulnerable are being protected;
  • All children and young people do well at all levels of learning and have the skills for life; by improving outcomes for children and young people with special educational need and disabilities and supporting children to have the best start in life and be ready for learning; and
  • All children and young people have fun growing up; by providing play, leisure, culture and sporting opportunities and improving social, emotional, mental health and well being.


3. Which Children and Young People does CHAD work with?

The Complex Needs Service supports children and young people from 0 to 25 years with complex learning difficulties and disabilities, and their families. There are five main professional areas within the Complex Needs Service and they are:

  • Special educational needs statutory assessment and provision service (SENSAP);
  • Special educational needs inclusion team (SENIT);
  • Educational psychology;
  • Sensory service; and
  • Child health and disability (CHAD) including social works teams, occupational therapy and the regional specialist paediatric team.

There are three area based CHAD social work teams; West, East and South. Each team undertakes assessments, safe guarding and care management tasks. The CHAD teams work with all children and young people where their disability is impacting on their ability to have opportunities to be safe, develop skills for life and be part of their local community growing up.

The CHAD social work teams work to the same statutory requirements as the other locality social work teams. It is the criteria for CHAD input that is different. Appropriate referrals to the CHAD team would include:

  • Children with Cerebral Palsy, Muscular Dystrophy and other physical disabilities that significantly impact on the child’s well being;
  • Children and young people with severe learning disabilities;
  • Children and young people with a diagnosis of Autism with associated learning disability which has a significant impact on their communication needs, social and behavioural development;
  • Children and young people with multiple or severe disability;
  • Children and young people with severe global development delay;
  • Children and young people with severe sensory impairment; and
  • Children and young people with complex physical disability and health needs.

The CHAD teams do not support children whose main needs centre around emotional / behavioural development and or mental health.


4. Referrals to CHAD

Referrals to CHAD will come in the main from the Duty and Advice team. The screening process will demonstrate that the child's identified needs are unable to be met by universal/targeted services and that the level of the child’s disability / complex needs are such that a referral to the area teams would be inappropriate. Without an Early Help assessment the referral would not ordinarily proceed to an assessment being undertaken by CSWS.

Any referral to CHAD must be made via the usual route of Duty and Advice with a copy of the Early Help assessment attached to the written confirmation of referral. The CHAD teams will undertake Section 47 enquiries as appropriate for those children and young people who meet the criteria for CHAD.

Area based Service Delivery Managers may discuss possible transfer of cases with the CHAD SDM if it is felt that the level of a child’s disability/complex needs requires a specialist service from the CHAD team.


5. Assessment

The local area CHAD team will complete a Child and Family Assessment. The outcome of this assessment will identify appropriate support.


6. Section 47 Enquiries

At the point of referral where a child or young person (with a disability/complex needs) is not an existing open case to social care the Duty and Advice Team will determine if a specialist service is required from CHAD. If this is the case then the CHAD service will undertake the section 47 enquiry.

Where a child or young person (with a disability) is an existing open case to CHAD the CHAD social worker will investigate the safeguarding concern.

If safeguarding concerns relate to a sibling group that includes a child /children who require a specialist service from CHAD, the CHAD team will undertake a joint investigation alongside the area based team. The CHAD social worker will be the lead for the disabled child and the locality social worker will take the lead for the non-disabled children.

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