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AGE UNDER ONE YEAR Details on this page are to be completed BEFORE the Assessment and Progress conversation Looking After Children Assessment and progress record CLIENT DETAILS CRIS Number ........................................................................... CRISSP Number ...................................................... Name ............................................................................................................................................................................ Gender F M Date of birth Day ........ Month ........ Year ........ DHS Placement type Home Based Care ...................................................................................... ACP .............................................................................................................. Home Based Care Therapeutic Foster Care ............................................... Home Based Care Kinship Care ................................................................... Residential Care ............................................................................................. Lead Tenant .................................................................................................... Is the baby on a statutory order? Yes No Carer name .................................................................................................................................................................. Child protection worker name .......................................................................................................................... Agency worker name ................................................................................................................................................. Position ......................................................................................................................................................................... Agency .......................................................................................................................................................................... Date Assessment and Progress Record begun Day ........ Month ........ Year ........ Date Assessment and Progress Record completed Day ........ Month ........ Year ........

Looking After Children - Child Protection Manual After Children... · Looking After Children ... Children framework. It finds out how children and young ... placement agency worker

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Age under one yeAr Details on this page are to be completed BEFORE the Assessment and Progress conversation

Looking After ChildrenAssessment and progress record

CLient detAiLs

Cris number ........................................................................... CrissP number ......................................................

name ............................................................................................................................................................................

gender F M date of birth Day ........ Month ........ Year ........

dHs Placement type Home Based Care ......................................................................................

ACP ..............................................................................................................

Home Based Care therapeutic Foster Care ...............................................

Home Based Care Kinship Care ...................................................................

residential Care .............................................................................................

Lead tenant ....................................................................................................

is the baby on a statutory order? Yes No

Carer name ..................................................................................................................................................................

Child protection worker name ..........................................................................................................................

Agency worker name .................................................................................................................................................

Position .........................................................................................................................................................................

Agency ..........................................................................................................................................................................

date Assessment and Progress record begun Day ........ Month ........ Year ........

date Assessment and Progress record completed Day ........ Month ........ Year ........

Purpose of the Assessment and Progress record

Looking After Children is a best practice approach that assists placement agency workers, caregivers, parents, child protection workers and others closely involved to work together as a Care Team to provide good parenting of children and young people in care. The Assessment and Progress Record is a key tool within the Looking After Children framework. It finds out how children and young people in care are progressing towards developmental objectives across seven life areas: Health, Emotional and Behavioural Development, Education, Family and Social Relationships, Identity, Social Presentation, and Self-Care Skills. Information on the Assessment and Progress Record should update the Care and Placement Plan to ensure children and young people in care receive good parenting and achieve good outcomes.

The Assessment and Progress Record is primarily designed for the assessment and planning of individual children and young people in care. Since information on the tool is collected in much the same way for all children and young people in care, it can also be gathered together, or aggregated. Aggregating information on large groups of children and young people in care is very valuable for ongoing service planning and systems development. From time to time, information from the Assessment and Progress Record will be gathered together for this purpose. Data aggregation is undertaken by authorised personnel according to strict security and privacy procedures.

tips for completing the Assessment and Progress record:

• Different sections of the Record are addressed to the placement agency worker and the baby’s caregiver.

• Placement agency workers and caregivers should be prepared to find out information in order to complete the Assessment and Progress Record.

• It is important that the Summary Assessment of progress is completed at the end of each life dimension. These are intended to provide a means of comparing how the baby has changed from one assessment to another.

• The space at the end of the Summary Assessments should be used to start preparing the next Care and Placement Plan.

tips for completing the Assessment and Progress record for children/young people who have a disability or health condition:

• For all children and young people, including those with complex needs, the Record which relates to the child’s chronological age should be used.

• Some questions may not all be appropriate for children and young people with a disability or serious health condition. While it is appropriate to skip over these questions, Summary Assessments should be completed for all children.

Please give details if this baby has a disability or serious health condition which may impact on completion of this record.

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H1. did this baby visit the maternal and child health nurse (M&CHn) for any of the following scheduled reviews?

1-2 weeks ................................................................

6-8 weeks ...............................................................

6-9 months .............................................................

Never visited the M&CHN ......................................

Don’t know ..............................................................

H2. Have all recommendations made at the developmental review been carried out?

Not applicable – no developmental review carried out ..................

Yes – all recommendations carried out .................

No – some or all recommendations still to be followed up .............................................

No recommendations made .................................

Don’t know ..............................................................

H3. When did this baby last have a medical assessment?

Less than 6 months ago .......................................

6 months ago or more ..........................................

Never had a medical assessment ........................

Don’t know .............................................................

H4. Have all recommendations made at the medical assessment been carried out?

Not applicable – no medical assessment carried out ......................

Yes – all recommendations carried out .................

No – some or all recommendations still to be followed up .............................................

No recommendations made .................................

Don’t know ..............................................................

H5. Are there any concerns about this baby’s hearing?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

H6. Are there any concerns about this baby’s sight?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

H7. How long is this baby in centimetres?

H8. How much does this baby weigh in kilograms?

H9. Are there any concerns about this baby’s growth?

Serious concerns ...................................................

Some concerns ......................................................

No concerns ...........................................................

Don’t know .............................................................

during the Assessment and Progress conversation the CAregiVer is to answer the following questions with assistance as

needed from the placement agency worker, parents and child protection worker.

Babies develop according to a recognised pattern. ‘Milestones’ are the ages at which the baby first smiles, sits, crawls, walks and so on. these should be monitored and recorded on the Child Health record, as notably slow development can be indicative of other problems. For most milestones the range of normality is very wide; the Maternal & Child Health nurse or pediatrician is the most suitable person to advise on this.

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The questions in this section are about the health of this baby and the medical care s/he is getting to be and remain well.

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H10. Are routine immunisations up to date?

Yes ..........................................................................

No ...........................................................................

Don’t know .............................................................

H11. is this baby’s teeth brushed regularly?

Not applicable – baby’s teeth have not appeared ..........................................................

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

H12. is a health professional satisfied that this baby is achieving the normal developmental milestones?

Not applicable – baby has not seen a health professional > Go to Question H13........................

No concerns > Go to Question H13 .......................

Some concerns .......................................................

Serious concerns .................................................... Don’t know ..............................................................

If concern has been expressed, please describe:

H13. does this baby have any of the following long-term conditions? note: long-term conditions refer to conditions that have lasted or are expected to last 6 months or more and have been diagnosed by a health professional (read the list and mark all that apply)

Food or digestive allergies .....................................

Respiratory allergies such as hay fever.................

Other allergies ........................................................

Asthma ....................................................................

Bronchitis ................................................................

Heart condition or disease .....................................

Epilepsy ...................................................................

Diabetes ..................................................................

Foetal alcohol spectrum disorder ..........................

Cerebral palsy ........................................................

Kidney condition or disease...................................

Blood disorder ........................................................

Developmental disability ........................................

Emotional, psychological or nervous difficulties ...

Any other long term condition (specify) .................

Don’t know ..............................................................

H14. Have there been any changes in this baby’s condition over the last six months?

Yes ...........................................................................

No > Go to Question H14 (c) ..................................

H14 (a). those noted by health professionals:

The placement agency worker should check that immunisation information is available. If there is no record of which immunisations the baby has had, the information is collected and recorded nationally by the Australian Childhood Immunisation Register. Telephone 1800 653 809.

dental care should begin as soon as the teeth appear. Children who have a very poor diet sometimes have teeth which are already decayed when they come through and should be taken to a dentist immediately this becomes apparent. All children should be taken regularly to a dentist from two years of age.

This information should already be recorded at the hospital where the child was born or currently attends, the Maternal & Child Health Nurse, a community health centre, or with the GP.

Please answer question H14 if this baby has long-term health condition or disability; otherwise go to Question H15.

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H14 (b). those noted by the caregiver(s):

H14 (c). Please specify any changes in this baby’s treatment over the last six months and say how these have affected him/her:

H14 (d). is this baby being seen by a specialist?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

H14 (e). does this baby have all the special help or equipment s/he may need?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

H15. in the past 6 months (i.e. since this baby’s birth), has s/he suffered an injury (eg. broken bone, bad cut or burn, head injury) that was serious enough to require medical attention by a doctor, nurse or dentist?

Yes ...........................................................................

No > Go to Question H17 .......................................

Don’t know ..............................................................

H16. For the most serious injury, what type of injury did this baby have?

Broken or fractured bones .....................................

Burn or scald ...........................................................

Dislocation ..............................................................

Dental injury ............................................................

Sprain or strain .......................................................

Multiple injuries ......................................................

Cut, scrape or bruise ..............................................

Concussion .............................................................

Poisoning by substance or liquid ...........................

Internal injury ..........................................................

Other (please specify) .............................................

H17. Following discharge after birth, was this baby ever an overnight patient in the hospital?

Yes ...........................................................................

No ............................................................................

Don’t know .............................................................

H18. What does this baby eat and drink on a typical day? Please include any special dietary needs, eg. health, religious and cultural.

H19. How often is this baby taken outside for a walk or to play in the yard, park or playground?

Daily ........................................................................

Several times a week .............................................

About once a week .............................................

Less than once a week ..........................................

Don’t know ..............................................................

It is important that the placement agency worker checks that caregivers have adequate information about a baby’s medical condition and that they have the support they need to enable them to provide appropriate care.

it is important that babies and young children have a diet that relates to their ethnic background and culture so that they continue to be familiar with the customs and daily practices of their birth family.

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H20. if this baby has a medical condition (eg. asthma) or disability that is likely to affect her/his ability to exercise, is anyone giving advice about this?

Yes ...........................................................................

No ............................................................................

Not applicable – no relevant medical condition ...

Don’t know .............................................................

H21. Are safe sleeping practices followed to reduce the risk of sids?

Always.....................................................................

Sometimes ..............................................................

Never .......................................................................

Don’t know ..............................................................

Up-to-date SIDS information can be found at www.sidsandkids.org or ask your worker to get you current information.

H22. When did this baby’s caregiver last have a home environment check?

Within past 12 months ............................................

12 months ago or more ..........................................

H23. Have all recommendations been carried out?

Yes, all .....................................................................

Some .......................................................................

None .......................................................................

No recommendations made .................................

Don’t know ..............................................................

H24. does this baby’s caregiver have all the necessary baby equipment (eg. safety approved cot, stroller, stair gate, highchair, safety approved car seat)?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

How far have the following objectives been met?

objective 1: this baby is normally well.

Normally well; unwell for 1 week or less in the last 6 months ........................................

Sometimes ill; unwell between 8 and 14 days in the last 6 months .......................

Often ill; unwell between 15 and 28 days in the last 6 months .................................

Frequently ill; unwell for more than 28 days in the last 6 months ................................................

Don’t know ..............................................................

objective 2: this baby is thriving.

Thriving; satisfactory growth and development ...

Some concern about the rate of growth and/or development ..............................................

Failing to thrive; serious concerns about the rate of growth and/or development ...............

Don’t know ..............................................................

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following questions with assistance as needed

from the caregiver.

The agency placement worker and the caregiver should discuss what is to be provided, how items are to be obtained or returned, and other matters relating to agency policy on equipment for children in care.

suMMAry AssessMent oF HeALtH

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following questions based on the information

obtained on the entire health section. After answering the questions, look at the

previous Assessment and Progress record to see what has changed in the past 6 months.

Placement agency worker

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objective 3: All preventive health measures, including immunisations, have been taken.

All ............................................................................

Most ........................................................................

Few ..........................................................................

None .......................................................................

Don’t know ..............................................................

objective 4: All ongoing health conditions and disabilities, including developmental delays, are being addressed as soon as recognised.

No health condition or disability ............................

Prompt and appropriate action has been taken ..

Some action but more could be done ...................

Inadequate action being taken .............................

No action yet ...........................................................

Don’t know ..............................................................

Change in health since last assessment.

First APR ..................................................................

Markedly better ......................................................

Somewhat better ....................................................

About the same ......................................................

Somewhat problematic ..........................................

Substantially more problematic .............................

if anyone is in disagreement about the summary assessment of health, say who disagrees and why.

record details about plans for further action to be followed up in the Care and Placement Plan (goals/objectives, work required) in the space below.

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eMotionAL And BeHAViourAL deVeLoPMent

The questions in this section are designed to draw attention to this baby’s emotional and behavioural development and to make sure that action is being taken if significant problems have been identified.

B1. For each of the following statements please tick one box to best describe this baby in the past month.

not true somewhat true Certainly true

Baby enjoys close physical contact

Baby makes eye contact when touched

Baby looks for you (or other caregiver) when upset

Baby responds to you and other familiar caregivers (eg., smiles, reaches, gives hugs)

When crying baby usually can be readily comforted or soothed

Baby is excessively passive and hard to engage

Baby seems nervous, tense or fearful

Baby deliberately injures him/herself (eg. by rocking or head-banging)

Baby has sleep problems (eg. has trouble falling asleep or staying asleep)

Baby has feeding problems (eg. refuses to eat, gags or chokes on food)

during the Assessment and Progress conversation the CAregiVer is to answer the following questions with assistance as needed from the placement agency worker, parents and child

protection worker.

Emotional and behavioural problems in childhood are quite common, but only a small proportion of children will need the help of a specialist. However, babies and children who are looked after away from home are somewhat more likely than others to have some problems of this kind because they have often had more stressful life experiences. For further information about trauma-related behaviours in infancy, visit the DHS Child Development and Trauma Guides at: www.dhs.vic.gov.au/everychildeverychance.

With the growing importance of early intervention comes the need to identify emerging social-emotional problems in infants and toddlers. It is important to consider whether the feelings or behaviours that trouble babies and children or their caregiver(s) would benefit from specialist assessment and help. Any self-harm (eg. head banging) should always be treated seriously and appropriate help sought.

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B2. Are any of the items in B1 a cause for concern? if so, please describe:

B3. Are there any other concerns which have not been mentioned in B1? if so, please describe:

B4. describe any additional support that this baby’s caregiver has received to help him/her manage this baby’s emotional and behavioural difficulties (eg. help with sleeping/feeding problems, trauma related behaviours, attachment difficulties).

How far have the following objectives been met?

objective 1: this baby is free of serious emotional and behavioural problems.

No problems ...........................................................

Minor problems ......................................................

Problems exist which need remedial action .........

Serious problems exist which need specialist input ........................................................

Don’t know ..............................................................

objective 2: this baby is receiving effective treatment for all persistent problems.

Not applicable ........................................................

Receiving effective treatment .................................

Receiving some treatment .....................................

Not receiving enough treatment ............................

Don’t know ..............................................................

if anyone is in disagreement about the summary assessment of emotional and behavioural development, say who disagrees and why.

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following questions with assistance as needed from the caregiver, parents and child

protection worker.

suMMAry AssessMent oF eMotionAL And BeHAViourAL deVeLoPMent

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following questions based on the information

obtained on the entire emotional and behavioural development section. After

answering the questions, look at the previous Assessment and Progress record to see what has changed in the past 6 months.

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Change in emotional and behavioural development since last assessment.

First APR ..................................................................

Markedly better ......................................................

Somewhat better ....................................................

About the same ......................................................

Somewhat problematic ..........................................

Substantially more problematic .............................

record details about plans for further action to be followed up in the Care and Placement Plan (goals/objectives, work required) in the space below.

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E1. What type of child care does this baby attend? (Mark all that apply)

Child care centre ....................................................

Family day care (child care provided in carer’s private home) .............................................

Other (eg. occasional care) ....................................

Not in child care ......................................................

E2. does this baby attend any of the following activities? (Mark all that apply)

Play group ...............................................................

Parent and child lessons or program ....................

Library story time or other reading program ........

Toy library ................................................................

Other (please describe) ..........................................

None .......................................................................

E3. Has a developmental delay* been noted?

Yes ...........................................................................

No ............................................................................

Currently being assessed ......................................

Don’t know ..............................................................

* A child may have a developmental delay if he/she finds it difficult to carry out tasks that most children of the same age do easily.

E4. does this baby have access to a range of toys and play materials suitable to his/her stage of development? (this includes any special learning materials, toys or equipment that he/she may need)

Yes, definitely ..........................................................

Yes, to some extent ................................................

Not at all ..................................................................

E5. do you ensure this baby has frequent opportunities to play and communicate with others?

Yes, definitely ..........................................................

Yes, to some extent ................................................

Not at all ..................................................................

E6. How often do you talk, tell stories, sing or play with this baby?

Frequently ...............................................................

Sometimes ..............................................................

Rarely or never ........................................................

E7. How often do you read to, look at books with and listen to music with this baby?

Frequently ...............................................................

Sometimes ..............................................................

Rarely or never ........................................................

during the Assessment and Progress conversation the CAregiVer is to answer the following questions with assistance as

needed from the placement agency worker, parents and child protection worker.

When a developmental delay is suspected, advice should be sought from the relevant professionals to ensure appropriate action is taken as quickly as possible.

Babies and young children learn through play and exploring the world around them. they need to be given access, at an early age, to a wide range of playthings.

it is very important to play with and talk to babies because this helps them develop language and social interaction skills such as turn-taking and speech.

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The questions in this section are designed to make sure that this baby’s physical skills progress normally, early communication skills develop satisfactorily and that s/he is active and eager to explore.

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How far have the following objectives been met?

objective 1: this baby’s physical skills are progressing normally.

Good progress ........................................................

Satisfactory progress ..............................................

Some cause for concern ........................................

Serious concern ......................................................

Don’t know ..............................................................

objective 2: this baby communicates by smiles, gestures and elementary word sounds.

Appears normal for age ........................................

Some delay, but does communicate .....................

Little or no attempt to communicate .....................

Don’t know ..............................................................

objective 3: this baby responds positively to the attention of a known adult or another child*.

Usually ....................................................................

Sometimes ..............................................................

No/or negative response .......................................

Don’t know ..............................................................

* A baby responds positively if smiles and gurgles when others are present, and negatively if appears fearful or unaware of others.

objective 4: this baby is active and eager to explore new toys and objects.

Usually interested and curious ..............................

Sometimes interested and curious ........................

Lacks interest or curiosity .......................................

Don’t know ..............................................................

if anyone is in disagreement about the summary assessment of education, say who disagrees and why.

Change in education since last assessment.

First APR ..................................................................

Markedly better ......................................................

Somewhat better ....................................................

About the same ......................................................

Somewhat problematic ..........................................

Substantially more problematic .............................

suMMAry AssessMent oF eduCAtion

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following questions based on the information

obtained on the entire education section. After answering the questions, look at the

previous Assessment and Progress record to see what has changed in the past 6 months.

record details about plans for further action to be followed up in the Care and Placement Plan (goals/objectives, work required) in the space below.

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The questions in this section are meant to check that, as far as possible, this baby has long-term continuity of care, that s/he has the opportunity to develop close emotional ties with at least one caregiver and that contacts with his/her birth family are helpful to his/her relationship with them.

F1. indicate how often this baby has face-to-face or overnight contact with his/her mother, father, siblings and other relatives with whom s/he has had most contact of any kind (eg. maternal grandmother).

not applicable (eg. not alive)

never Less than monthly/irregularly

Less than weekly but at least monthly

At least weekly

Most days

Mother

Father

Siblings *If this baby is currently

living with his/her siblings, please leave

this section blank

Other relative from this baby’s maternal side of

the family with whom this baby has had most

contact of any kind

Record name and relationship to

this baby here:

Other relative from this baby’s paternal side of

the family with whom this baby has had most

contact of any kind

Record name and relationship to

this baby here:

during the Assessment and Progress conversation the PLACeMent AgenCy WorKer is to answer the following questions with assistance as needed from the caregiver, parents

and child protection worker.

F2. does this baby have a positive connection to at least one member from his/her birth family (eg. mother, father, aunt, sibling)?

Yes ...........................................................................

No ............................................................................

Don’t Know .............................................................

F3. is this baby receiving all necessary assistance to remain in contact with his/her birth family?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

F4. if this baby has less than weekly contact with a birth parent, have steps been taken to develop a close relationship with another family member?

At least weekly contact with birth parent(s) ..........

Yes ...........................................................................

No ...........................................................................

Don’t know ..............................................................

Most children who are in care go back to live with their families within two years. Contacts with children’s families, unless these have been restricted by a court order must be encouraged.

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F5. How long has this baby been living with the current caregiver?

(Record in months)

F6. How many different people have acted as this baby’s caregiver since birth?

Number of adult caregivers

Don’t know (please say why this information is not known) ..........................................................

In children so young, it is important to record all caregivers, even where they are temporary or crisis carers.

Provide details about who has cared for this baby since birth.

F7. How would you describe this baby’s relationship with his/her primary caregiver, (eg. foster mother)?

Very close ................................................................

Somewhat close .....................................................

Not very close .........................................................

F8. How would you describe this baby’s relationship with his/her additional caregiver, (eg. foster father)?

Not applicable – does not live with an additional caregiver ..........................................

Very close ................................................................

Somewhat close .....................................................

Not very close .........................................................

F9. How would you describe this baby’s relationship to other children and young people in the household?

Not applicable – does not live with other children or young people .............................

Very close ................................................................

Somewhat close .....................................................

Not very close .........................................................

F10. How many hours per week does this baby spend away from his/her caregiver (include transport time if not with caregiver)?

Not applicable – does not spend time away from caregiver > Go to Question F13 .....................

Access

Child care

Respite care

Other (eg. hospital care)

F11. How do these separations affect this baby (eg. impact on this baby’s routine)?

F12. describe this baby’s access arrangements (eg. who transports this baby to and from access, who supervises this baby’s access, the time of day access takes place?)

this question refers to the degree of attachment a child demonstrates with significant people in the household. Attachment is not very easy to assess, but can be done if time is taken to observe the child and the household members.

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F13. How often does this baby’s primary caregiver show this baby physical affection (eg. hugs or cuddles)?

Often > Go to Question F15 ....................................

Sometimes > Go to Question F15...........................

Rarely ......................................................................

F14. Please say why this baby is rarely shown physical affection (eg. hugs or cuddles).

F15. does this baby have a comfort object (eg. soft toy or cloth)?

Yes (specify) .............................................................

No ............................................................................

Don’t know ..............................................................

How far have the following objectives been met?

objective 1: this baby has had continuity of care.

Continuity; no changes of caregiver since first placement ...............................................................

Some disruption; one change since first placement ...............................................................

Care seriously disrupted; two or more changes since first placement ...............................

Don’t know ..............................................................

objective 2: this baby is definitely attached to at least one caregiver.

Definitely attached .................................................

Some attachment ...................................................

Little or no attachment ...........................................

Don’t know ..............................................................

objective 3: this baby’s contact with his/her birth family strengthens his/her relationship with them.

Most contacts helpful .............................................

Some contacts unhelpful........................................

Most contacts unhelpful .........................................

No contacts helpful.................................................

Don’t know ..............................................................

objective 4: this baby has a stable relationship* with at least one adult.

Long-term relationship, i.e. since birth ..................

No continuing relationship .....................................

Don’t know ..............................................................

* This must be a continuing relationship. It could be with a birth parent, friend of birth parent, aunt, grandparent or any other adult who is likely to provide consistent long-term support.

suMMAry AssessMent oF FAMiLy And soCiAL reLAtionsHiPs

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following questions based on the information

obtained on the entire family and social relationships section. After answering the

questions, look at the previous Assessment and Progress record to see what has

changed in the past 6 months.

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if anyone is in disagreement about the summary assessment of family and social relationships, say who disagrees and why.

Change in family and social relationships since last assessment.

First APR ..................................................................

Markedly better ......................................................

Somewhat better ....................................................

About the same ......................................................

Somewhat problematic ..........................................

Substantially more problematic .............................

record details about plans for further action to be followed up in the Care and Placement Plan (goals/objectives, work required) in the space below.

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identity

The questions in this section are designed to make sure that this baby is being helped to develop a sense of his/her identity as an individual.

I1. do parent(s) and caregivers(s) all call this baby by the same name?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

I2. Who is collecting photographs, cards and mementoes and recording developmental milestones in order to prepare a life-story book for this baby?

Record details in the space provided

Life record information and materials not being collected/recorded .................................................

Don’t know ..............................................................

I3. What, if any, is this baby’s religion or spiritual affiliation?

No religion ..............................................................

Record baby’s religion in the space provided

I4. does this baby have enough opportunity to be exposed to his/her religion (eg. religious services, festivals and holidays, prayers, diet etc.)?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

I5. What is the language that this baby was exposed to in his/her birth family?

English .....................................................................

Aboriginal language (please specify) ....................

Other (please specify) .............................................

Not applicable – baby never in the care of birth family ..........................................................

Don’t know ..............................................................

I6. do this baby’s caregiver(s) speak the same language as his/her birth family?

Fluently > Go to Question I9 ...................................

With difficulty ...........................................................

Not at all ..................................................................

Don’t know ..............................................................

I7. What effort is being made to encourage the baby to learn this language?

I8. overall, does this baby have enough opportunities to be exposed to his/her first language?

Yes ...........................................................................

No ............................................................................

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following questions with assistance as needed

from the caregiver, parents and child protection worker.

the name by which a child is called is central to his or her identity. it is therefore very important that caregivers and others who have a relationship with him/her learn to pronounce unfamiliar names correctly.

it is important for all children to know where they used to live, who looked after them, and what they and their former caregiver(s) used to look like. this helps children develop an understanding of the past which is necessary for the development of their sense of identity.

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I9. do the toys, pictures, books and music in the current placement positively reflect this baby’s ethnic and cultural background?

Yes ...........................................................................

No ............................................................................

Don’t know ..............................................................

I10. overall, does this baby have enough opportunities to spend time with family and others from his/her Aboriginal and torres strait islander community?

Yes ...........................................................................

No ............................................................................

I11. overall, does this baby have enough opportunities to learn about traditional teachings, customs or ceremonies?

Yes ...........................................................................

No ............................................................................

I12. overall, does this baby get enough opportunities to participate in his/her own Aboriginal and torres strait islander community events and activities?

Yes ...........................................................................

No ............................................................................

I13. does this baby have a Cultural Plan?

Yes ...........................................................................

No ............................................................................

I14. Who is helping this baby to link with his/her culture and carry out his/her Cultural Plan?

Not applicable – This baby does not have a Cultural Plan ...............................................

Record name in the space below:

How far have the following objectives been met?

objective 1: there are no obstacles to this baby developing a sense of identity.

None known ...........................................................

Few obstacles .........................................................

Some obstacles ......................................................

Several obstacles ....................................................

Don’t know ..............................................................

objective 2: the caregiver(s) are responsive to and encourage this baby’s emerging individuality.

Nearly always .........................................................

Usually ....................................................................

Sometimes ..............................................................

Rarely ......................................................................

Don’t know ..............................................................

if anyone is in disagreement about the summary assessment of identity, say who disagrees and why.

Change in identity since last assessment.

First APR ..................................................................

Markedly better ......................................................

Somewhat better ....................................................

About the same ......................................................

Somewhat problematic ..........................................

Substantially more problematic .............................

the following questions apply to Aboriginal and torres strait islander Children.

suMMAry AssessMent oF identity

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following questions based on the information

obtained on the entire identity section. After answering the questions, look at the

previous Assessment and Progress record to see what has changed in the past 6 months.

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record details about plans for further action to be followed up in the Care and Placement Plan (goals/objectives, work required) in the space below.

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P1. does this baby appear well cared for*?

Yes > Go to Question P3 ........................................

Not very ...................................................................

No ............................................................................

Don’t know > Go to Question P3 ...........................

* A child who is well cared for will look as though someone is paying adequate attention to his/her physical needs. For instance, it should be clear from his/her appearance that s/he has frequent baths and that his/her clothes are regularly washed and mended.

P2. Please say why this baby does not always appear well cared for.

P3. is this baby appropriately dressed?*

Always > Go to Summary Assessment .................

Sometimes ..............................................................

Rarely ......................................................................

Don’t know > Go to Summary Assessment ..........

* Appropriate clothes are those which are suitable for the time of year, the baby’s surroundings and his/her age. Some babies will need to wear clothes appropriate to a particular religion or culture.

P4. Please say why this baby is not always appropriately dressed?during the Assessment and Progress

conversation the PLACeMent AgenCy WorKer is to answer the following

questions with assistance as needed from the caregiver.

soCiAL PresentAtion

The questions in this section are designed to make sure that this baby appears well cared for.

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How far has the following objective been met?

objective 1: this baby gives every appearance of being well cared for.

Appears excellently cared for ................................

Appears well cared for ...........................................

Appears sufficiently cared for ................................

Appears neglected .................................................

Don’t know ..............................................................

if anyone is in disagreement about the summary assessment of social presentation, say who disagrees and why.

Change in social presentation since last assessment.

First APR ..................................................................

Markedly better ......................................................

Somewhat better ....................................................

About the same ......................................................

Somewhat problematic ..........................................

Substantially more problematic .............................

record details about plans for further action to be followed up in the Care and Placement Plan (goals/objectives, work required) in the space below.

suMMAry AssessMent oF soCiAL PresentAtion

during the Assessment and Progress conversation the PLACeMent AgenCy

WorKer is to answer the following question based on the information obtained

on the entire social presentation section. After answering the question,

look at the previous Assessment and Progress record to see what has changed

in the past 6 months.

Placement agency worker

C1. How many conversations did it take to complete the APr?

C2. Who took part in the APr conversation? (List all that apply)

C3. record the names of those who received a copy of the completed APr and the date this was provided.

C4. Has the eir been updated?

Yes ...........................................................................

No ............................................................................

C5. record date of next review of Care & Placement Plan.

Completion of the Assessment and Progress record

the PLACeMent AgenCy WorKer is to answer the following questions.

British Crown copyright materials adapted for use in Victoria by the Victorian Department of Human Services, Government of Victoria, Australia, under Commercial Licence arrangements with the Controller of Her Majesty’s Stationary Office, the University of Loughborough, and the Department of Children, Schools and Families (England), United Kingdom.