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A short presentation breaking down the Eligibility criteria research by the Scottish Children's Commissioner.
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Social work services for disabled children and
young people and their families
Assessment and eligibility
Scotland’s Commissioner for Children and Young People
Research objectives
• Establish current practices in local authorities across Scotland in terms of eligibility criteria and assessment tools.
• Discover if there has been any change to criteria and tools.
• Explore how variations in practice or changing criteria might affect services and access to them.
• Establish whether the level of accessibility and availability of services match the legislative and policy commitments in Scotland.
What did we do?
• Phase 1– FOI request made by the Commissioner to all
32 local authorities.
• Phase 2– Survey of all local authorities - social work
services• 23 responded.
– Discussion groups with social work professionals in two case study areas.
– One interview with a social work professional– Interview with two Scottish Government
representatives.
Current practice
• Service users• Budget, caseloads & staffing• Monitoring• Services provided• Charging
• Assessment tools• Eligibility criteria
Current practice: who are the services for?• 2 said their local authority does not
cover hearing impairments and 1 does not cover mental health problems.
• Differences in approach to autistic spectrum disorder.
• Definition of disability still an issue?– Impacts on eligibility.
Current practice: budget, caseloads & staffing
• Seems to have been less affected by cuts than other areas:– Only one local authority reported their budget being
smaller than it was five years ago.– About half said the budget had increased and half
staying about the same. – But concerns about both the impact on families &
the future.
• But, most local authorities (16) have experienced a rise in caseload in the last five years.– And, of those, only 6 reported a rise in staffing levels
and only 8 a rise in budget.
Current practice: performance monitoring
• Most authorities (19) reported problems with waiting times, but:
– 10 did not have a target for how quickly an assessment will be done
– 16 did not have a target for how quickly services will be put in place
• And:– 9 do not monitor waiting times– Only 4 monitor waiting times up to the point of
provision.
Current practice: services provided
0 5 10 15 20
Meals
Telephone equipment
Equipment for recreational need
Home help
Travel
Befriending
Leisure facilities/schemes
Sibling & carer support groups
Play schemes
Support to parents
Access to suitable housing
Occupational therapy
Practical assistance
Equipment & adaptations
Short break respite
Residential respite
Day care
Current practice: charging
0 3 7 10 13 16 20 23
Practical assistanceEquipment for recreationalLeisure facilities/schemes
TravelEquipment & adaptations
Short break respiteResidential respite
MealsTelephone equipment
BefriendingPlay schemes
Home helpDay care
Support to parentsAccess to suitable housing
Occupational therapySibling & carer support groups
Always provide free Contribution sometimes Contribution always
Current practice: assessment
• Process– While most publish key information about
assessment:• only about 2/3s publish information about the factors
taken into account when deciding whether to provide services, and
• only one local authority reported publishing information specifically for children.
– Assessment process is usually, but not always, explained to children and young people and their families.
– Most provide the opportunity for children and young people to participate directly in their assessment.
Current practice: assessment
• The tools used– 22 have tools in place for assessing children but
only 12 specifically for disabled children and young people.
– Differences in how far a multi-agency approach to assessment has been adopted
• 6 local authorities reported not yet using a multi-agency assessment tool
• Content of the tools differs - some more detailed than others; some more GIRFEC based than others.
• Still an issue around multiple assessments and duplication.
Current practice: eligibility criteria
• Why use them? • When are they used?• What do they look like? • Complexities
– Differences in definitions– Differences in when used
How have things changed?
• Eligibility• Assessment• Charging
• Referrals• Services
Impact of variation
• Variation does lead to differences in, for example:– the experience of assessment
process– types of services received– the amount of money paid
• But, difficult to conclude if one area is meeting need better than any other.
Meeting commitments?
• Some specific gaps in specific authorities, e.g– Planning & monitoring– Publishing information– Involving children & young people
• But, difficult to conclude overall.
Meeting commitments?
0
3
7
10
13
16
20
23
All Most vulnerable
Always Most of the time Some of the time