2.2 Significant concerns about well-being
Definition:
“Serious presenting problems that impact upon a child's care and development and where the parent is unwilling or unable to access appropriate supports to make positive changes”.
In order to establish whether significant concern about a child's well being is occurring two conditions are required:
1. The problem is serious and impacts on a child's care and development
2. The parent is unwilling or unable to access appropriate supports to make positive changes (This may include that a parent does access services, but does not make sufficient change to improve the child's care and development)
It is mandatory (CYFA 2005) to assess a child as having significant concerns about wellbeing if:
  • A referrer's identity is to be protected
  • Child Protection is consulted because of significant concerns for the wellbeing of the child
  • Information is shared without consent for the purposes of risk assessment or determining appropriate service
  • A referral is received as a result of a child wellbeing report to Child Protection
Unborn referrals
Under the CYFA 2005, Child FIRST/Family Services may accept referrals about significant concerns for the wellbeing of unborn children.
Consult your Team Leader whenever you are considering an assessment of significant concerns about wellbeing or a consultation with Child Protection.
Consultations with Child Protection
Family Services may consult Child Protection for other purposes (s22). The IRIS service activity 'Child Protection consultation' should always be indicated every time a consultation occurs, irrespective of significant concerns or not.
IRIS Listing at Child FIRST for Significant Wellbeing referrals
Whenever a family is assessed as having significant concerns for the wellbeing of a child, the family must be recorded in Iris as "Significant Concern about Wellbeing".
Not all families in the Loddon Campaspe sub catchments are recorded on the Child FIRST client list as they originate in local agencies.  The agency which processes the initial referral will record the family on their agency IRIS data base.
In situations when the local agency referrals become upgraded to significant wellbeing concerns, this status needs to be noted on the Child FIRST data base. This will ensure that priority and enhanced intake services can be offered in the event of any subsequent referrals for the same family/child.
The following processes will be followed to record SWB referrals/status with Child FIRST:
  • Child FIRST will maintain a list on IRIS of all catchment SWB cases. The purpose of this is to gather a cumulative history in the event of subsequent referrals. Child FIRST does not have a case responsibility role when a case is referred to/allocated in a partner agency.
  • If a case becomes SWB in a local agency, CF is to be informed and registers a client only (no case) on IRIS. The User code is to indicate SWB the date and the agency name. This is only required for cases that have not originated in Child FIRST -local agency referrals, including all cases opened before 23 April 2007.
  • If the client is already registered but closed at Child FIRST, Child FIRST only inserts SWB, date and agency name as the User code.
  • If the case originated from Child FIRST and 'tracked', the Child FIRST IRIS will be updated at time of DHS export and closure - Child FIRST does not need to be notified of these cases.
  • Families are to be advised of any registration communication between local agency and  CF.
Responsibility for practice decisions and review of closures
The agency who has received the referral or has case management responsibility at the time the decision is made, is accountable for all case decisions and outcomes in relation to the SWB family.