<p> Multi-Agency Child Protection Conference Report TO BE COMPLETED BY ALL PROFESSIONALS ATTENDING THE CONFERENCE CONFIDENTIAL</p><p>The author of this report permits the contents of this report to be shared when there is a need to safeguard or protect an adult. IT IS NOT TO BE USED FOR COURT PURPOSES. </p><p>Third party information should be submitted on a separate sheet</p><p>Professional’s Name Agency’s Name and Role / Job Title</p><p>Adult’s Name Date of Conference NHS Number </p><p>Date report completed</p><p>Within this section do not enter the details of the adult subject of the conference but do list any additional details of significant adults/children having contact with the adult who may not be known to other professionals – this can include Parents, Carers, Family or Household Members, wider family members, friends or neighbours </p><p>Forena Surna DOB/E Addres Ethnicit Disabili Relatio me me DD s y ty or nship Special to adult Need</p><p>Overvie w of 1 your agency’ s involve ment with the adult.</p><p>This should be relevant to adult protectio n and provide an analysis as to why you feel this adult has or is likely to experien ce neglect or abuse</p><p>Experie nce of </p><p>2 the individu al</p><p>Provide details of your convers ation with the individua l and their view of their situation and what they want to see happen. (see below for areas to consider )</p><p>What do you want to be the result of the investiga tion into the allegatio 3 n of safeguar ding? What do you think would be the best thing to come out of it for you? What do you think might be the worst thing to come out of it for you? What can we do to make you feel safe in the future? What will help you to feel in control of the situation ?</p><p>4 What Past Harm: are we worried about?</p><p>Harm:</p><p> P a s t Complicating Factors: H a r m</p><p>– p r e vi o u s i n j u r y , n e g l e c</p><p>5 t, e m o ti o n a l i m p a ir m e n t o r o t h e r a b u s e – s h o u l d d e</p><p>6 s c ri b e f a c t s i n cl u d i n g fr e q u e n c y , s e v e ri t y a n d i</p><p>7 m p a c t – y o u s h o u l d p r o vi d e cl e a r e vi d e n c e o f p a s t h</p><p>8 a r m</p><p>Complic ating Factors:</p><p> W h a t b e h a vi o u r s a r e y o u a w a r e o f t h a t </p><p>9 m a y p o s e a ri s k t o t h e i n d iv i d u a l ( w e lf a r e a n d s a f e</p><p>10 t y )</p><p> W h a t is m a ki n g t h is h a r d e r t o d e a l w it h ? – c o n d</p><p>11 iti o n s o r b e h a vi o u r t h a t c o n tr i b u t e t o g r e a t e r d if fi</p><p>12 c u lti e s f o r t h e i n d iv i d u a l</p><p>What’s Existing Safety: working well?</p><p>Safety:</p><p> P r o v e n Strengths: a n d t e</p><p>13 s t e d o v e r ti m e – s tr e n g t h s d e m o n s tr a t e d a s p r o t e c</p><p>14 ti o n o v e r ti m e – ti m e s w h e n t h e d a n g e r w a s p r e s e n t </p><p>15 it w a s m a n a g e d o r l e s s o n e d a n d t h e a d u lt w a s p r o t e</p><p>16 c t e d</p><p>Strength s:</p><p> A s s e t s , r e s o u r c e s o f i n d iv i d u a l, f a m</p><p>17 il y , c o m m u n it y – i n cl u d e s c a p a ci ti e s w it h i n t h e w i d e</p><p>18 r f a m il y , i n d iv i d u a l o r c o m m u n it y . W h a t s tr e n g t h</p><p>19 s e xi s t r e l e v a n t t o t h e i d e n ti fi e d h a r m</p><p> o r d a n g e r</p><p>20 s . E xi s ti n g f a c t o r s t h a t m a k e it m o r e li k e ly t h a t t h</p><p>21 e d a n g e r c a n b e d e a lt w it h .</p><p>What Next Steps: needs to happen ?</p><p>Next Steps: Goals:</p><p> T o p r o g r e</p><p>22 s s c a s e a n d a rr iv e a t t h e s a f e t y g o a l –</p><p>Goals (need to describe exactly what you and/or the individua</p><p>23 l need to see to know the individua l is safe and the case can be closed. It is not a list of services. Professi onals realistic best hopes for what needs to happen to address the dangers) :</p><p> A d u lt  A g e n c y</p><p>Agency Danger 24 Stateme nt</p><p>Based on what’s already happene d what are you worried will happen to the individua l if nothing changes ?</p><p>What needs to happen to keep the individu al safe?</p><p>If the meeting determi nes an Adult Protecti</p><p>25 on Plan is required what will you or your organis ation contribu te to the plan in addition to your current involve ment and how will this protect or support the individu al?</p><p>Has this report been shared with the Has this report been shared with other relevant people i.e. the individual? parents/carers/advocates?</p><p>What is/are their views on this What is/are their views on this report? report?</p><p>26 The template for this report can be found on need to add SAB website address </p><p>27</p>