Shropshire review

The Partnership to examine the early help offer specifically considering educational and preventative interventions with young people who commit offences, and who have complex needs based on a) earlier childhood adversity, b) presenting mental health difficulties, c) presenting with substance misuse, d) are involved with multiple agencies.

The Partnership to raise awareness about the need to be professionally curious when working with service users and routinely enquire about family relationships and dynamics. This should be extended to all professional groups that have contact with service users. Leaders should seek assurance that efforts to increase front-line professional curiosity are having an impact.

The Partnership to promote awareness about Domestic Abuse Disclosure Schemes/Clare’s Law through websites, publications and professional development events.

Undertake a review of whether relevant MARAC information is shared with GP Practices across the Partnership; seek to implement a robust process which remedies any gaps identified.

The Partnership to review how agencies approach communicate and support parents who have had children removed (or they are unable to see) to support them to manage triggers that could lead to deterioration in wellbeing and further negative responses or behaviour.

Ensure all incidents/risks relating to a service user are communicated to their GP within 24 hours.

Promote the use of professional curiosity across all staff.

Implement a revised triage process which covers completing the Domestic Abuse, Stalking, Harassment and Honour based violence Assessment Tool (DASH), alongside completing a DASH on all linked perpetrators to the victim/survivor.

Increase awareness about alcohol abuse on the wider family - encourage clinicians to keep their view wide when considering management and assessing risk.

Highlight patients with combination of alcohol / drug abuse and poorly controlled mental health and look at flagging – adding a note or code to the electronic record – that highlights patients at higher levels of concern.

Historic domestic abuse to be explored as part of all Strategy meetings.