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Keep them safe… …and Well

Keep them safe… …and Well. Kerryn Boland NSW Children’s Guardian. Role of the NSW Children’s Guardian. Accreditation of service providers against NSW out-of-home care standards Accreditation also acts as a ‘licence’

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Keep them safe… …and Well

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  1. Keep them safe… …and Well Kerryn Boland NSW Children’s Guardian

  2. Role of the NSW Children’s Guardian Accreditation of service providers against NSW out-of-home care standards Accreditation also acts as a ‘licence’ NSW Children’s Guardian is the independent assessor of both government and non-government providers Monitor performance of the NSW out-of-home care system – Case File Audits 4 August 2010 | 2

  3. Monitoring out-of-home care Health and Wellbeing • 2005-06 case file audit of 3 110 children and young people in statutory care • Identified future priorities for case file audits • Health • Education • Connectedness • Other uses for the data … 4 August 2010 | 3

  4. Agency’s response to audit findings 80% use audit resultsto improvecasework practice Inform Policy and practice improvements 66% use audit resultsto also improve planning, policy etc 4 August 2010 | 4

  5. Health Case File Audit • Some information collected on health from 2005 • 2008-10 Audit over 2 years focus on health • physical • emotional • mental health • Expert advisory group • Commissioned research 4 August 2010 | 5

  6. Health Case File Audit – what did we look at? The practice of agencies in relation to: • Obtaining and recording health related information; • Assessment of health status and needs; • Planning and monitoring; and • Providing information to parents. 4 August 2010 | 6

  7. Case File Audit – Health • Phase 1 (2008-09) • 1198 in NGOs/ADHC (50 in total) • 926 in Community Services • Phase 2 (2009-10) • 1358 in Community Services • Total files audited - 3448 4 August 2010 | 7

  8. Why focus on mental health issues? • Behaviour Issues: • Entering care • Education disruption • Social dislocation • Foster care breakdown 4 August 2010 | 8

  9. The Results Presence of a mental health issue • 39% mental health issue • Just over half of these kids had received any form of mental health assessment Behaviour that jeopardised placement, education • Nearly a quarter (23%) of kids had extreme behaviour problems • Just over half (52.77%) had a plan to manage that behaviour • 1 in 8 (13%) children on psychotropic drugs • 47% with comments from the person who has parental responsibility 4 August 2010 | 9

  10. Collaboration with Health NSW Health Keep Them Safe (KTS) out-of-home care research advisory group Captured 32 additional items of health related information on almost 1000 files Provided audit data to NSW Health regions and other audit categories 4 August 2010 | 10

  11. Kids’ Perceptions NSW Commission for Children and Young People survey of kids’ well being NSW Children's Guardian research on kids in residential care 4 August 2010 | 11

  12. 4 August 2010 | 12

  13. Where to from here? Continue to work with NSW Health to improve health outcomes for kids in care Work with Community Services to monitor roll out of health assessment scheme Re audit health in 2013 4 August 2010 | 13

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