Bolton Early Years Integrated Parent-Infant Mental Health Pathway
Getting Risk Support
Framework for Action Level: Statutory Help
Criteria for accessing Risk support:
- No reported/observed progress following extensive input as detailed above and risks remain; and/or
- Families presenting with rapid deterioration in presentation/functioning due to acute internal/ external stressors; and/or
- Families who decline support but for whom professionals remain concerned about the level of risk.
Families who are requiring ‘Risk Support’ present with significant concern to practitioners due to parental mental health and/or the parent-infant relationship causing the potential for risk to self and/or others. There will be ongoing integrated, multi-agency working with shared responsibility for risk assessment and management in relation to both the parent and infant.
Services and interventions may include:
- PCMHT maternal MH concerns, infant up to age 1.
- Adult Community Mental Health Team (CMHT).
- Child and Adolescent Mental Health Service for young parents.
- All Age Mental Health Liaison Service (AAMHL).
- Home Based Treatment Team (HBTT).
- Adult inpatient ward admission.
- Mother & Baby Unit admission if concern re: maternal mental health.
- Safeguarding support via Children’s and/or Adult Social Care.
- MMHS - working alongside other teams such as CMHT, Perinatal CMHT, HBT or Crisis Team to support them in the management of risk for women with moderate-severe mental health difficulties, directly arising from maternal loss and/or maternal trauma.
- Specialist professional consultation and liaison via the PAIRS.
- Specialist Perinatal MH Midwifery Service or Enhancing Families Service with an emphasis on offering risk management advice.
- Liaison with other relevant specialist services including risk-based services within the voluntary sector.
Holistic Assessment
Early Help is a multi-agency approach, working collaboratively with parents and carers to support the identification of risk and need, and to coordinate an effective and timely response via the Early Help Assessment and Plan