Children and young people in this group might have the same difficulties outlined in the previous two stages, but despite having been offered help, progress is not being made and they remain a risk to themselves or others.
The child or young person requires specialist/ statutory integrated support. More than one agency is normally involved, with a coordinated multi-agency approach with a Lead Practitioner from a statutory role.
Statutory services include Police, Youth Justice Service, Children and Adolescent Mental Health Services, and Children’s Social Care.
The child or young person might:
routinely go into crisis
no longer be attending school
have issues with substance use or other risk-based behaviours that pose a serious threat of harm to themselves or others
self-harm frequently or in particularly extreme ways
be at risk of a family or caring situation completely breaking down
try to harm others
have a severe eating disorder that has become life-threatening
be at imminent risk of ending their own life
