Table 3 Operationalisation of domains of child wellbeing within Care Plans, the NAT, and Viewpoint
Domain of child wellbeing | Care Plans | NAT | Viewpoint |
|---|---|---|---|
Safety | Qualitative review of previous Care Plan aspects relating to this domain, description of current safety needs or concerns, decisions about future actions to meet safety needs. | Young person’s actions or behaviours that place themselves or others at risk or harm. | Young person’s sense of physical and emotional security, and perceptions of own risk taking behaviour. |
Care Arrangements | Qualitative review of previous Care Plan aspects relating to this domain, description of current care arrangement needs or concerns, decisions about future actions to meet care arrangement needs. | Amount of additional regular car travel required to support young person’s needs. | Young person’s satisfaction with current care arrangement and their participation in care planning, including leaving care planning if relevant. |
Health | Qualitative review of previous Care Plan aspects relating to this domain, description of current physical and/or emotional health needs or concerns, decisions about future actions to meet health needs. | Level of impact of an identified mental, physical or developmental need on young person’s daily functioning. | Young person’s perception of own physical health, frequency of mental health symptoms. |
Education | Qualitative review of previous Care Plan aspects relating to this domain, description of current education needs or concerns, future actions to meet health needs. | Young person’s level of educational attainment and attendance, and impact of any problem behaviours on schooling. | Young person’s school attendance rate, perception of school and academic attainment, perception of support provided (e.g., help with school work, acquiring materials and equipment). |
Social and Family Relationships | Qualitative review of previous Care Plan aspects relating to this domain, description of current family and social relationship needs or concerns, decisions about future actions to meet needs around supporting and maintaining desired relationships. | Presence or absence of young person’s contact with immediate family members (i.e., parents and siblings). | Young person’s sense of closeness to carers and family members, satisfaction with family contact, presence of close friendships, satisfaction with contact with friends. |
Recreation and Leisure | Qualitative review of previous Care Plan aspects relating to this domain, description of current recreational needs or desires, decisions about future actions to meet health needs. | Level of support required for young person to pursue recreational interests of choice. | Young person’s satisfaction with current levels of participation in and recreation and leisure activities. |
Emotional and Behavioural Development | Qualitative review of previous Care Plan aspects relating to this domain, description of current emotional and behavioural concerns or needs, decisions about future actions to meet developmental needs. | Level of impact of an identified emotional need on young person’s daily functioning. | Young person’s perception of self, and self esteem. |
Identity and Culture | Qualitative review of previous Care Plan aspects relating to this domain, description of current needs or desires with regards to connecting to cultural background, decisions about future actions to meet cultural needs. | Level of support required for young person to remain connected to cultural community | Young person’s perception of own depth of knowledge about family background and culture, satisfaction with assistance to learn family’s language, follow own religion, beliefs or culture |
Legal and Financial | Qualitative review of previous Care Plan aspects relating to this domain, description of current legal and financial status, decisions about future actions to meet legal and financial needs. | NA | NA |