Case Study 1 - Nancy
What do you want to know about?
• Nancy's past ACE's. What impact could these have potentially had on her health and emotional
wellbeing and potential need for a trauma informed approach?
• Current SW and care team as she is cared for. Any contact with her birth family and any risks this
may pose. Who has PR for Nancy this may need to be considered?
• Age of father Dan (is he also a 'child') any ACE's, past CSC history.
• Any flags on health records. Any previous attendances of concern.
• Any past substance misuse, alcohol or smoking for both Nancy and Dan.
• Any learning needs for either Nancy or Dan.
• What support does Nancy have from her carer? Where will she live with the baby?
• What support does Nancy need for her and her baby? Does she pose a risk to the baby? Will
previous ACE's impact parenting capacity?
What needs to happen?
• Safeguarding referral for both Nancy and the unborn baby
• Complete SafeLives Checklist and MARAC referral if indicated. Involve DAHA and Safeguarding
Team.
• Use of CPIS to recognise cared for status. Cared for health team and social worker to be informed of
concerns and to share information.
• Consider MSET screening toolkit if any MSET concerns raised following assessments/potential
disclosures and further exploration.