Enfield Teenage Pregnancy Risk Assessment Checklist

TEENAGE PREGNANCY RISK ASSESSMENT CHECKLIST

It is the responsibility of all professionals working with vulnerable young people to support
them in developing the skills, knowledge and self-esteem so they can make informed choices
about their personal sexual relationships.

Checklist Introduction
This risk assessment checklist has been designed for professionals to assess the underlying factors
that may increase the risk of young people becoming teenage parents or developing other sexual
health issues. It assists professionals in enabling young people to recognise these risk factors and
actions they can take to reduce these risks. This checklist is to be used with the aid of the teenage
pregnancy Resource Pack.
Completing the form will provide:
An indication of the overall level of risk that a young person is at
The support needs of the young person
A plan to meet the needs of the young person.
For queries in relation to this checklist, risk assessments or the teenage pregnancy Resource Pack
contact Nursal Livatyali, Teenage Pregnancy Coordinator 020 8379 3512 email:
nursal.livatyali@enfield.gov.uk or Mya Hamit 020 8379 4611 mya.hamit@enfield.gov.uk
For queries in relation to CAF (Common Assessment Framework) contact IST (Integrated Support
Team) Duty Manager 020 8351 1642 or email: cafaministrator@enfield.gov.uk

Who should be assessed?

This Risk Assessment Checklist is aimed at young people aged 11-17 years.
The assessment is designed to be used by a professional who has a concern that a young person may
be at risk of early sexual activity leading to an unplanned pregnancy, contracting a sexually transmitted
infection or other sexual health issues.
This form is to be completed by professionals who already know a young person and build on
information/concerns they already have. This form should be completed with the young person in all
cases.

Anne Stoker /Nursal Livatyali

Effective from September 2010
Next review date March 2011

Enfield Teenage Pregnancy Risk Assessment Checklist

HOW IT WORKS
You have concerns about a young person you work with
Arrange a one-to-one meeting to go through the form together

Explain that questions concern all areas of their life, as many things affect a young
persons ability to keep themselves safe. Some of the questions could bring up difficult
feelings for the young person.

Explain the purpose of the checklist to the young person &

your organisations policy on confidentiality and due regard to Child Protection Protocols

Go through each of the sections of the form encourage the young person to discuss each
section in-depth, but respect decisions not to
For every question that applies put the score in the last column

Total up the score

Discuss what the score indicates and how the young person feels about this

Go back through the form and discuss how the risk factors could be reduced.
Decide which risk factors the young person wants to reduce
You can suggest factors that the young person could reduce, but for the
young person to make changes they need to feel the decision is theirs

If score is above 30 contact allocated Social Worker or youth offending worker share the
concerns and send a copy of the score sheet that outlines the risk factors.
If the young person is not known to a statutory agency in agreement with the young
person complete a CAF refer to Integrated Support Teams via CAF Administrator.

If the score is between 20-29 contact allocated Social Worker or youth offending worker
share the concerns and send a copy of the score sheet that outlines the risk factors.
If the young person is not known to a statutory agency in agreement with the young
person complete a CAF, refer to another agency for support and log the CAF with CAF
Administrator.

If the score is below 20 help the young person set realistic and achievable targets for
themselves.
Complete the Action planning section and set a date and time to review progress.
Anne Stoker /Nursal Livatyali
Effective from September 2010
Next review date March 2011

Enfield Teenage Pregnancy Risk Assessment Checklist

TEENAGE PREGNANCY RISK ASSESSMENT CHECKLIST

RISK FACTORS

SCORE

Put all scores in

here that apply

VULNERABLE GROUPS
Has supportive peers

Known to Social Care

Learning difficulties / disability

Looked after Child

Involved with Youth Offending Service

TEENAGE PREGNANCY
No personal or family history

Family member became pregnant as a teenager

Is a teenage parent

Has had an unplanned pregnancy

Wants to become pregnant

SEXUAL BEHAVIOUR
No previous sexual experience

Safe sexual behaviour

Unsafe sexual behaviour

At risk of / sexually exploited

ABUSE
No abuse current or historical

Domestic abuse (past or current)

Sexual abuse (past or current)

SUBSTANCE MISUSE
No drug or alcohol misuse

Drug misuse (use that harms health or functioning)

Alcohol misuse (use that harms health or functioning)

LIVING SITUATION
Happy with living situation

Not living with parents

Poor housing

Break down of foster placement

Semi-independent (i.e., supported housing)

Homeless

HOME SITUATION
Happy with home situation

Affected by a bereavement

Family break down / unsettled environment

Lack of family support

Anne Stoker /Nursal Livatyali

Effective from September 2010
Next review date March 2011

Enfield Teenage Pregnancy Risk Assessment Checklist

Lack of age appropriate boundaries

Anne Stoker /Nursal Livatyali

Effective from September 2010
Next review date March 2011

Enfield Teenage Pregnancy Risk Assessment Checklist

ADULT SUPPORT
Has supportive relationships

Lack of family engagement with professionals

Has no supportive relationships with adults

EDUCATION, EMPLOYMENT OR TRAINING

Attending education, employment or training

Plans for education, employment or training

Sporadic attendance

Not in education, employment or training

EXCLUSION FROM EDUCATION

No history of exclusion

Between 1 and 3 fixed term exclusions (in an academic

year)

Regular fixed term exclusions (more than 3 in an

academic year)

Permanent exclusion

Non attendance / self exclusion

EDUCATIONAL ASPIRATIONS
Not applicable

Entered for GCSEs / other examinations

Not entered for GCSEs / other examinations

Left school without qualifications

No future plans

BEHAVIOURAL DIFFICULTIES
No behavioural difficulties

Low level disruptive behaviour

Frequent disruptive behaviour

Engaged in violent behaviour

EMOTIONAL HEALTH
No known persistent emotional difficulties

Persistent feelings of frustration / anger

Evidence of self harming

Persistent unhappiness (sadness)

Persistent lack of motivation

History of emotional neglect

Low self-esteem/ confidence

Suicide attempts

TOTAL SCORE

Anne Stoker /Nursal Livatyali

Effective from September 2010
Next review date March 2011

Enfield Teenage Pregnancy Risk Assessment Checklist

OUTCOME OF ASSESSMENT
Please refer to the teenage pregnancy resource pack for further
information and guidance about local services and provisions
High Risk
(Score of 30+)
If the young person has an allocated Social Worker or a youth offending worker
share the concerns and send a copy of the score sheet that outlines the risk
factors. If the young person is not known to a statutory agency in agreement
with the young person complete a CAF refer to Integrated Support Teams via
CAF Administrator. A decision will be made as to which agencies will work
intensively with the young person and their family to reduce the pregnancy and
sexual health risks.
Medium Risk
(Score of 20 29)
If the young person has an allocated Social Worker or a youth offending worker
share the concerns with the statutory service and send a copy of the score
sheet that outlines the risk factors. If the young person is not known to a
statutory agency in agreement with the young person complete a CAF, refer to
another agency for support. Log the CAF with CAF Administration.
Minimal Risk
(Score of 0 19)
Please complete the action plan below. There could be no further action
required other than providing appropriate information / signpost to other
services.

PLEASE
COMPLETE

Information shared
with the following
agencies

Information shared
with the following
agencies

Signposted to the
following agencies

Other Relevant Information

Please use this space to provide any other information the young person or the assessor feels is
relevant.

Anne Stoker /Nursal Livatyali

Effective from September 2010
Next review date March 2011

Enfield Teenage Pregnancy Risk Assessment Checklist

Action Plan (to be completed where risk scores are low).

Risk factors to be
included (i.e. risks
identified in the
assessment)

What young person

will do

By
when?

What professional
will do

By
when?

Review date and time

Assessor Signed ...........

Date ....

I agree with the above actions and agree for the information to be shared with other organisations /
services as necessary.
Young Person Signed ... Date ....

NAME OF YOUNG PERSON

DOB

Male / Female
if under 16 are parents aware of assessment YES / NO

POSTCODE
TELEPHONE CONTACT

Anne Stoker /Nursal Livatyali

Effective from September 2010
Next review date March 2011