The Needs Assessment Tool (NAT) is a case management tool to assist you and the child's care team to consistently identify and assess the complex and changing needs of children in the CEO's care across the dimensions of care. A completed NAT provides the care team and other relevant partner agencies with readily accessible information to assist with care planning, case management and care arrangement decisions.
Completion of the NAT is a streamlined, standardised process for all children in the CEO's care, to inform:
Benefits of the NAT are outlined below:
Informed capture and cost quotes to support the cultural needs and continuity of connection of Aboriginal and Torres Strait Islander children in the CEO's care, particularly those out of country.
Informed care planning decisions.
Informed care arrangement referrals and cost quotes for high needs referrals.
Consistent capture of children's safety and care needs, over time.
A checklist of needs to consider when working with a child.
A standard measure of complexity and need for all children in the CEO's care at a point in time (whole cohort).
An aid to monitor case worker knowledge of caseloads and assessment skills.
A holistic view of the required services and resources, across several dimensions e.g. geography, age and cultural background.
Identify and track trends in the complexity of needs of children in the CEO's care within a district or cohort to inform future service design.
Provide districts with a mechanism to identify individual or groups of children resources needs and review accordingly.
Note: CEO refers to the Chief Executive Officer of the Department of Communities (the Department).
All children in out-of-home care, including those on a negotiated placement agreement, must have an approved NAT when entering the sCEO's care and a care arrangement is required.
The NAT must be reviewed and updated either:
when there are significant changes in the child's needs.
If the NAT is for an Aboriginal child you must consult with the district Aboriginal practice leader (APL).
You should obtain information and/or consult those who may have information about the child's behaviours and needs during the previous 12 months. This includes:
the child (where age and capacity permits)
relevant family members, including parents and those who may have cared for or supported the child
the child's carers
specialist internal staff, such as an Aboriginal practice leader; education officer, or psychologist, and
service providers who are involved with the child including the child's school, health provider and/or community service organisations (CSO's).
When gathering information from the child or family, you should do so sensitively and respectfully, and explain the NAT process and rationale for undertaking the assessment.
You should also use other written information relevant to the behaviours and needs of the child. This includes internal and external documents (where relevant) from the previous 12 months such as:
Child Safety Investigations
medical assessments, treatment, disability or health plans
school reports and documented plans (education)
Signs of Safety documentation such as Assessment and Case Planning forms and safety plans
Viewpoint and Quarterly Care Reports
annual Care Plans
Cultural Support Plans
carer reports that describe the child's behaviours and needs
reports from other government agencies such as the Department of Corrective Services, and the National Disability Insurance Agency, and
any other relevant documentation about a child's needs.
The NAT must be completed when a child enters the CEO's care and must be reviewed on an annual basis or when there are significant changes in a child's needs.
Examples of where a review may be required include:
the child's needs have changed substantially. For example, the child's presentation has significantly deteriorated at school and/or in the care arrangement that requires an urgent review of their levels of needs, or
the child's needs remain the same but the level of services required to meet the child's needs have significantly increased. For example, a child moves into a new care arrangement and the carer has to transport the child considerably further to services, or important equipment and aids are required that will require a substantial review of the assessed cost needs in the NAT, or
the child's needs assessment levels change significantly on a regular basis. For example, management of the child's health needs now requires frequent hospital visits.
The NAT is integrated in the Child Information Portal (CIP). Over the course of the year, relevant information placed on the CIP may be added to the NAT. For example:
to rectify incorrect information recorded
changing from an 'unknown' level of need to an identified level of need, or
update information about the needs of the child such as when health care assessments become available.
The annual review also allows the NAT to be updated with information from other care planning documents such as the Care Plan, Education Plan and Cultural Support Plan.
You should be familiar with the dimensions of care, the child's individual needs and be able to complete the NAT as accurately as possible. The completion of the NAT and subsequent review should be consistent with information about the child's needs in other documents such as Care Plans and Signs of Safety Assessment and Case Planning forms.
When completing the NAT in Assist:
Click on the list of predefined categories (drop down boxes).
Select the box that best matches your assessment of the child's need at the time of completion (these range from not relevant to significant).
Type a summary of the evidence for the assessment category decisions under each dimension of care. This may include the information source, consultations, recommendations and rationale. It is important workers give examples of patterns of behaviour and how
they impact on the child’s life, at home, at school and in the wider community.
Refer to Completing the Needs Assessment Tool (NAT) – Guidance for child protection workers and care team members (in related resources). The information in the Guidance aligns with the drop down categories in the NAT and provides example indicators to assist workers to identify and assess a child's needs.
You should describe the behaviours of a child and the impact of these behaviours. Do not apply labels to these behaviours (e.g. autism or FASD) unless the child has been formally assessed with a condition or disorder. This is important to prevent the child from being excluded or restricted from accessing services.
The NAT must be approved by your team leader. When approved it automatically populates into the CIP and Care Arrangement Referral (CAR). The NAT and CAR are also published to Objective as standalone documents.
Upon approval of the NAT in Assist, a NAT level (number) will be displayed and a NAT report is generated. This information is created for every child according to their last approved NAT. For NAT level descriptions see Needs Assessment Tool (NAT) Level Descriptors (in related resources).
Information from NAT can and should only be shared with people who have a role in supporting and planning around the child's needs.
Community service organisations will receive the NAT report for each child they provide a care arrangement for. This is provided to allow CSOs to make appropriate arrangements for the child.
The Department is committed to working in partnership with CSO staff to ensure NATs accurately reflect and record the needs of the child.
The CSO providing a care arrangment for a child must be involved in providing input when a NAT review is undertaken.
Options for seeking input from a CSO may include:
asking CSOs to complete the NAT questions for each child they provide a care arrangement for, with supporting evidence/comments to help inform the final assessment. Refer to the Needs Assessment Tool for Care Team Members to complete
completing the NAT during a care team meeting or care plan meeting where the CSO is present
asking CSOs to provide information regarding particular behaviours/needs that can inform the NAT
utilising monthly reports, contract review documents and correspondence throughout the year.
If there is disagreement between the CSO and the Department about the responses to NAT questions and subsequent NAT levels, the CSO should raise this with you in the first instance. The CSO may contact the team leader or relevant assistant district director for further discussion and to understand what information and evidence was used to inform completion of the NAT.
The information entered into the NAT represents a 'snapshot' of the child's needs as assessed by you at a particular point in time. These needs may change over time and other information could become available, and the NAT will need to be updated.
At a minimum you must review and update the NAT on an annual basis and resubmit to their team leader for approval.
To complete the review, you should consult relevant people as needed and utilise information from appropriate documentation about the child's needs.