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CONFIDENTIAL Appendix 4 (form 75) Multi-Agency Safeguarding Vulnerable Adults Referral Form This form is only to be used when abuse of a vulnerable adult has been discovered, suspected or disclosed
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How to fill out safeguarding referral form

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How to fill out multi-agency safeguarding vulnerable adults:

01
Gather all necessary information about the vulnerable adult, including personal details, medical history, and any known risks or concerns.
02
Identify the appropriate agencies and professionals involved in the safeguarding process, such as social workers, healthcare providers, and law enforcement.
03
Clearly document any incidents or concerns relating to the individual's safety or well-being, ensuring that all details are accurate and comprehensive.
04
Collaborate with other agencies and professionals to share relevant information and coordinate efforts to protect the vulnerable adult.
05
Assess the level of risk to the individual and develop a safeguarding plan that addresses their specific needs and concerns.
06
Regularly review and update the safeguarding plan as necessary to ensure it remains effective and responsive to the individual's changing circumstances.
07
Implement the safeguarding plan by providing appropriate support and interventions, such as counseling, medical care, or legal protection.
08
Monitor the individual's progress and regularly communicate with all involved parties to ensure that the safeguarding measures are being effectively implemented.
09
Continuously evaluate the impact of the safeguarding interventions and make any necessary adjustments or modifications to improve outcomes for the vulnerable adult.

Who needs multi-agency safeguarding vulnerable adults:

01
Vulnerable adults who are at risk of abuse, neglect, or exploitation.
02
Individuals with mental or physical disabilities that make them more vulnerable to harm.
03
Adults who are unable to protect themselves due to cognitive impairments or other limitations.
04
Those who have a history of abuse or have been identified as being at risk through risk assessments or referrals from other agencies.
05
Adults who live in situations or environments where their safety or well-being may be compromised, such as care homes or domestic violence situations.
06
Individuals who are unable to advocate for themselves or have limited support networks.
07
Adults with complex needs or multiple vulnerabilities that require coordination and collaboration among different agencies and professionals to ensure their safety.
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Multi-agency safeguarding vulnerable adults refers to a collaborative approach involving multiple organizations and agencies to protect and support adults at risk of abuse, neglect, or exploitation, ensuring their safety and well-being.
Professionals who work with vulnerable adults, including social workers, healthcare providers, police, and other related agencies, are required to file multi-agency safeguarding reports when they suspect a risk of harm.
To fill out multi-agency safeguarding reports, professionals should gather all relevant information regarding the adult's circumstances, details of the concern, actions taken, and collaborate with other agencies as necessary to ensure a comprehensive report.
The purpose of multi-agency safeguarding vulnerable adults is to ensure a coordinated response to potential risks, enhance the protection of at-risk individuals, and promote their well-being by pooling resources and expertise from multiple services.
Information that must be reported includes personal details of the adult, a clear description of the concerns, any immediate actions taken to protect the adult, details of the alleged perpetrator if known, and any other pertinent information that can assist in the investigation.
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