Dynamic Support Register (DSR) for Children and Young People
Page Updated: 29th September 2021
What is the Dynamic Support Register?
Across West Sussex we aim to monitor and review all children and young people who meet the Transforming Care Criteria and have significant risk factors which could mean they require a mental health inpatient admission. In order to do this, we have developed a Dynamic Support Register (DSR) which will enable us to track those young people most at risk.
Many children and young people known to the Special Educational Needs and Assessment Team (SENAT) and/or Disabled Children’s services will not require Care, Educational and Treatment Reviews (CETRs) and will live full and active lives in the community and/or in residential settings without being at risk of admittance to a learning disability or mental health hospital bed.
Once identified and placed on the DSR, each child is ‘RAG’ rated according to their current risk. The criteria used are as follows:
Red
Amber
Green
The DSR is a ‘live’ document and updated in real time, but also reviewed as a whole document on a monthly basis by a team of relevant professionals.
Consent:
For a child or young person to be included on the DSR, they, or their parent/carer/guardian (either because of their age or because they have been assessed as lacking capacity) have to have given their consent to be placed on the register which is held securely by the CCG Commissioner. This consent must be updated annually. The Lead Professional involved in the case is best placed to seek consent from the parent / carer or from a young person themselves if they are over 16 and deemed to have capacity.
How can it help?
It is important that local services including the NHS, understand the needs of people with a learning disability, autism or both in their area, so that they can make sure people receive the right support in order to avoid being admitted to mental health or learning disability hospitals unnecessarily.
By holding the register and reviewing it regularly to keep it live, key professionals continually evaluate the risk(s) and also progress of the CYP on the register. It also enables the relevant professionals/teams to plan for transition to adult services (if required) in a timely way.
How can it be accessed?
Any professional can bring a child or young person directly to the attention of the West Sussex Joint Commissioning Unit including the Children’s Commissioning Manager by emailing: [email protected] for the West Sussex CCG’s if they are concerned that a young person is potentially at risk of admission.
If there are concerns that a 18+ year old is at risk of a hospital admission and should be considered for the local Dynamic Support Register, please email [email protected] for adults diagnosed with autism or [email protected] for adults diagnosed with a learning disability.
