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Dear Lovely Listers In Essex we have a 'windscreen of need ' for children's services which I have managed to ascertain is a semi-circular diagram divided into 4 parts of which the first part is green and shows normal child support services, then as the sections go across to the right they become more orangey then red (so a traffic light as well as a winscreen) and show higher levels of need, culminating in red level 4 (being taken in to care for own or others protection for example). I have been asked to do a literature search to aid prediction as to what makes children 'tip' from one level into the next (particularly level 3 to 4) and I am really struggling for keywords that will come up with any sort of sensible answer. The obvious incidences in a child's life such as death of a parent/carer, break up of family, unemployment, escalation of substance abuse etc etc will all be triggers, but they are all unpredictable - has anyone else worked in this topic area or have a brain that seems to be working better than mine is at the moment ? I have tried it from the opposite angle by looking at prevention strategies as well as traumatic events but am still floundering a little - any help greatly appreciated. The object of the exercise is obviously to help commissioners decide where to concentrate the money. If you reply off list I will collate for anyone else who emails to register interest. Many thanks bw Barbara Please note that this email account will soon be closed. My new email address will be [log in to unmask]<mailto:[log in to unmask]> Barbara Norrey MA Head of Evidence Based Practice Public Health Essex County Council County Hall, A Block Market Road Chelmsford CM1 1QH Tel: 01245 437105 Internal: 51105 Mob: 07921 397523 ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere ********************************************************************************************************************