The Multi-Agency Risk Management (MARM) process provides professionals from all agencies with a framework to facilitate effective multi-agency working with adults (aged 18+) at risk of harm who are deemed to have mental capacity for specific decisions that may result in serious harm/death through severe self-neglect or risk taking behaviours and refuses or is unable to engage with services.
The MARM must only to be used when:
- The person has care and support needs as defined by the Care Act 2014 (unable to meet two or more of the outcomes – due to their impairment and not caused by other factors such as homelessness/lack of access to facilities); AND
- From the information available is it believed that the person has capacity to make decisions in relation to their own care and support needs; AND
- There is evidence that the person is not engaging with a range of professionals, and this has been over a period of time AND
- There is evidence of self-neglect which is so severe that it is felt that without a change it will have a devastating effect on the person’s wellbeing which may lead to a permanent change in the persons functioning, and /or may lead to death.; OR
- There is evidence of the person engaging in risky activity which could have a severe detrimental effect on their wellbeing? (this could include choosing to remain in a domestic violence situation, associating with known offenders, drug users/dealers, cuckooing being a risk)
MARM Process Summary
Before making a referral for a MARM
- Have other areas of support been considered such as signposting to supportive agencies and services?
- Have all other avenues for support and engagement with the adult at risk been exhausted?
- Has a Multidisciplinary Teams Meeting (MDT) already taken place or been considered?
- Is the risk significantly high enough to warrant a MARM?
- Raise a Concern by making a referral to the Multi-Agency Safeguarding Hub (MASH) clearly stating this is for a MARM and include evidence to support your referral and advise the adult at risk that you are making the referral
- Information Gathering by the MASH
- Scoping the Risk Action Plan Meeting – representatives from all key agencies who are or should be linked to the case are invited and MUST attend and the Adult at Risk invited
- Risk Action Planning Meeting– follows a framework to develop MARM Risk Action Plan
- Test of Engagement – MARM Risk Action Plan shared with Adult at Risk
- Case Closure- there must be agreement by all professionals involved in the case that this process is no longer required before it is closed.
Multi-Agency Safeguarding Adults Procedures and Guidance – Safeguarding Adults Procedures | Cambridgeshire and Peterborough Safeguarding Partnership Board (safeguardingcambspeterborough.org.uk)
Full Multi-Agency Risk Management Guidance – Multi-Agency Risk Management Guidance | Cambridgeshire and Peterborough Safeguarding Partnership Board (safeguardingcambspeterborough.org.uk)