of the level of nurturance received by the child. Neglect may be occurring at school, outside of parental care. The child may be receiving nurturance from siblings or through a boarding school education, which compensates for the lack of nurturance provided by the parents. Linking development to stimulation Neglect is a process whereby children experience developmental delay owing to experiencing insufficient levels of nurturance. It has been argued that in principle, this means that when starting an assessment of neglect by identifying developmental delay one needs to then check the levels of nurturance received by the child. Certainly, where guidance on identifying neglect does urge practitioners to measure developmental levels, some guidance urges practitioners to focus on how developmental levels can be attributed to parental behaviour. However the narrow focus on parental behaviour can be criticised for unnecessarily ruling out the possible impact of institutionalised neglect, e.g. neglect at school. If one starts by concluding that the levels of nurturance received by the child are insufficient, one then needs to consider the developmental levels achieved by the child. Further challenges arise, however. Even when one has established developmental delay and exposure to low levels of nurturance, one needs to rule out the possibility that the link between the two is coincidental. The developmental delay may be caused by a genetic disorder, disease or physical, sexual or emotional abuse. Of course, the developmental delay may be caused by a mixture of underexposure to nurturance, abuse, genetics and disease. Practical tools for measuring The Graded Care Profile Tool is a practice tool which gives an objective measure of the quality of care in terms of a parent/carer's commitment. It was developed in the UK. The North Carolina Family Assessment Scale is a tool which can be used by a practitioner to explore whether neglect is taking place across a range of family functioning areas. The NSPCC makes use of the NCFAS in their Evidence Based Decision-making Practice Model, which involves a Society practitioner working alongside the local authorities assigned a social worker to review the functioning of the family in complex neglect cases. Intervention programs Early intervention programs and treatments in developed countries include individual counselling, family, group counselling and social support services, and behavioural skills training programs to eliminate problematic behaviour and teach parents "appropriate" parenting behaviour. Parenting programmes Video Interaction Guidance Video interaction guidance is a video feedback intervention through