▁the ▁child . ▁C ertain ly , ▁where ▁guidance ▁on ▁ident ifying ▁neglect ▁does ▁ur ge ▁for ▁pract ition ers ▁to ▁measure ▁development al ▁levels , ▁some ▁guidance ▁ur ges ▁pract ition ers ▁to ▁focus ▁on ▁how ▁development al ▁levels ▁can ▁be ▁attributed ▁to ▁parent al ▁behaviour . ▁However ▁the ▁narrow ▁focus ▁on ▁parent al ▁behaviour ▁can ▁be ▁critic ised ▁for ▁unnecess arily ▁r uling ▁out ▁the ▁possible ▁impact ▁of ▁institution al ised ▁neglect , ▁e . g . ▁neglect ▁at ▁school . ▁ ▁If ▁one ▁starts ▁by ▁con cluding ▁that ▁the ▁levels ▁of ▁n urt urance ▁received ▁by ▁the ▁child ▁are ▁ins u fficient , ▁one ▁then ▁needs ▁to ▁consider ▁the ▁development al ▁levels ▁achieved ▁by ▁the ▁child . ▁ ▁Further ▁challeng es ▁arise ▁however . ▁Even ▁when ▁one ▁has ▁established ▁development al ▁delay ▁and ▁expos ure ▁to ▁low ▁levels ▁of ▁n urt urance , ▁one ▁needs ▁to ▁rule ▁out ▁the ▁possibility ▁that ▁the ▁link ▁between ▁the ▁two ▁is ▁coinc ident al . ▁The ▁development al ▁delay ▁may ▁be ▁caused ▁by ▁a ▁gen etic ▁dis order , ▁disease ▁or ▁physical , ▁sexual ▁or ▁emot ional ▁ab use . ▁Of ▁course ▁the ▁development al ▁delay ▁may ▁be ▁caused ▁by ▁a ▁mixture ▁of ▁und ere x pos ure ▁to ▁n urt urance , ▁ab use , ▁gen et ics ▁and ▁disease . ▁ ▁Pract ical ▁tools ▁for ▁meas uring ▁ ▁The ▁Gr aded ▁Care ▁Profile ▁Tool ▁is ▁a ▁practice ▁tool ▁which ▁gives ▁an ▁objective ▁measure ▁of ▁the ▁quality ▁of ▁care ▁in ▁terms ▁of ▁a