“Final threshold At the relevant date, that being23rd April 2024 , the child was suffering or was likely to suffer significant harm and that harm was attributable to the care given to him or likely to be given to him, if an order were not made, not being what it would be reasonable to expect a parent to give due to the following: Substance Misuse The Mothers misuse substances, which impacts on her parenting and causes the child significant harm. For example: a. Mother has a history of chronic alcohol dependence and substance misuse (recently crack cocaine), extending well over a decade and throughout her pregnancies b. Mother has continued to misuse substances and drink alcohol excessively during this pregnancy against the advice of numerous professionals, placing the baby at risk of alcohol foetal syndrome, c. Mother self reported to health professionals that she is (as of 12.4.24) currently drinking 2-3 beers and 4-5 cigarettes for the majority of the time. Mother admitted also using cocaine and drinking Vodka in early pregnancy. d. Mother has been assessed, based on her given history, with features consistent with (i) chronic alcohol dependence, current use continuous, and (ii) cocaine dependence e. Dr McDermott in the proceedings which only concluded in November 2023 concluded that “My opinion has not changed in respect of the significant risk that Mother’s substance dependence represent to her children” f. Mother has not engaged or completed the recommended intervention by Dr McDermott following the care proceedings in November 2023, “The intervention which [the mother] chronically continues to need is a substantial engagement with a drug and alcohol service on a one to one, rather than a group, basis. b. [The mother] would need an intervention for a significant period of time, months rather than weeks. Relapse is always a risk, but relapse prevention work would form part of a comprehensive intervention. Also, relapses can be recovered from. c. [The mother] would need an individual and patient intervention, to help her develop some trust and interest in the process.”
“…was reported to be arguing in the waiting room and when approached about his behaviour, he refused to talk but started to video staff and other people in the waiting room, which he refused to stop doing. He was abusive to staff and at he [sic] was watched going back to his car to allegedly smoke illegal drugs on hospital grounds. He was issued with a first and full warning.”
“[The father] was ‘deliberately antagonising security staff’ in the emergency department by following them around, taking unauthorised photos and videos of them. He had screamed at the security manager demanding to see someone called ‘fat Tom’. As a consequence, he was issued with a letter which was to be regarded as ‘red card sanction’ which limited his access to hospital to emergency care only.”
“182. I do not recommend either parent has evidenced sufficient parenting capacity to provide ongoing safe care for [the child]. 183. [The mother] continues to drink alcohol which has been a feature of since the start of her parenting and was a contributory feature in the removal of all her children. Despite requesting the opportunity to evidence change, she has not been able to engage with services required to assist her break her evident and acknowledged dependency on alcohol. Even if she were to engage with service immediately it would require a considerable time of abstinence, testing and support to assist her break the dependency and there is no guarantee that she would be able to sustain the change and certainly not within her daughter’s timescales. 184. [The father] is unrealistic in his evaluation of what it would take to provide [the child] with the care and support she will need in the coming weeks, months and years. He appears not to have a proper grasp of the impact of [the mother’s] drinking on his daughter’s health and refuses to see how alcohol has impacted her to date. He did accept his history of depression brought on by persistent chronic pain in his shoulder but denied a history of suicidal ideation, the Psychiatric report clearly indicates that this was a factor in his medical records. He also understated his police record, his history of drugs and alcohol use. This tendency to understate important facts means it is difficult firstly to trust his word but also to understand what his triggers and how he could be supported properly when caring for daughter; he is an unknown. Disengagement with Children’s service due to disagreeing with an assessment suggests, he would have to agree with each report otherwise there is a risk that he would again disengage. 185. I am also not convinced that given their history together that [the father] would not gravitate back to [the mother] for his own support and with the care of his daughter. It cannot just that [the mother] has been failed by others which has led to the removal of her children, [the mother] accepts some responsibility for this, however [the father] does not, or was not able to say so. While he does accept that [the mother] drinks a lot, he appears to not fully grasp the risk she poses to his daughter in many situations and circumstances. He said if the court ordered him not to leave [the child] in [the mother’s] care he would comply, however he has a history on non-compliance, and it would be difficult to monitor. I am concerned that he would require the court to order him not to leave [the child] in her mother’s care at any time. 186. There is no doubt that [the father] will require support with his daughter’s care, even if she does not suffer the ongoing effects of Foetal Alcohol Syndrome, all children require the care and attention of their parents. He suggests he will care for his daughter alone, however given his medical history, difficult interaction with professionals and weak support network [the child] will be exposed to levels of vulnerability which are likely to lead to harm.”
“78. As I assessed him, and based on my reading, I did not discern that [the father] is a malevolent person who poses a direct risk to [the child]. He came across as devoted to [the child] and certainly as wanting to parent or co-parent her. He voiced anger that his connection with her has been, as it were, undermined. 79. In my view, the issues of concern remain that [the father] does not present as wholly mentally healthy, as having insight into his need to work concordantly with professionals, and in general as recognising that there is assessment work that needs to be done and there is good reason why professionals want to know quite a lot more about him than they do. 80. Given his history of substance use, mental health problems, at least one offence against a person (racially aggravated common assault), domestic disputes with [the mother] (not pursued by either party, I gather) and his apparent lack of insight, I believe it can be argued that [the father] would not be good at working cooperatively, openly and honestly with professionals such that they can lead a risk management process. 81. Rather, [the father] gave off fairly clear signs that he would be resistant and hard to work with. This suggests that risk factors identified would not be easily managed by professionals seeking to do so… 85. I note the words ‘from a psychological perspective’, and focusing on this I would say that if [the father’s] task is to create and maintain a safe, consistent and positive human, physical, social and educational (etc) environment for [the child], then he is not showing a very good amount of readiness. 86. My observations of and inferences about him lead me to conclude that he would struggle to be consistent, as well as struggle to avoid exposing [the child] to his tendency to fall into conflict with the world. This is not to suggest that he should not feel free to speak his mind and speak up with he does not agree with something, and so on, only that it appears his way of doing so may not be constructive. In turn, this could bring problems to the family situation [the child] would be living in. 87. I am sure [the father] is very much inclined to prioritise [the child] and her needs, now and into the future. What I would be concerned about, however, would be what I would call his distractions and preoccupations that could compete withhim leading a relatively simply life where he raised his child, focuses on her, and avoids expending energy on things he may not be able to change.”
“carried out an initial screening for this measure to determine whether more in-depth assessment of this issue was necessary, clinically. The initial examination of the facts including his history indicated that further exploration was unlikely to be more informative. This suggests he is unlikely to be presenting with any marked psychopathic features of clinical significance.”
“Whilst [the father] has exhibited difficulties in interpersonal functioning with distrust of some professionals and a somewhat combative style of interaction, he does not fulfil criteria for a diagnosis of a personality disorder. He has a tenacious sense of how others should conduct themselves which can lead to issues if he perceives that they have not adhered to rules and protocols. He can lack self-reflection of how this might be perceived by others and rationalised his actions… I am not of the view that [the father’s] history of interpersonal conflict and offending is related to a mental illness or personality disorder.”