“While the mother has maintained abstinence from drugs and alcohol during her period in custody, there is a high risk of her relapsing into drug and alcohol issues when she returns to the community such that J is likely to suffer significant harm.”
“She is very well motivated towards her treatment and very open to any suggestions regarding K. She has been medication free since28 December 2009 and has coped with this very well.”
“The only concern at present would be post-Trevi and where the mother would live and clean support networks and friendships. This is being addressed during her stay at Trevi House.”
“The mother is very motivated to remain drug-free and to be a good enough parent to K. She has good insight into her underlying issues. She has voiced that loneliness, boredom and depression could be triggers and difficult for her when she leaves Trevi House, but is using her remaining time here to work on strategies and build support to deal with these emotions.”
“Since K’s birth, I have been completely abstinent and I am committed to being drug-free and being able to show that I am able to look after her. I recognise that I need help to remain drug-free. I fell in love with K as soon as she was born and cannot believe that I did anything during my pregnancy that might have caused harm to her. I am determined to do right for her from now on.”
“Her history from her early childhood onwards is consistent with the sort of adverse experience and significant emotional distress in childhood which may lead to problems in personality development in adolescence and into adulthood. In my opinion, her description of frequent disturbed moods not amounting to the diagnosis of mood disorder as such and her regulation of these with substance misuse, her pattern of unstable and at times abusive intimate relationships, her substance misuse over her entire adult life and her repetitive deliberate self-harm, at least in part, as a means of regulating tension/mood difficulties, are all consistent with a diagnosis of borderline or emotionally unstable personality disorder.”
“So far as her personality disorder is concerned, she has as mentioned before previously been assessed within psychological therapy services in the community and offered intensive psychotherapy, but did not take up that offer. In my opinion and since her substance misuse is intimately bound up with those personality difficulties, she should seek further psychological assessment for long-term intensive psychotherapy … long-term intensive periods of psychotherapy lasting usually 18 months to two years. There would be some period of time to wait for assessment and in most areas a period of time spent on the waiting list which might itself be of 6 to 12 months’ duration. Of those who successfully complete this intensive programme of psychotherapy, around one third have derived substantial benefit.”
“I am an addict. I would like a second opinion. I don’t think I need psychotherapy. I have had counselling and it is hard. I don’t know if it is different from psychotherapy. I am struggling to get my head round personality disorder, but I will engage with anything this time. I’m doing it for myself.”
“Justice must never be sacrificed on the altar of speed.”
“The social workers may be placed under inappropriate time constraints such that they will have insufficient opportunity to distinguish between those families beset by objective adversity which, with suitable support, are likely to be able to make the necessary changes within J’s timescale and those families for whom requisite change is unlikely.” 50 I accept that proposition and indeed it seems likely that K was placed with the mother, the social workers having concluded that this was a mother “beset by objective adversity and who, with suitable support, could make the necessary changes”
“Viewed from a judicial perspective, a vital component of the FDAC approach has to be a robust and realistic appraisal at the outset what is possible within J’s timescale and an equally robust and realistic ongoing appraisal throughout of whether what is needed is indeed being achieved not within J’s timescale. These appraisals must be evidence-based with a solid foundation, not driven by sentiment or a hope that something may turn up. Typically, three questions will have to be addressed. First, is there some solid, evidence-based reason to believe that the parent is committed to making the necessary changes? If so, secondly, is there some solid, evidence-based reason to believe that the parent will be able to maintain that commitment? If so, thirdly, is there some solid, evidence-based reason to believe that the parent will be able to make the necessary changes within J’s timescale?”