Taking children into care has important consequences for children and their families. Children who spend time in care have worse health, wellbeing and life chances than similar children who stay with their families. The grief and loss that parents experience can worsen their own health.
Parents whose children are at risk of being taken into care often have complex health and social care needs. These can include substance use challenges, domestic violence, mental ill health, homelessness or having been through the criminal justice system. When people face combinations of these issues, this is described as ‘multiple disadvantage’.
Families who experience multiple disadvantage are much more likely to lose their children because of these issues. Families who do not receive the help they need after a child is removed are more likely to have another child taken into care.
We worked in partnership with the Centre for Academic Primary Care, Changing Futures Bristol, a government-funded programme that supports people experiencing multiple disadvantage, and a range of experts at various universities. It was funded through the NIHR Three Schools Prevention Programme.
We aimed to:
A diverse group of academics, practitioners and people with lived experience fed into this work. We gathered insights to inform future projects:
We identified 10 key areas for improvement:
An illustration of these insights has been developed by Camille Aubry.
Systems should be designed to be:
Ultimately, this means making systems more trauma-informed, relationship-based, family-focused, evidence-based and multi-disciplinary.
By acting on these suggestions, services can potentially reduce harm, enhance trust, and empower parents to navigate the care system more effectively, while prioritising the wellbeing of children and families.
We are sharing the insights from our project with senior professionals in children’s and adults’ social care, alongside decision makers who support people experiencing multiple disadvantage.
We hope this project leads to research funding to tackle health inequalities experienced by these families.
Our long-term aim is to find ways of supporting families so that children can stay safely at home with their parents.
The University of Bristol is internationally renowned and one of the very best in the UK, due to its outstanding teaching and research, its superb facilities and highly talented students and staff. Its students thrive in a rich academic environment which is informed by world-leading research. It hosts the Elizabeth Blackwell Institute for Health Research.