Neutral Citation Number: [2010] EWCC 31 (Fam)
In the County Court
Before:
District Judge X
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Between:
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A Local Authority
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Applicant
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And
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A Mother
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1st Respondent
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And
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A Father
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2nd Respondent
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Hearing dates:
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Judgement
Application
- This case concerns a little boy of twelve
months. An application (made on 8/6/09) by a Local Authority sought a
final care order in a contested hearing before me on 14, 17 & 18 June
2010; it was coupled with an application (made on 6/4/10) for a placement
order.
- I explained at the start of the hearing
that, as I am required to create an anonymised judgment for publication on
the website (pursuant to the current Pilot Scheme), I would not deliver a
detailed judgment at the conclusion of submissions on the third day; I was
willing to give a decision and brief explanation immediately to be
followed by reasons given later in writing; but, in the event, the parents
explained via their lawyers that they were unable to face the distress of
hearing the various submissions and decision, and did not attend on the
final day. I therefore volunteered to type and circulate a written
judgement and formally hand it down as soon as practicable.
- The requirements of anonymity mean that all
personal details become expunged - precisely so that neither the location
nor the individuals involved (the child, the parents or anyone else) can
be identified from the text. Although this means that all facts are
de-personalised so that the decision is inevitably harder to read and
digest, it is possible that this further distancing will make its
conclusions easier to accept.
The family members
- The child (whom I shall refer to hereafter
as "the son") has just had his first birthday. Both parents have
parental responsibility for their son as they married on 21 July 2006, (three years
before his birth). His mother has just turned 26, his father, 35; they
continue to live together and seek the immediate return of their son.
- They also have a daughter who is four years
old. She was made the subject of a care order on 7 December 2006. She was placed
with a paternal aunt and her female partner, but within two years the
aunt’s relationship with her partner deteriorated, the aunt attempted
suicide, and a previously undisclosed drug involvement surfaced; in
September 2008 the daughter was returned to foster care, where she
remains. As the placement within the family had broken down, the Local
Authority made application just before Christmas last year for a placement
order (with a plan for adoption). That outcome is opposed by the parents,
who seek her return; the daughter’s case was argued before me at the same
time as the case for the son, and I shall deal with that application by
way of a short addendum to this judgment.
- The son has two older half-brothers who are
the children of the mother and her first husband, (to whom she was married
in June 2002, just before her 18th birthday).
The oldest boy is
nearly 8; he suffered a number of injuries which were investigated and thought
to be of a non-accidental nature. When he was 14 months old, as a result of a
combination of factors which the parents recognised did raise concerns over the
adequacy of their supervision, he was discharged from hospital into the care of
his maternal grandparents. He has remained with them since August 2003 and initial
interim care orders gave way to a residence order in their favour, made in
January 2005 to formalise the arrangement.
His full (younger)
brother
has just turned six; the agreed pre-birth plan was for the couple to live with
the father’s parents; but, within a fortnight of the plan being implemented,
the father had left – and three days later, the mother also left; and so he has
lived without either parent from the age of three weeks but with his paternal
grandparents since birth. Again, initial interim care orders gave way to a
residence order being granted in favour of the paternal grandparents in May
2005 when he was a year old.
Threshold criteria
- S. 31 (2) of the Children Act 1989 states
that "the court may only make a care order or supervision order if it
is satisfied
(a) that the child concerned
is suffering, or is likely to suffer, significant harm; and
(b) that the harm, or
likelihood of harm, is attributable to (i) the care given to the child or
likely to be given to him if the order were not made, not being what it would
be reasonable to expect a parent to give to him; or (ii) …(not relevant).”
- Before any court may entertain the making
of a care order (or indeed a supervision order) the statutory threshold
criteria must have been established. The court has to be satisfied that
the child concerned is suffering or is likely to suffer significant harm
attributable to a lack of reasonable care being afforded to him.
- The threshold criteria set out by the Local
Authority are accepted by the parents. I therefore adopt as my findings of
fact that threshold document (document A51in the bundle) the text of which
has been agreed between the lawyers for the mother, the father, the
guardian and the Local Authority. That document will be annexed to my
order. It is signed by both parents and dated 8 February 2010. It confirms that
at the relevant date - 9 June 2009 – (the tenth day after his birth), the
son was likely to suffer significant harm and that likelihood of harm is
attributable to the care likely to be given to the child if the order was
not made, not being what it would be reasonable to expect a parent to give
him. He was discharged from hospital into the care of foster carers with
whom he is thriving - as the parents have been able to see for themselves
when exercising regular contact with him.
- The threshold document is short. It refers
to the judgment of the court in relation to the daughter where the judge’s
findings resulted in the daughter not being rehabilitated to the parents’
care; the parents have a history of substance misuse; they failed to
co-operate with professionals by not making themselves available for the
son’s pre-birth assessment; and they have minimised the professionals’
concerns - and some they have not accepted at all.
- The mother herself was the victim of
non-accidental injury at the hands of her own mother and she was placed
with foster carers at the age of just three months. They subsequently
adopted her (and it is they to whom I refer above as the maternal
grandparents). By the age of seventeen mother was receiving support under
section 24 of the Children Act 1989; she is described in social work
records as having a history of risk-taking, unprotected sex and
prostitution. She married, had her two oldest boys, separated from her
first husband and met her present husband. In his mid-teens, the father
applied to the Army but was not accepted, he says because of his
relatively small stature. Although the wife in earlier proceedings
suggested he was working long hours away from home, so far as I can trace
from the papers, there is no reference to his having experienced regular
employment. This means he is available full-time and able to assist the
mother in looking after either or both of their children.
Proceedings
relating to the daughter
- Within a month of the conception of her
daughter test results confirmed the presence in the mother of a mixture of
heroin, cocaine, cannabis and excessive alcohol. She sought medical help
to wean her off the heroin; but a relatively low dose of buprenophine
(known as subutex), prescribed by the doctor, was supplemented, unknown to
the doctor, by an un-prescribed higher dosage obtained illegally and
supplied by the father. When the daughter was born she was suffering from
foetal alcohol syndrome caused by her exposure to the mother’s toxicity
(and, indeed, a similar diagnosis has now been made in respect of the
oldest son); this condition has impacted on the development of both
children.
- The parents accept that a judge made
findings of fact in respect of the threshold criteria for their daughter
on 13/9/06 (when she was
seven months old) as a consequence of which the daughter has not been
returned to their care. Those findings contain four significant threads –
[1] ongoing drug dependency (heroin substitute and cannabis); [2] domestic
violence;
[3] significant
personality traits; and [4] inability to work with professionals.
- As to the daughter in the 2006 proceedings,
due to ongoing concerns about both parents being still involved in drugs
misuse and the suspicion of domestic violence, she was discharged from
hospital into foster care within four days of her birth. No residential
parental assessment was sought by either parent. The September 06
judgement made reference to the immediate past history; to the mother's
chaotic lifestyle, to her abuse of alcohol during her pregnancies with her
two older boys, to her use of cannabis and to her resistance to
"agency intervention and support.” The judge asked himself whether
the threshold criteria were made out -- and, if so, whether the evidence
concerning the welfare of the daughter dictated that she could not be
returned to the parents care. He reminded himself that a return to the
birth parents must "of course be the first choice, unless it has to
be ruled out as not being in her welfare interests." He was told – as
I am – that everything had changed because the wife was now with her new
husband.
- The parents agree that those findings
(examined below) justified the concerns expressed by health professionals
at the time and the parents accept -- within the threshold criteria in
respect of their son – that similar professional concern has been
expressed about their son which they have either minimised or flatly
rejected. The parents agree that they have a history of substance misuse,
and accept that they have not co-operated with professionals - as
exemplified by their not making themselves available for the pre-birth
assessment. But the parents assert that everything has changed now because
they are in a stable relationship.
[1] Ongoing Drug Dependency
Subutex
- This assertion about changed circumstances
prompted the judge in 2006 to consider the evidence about subutex.
Initially a prescription for subutex for the mother was refused because
she was testing negative for opiates (and thus it was thought to be
unnecessary). However, and somehow, the doctor was persuaded to prescribe
a low dose -- 2 mgs per day -- which the husband topped up with an
illegally obtained supplement, so that the mother was actually taking 8
mgs daily. The prescription was then increased to 4 mgs, and a month later
to 6 mg; and two weeks after the birth was increased to 8 mgs. The mother
had plainly been in receipt of at least 8 mgs throughout the pregnancy.
The husband contended that his wife would have resorted to street heroin
if he had not taken the action he did; he sought to persuade the court
that his action was the lesser of two evils; but the judge rejected that
attempted justification and concluded that it was harmful – both to the
mother and the unborn child - for the father to supply the mother in that
way.
- The mother asserted that she wished to
reduce her dependency. The Community Drugs and Alcohol Team [CDAT]
expressed the view that the mother’s dependency was entirely psychological
(and not physical, as she contended). The judge found that she was unable
to reduce her dependency despite her expressed wish to do so. He also
found that the mother had been given advice in June 2005 that substance
misuse during her previous two pregnancies may well have contributed to
the developmental delay suffered by her two older boys. He found that she
refused to acknowledge that risk because she did not abstain from drug
misuse during her third pregnancy despite that knowledge.
- The father admitted to the judge that he
was the cause of his wife becoming dependent on heroin; he had supplied
her with class A drugs and at one time he had also injected her with
amphetamine. The Father himself had been an habitual user of heroin.
However, between 2003 and 2004 the father had been weaned from his heroin
habit onto a methadone programme; and thereafter he was put on subutex and
was taking 8 mgs of subutex daily. He accepted that he has had occasional
lapses -- he tested positively for opiates in 2006, which arose “because
he had mislaid his prescription”; and he admitted to me that -- at a low
point in his relationship with his wife (shortly after the son's birth) he
again resorted to heroin. His daily dosage of heroin substitute has not reduced,
‘though it has been changed from Subutex to Methadone; he suffers
withdrawal symptoms if he reduces the dosage or tries to reduce his
dependency; he accepts he has a continuing dependency on Methadone.
- Subutex has given way to methadone now for
the wife also; she was on 75mgs – reduced to 70mgs in Autumn 09, and is
now down to 65mgs she told me. But dosages appear to have fluctuated –
sometimes going upwards before coming down again - and both husband and
wife recognise that they are each still heavily dependant on and,
essentially, addicted to a heroin substitute.
Cannabis
- Both parents told the judge in 2006 that
they saw nothing in the least compromising about their admitted use of
cannabis. The father had admitted to the Consultant Psychiatrist in 2006
that he and the mother smoked cannabis nightly before going to bed to help
them relax. In his evidence before the judge the father reduced that
frequency to an ‘occasional’ use; but the judge found that “on any view,
it is a regular habit.” The father acknowledged that the use of cannabis
and the care of small children "do not go together." The judge
expressly warned "it is not difficult to envisage common situations
where children require attention or are injured or are unexpectedly ill,
perhaps at night. Parents under the influence of cannabis run the risk of
responding inadequately to such crises."
The judge
found "as an unavoidable fact" that both the mother and the father
were still within the “grip of drug dependency.” He went on to say (and the
emphasis by underlining is mine);-
“I do not
wish to be judgemental about this. Those who have not experienced drug or
alcohol dependency should be slow to criticise others who have been less
fortunate. The fact however remains that on their own accounts both the mother
and the father are at risk of relapsing into the dark world of drugs misuse and
it is literally only the present level of subutex that prevents such a relapse.
Sad to relate, they have proved unequal to the task of weaning themselves
off the substitute despite a professed desire to do so. There has not even
been any reduction in their daily dosage.
“Furthermore,
they are incapable or perhaps unwilling to reduce or end their use of cannabis,
despite the father, for example, acknowledging that it is inconsistent with
proper childcare. The situation would be radically different in my judgement
if they had been able to show that they were entirely free of drugs and had
remained so for six or 12 months, but that is not the position.”
The position before me
about cannabis
- The husband told me he understood what I
have quoted the judge as saying above. The father had started using
cannabis in his early teenage years; there had been a gap of six years at
one point, but his was a more or less continuous user, and his telling the
court now, at this hearing, that he had given up cannabis -- when the test
showed that it had been used in the last two or three weeks -- was "a
bit too late, I realise."
- The mother told me that she hardly ever
touched cannabis now. She admitted that she might have an occasional spliff
on a weekend, but could not recall whether she had partaken in the last
few months; it was a “good few weeks ago” since she had last smoked
cannabis.
- This assertion does not square with what
the wife, at other times, has told health professionals.
·
On
28/5/08 she told the Specialist Practitioner (of the English Local Authority
with whom she had an interview – and which I will term the ‘English
Assessment’) that (at that time) she was prescribed 4.8mgs of subutex but she
topped it up with “illicit subutex – buys approximately 3x 8mgs, tries to
inject it in the arms” – according to the specialist’s report dated 17/6/08,
(although the frequency of such purchases is not recorded). She told the same
specialist in that same interview that she drank three litres of cider a day,
smoked 20 cigarettes a day and that her cannabis use was “everyday 20 spliffs
from morning to evening.”
·
The
November 09 CDAT Report from the Specialist Registrar referred to an interview
which he had had with her on 30/9/09 when mother told him she “uses cannabis
1-2 joints once or twice a week.”
·
The TrichoTech
reports recorded cannabis use by her;-
in the
period September 09 to December 09; and
in the
period between January and end March 2010.
·
It
was suggested to her during the course of cross-examination that the reason
that she and her husband had no money to get to court on the first day of this
hearing was because they had spent the money on cannabis last weekend; she
denied that - and was appalled, saying that they never bought cannabis. She
accepted that she had probably last smoked cannabis “about six weeks ago”
(therefore in early May 2010).
Conclusion
(about drug dependency)
- The parents deceive themselves that they
are not still in thrall to drugs; they are not free of heavy reliance on
prescription Class A drugs taken in substitution for heroin – indeed, subutex
and methadone are Class A drugs in their own right. They both claim to
have given up using cannabis, but – in reality – neither sees cannabis as
being insidious or of much consequence; and their protestations about
never using it again do not ring true. I am satisfied that they have not
abandoned their use of cannabis.
- The groundwork which the parents needed to
undertake in order to achieve a different outcome was set out by the judge
in the proceedings relating to their daughter; he told them that if they
had been drug-free in the 6 to 12 months immediately before the hearing
before him that would have signalled a huge turnaround. However, on the
facts of this case (relating to their son and therefore as regards their
current drug-taking), the parents have not yet done enough to demonstrate
that they have "turned their lives around." I cannot ignore the
fact that the mother has been involved with CDAT for the last five years
and that her prescription has reduced but little over that period. I was
not given similar details for the husband; he accepts his dependence on
methadone is considerable still. Both parents remain outwardly casual
about drug misuse and are still within the grip of drug dependency.
[2] Domestic Violence
- Both parents maintained before the judge
in 2006 that their relationship was stable and free of violence. The
judge examined incidents in January 2005, in June 2005, and a string of
incident records on other, earlier, occasions. He found it impossible to
accept the mother's case that she had reported to the police violence by
the father (as recorded) not because those occasions were true but in
order to seek attention when she was lonely due to the father being away
working long hours. He was satisfied that both parents had lied to him
about the existence of violence in their relationship -- although he
conceded that, since there had been no reports of violence over the 15
months prior to that hearing, things might have improved more recently -
but he found there was a potential for violence in the future when the
parties were under stress. The judge's determination was not appealed.
- Instead of accepting the judge's findings
at face value, and working with them, the parents continue to deny that
there has ever been any violence in their relationship. Their self-esteem
seems to be so strongly bound up in their eyes with the notion of their
innocence (of domestic violence) that not accepting what they say at face
value and exposing the inherent lack of probability in what they say,
makes any criticism seem brutal and risks jeopardising the fragile hold on
recovery which their dependence on methadone is slowly facilitating. I
feel that burden keenly. I would want the parents to understand that
everyone wholeheartedly supports the efforts that the parents are making.
- Both parents similarily maintain before
me that their relationship is free of violence and, indeed, the Local
Authority’s searches have confirmed that, since the 2006 judgment was
handed down, there have been no independent reports of violence between
the parents.
- Sadly, however, the wife is herself
responsible for the Local Authority’s continuing concern. After tracing
her own natural mother, she went to stay with her and her female partner
in England. The husband
believes that they prevailed upon her to stay longer than she intended and
encouraged her to consider settling close to them. So she embarked upon
the English Assessment and told the Specialist Practitioner that “she left
her hometown … due to a breakdown of her relationship with her husband of
4 years … she admits she is unable to stay with her husband due to violence.”
- In her evidence before me the mother told
me that the practitioner had got this “all wrong; she is incorrect in what
she has written.” But I reject that argument. It is most unlikely that the
Specialist Practitioner would invent such statements, and I accept that
the mother used the words attributed to her. Whether what is recorded is
true I may doubt, but I accept the words as a true record of what the
mother told the Practitioner.
- As to continuing domestic violence;-
·
neither
asserts a fear of the other,
·
both
confirm that there has been no recent violence between them,
·
the
social worker agreed that she had seen nothing in the course of this case to
give rise to active concern on this account.
·
the
Consultant Psychologist engaged by the parents observed how the husband
habitually deferred to the wife, how he was overridden and did not assert
himself, leading the Consultant to conclude that he probably kept quiet to keep
the peace.
- Such submissiveness, of course, does not
preclude domestic violence – indeed, it can stoke up fires of resentment
which can suddenly erupt. There is common ground that the mother is not a
reliable historian – as the parents’ expert observed “she is quite capable
of fabricating information if she believes it will be to her advantage or
put her in a good light.” I think it quite probable that the wife lied
about the existence of recent domestic violence – and did so, perhaps,
because she thought it would assist some hidden agenda of her own. I am
more impressed with the reliability of the father, and accept his denial.
- Whereas the judge (in 2006) found that
there was a serious concern about the potential for violence between the
parents, I am satisfied that they have matured somewhat and are far better
able to cope with major disagreements between themselves without resort to
violence. Given their past history, there is always the potential that
stress may trigger violence; but that possibility is receding. In the case
which has been presented to me, I find no sufficient reason to doubt what
the parents both tell me about the current violence-free state of their
relationship.
- As to stability, the mother of
course was not pregnant when she presented for the English assessment.
Whether her mention of violence was designed merely to improve the
prospects of being re-housed (as the husband speculated in his evidence),
whether she was testing the water (to see if she would receive more
favourable treatment for a future pregnancy from an English LA), or
whether she was truly seeking to escape, is now unclear. The husband says
now that he doesn’t know what she was thinking then.
- His medical records disclose that he went
to consult his GP on 28/5/08 and reported that he was “very upset” that
she had left him. The parties were back together by July 2008, but had
separated again after that (dates are vague) and there is mention in her
medical notes for September 2008 of the wife “being currently in a new
sexual same-sex relationship which is causing stress in the house.” She
advised the Local Authority at the end of April 2009 that she had moved
permanently to England, but the husband
asserted that their plan had been for him to join her when they had
suitable accommodation. By August 09 the mother’s relationship with her
own mother had broken down and the parents resumed living together in Wales.
- That chronology shows a period of hiatus
and extensive separation during the pregnancy, followed by settled living
together for the last ten months or so. Before the judge in the 2006 proceedings
there was a report (from a Chartered Forensic Psychologist) which analysed
the personalities of both parents and predicted such a lack of stability
in this marriage that it could not long endure.
- But the marriage has not come unstuck, and
the Psychologist in these proceedings has said that the parents are
close. The Guardian has also been impressed with the couple’s general
commitment to each other over the six years they have been together. I am
happy to add that the couple which I saw clearly loved each other.
[3] Significant
personality traits
The mother
- With court proceedings having been taken in
regard to each of the mother’s four children, it is inevitable that there
is a wealth of accumulated material within the court bundle dealing with
the mother’s psychological and psychiatric history. Much of that evidence
has a bearing on the decisions I am called on to make. Where medical
opinion has been consistent over time it gains weight in the amount of
reliance placed upon it; a court cannot ignore it and (from the parents’
perspective) it becomes increasingly difficult for them to dislodge its
conclusions (without an expert of like discipline expressing a strong
contrary opinion).
- Nor, in discharging its responsibility to
the child, can a court “start from scratch” – as plainly the mother had
hoped when trying to settle in England for the birth of the son in hopes
that her past would not catch up with her; clearly, the medical history is
very important; and, (again from the parents’ perspective), it does not
support the parents’ case.
- What three psychologists and one
psychiatrist found from their various examinations of the mother was that
her problems are long-standing; they all agree that she does not
have cognitive defects/deficits which prevent her from parenting
adequately. No-one said she has a personality disorder; one expert said
she is on the borderline [between having a personality disorder (of a
dissocial type) and not having such a disorder]; three experts suggested
she does not have a personality disorder.
- But what they all agree upon is that she
has “antisocial personality traits" which means that she has a
significant lack of empathy – the ability to understand and share the
feelings of others – she does not understand her own emotions and has an
almost complete inability to put the need of others before her own. She
has no insight into these problems and tends to blame other folk when
anything goes wrong in her life. The psychologist in the daughter’s
proceedings describes these traits as being reliable and stable -- that is
to say, despite the passage of time, they will remain the same as they are
now. Subjects like her, he said, tend to be cool and distant parents with
no need of personal interaction. He thought there was a medium to high
risk of the mother putting her needs before those of the child – and he
predicted that those risk factors will remain static; her antisocial
traits will not change over six months or (he implied) six years. The
psychiatrist reported in July 2006 that the mother's lack of understanding
of her problems makes it unlikely that she would respond to any form of
therapy -- and the psychologist in the proceedings before me (whose
evidence occupied much of the first day) was emphatic in her assessment
that the couple would not wish to engage in any form of therapy; they
could not see any need of it, and that presented an insurmountable
obstacle at the outset.
- The psychologist in the daughter’s
proceedings went further and concluded that even if it were possible to
engage the mother in therapy it would need to be over a long period of
time and the child’s own development could not be put on hold whilst the
mother caught up; the judge concluded (in 2006) that the daughter's
welfare excluded the prospect of such experimentation over what would
necessarily have to be a protracted period.
The father
- The psychologists all agree that if the
father was presenting as a lone carer he is capable of being able to
parent this child alone. He has never asked to be considered as a sole
parent; he and his wife, in his eyes, are one indivisible unit; either
both are fitted to jointly parent their children or the consequence must
be accepted that neither are.
- The psychologist in the daughter’s
proceedings described the father as having a dependent personality and as
being highly dependent upon close interpersonal relationships with others
for his own happiness. Despite finding that the wife’s relationship with
the husband was likely to be volatile and unstable, he concluded that the
husband would try to fit in with the mother's needs and would tend to be
overly-accommodating, trying to avoid confrontation in order to avoid the
risk of the relationship ending. Although he would be able to parent a
child on his own, (provided that his drugs use remained stable and did not
stray outside his prescription) if they stayed together, he would not be
capable of protecting a child from possible emotional neglect or even
abuse by the mother - because the father would constantly put his
relationship with the mother before that of the child. If he saw the
mother doing something he ought to report he wouldn't do so if it meant
damaging the relationship with the wife. He even supplied drugs to the
mother when she was pregnant without any conscience about the risk of
potential harm to the unborn child – which, sadly for the daughter, became
actual harm which she carries for life.
- In these proceedings regarding their son,
the parents were given the opportunity to obtain their own expert medical
evidence to gainsay this accrued weight of medical opinion. (The parents
understood that, although “their” expert is being paid by the parents’
legal aid, their expert must consider the evidence objectively; the
expert’s natural desire to advance the case for the parties by whom she
has been instructed is subject to an over-riding statutory obligation to
be impartial and to assist the court on matters within her expertise). The
parents instructed an independent psychologist; but, sadly for the parents,
their expert agreed with every conclusion (save one) of the health
professionals in the previous proceedings.
- That one disagreement was significant; it
touched on the strength of the parents’ relationship with each other
(which one psychologist had suggested in 2006 was about to come to an
abrupt end). Their psychologist believed the relationship to be surviving
well to the parents’ mutual benefit, sustained because each has been able
to draw on aspects of the other’s personality for support - and, despite
the odds being against it, helping their relationship to endure. In simple
terms, they clearly love each other.
- The Guardian has knowledge of the mother
gleaned over a period of many years’ involvement with all four of the
children. She has seen the mother emerge from a chaotic lifestyle to a
more stable position where the relationship with the father has been of
some real benefit to her. But the Guardian’s knowledge of the way the
mother functions happens to tally with the psychological analyses in the
case. The judge concluded in 2006 that the Local Authority, the experts
and the Guardian were all correct and the risk to the daughter -were she
to be returned - was just too great. Mother can provide an
acceptable standard of care of a compliant baby in a supervised setting
but when one combines this with the mother's enduring personality traits
the Guardian's view was that the mother could not safely sustain her care
for a young child beyond the limits of a strictly supervised parameter –
both for the daughter in the earlier proceedings, and for the son in the
case before me. She agreed with the experts’ view of the father’s
inability to prioritise the needs of a child over his relationship with
the mother.
- The consensus of medical opinion suggests
that whatever the mother does to address her other problems, her
psychological difficulties are so deeply ingrained that it would be an
unacceptable risk for the child to be returned to her because the mother
could not cope with the child when his ongoing development prompted him
into challenging behaviour (around the age of two years). Given the
mother’s lack of empathy, she would interpret a toddler’s wilful behaviour
as betokening that he no longer loved her, and she would not then sustain
warmth or love for him, and there was a real likelihood that he would then
“experience neglect and (possibly) emotional abuse.” She would become and
would remain a very distant parent. The father would be unable to repair
the gap.
- Before me the parents’ psychologist was
asked if there was any way around this difficulty. She answered that - if
the absence of empathy was the only factor present - then careful
education of the other parent and ongoing training and support for both
parents could just about offset the risks to the child of suffering damage
from emotional starvation from one of his parents. “A child needs the love
of both; but often parents cannot do this to the same degree; and if the
child gets this warmth and love from one supportive adult then the development
of the child would not be significantly impaired. But (she concluded)
because the husband always defers to the wife and does not assert himself,
this input would be ineffective. The presence of all the other factors
renders the risks unacceptable.”
Conclusion about
significant personality traits
- So the experts agree that the accumulation
of problems presented by the parents’ various difficulties means that the
parents cannot cope with the responsibility of looking after their
children and makes entrusting to their care either their son or daughter
too great a risk.
[4] Inability to work with professionals
- In his 2006 judgment, the judge was
troubled by many instances of the parents’ inability to co-operate with
professionals.
For
instance;-
·
The mother
had failed to attend appointments with a range of individuals including CDAT,
Sure Start, Social Services and a meeting with the Guardian – and on many (if
not most) occasions there was no prior message to excuse non-attendance (though
reasons were sometimes given afterwards).
·
The
judge found that the mother had an irresponsible attitude to medical care; she
had a history of missing medical appointments and had discharged herself from
hospital on several occasions against medical advice; [if she does that for
herself it seemed to the judge more than possible she would adopt the same
approach with a child].
·
The
mother also accepts that she failed to keep appointments with health visitors
and other professionals concerning the child.
·
She
was dishonest about her use of Subutex – by deceiving the doctor about her
ingestion, she gained access to a large quantity of the drug which imperilled
her unborn child.
·
The
parents suffered from an apparent inability to attend appointments for contact
arranged for their benefit – they were always late for morning contact; when
examined by the judge they had no reason not to take an earlier bus.
- The Local Authority, the Guardian and other
professionals expressed the general view that the situation has not
improved; the parents are still unable to work with the various
professionals.
The Local
Authority pointed out various examples;-
·
She
failed to co-operate with pre-birth assessments of the son
·
The
father backed his wife’s judgment and told Social Services not to visit
·
When
it emerged (from her uneven gait and frequent falls/loss of balance) that she
might have inherited from her natural mother a condition called Spinocerebellar
Ataxia type 2, she was tested for this rare genetic condition; she was told, in
September 09, that she was not a sufferer but she did not disclose that result
to the Local Authority until March 2010; there was no explanation of why there
had been this delay of six months in communicating this important information.
·
The
report of the specialist registrar (in summer 2009) concluded that he discussed
relapse prevention work with her but “she said she is not interested in this at
the moment.”
·
They
missed appointments with Social Services and the Guardian, and neither
apologised nor tried to re-arrange. They caused the start of these proceedings
to be delayed by several hours by turning up late.
- The mother lays the blame for her son not
residing with her on everyone else; in her own (and her husband’s) conduct
she has found nothing to reproach; and that is entirely consistent with
her personality traits. She has undoubtedly persuaded herself that “they
are against her” – where “they” is everyone except herself and her
husband, because “they” do not support her case for the children to be
returned to her.
- This attitude presents the Local Authority
with a great difficulty. It knows that the mother has consistently felt
that the Local Authority is “against her.” All previous medical analysis
has explained that she could not help sustaining that view; her instinct
led her to be uncooperative; and so the mother not keeping appointments
reinforces a received view in social services “look, yet again, she is not
coming to case reviews, is not keeping appointments; here is history
repeating itself.” By not chasing/pushing/persisting in the face of the
parents’ expressed hostility, the case solves itself; every missed meeting
strengthens the case against the parents retaining their child; it seems
that social workers might be forgiven for just going through the motions.
- From the parents’ perspective, they felt
that their home circumstances were being ignored because those
would be helpful to their case. The 2006 judgement accepted that their
flat was well decorated and comfortable and was now kept clean and tidy –
“itself…a considerable improvement over the way things were a year or so
ago...” Father’s counsel suggested in cross-examination before me that a
home visit by the social worker or by the Guardian might have been
appropriate, to let them see for themselves how standards had been
maintained or improvement sustained; the answer of both was that each was
satisfied that the home circumstances would be perfectly adequate, and
therefore did not warrant inspection. But both acknowledged that such a
view had not been vouchsafed to the parents, and both accepted that that
omission was to be regretted.
- Likewise, in the proceedings before me, the
position about contact has improved immeasurably. I have read many
contact recordings – and I interpret the generality of the reported
observations in a far more positive and hopeful way than does the Local
Authority. For instance, a reported conversation about whose turn it was
to change the baby’s nappy, was not disturbing evidence of dysfunction or
even of one parent trying to get out of doing a chore but, in context, was
a genuine attempt by the parents to be fair between themselves in the
division of the limited positive/beneficial interactions with their baby
which the artificial circumstances of supervised contact permit. Contact
between the parents and their son was being maintained regularly and
punctually, and the interactions were positive; but, again, there was an
absence of acknowledgement to the parents of this major change which had
come about since their daughter’s case in 2006.
- Think for a moment what it must be like to
be this mother. A broken leg, set in plaster, can be seen and reads to any
observer as meriting help, or, at the very least, space and time; but,
because the mother here suffers from something which is invisible, there
is nothing for the uninformed observer to read from her physical
presentation – so her lack of empathy communicates as selfishness,
coldness and distance; and that, in turn, propels the observer to infer
criticism, makes him/her defensive, quashes any desire to venture
constructive criticism, stifles sympathy and certainly repels the
expression of sympathy. The consequence is that she – artlessly and
naturally - starves herself of receiving suggestions and encouragement
from others. [Little wonder then (but much credit to him) that the father
is so protective of his wife.]
- This improvement in parental behaviour must
have created a dilemma for the Social Worker, because – in her judgment –
such positive interaction could not alter the outcome here – (for there
are too many other negative factors engaged). It suited the social worker
that the parents did not keep their appointments; she accepted that she
did not chase or challenge their lack of engagement. If meetings had been
kept, it would have been awkward and difficult for the social worker to
help the parents understand that, despite their best efforts in contact,
they were hardly denting the medical analysis of risk which blocked the
route to the children’s return. In that context, witholding her criticisms
of the parents must have seemed to the social worker to be an act of
kindness – why make matters worse?
- But the act of not voicing those criticisms
had prompted her also to abstain from giving a single word of acknowledgement
or encouragement to the couple; had enabled her, who was well-informed, to
withold empathy, and – in so doing – had barred every last road to the
parents’ improvement. This was not malevolent; it avoided the risk of the
parents being encouraged by false hopes; it was, I am sure, borne of
genuine kindness; but it was wrong.
- Opportunities for acknowledging to the
parents the major strides which they have both taken were missed; not even
a little chat at the end of contact. The Local Authority was aware of the
mother’s cast of mind and should have made appropriate adjustments to its
stance; even if appreciation/praise might be wasted on the mother, its
expression might have impacted on the husband’s behaviour, might even have
enabled him to demonstrate to the wife that she could trust to his
judgment because the Local Authority was able to be positive in its
communication with them, might have enabled him to engage her in
submitting to expert help and support, begin to change the view that they
could not be trusted to cooperate with professionals.
- And there were signs that they might have
begun to turn that corner too. The parents’ psychologist declared she had
encountered no difficulty in their cooperating with her; so far as anyone
could tell me, both parents had cooperated with CDAT; the social worker
recorded that the parents had agreed to cooperate with life story work,
supply photographs and so forth; and the Guardian agreed that, as she had
not asked to see the parents, there had been no opportunity for them to
refuse to cooperate with her.
- This last concession was surprising to me
in a Guardian of this experience and disappointing too. She felt she had
“a sufficient wealth of information” from her previous experience of the
parents to be able to complete her recommendations without consulting the
parents; by not arranging to interview them about this child, she did not
explore things it was her duty to investigate – such as testing the
parents’ fall-back position of preferring the two children to be adopted
together in one placement. Moreover, the parents were bound to conclude
that everything was stacked against them when neither the social worker
nor the Guardian had actually seen them separately to ascertain their
views about their son. To give her credit the Guardian readily accepted
that, “with hindsight, this should not have happened”; I think that the
illumination of hindsight should not have been necessary; however awkward
for all protagonists, there should have been accorded to the parents a proper
opportunity to impart all that they wished her to know about their side of
this case.
Conclusion about working
with professionals
- I accept (as part of the threshold
criteria) that the parents have failed to cooperate in the distant and
immediate past – most graphically illustrated by the failure to advise
about the outcome of the genetic testing and to offer no remotely
satisfactory explanation of the six months’ delay in supplying the
information. I agree that this gives rise to a probability that they would
not cooperate in the future. But I do not accept that it has been
established beyond a peradventure that the parents have irredeemably
demonstrated that they would not cooperate with professionals in the
future.
- With those observations upon the four main
strands of the judgment which concerned the judge when dealing with the
daughter, and with a feeling of engulfing sadness at the mother’s
predicament, I now turn to making a decision in the care proceedings
relating to the son.
Threshold
- The Local Authority made application for a
Care Order under section 31 (1) of The Children Act 1989, and in its final
care plan (annexed to the order) the Local Authority recommends adoption.
- I stress that the child’s welfare is my
paramount concern. I have to take account of all matters recited in the
welfare checklist as set out in section 1 (3) of the Children Act 1989,
and I have done so; but to the most salient I allude below.
Welfare Checklist
Age, gender &
background characteristics
- This white, Welsh twelve-month old male
baby has been living with his foster family since 9th June 2009
(which is “the relevant date” for the purposes of section 31 CA 89). He
has never lived with his birth family. The parents have not persuaded me
in these proceedings that they have achieved the level of stability in
their lives which they claimed warranted my entrusting the son to their
care.
- The son has two older half brothers and an
older sister of the whole blood. All have suffered from global
developmental delay; the firstborn and third children have been affected
by foetal alcohol syndrome, the daughter so severely that she requires a
lot of individual attention. These children have not had contact with the
son.
Physical, emotional and
educational needs
- He appears to be meeting his developmental
milestones. He is a happy and contented child. His physical emotional and
educational needs are being met by his foster carers with whom he has been
living since birth. He has settled with the foster carers and is reported
to be thriving.
- As to contact both parents have attended
regularly and promptly, and have provided perfectly adequate care for the
baby which has not been tested outside a supervised setting because of
concern about the parents being unable to cope if left to their own
devices.
Any harm which the child
has suffered or is at risk of suffering
- The child is likely to suffer significant
harm as a consequence of the parents’ drug dependency, (what the Guardian
describes as) ‘the mother’s pervasive inability to function appropriately
in relation to others (especially children)’ due to her personality
traits, (especially her lack of empathy, incapacity to experience guilt or
profit from experience), and both parents’ failure to prioritise their
son’s needs over their own.
Capability of meeting
the child’s needs
- As the parents’ psychologist asserted (and
as the Guardian agreed) the mother has never been better positioned to
meet a child’s needs; but, even with the support of her husband, the
professionals all advise that the parents lack a proven capability of
meeting their child’s needs to a good enough standard. The Guardian
witnessed a contact between the mother and her eldest child in 2007 during
which she insisted he should call her ‘Mummy’ and was incapable of
grasping his difficulty about that, and could not bear it when he called
her by her Christian name.
- I emphasise that it is not necessary for
the court to attribute blame for this situation; the mother and father
might well be trying their hardest and yet still may be failing to meet
the needs of the child, thus placing him at risk of suffering significant
harm. And so it is here; even with the caveats I have added to my above
conclusions about the four main strands of factual findings, (given my
predominant concerns about drugs and personality) I find that these
parents cannot escape their own natures and past history in a time-scale
which would be fair to their son.
- Just as, in the past, family members have
put themselves forward for caring for the mother’s other three children,
so mother’s own birth mother and her partner put themselves forward to
care for the son and were assessed; but the assessment was negative and
has not been challenged; and no other family member has been able to respond
positively to the invitation to take care of the son.
Wishes & feelings
- At twelve months, the son is not yet of an
age at which his wishes and feelings can be ascertained. I presume this
son would probably wish to be cared for by his birth family if possible
for, in general terms, every child is better off being raised within his
family of origin; a child has a right to be brought up by his natural
family unless there are cogent reasons why it is not in his best interests
for that to happen; but, as is sadly apparent from the above analysis,
cogent reasons exist in this case.
The likely effect of any
change upon the child
- There will be an absence of the contact
between the son and his parents the regularity of which is well documented
in the contact recordings. Whilst this has been a positive interaction for
him, the Guardian (who attended a session of supervised contact in
November 09) agrees with the Local Authority that the contact has not been
of such quality as will cause him to suffer withdrawal symptoms were it to
cease.
- The child certainly needs to grow up in a
family where his developing needs for good quality care and nurturing and
support will be met in full so that he is given the security of living in
a permanent and settled family unit. He has formed appropriate secure and
loving attachments with the foster carers and it is reasonable to
anticipate that he will be able to transfer these attachments to an
adoptive family.
Articles 6 & 8.
- I have firmly in mind Articles 6 and 8
of the European Convention for the Protection of Human Rights and
Fundamental Freedoms 1950: which set out the right to a fair trial and
the precept that every citizen has the right to enjoy a private family
life free from the interference of the state unless there are proper and
sufficient grounds to intervene.
- K. v. Finland [ 2003] 1FLR 696 sets out the
precise terms of the relevant Articles and the judgment makes it clear
that;-
(a) any order related to the
public care of the child has to be capable of convincing an objective observer
that the measure was based on a careful and unprejudiced assessment of all
evidence on file, with the distinct reasons for the care order stated
explicitly;
(b) the reasoning adopted
has to reflect the careful scrutiny which any court could be expected to carry
out by balancing the evidence in favour of and against making an order; and
(c) there is a positive duty
to take measures to facilitate family reunification as soon as reasonably
feasible but that has to be balanced against the duty to consider the best
interests of the child.
- As regards the daughter, after considering
the above criteria, the judge asked himself whether it was necessary and
proportionate to override the parents’ right to family life. He concluded
“sadly the result remains the same" and he therefore excluded the
parents from consideration as carers for their daughter.
- As regards the son, given the clear warning
(in the 2006 case concerning the daughter) about the need for the parents
to abjure drugs and show themselves to be drug-free for at least six
months, given that they remain in thrall to drugs and given that the
mother has undertaken no therapy for her personality traits, I conclude
that family reunification is not feasible in this case.
- I therefore conclude that it is in the best
interests of the child for an order to be made.
- I now consider what that order should be.
Range of court powers
- In the absence of application for any other
orders, the options facing the court are to make no order, to make a care
order or to make a supervision order.
- I agree with the Guardian that this is not
a case in which the court can properly conclude that it is in the child's
best interests for it to make no order.
- S. 31(1) of the Children Act 1989 states
that “on the application of any Local Authority or authorised person, the
Court may make an order -- (a) placing the child with respect to whom the
application is made in the care of the designated Local Authority; or (b)
putting him under the supervision of the designated Local Authority.”
- The facts advanced by the Local Authority
are based essentially on the risk of harm set out above because the
parents lack the ability to meet their son's needs by providing him with a
safe and stable environment and to prioritise his needs above their own. I
am satisfied that he would be likely to suffer significant harm in the
future unless there had been intervention on the relevant date. I find
that that situation continues at present and into the foreseeable future.
- A supervision order is clearly not
appropriate in the circumstances.
Care Order
- On the findings I have made above, and on
the relevant date, I find that the child was likely to suffer significant
harm; and the likelihood of that harm was attributable to the probable want
of care from the parents were the order not to be made. The threshold
criteria are thus satisfied and a care order must be made to enable the
Local Authority to share parental responsibility and to exercise its duty
to act in the best interests of the child.
- A child has the right to be raised in an
environment where his welfare is not placed in jeopardy and where he is
provided with the opportunity to flourish and reach his potential. The
Local Authority sets out how it intends to achieve such a future by its
Care Plan.
Care Plan
- The court may only pass responsibility over
to the Local Authority by way of a final care order when all the facts are
as clearly known as can be hoped. I approve the care plan annexed to the
order dated 16th
March 2010,
and I make a Care Order to the Local Authority in respect of this child.
- Under the Act, the Local Authority must
apply for a placement order if satisfied that the child should be placed
for adoption. I accept that an adoption order is likely to be the best way
to ensure that this child is afforded secure, stable and permanent care of
high quality with carers who are able to meet his needs in a positive and
sensitive manner.
Placement
- The Local Authority has issued a formal
application that the son might be placed for adoption. The son's details
were placed before the Local Authority's Adoption Best Interest Panel on 24th February 2010; Panel recommended
adoption. The Agency Decision Maker caused that decision to be revisited
because a transcript of the judgment regarding the sister had not been
placed before Panel. The decision was reconsidered on 24th March 2010, when it
recommended that adoption was the best option in the range of possible
outcomes for the son. On 6th April 2010 the Local
Authority Decision Maker ratified the recommendation of Panel.
- I incorporate (within this placement
application) my findings in relation to the care proceedings. I also
address the additional material required by section 1 (4) of the Adoption
and Children Act 2002.
- The Guardian has dealt with placement in
her comprehensive report of 15th April 2010. I adopt each of
her conclusions as my own, and I am satisfied that on the evidence about
contact it is highly probable that the son will not suffer distress at
cessation of contact with his parents, ‘though I echo the guardian’s
recommendation for letterbox contact between parents and son.
- The decision about promoting separate
placements for son and daughter has been carefully approached by the Local
Authority. I accept that the sister is likely to be more difficult to
place than the son; she is substantially older and has suffered
established developmental delay. Had the Care Plan of either child been to
insist on their being placed together, I apprehend that would have inhibited
the prospects of success of both, to the mutual detriment of both.
- If they had ever lived together or if they
had a meaningful ongoing relationship, the situation would have been
different again. But I agree that the children’s best interests are best
served by there being separate placements sought for them. I also agree
with the Guardian’s caveat, that there should (at least) be letterbox
contact between the (full) siblings twice a year; and, obviously, if the
Local Authority is able to secure placements for the children with
prospective adopters who are open to the possibility of actual contact
being carefully developed and sustained, that would be an highly desirable
outcome which it remains part of the Local Authority’s duty to promote.
- The son is achieving his developmental
milestones and is happy and settled with his foster carers. I am able to
record that he has not yet developed any special needs for the purposes of
section 1(4)(b) of the 2002 Act, and indeed is already uttering a range of
words, (notably cat and duck for pets that feature in his life) but, in
light of the late recognition/emergence of foetal alcohol syndrome in the
daughter, that same possibility for the son must be kept under careful
review.
- The parties have all thought about the
likely effect on the child – throughout his life – of his having ceased to
be a member of his original family and become adopted. The legislation
emphasises the need for the court to look at the long term nature of this
decision. The parents attended most of this hearing, and felt unable to
consent to the making of a placement order for the son, preferring to
abstain from giving their positive consent, and leaving that decision to
the court.
- I am grateful to the parents for
recognising that it will be very important to their son in due course –
when reading his own carefully recorded life-story – that he is able to
have, with their cooperation, a clear knowledge and understanding of his
birth family, with photographs and other information which they can
supply. I am keen to emphasise that they can make an essential
contribution towards their son's development of a healthy sense of his own
self by contributing to his life story work as fully as possible so that
any questions he may have in the future might be answered.
- For the avoidance of doubt I find that
section 21(2)(a) of the 2002 Act is engaged, and I am satisfied that the
child’s welfare requires that I dispense with parental consent to
placement. I am satisfied that the son's best interests are served by a
placement order being made in order to achieve the best prospect of
permanence and stability for the child.
Conclusion
- I therefore make a care order and a
placement order in respect of the son.
- There is to be letterbox contact afforded to
the parents on the usual annual basis. There will be continuing contact
until a suitable placement has been found, with a phased reduction and
farewell contact arranged as detailed in the Care Plan – with sibling
contact as outlined above.
- There shall be no order as to costs between
the parties, save a Legal Services Commission Funding Assessment Direction
for any Assisted party.
Addendum; Anonymised
Judgment in Placement Application
- This case concerns the sister of the little
boy who is subject of the anonymised judgment in case number BS09C00626. I
shall call her “the daughter” and her history is recited within various
paragraphs of that narrative judgment, particularly at paragraphs 5, 10
and 12 to 15.
- She is now four-and-a-quarter years old and
was made the subject of a Care Order on 13th
September 2006,
because of the harm of which she was found to be at risk. The order
proceeded on the basis of a planned placement within the family, but the
court did not formally anticipate a contingency plan for adoption.
- She was placed with a family member but the
placement broke down, and she has been with foster carers since September
2008. The Local Authority waited for the birth of the son and then made
formal application to the court on 27th
November 2009
for a placement order for the daughter. The child's details were placed
before the Local Authority's Adoption Best Interest Panel on 4th November 2009. Panel recommended
adoption and the Agency Decision Maker ratified that decision on 10th November 2009.
- The parents oppose the search for an
adoptive placement for their daughter, and wish to become her carers
themselves.
- The Guardian made a fourteen page report on
16th
April 2010.
It is a careful analysis of the daughter’s position. In the light of my findings
in case number BS09C00626, I adopt its analysis as my own; I have
considered the full range of powers available.
- I similarly conclude that these parents
lack the necessary skills and personality traits which would enable them
to look after their daughter, safely and appropriately, particularly given
her special needs which arise from developmental delay caused by foetal
alcohol syndrome. Her best prospect of achieving her potential lies in her
settling into a secure and stable environment within a loving family; her
need of achieving permanency is most pressing.
- As I cannot entrust the daughter to the
parents’ care, and as the parents withold consent to her placement, I find
myself compelled to dispense with their consent for reasons identical with
those employed in the son’s case. I have read and I approve the contents
of the statement of the Adoption Team Manager identifying those steps
which the Local Authority is able to take to promote the daughter’s
prospects of finding permanent placement; and I make a placement order in
respect of the daughter.
- The decision about promoting separate
placements for son and daughter has been addressed in my judgment
concerning the son. I have accepted that the sister is likely to be more
difficult to place than the son, because she is substantially older and
has suffered established developmental delay (which will necessitate
substantial inter-action with professionals into her adulthood). I agree
that the children’s best interests are best served by there being separate
placements sought for them but it is clearly important that, so far as is
possible, the daughter should have the same opportunities as her brother
of achieving long-term security.
- I also agree with the Guardian’s caveat
(expressed in her report concerning the son), that there should (at least)
be letterbox contact between the (full) siblings twice a year; and,
obviously, if the Local Authority is able to secure placements for the
children with prospective adopters who are open to the possibility of the
actual contact, tentatively promoted by the Local Authority at present,
being carefully developed and sustained, that would be an highly desirable
outcome (which it remains part of the Local Authority’s duty to promote).
- Contact between the daughter and her parents
has reduced to six times per year (including Christmas and Birthday).
There are no plans to sustain that contact beyond placement; and so, in
time, contact will reduce in a planned way, to include a farewell contact
session – (similar to that outlined in the Care Plan of the son). Indirect
contact will then be continued via letterbox contact once a year.
Conclusion
- I therefore make a placement order in
respect of the daughter.
- Letterbox contact will be afforded to the
parents on the usual annual basis.
- There will be continuing contact until a
suitable placement has been found, with a phased reduction and farewell
contact arranged (in manner similar to that detailed in the Care Plan for
the son).
- There will be biannual letterbox contact
between the son and the daughter.
- There shall be no order as to costs between
the parties,
save a Legal Services
Commission Funding Assessment Direction for any Assisted party.