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Craigavon and Banbridge Community Health and Social Services Trust v. JFK, In the Matter of [2000] NIFam 56 (27th November, 2000)
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Craigavon and Banbridge Community Health and Social Services Trust v. JFK, In the Matter of [2000] NIFam 56 (27th November, 2000)
GILC3283
IN
THE HIGH COURT OF JUSTICE IN NORTHERN IRELAND
FAMILY
DIVISION
OFFICE
OF CARE AND PROTECTION
------------
IN
THE MATTER OF THE ADOPTION ORDER (NORTHERN IRELAND) 1987
BETWEEN:
CRAIGAVON
AND BANBRIDGE COMMUNITY
HEALTH
AND SOCIAL SERVICES TRUST
Applicant;
and
JKF
Respondent.
IN
THE MATTER OF THE CHILDREN (NORTHERN IRELAND) ORDER 1995 and
IN
THE MATTER OF THE ADOPTION ORDER (NORTHERN IRELAND) 1987
BETWEEN:
SOUTH
AND EAST BELFAST HEALTH AND SOCIAL SERVICES TRUST
Applicant;
and
KF
and VB
Respondents.
------------
GILLEN
J
1. These
applications concern two children, namely LF born on 5 October 1997 and ELF
born on 18 March 1999. The first application by the Craigavon and Banbridge
Community Health and Social Services Trust (“Craigavon Trust”) is
for an order freeing LF for adoption without parental agreement pursuant to
Article 18 of the Adoption (Northern Ireland) Order 1987 (“the 1987
Order”). The second matter arises out of an application by the South and
East Belfast Health and Social Services Trust (“the South and East Trust)
seeking a Care Order under Article 50 of the Children (Northern Ireland) Order
1995 (hereinafter called “the 1995 Order”) in relation to
ELF and in addition an application under Article 18 of the 1987 Order freeing
ELF for adoption without parental agreement.
2. In
the case of ELF, the respondent to the application for the Care Order is JKF
(Called KF in the title to the proceedings. The names KF and JKF are thus used
interchangeably in this judgment.) who is the mother of ELF, and VB, the
putative father of ELF. JKF is the sole respondent to the application under
Article 18 of the 1987 Order in the case of ELF. VB has brought an application
in respect of ELF for a Residence Order under Article 8 of the 1995 Order. JKF
is the sole respondent in the application by Craigavon Trust. If either of the
Trusts is successful in their applications, both JKF and VB apply for a Contact
Order pursuant to Article 8 of the 1995 Order in respect of the relevant
children in each case.
3. The
statutory provisions governing applications for adoptions and applications to
free for adoption are to be found in the 1987 Order.
4. Article
9 sets out the duty to promote the welfare of the child as follows:
“In
deciding on any course of action in relation to the adoption of a child, a
court or adoption agency shall regard the welfare of the child as the most
important consideration and shall:
(a) have
regard to all the circumstances, full consideration being given to
(i) the
need to be satisfied that adoption, or adoption by a particular person or
persons will be in the best interests of the child; and
(ii) the
need to safeguard and promote the welfare of the child throughout his
childhood; and
(iii) the
importance of providing the child with a stable and harmonious home; and
(b) so
far as practicable, first ascertain the wishes and feelings of the child
regarding the decision and give due consideration to them having regard to his
age and understanding.”
5. Article
16 states where relevant:-
“1(1) An
Adoption Order shall not be made unless -
(a) the
child is free for adoption by virtue of an order made in Northern Ireland under
Article 17(1) or 18(1) ...; or
(b) in
the case of each parent or guardian of the child the court is satisfied that
–
(i) he
freely, and with full understanding of what is involved, agrees –
(aa) either
generally in respect of the adoption of the child or only in respect of the
child by a specified person, and
(ab) either
unconditionally or subject only to a condition with respect for their religious
persuasion which a child has to be brought up, to the making of an Adoption
Order; or
(ii) his
agreement to the making of the Adoption Order should be dispensed with on the
grounds specified in paragraph 2.
2. The
grounds mentioned in paragraph (1)(b)(ii) are that the parent or guardian –
...
(b) is
withholding his agreement unreasonably;
...”
6. The
freeing of a child for adoption without parental agreement is dealt with in
Article 18 which insofar as is relevant is as follows:
“(1) Where,
on an application by an adoption agency, an authorised court is satisfied in
the case of each parent or guardian of a child that has agreement to the making
of an Adoption Order should be dispensed with on a ground specified in
Article 16(2) the court shall make an order declaring the child free for
adoption.
(2) No
application shall be made under paragraph (1) unless –
(a) the
child is in the care of the adoption agency; and
(b) the
child is already placed for adoption or the court is satisfied that it is
likely that the child will be placed for adoption.”
7. Article
3 of the Children (Northern Ireland) Order 1995 provides that where a court
determines any question with respect to the upbringing of a child
“child’s welfare shall be the court’s paramount
consideration”. Article 8(3) defines for the purpose of that Order
“family proceedings” as including any proceedings under the
Adoption Order.
8. In
either freeing or adoption proceedings, the court has the power to dispense
with the parent’s agreement to adoption on one or more of the six
specified grounds set out in Article 16(2) of the 1987 Order. The ground
relied on by the Trust in this case is that the parent is withholding her
agreement unreasonably. Dispensing with agreement to adoption involves the
court on a two-stage process:
(1)
Is
adoption in the best interests of the child?
(2)
If
so, is a ground or grounds of dispensation proved on the balance of
probabilities?
9. These
two stages are separate and must be considered by the court in this sequence.
The consideration of whether parental consent should be dispensed with must be
undertaken and decided at the time when the freeing for Adoption Order is made.
10. If
I come to the conclusion that adoption is in the best interests of the child, I
must turn then to consider whether or not the Trust has satisfied me that JKF
is withholding her agreement unreasonably. The leading authority on the
meaning of the ground and the test that the court should apply is the House of
Lord’s decision in
Re
W (an infant)
(1971) 2 AER 49. During the course of the leading opinion, Lord Hailsham
described the test in this way:
“...
The test is reasonableness and nothing else. It is not culpability. It is not
indifference. It is not failure to discharge parental duties. It is
reasonableness and reasonableness in the context of the totality of the
circumstances. But, although welfare per se is not the test, the fact that a
reasonable parent does pay regard to the welfare of his child must enter into
the question of reasonableness as a relevant factor. It is relevant in all
cases if and to the extent that a reasonable parent must take it into account.
It is decisive in those cases where a reasonable parent must so regard it.”
In
Re
C (a minor)
(Adoption: parental agreement: contact) (1993) 2 FLR 260 the court suggested
that the test may be approached by the judge asking himself whether, having
regard to the evidence and applying the current values of our society, the
advantages of adoption for the welfare of the child appear sufficiently strong
to justify overriding the views and interests of the objecting parent. That is
an approach that has received further judicial approval most recently in
Re
F
(Adoption: Freeing Order) 2000 2 FLR 505. I believe this reflects what
the author of Hershman McFarlane, Children Law and Practice Section H at
paragraph 127 describes as the “discernible move within the decisions of
the appellate courts towards greater emphasis on the welfare of the child as a
factor in decisions relating to the parent’s reasonableness”. In
recognising this however, I observe the cautionary note sounded in
Re
H
and
Re
W
(Adoption: parental agreement) (1983) 4 FLR 614 that short of amending
legislation or further consideration in the House of Lords, there must be a
limit to this shift. Accordingly I do not regard the decisions in
Re
C
or
Re
F
to be a departure from Lord Hailsham’s test in
Re
W
and must be read in that light.
11. I
have found assistance in this case in a number of authorities and in particular
Re
C and L
in the Court of Appeal in Northern Ireland (unreported 8 February 2000), and an
unreported decision of Higgins J in
Re
W
(unreported 13 December 1992). In addition the principles dealing
with these applications are set out helpfully in Hershman McFarlane, Children
Law and Practice, Section H at paragraph 124. I consider that this author
accurately sets out the principal components of the test of unreasonableness as
follows:
1. The
reasonableness of the parent’s refusal to consent is to be judged as at
the date of the hearing.
2. The
judge must take account of all the circumstances of the case.
3. Whilst
the welfare of the child must be taken into account it is not the sole or
necessarily paramount criterion.
4. The
test is an objective test – could a reasonable parent in the position of
this parent withhold consent.
5. The
test is reasonableness and not anything else.
6. The
court must be wary not to substitute its own view for that of the reasonable
parent.
7. There
is a band of differing reasons, each of which may be reasonable in any given
case.
12. The
above mentioned principles govern the freeing applications referable to both
children. LF is already subject to a Care Order made under Article 50 of the
1995 Order on 25 June 1998. The South and East Belfast Health and Social
Services Trust seek a similar order in the case of ELF. Under Article 50 of
the 1995 Order, a Care Order may be made only if the court 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 him; or
(ii) the
child’s being beyond parental control.
13. On
granting the application of any authority or authorised person, the court will
make an order placing the child with respect to whom the application is made in
the care of a designated authority or putting him under the supervision of a
designated authority. A Care Order therefore cannot be made unless the
threshold criteria have been satisfied.
14. If
the threshold criteria are satisfied, the court must then consider whether an
order should be granted and if so what type of order, using the principle that
the child’s welfare is the paramount consideration (see Article 3(1) of
the 1995 Order), having regard to the matters set out in the statutory welfare
checklist at Article 3(3) of the 1995 Order. The court must not make any
order unless it considers that doing so would be better for the child than
making no order at all (see Article 3(5) of the 1995 Order). I also note
that before making a Care Order with respect to any child, the court must
consider the arrangements which the local authority has made or proposes to
make for affording any person contact with a child who is in the care of the
local authority and invite the parties to comment on those arrangements. The
court will also scrutinise the relevant authority care plan for the child.
15. The
statutory checklist at Article 3(3) to assist the court in determining what is
for the child’s welfare is as follows:
“(3) In
the circumstances mentioned in paragraph (4) a court shall have regard in
particular to –
(a) the
ascertainable wishes and feelings of the child concerned (considering in the
light of his age and understanding);
(b) his
physical, emotional and educational needs;
(c) the
likely effect on him of any change in his circumstances;
(d) his
age, sex, background and any characteristics of his which the court considers
relevant;
(e) any
harm which he has suffered or is at risk of suffering;
(f) how
capable of meeting his needs is each of his parents and any other person in
relation to whom the court considers the question to be relevant;
(g) the
range of powers available to the court under this order in the proceedings in
question.”
16. My
attention has also been drawn in this context to
Re
M (a minor)
(Care Order: threshold conditions) (1994) 2 FLR where the House of Lords held
that where, at the date of disposal, interim protective arrangements had been
continuously in place, the relevant date was the date upon which the local
authority initiated protective proceedings. An Emergency Protection Order was
obtained in the case of ELF on 19 March 1999.
Re
D
(simultaneous applications for Care Order and Freeing Order) (1999)
2 FLR 49 is authority for the proposition that where a court is
considering an application for a Care Order together with an application for a
Freeing Order (as is the case with ELF), the application for the Care Order is
the primary application. It is a wrong approach to decide the freeing
application first, in which the child’s interests will not be the
paramount consideration. That would compromise the application of the
paramountcy principle in a subsequent consideration of the care application. I
shall therefore consider the care application first in the instance of ELF.
17. VB
has, as noted above, applied for a Residence Order under Article 8 of the
1995 Order with reference to ELF and a Contact Order. In considering the
application for a Residence Order under Article 8 of the 1995 Order, the
court is initially governed by the general provisions of Article 3 of the
Order. In the first place, the child’s welfare shall be the
court’s paramount consideration. This rule has its roots in the practice
of the Court of Chancery and decisions in legislation have only served to
strengthen and develop it as a principle. In considering a not dissimilar
provision in Section 1 of the Guardianship of Infants Act 1925, namely
that “the courts will regard the welfare of the infant as the first and
paramount consideration”, Lord MacDermott defined that phrase in the
“Spanish
boy”
case (1970) AC 668 page 710 as follows:
“Reading
these words in their ordinary significance and relating them to the various
classes of proceedings which this section has already mentioned it seems to me
that they must mean more than the child’s welfare is to be treated as a
top item or a list of items relevant to the matters in question. I think they
connote a process whereby, when all the relevant facts, relationships, claims,
wishes of parents, risks, choices and other circumstances are taken into
account and weighed, the course to be followed will be that which is most in
the interests of the child’s welfare as that term is now to be
understood. That is the first consideration because it is of first importance
and the paramount consideration because it rules upon or determines the course
to be followed.”
18. The
Order also provides a statutory checklist at Article 3(3) to assist the court
in determining what is for the child’s welfare and I have already set out
the contents of Article 3(3) with reference to the Care Order application. I
must consider this welfare checklist when considering whether to make an
Article 8 order. I must also remind myself in this context that when
considering whether or not to make one or more orders under the 1995 Order with
respect to a child, the court shall not make the order or any of the orders
unless it considers that doing so would be better for the child than making no
order at all. VB has been refused an application for parental responsibility
by Higgins J.
19. Article
8 of the 1995 Order defines a Contact Order as –
“Contact
Order means an order requiring the person with whom a child lives or is to live
to allow the child to visit or stay with the person named in the order or for
that person and the child otherwise to have contact with each other.”
20. I
must also bear in mind the correct approach to follow in determining the
respective claims of a natural parent and a third party to care for a child.
These have been laid down in decisions such as
Re
D
(Care: natural parent presumption) (1999) 1 FLR 134 and
Re
W (a minor)
(Residence Order) (1993) 2 FLR 625 (and the cases referred to therein). The
correct approach is to consider the natural parent as potential carer first and
not simply to balance the respective merits and demerits of the competing
households. Nonetheless the strength of the supposition in favour of the
natural parent may be countered by other factors especially the length of time
that the child has been with other carers. I have considered
Re
P
(Section 91(14) (Guidelines) (Resident and Religious Heritage) (1999) 2 FLR 573
where the Court of Appeal stressed that on a variation application, the status
quo has real validity and the question to be answered is why the child should
be moved.
21. Very
properly, given the facts of this case, counsel did not invoke to any material
degree the European Convention on Human Rights. As the
Master of the Rolls has made clear in
Daniels
v Walker
(Practice note) 2000 1 WLR 1382 at page 1387, it would be disappointing if the
European Convention on Human Rights were to be routinely paraded in cases
of this nature as makeweight points or if they were to be in every case
extensive citation of authorities from the European Court of Human Rights
particularly where reliance is placed on cases pre-dating the 1987 and 1995
legislation. This theme has been reiterated in
Re
F
(Care proceedings: contact) reported in Family Law, October 2000 at page
708. Nonetheless I have considered whether any such issues do arise. In
particular I must consider whether or not pursuant to Article 8 of the European
Convention on Human Rights a granting of a Care Order in the case of ELF
and the granting of a Freeing Order in both cases and finally removal of
contact is liable to interfere with a parent’s family life and requires
justification with regard to the best interests of the child. I have to
consider in the freeing applications whether the child’s freeing for
adoption without the consent of JKF and VB constitutes interference with their
right to respect for family life which is disproportionate to the best
interests of the child. I am satisfied that domestic authorities enjoy a wide
margin of appreciation with regard to the circumstances in which they can
overrule a parent’s objections to adoption. Ursula Kilkelly (the
Child and European Convention on Human Rights), has dealt with this matter at
page 298 of the first edition:
“Although
Article 8.2 requires that such measures have a legitimate purpose, it is
arguable that only reasons relevant to the child’s welfare, and not the
wishes of the adoptive parents for example, may justify an interference with
family life. In this regard as long as the overriding objective is to protect
the rights, welfare and interests of the child concerned, then the particular
basis for making an Adoption Order will fall within the discretion of the
State. Moreover the national authorities enjoy discretion as to what aspects
of the child’s welfare – financial, emotional or physical –
they choose to emphasise in finding the Adoption Order necessary and it is also
a matter of domestic law whether the child’s best interests are paramount
or merely of ‘special importance’ in such matters.”
22. I
should also say that, although the matter is not yet perhaps beyond plausible
dispute, I am prepared in this instance to adopt the principle that the
presumption in favour of family life has now been extended finally to unmarried
fathers and their children in light of the decision in
Soderback-
v Sweden
,
judgment of 28 October 1998 BCHR. So far as the contact issues are
concerned, again the rights of JKF and VB require to be considered under
Article 8. However, once again the State does enjoy a wide margin of
appreciation in determining the proportionality of measures taken in the
child’s best interest. In essence, consideration of what is in the best
interests of the child is in every case of crucial importance in this area.
(Csee
L
v Finland
2000 2 FLR 118, ECHR and
Scott
v UK
(2000) 1 FLR 958.) Accordingly I have taken into account the
European Convention on Human Rights in arriving at this decision and it
has informed the conclusions which I have reached and to which I advert
subsequently in this judgment.
23. Before
turning to the factual matters in this case, I must remind myself of the burden
of proof which is applied by all courts in cases concerning the welfare of
children, namely that of proof on the balance of probabilities (the civil
standard). I outlined the principles governing this aspect in
Re
W v KS and Foyle Health and Social Services Trust
(unreported June 1999). At page 19 of my judgment I said:
“In
Re
H and others (minors)
(Sexual abuse: standard of proof) (1996) 1 AER page 1, the House of Lords
defined the balance of probabilities that applies to children’s cases in
the leading speech of Lord Nichols:
‘The
balance of probabilities standard means that a court is satisfied an event
occurred if the court considers that, on the evidence, the occurrence of the
event was more likely than not. When assessing the probabilities the courts
will have in mind as a factor, to whatever extent is appropriate in the
particular case, that the more serious the allegation the less likely it is
that the event occurred and hence the stronger should be the evidence before
the court concludes that the allegation is established on the balance of
probabilities.’
24. Thereafter
when dealing with the Care Order application I must consider the two-stage
approach suggested by Butler-Sloss LJ in
Re H;
Re K (minors)
(Child abuse: evidence) (1989) 2 AER 313 at 325:
‘The
judge evaluates the evidence adduced both as to facts already in existence and
frequently expert opinion as to future advantages and the risks of possible
decisions as to the child’s future. At the second stage upon the
evidence provided to the court the judge exercises a discretion with a test of
the welfare of the child paramount and weighs in the balance all the relevant
factors and assesses the relevant weight of advantages and risks to a child of
each of the possible courses of action ... he has to assess the risks and, if
there is a real possibility that the child would be at risk, he will take steps
to safeguard the child.’
25. Thus
at the first stage, the balance of probabilities is a standard which must be
applied to the determination of the facts to be found. It is the party who
relies on the allegations of any form of harm to a child to establish the facts
of past harm on the balance of probabilities. At the second stage, the court
is involved in the assessment of possibilities, not probabilities, based upon
the facts found to have been proved. The assessment of risk of future harm
cannot be based upon mere suspicion of past harm but only upon facts which have
been established to the requisite standard. In
Re
H and others
,
mentioned above, the House of Lords concluded that whilst the balance of
probabilities standard applies to consideration of each element of the
threshold criteria for the making of a Care Order, when considering the
likelihood of harm, the court is evaluating whether it is proved that there is
a real possibility that the child must suffer significant harm. Having heard
and considered the evidence, and decided on disputed questions of relevant fact
upon the balance of probability, the court must reach a decision on how highly
it evaluates a risk of significant harm befalling the child, always remembering
that the burden of proof is upon the person asserting the harm.”
26. I
turn now to consider the findings that I have made in this case.
1. The
report of Dr J Lynch MB MRC SYCH, consultant psychiatrist, dated
14 June 1999 was agreed in this case without the need to call him as
was the report of Dr Loughrey, consultant psychiatrist, dated 17 June 1998. In
this context I also had the benefit of the evidence of Angela Lynn, a
registered mental nurse with fifteen years experience of emotionally and
mentally ill adolescents, and who was the clinical nurse manager at the Young
People’s Centre in Belfast. JKF had been referred to the
Young People’s Centre whilst residing with Parent and Children
Together (PACT) project and commenced day patient treatment there on 27 March
1998. Ms Lynn thereafter had close contact with JKF up until April 1999.
I find the cumulative weight of this evidence to be very impressive and
persuasive. These views were underlined by my observations of JKF when she
gave evidence before me. Clearly she has had an extremely disturbed background
which I believe lies at the core of her current problems. Dr Lynch records at
page 1 of his report:
“K
was reluctant to tell me any details of her family structure or of her
childhood. She told me that both her parents were still alive but that she had
no contact with either of them for some years. She tells me she last lived
with the family at about the age of five. She also tells me she has ten
siblings but that ‘I don’t know half of them’. She felt
unable to describe her family life in any detail. However, from the reports
available to me I understand she has a history of sexual abuse perpetrated by
K’s father on her and other siblings and that her mother put K and her
other siblings into care at the age of approximately nine because she had
difficulties in managing the children. Following this K had a succession of
foster care placements interspersed with periods in children’s homes.
The longest foster placements were approximately a year and they mainly seemed
to breakdown because the foster parents had difficulty in managing K’s
difficult behaviour. In 1992 she was the subject of a training school order
and was placed in Rathgael for approximately five years.”
27. This
ties in with the detailed analysis of her background outlined to me by
Ms McConkey, a social worker of the After Care Team, and contained in her
reports. It is clear from these that even throughout her first training school
order in Rathgael between 1992 and 1995, JKF was already involved in numerous
incidents of absconding, sniffing glue, self injury, frequently cutting her
wrists and arms. She overdosed on tablets several occasions requiring
admissions to the Ulster Hospital, Dundonald. Regretfully this pattern
continued. Dr Lynch records her having a long history of drug abuse, alcohol
abuse and solvent abuse from an early age. Various attempts to get her to
address her drug habit in the past had been unsuccessful. Dr Lynch
concluded:
“In
an adult psychiatric setting K would tend to be seen as a personality disorder.
Personality disorder is a name given to a spectrum of developmental conditions
which give rise to deeply ingrained and enduring behaviour patterns. ... It
is impossible however to view K’s presentation in isolation from a
consideration of her childhood and adolescent experiences and perhaps a more
humane and useful, in terms of understanding her presentation, diagnosis is
that of attachment disorder. This is a diagnosis more frequently made in child
psychiatry where there are marked abnormalities seen in social relationships
associated with emotional disturbance. These disorders usually arise as a
consequence of the failure of the key relationship which generally forms
between a parental figure and the child. It is easy to see that this is the
case with K. She had an abusive childhood and was subjected to neglect. She
undoubtedly sees her mother giving her into care as a rejection and this is
reflected in her inability to make any kind of long-term relationships with the
various professionals who have attempted to provide stability for her since.
Undoubtedly she rejects them before they have chance to reject her. The
various numbers of placements she has been through in childhood and adolescents
have only contributed to the instability. ... She is extremely impulsive and
this leads to the recurrent attempts at self harm and to temptation to indulge
in solvent or drug abuse offering immediate gratification.”
28. Dr
Lynch concluded his observations as follows:
“K
undoubtedly cares about her nine-week-old baby. It is however difficult to see
how she can be a parent at present, without ever having been properly parented
herself. What K really needs is some kind of long-term placement in a
therapeutic community, a resource that we do not have available in Northern
Ireland. The Young People’s Centre has made admirable attempts to help
K. Unfortunately adult psychiatry has probably little to offer apart from
providing short admissions in the future to guarantee her safety at times when
it is deemed necessary. It is difficult to be sure as time goes on to what
extent K may emotionally develop, but it is hard to envisage any dramatic
improvement in the near future.”
29. I
consider that this assessment is both informed and accurate. It was underlined
and corroborated by the evidence of:
(a) Dr
Best, who is a consultant psychiatrist at St Luke’s Hospital since 1990.
He has been dealing with JKF since December 1999. She has been detained under
the Mental Health Order since 13 August 2000 and is in one of the intensive
care wards, which is a seventeen-bed unit for those in danger of harming others
or harming themselves. She is therefore currently a detained patient. Dr
Best, favouring the view that JKF does not suffer from mental illness but
rather from a mental disorder which amounts to an unstable personality
disorder, has gradually weaned her off her medication for several weeks now.
He considers that her self injurious behaviour is a long-term feature and is
common to people who have been abused in childhood. During the period she has
been in hospital he has noted that her mood can change from being pleasantly
affable to extremely aggressive behaviour. She has issued threats to staff to
harm them and has required physical restraint. He believes this behaviour was
not psychotically driven but is a product of her personality disorder. She has
clearly not complied with the advice she has been given or the assistance
proffered. Shortly he feels he will no longer be able to detain her and it is
his belief that she intends to leave the area where therapeutic assistance
would be available and take up residence in Bangor where there would appear to
be no support agency. It is his belief that she will revert to the use of
alcohol, solvent abuse and quickly return to a social crisis with acts of self
harm requiring re-admission. He foresees her future as one of periodic
re-admissions to psychiatric units. His hope is that over a period of time she
may mature and eventually accept the advice that has been offered to her. He
indicated in cross-examination that he has seen people ten years down the line
who have improved from such a condition but in his view this will not occur in
her case in the near future because she is simply not willing to engage with
the help that is offered. He concluded by saying that he agreed with Dr
Lynch’s report and shares the conclusion of the
guardian ad litem that she is unlikely to mature sufficiently to be
able to parent these children.
30. Regretfully
this reflects the opinion formed by Dr Loughery, consultant psychiatrist, and
recorded in the report to Ms Mildred Hollywood on 17 June 1998 and
which was before me. In the course of that report Dr Loughery recorded:
“The
diagnosis is of personality disorder with depressive features. She alleges
abuse in the past. It would be envisaged that treatment with her would mainly
involve a psychotherapeutic approach aimed at helping her to come to terms with
her experiences in the past and her responsibilities in life. An approach of
this type requires engagement by the patient, and so far this has been very
difficult for a number of reasons. First, K has moved from address to address.
Second, she has been reluctant to talk about these difficulties and certainly
has not discussed them consistently. Thirdly, she is behaving in such a way,
such as taking overdoses, cutting herself and simulating overdose and suicidal
thinking that makes therapeutic engagement virtually impossible.”
31. This
is precisely the pattern that has been observed by Dr Lynch and Dr Best and is
clearly not abating as the years have gone on.
32. Finally
in this context, I have read the reports of Angela Lynn of 18 May 1998 and
16 May 1999 as well as having the benefit of her evidence before me. She is a
clinical nurse manager at the Young People’s Centre in Belfast, is a
registered mental nurse and has twenty-three years’ experience in
psychiatric nursing. She has spent fifteen years with emotionally and mentally
ill adolescents. She has had considerable experience of JKF from 1996 when she
was initially referred to the Young People’s Centre which is the only
place in Northern Ireland caring for psychiatric and mentally disturbed
adolescents. She saw her again when she was referred in March 1998 at a time
when LF was five months old. Ms Lynn recorded at that stage that JKF was
vulnerable and misusing chemicals ie damp start, glue, cannabis, valium,
painkillers and perhaps others. She had been sniffing solvents since she was
twelve years old. Her prediction, having seen her over this lengthy period of
time, is that she will require psychiatric services for the rest of her life.
She described her as one of the most disturbed young people she has ever come
across. She describes her as “unpredictable and a danger to herself and
others ... unfortunately there are not appropriate services to treat
individuals like K in Northern Ireland. Adult psychiatrists will consider her
to be classed as a personality disorder and deem her to be untreatable ... She
will continue to be unpredictable and be a danger to herself and others”.
In cross-examination she said that whilst JKF will say that she means to change
and will perhaps mean this, she simply does not realise how difficult it is to
care for a child. The problem is that she cannot even attend to her own needs
and keep herself safe much less be able to look after her children in the
opinion of Ms Lynn. She shared the view of Dr Lynch.
33.
In essence the picture emerged that although intellectually quite bright, JKF
is emotionally very immature and requires to be looked after herself never
having been properly parented. She is and remains an extremely vulnerable
woman.
34. Other
evidence before me in this case further serves to convince me that these
conclusions are well founded. I consider it neither productive nor beneficial
to the welfare or health of any party in this case for me to outline every
incident that has fuelled my conviction in this regard. I have read carefully
the various reports in this matter and heard a number of witnesses. In
particular:
(a) The
medical reports and witnesses hereinbefore referred to.
(b) A
number of reports by Ms Mildred Hollywood, who gave evidence before me.
(c) A
report by Miss Marion Doyle, dated 20 March 1998.
(d) Reports
by Miss Erica Gray, dated 24 March 1998 and 18 May 1998.
(e) Ms
Lynn as mentioned above.
(f) Dr
Shepherd, who issued two reports and who gave evidence before me.
(g) The
report of Dr Loughery of 17 June 1998.
(h) The
report of Dr Headley of 14 January 2000.
(i) Miss
Ethel McNeil, Family Centre social worker.
(j) Report
of and the evidence of Cliona McBreen.
(k) Ms
Nuala Power, who is employed by PACT project and who also prepared a report
before me.
(l) Ms
McConkey, a social worker in the After Care Team who prepared two reports and
who also gave evidence before me.
(m) Dr
Gaston, a consultant paediatrician, who prepared a report and who also gave
evidence before me.
(n) Dr
Best to whom I have already referred.
(o) The
guardian ad litem, Miss O’Kane.
35. In
addition I also heard the evidence of JKF and VB.
36. So
far as LF is concerned, I am satisfied that it is appropriate in her case to
make an order freeing her for adoption without parental agreement pursuant to
Article 18 of the Adoption (Northern Ireland) Order 1987. I am of this
view for the following reasons:
1. I
am satisfied that pursuant to Article 9 of the 1987 Order, adoption is in the
best interests of this child given the need to safeguard and promote her
welfare throughout her childhood and the importance of providing her with a
stable and harmonious home. LF was in her mother’s care for the first
four months of her life predominantly within the supervised residential Parents
and Children Together, Barnardos facility in Belfast. She was first
accommodated at her mother’s request in foster care on 27 January
1998. The Craigavon Trust obtained an Emergency Protection Order on
28 January 1998 as JKF was not deemed fit to resume her care on the
grounds that she had been sniffing lighter fuel and inflicted cuts to her
arms. LF has remained in care ever since. During the period that JKF was at
PACT (between 20 October 1997 to 21 January 1998), serious concerns had emerged
in relation to her ability to parent LF and her ability to take care of herself
both physically and emotionally. I am satisfied having heard the evidence of
Ms Hollywood that there were genuine concerns about LF’s weight gain and
episodes of vomiting and diarrhoea. She was hospitalised between
2 December 1997 to 11 December 1997 in the Royal Belfast Hospital for
Sick Children where a reflux problem was diagnosed. She was further
hospitalised between 12 December 1997 to 17 December 1997.
Dr Shepherd gave evidence before me that in his opinion the child’s
poor weight gain was exacerbated by her mother’s lack of mothering skills
and inability to ensure that LF was getting adequate amounts of milk. He could
find no organic reason for her failure to thrive. During the time the child
was in foster care and thereafter I am satisfied that the child had a better
weight gain and that this was sustained after 27 January 1998 when she was
taken into foster care. Whilst Dr Shepherd accepted that there may have been
more than one cause for her failure to thrive eg the diarrhoea may have been
unconnected with any lack of mothering skills, I am satisfied that the material
improvement in this child’s welfare after being removed from JKF’s
care illustrates the need to safeguard her throughout her childhood. The
helpful report of the guardian ad litem records:
“L
blossomed while in the care of Mr & Mrs McN. A consistent routine, stable
environment and high levels of stimulation enabled L to achieve her
developmental milestones. ... LF moved to her current placement on
28 June 1999 following a very successful transition from Mr & Mrs
McN’s care. L presents an engaging, confident and sociable child who has
transferred her attachments to Mr & Mrs C. LF has a well established
routine that continues to meet age appropriate milestones.”
37. It
is clear from the evidence of Ms Hollywood that during the period in PACT JKF
was at times quite unable to care for LF. An illustration of this is on
8 January 1998 staff at PACT were awakened by the sound of LF crying.
When staff entered JKF’s unit, they found her sitting at the end of her
bed looking at LF who was lying on the bed crying. JKF had cut herself and was
unable to care for the child. Staff fed and settled the child and remained
with LF. The child was on the Child Protection Register. From late January
onwards, there is a litany of incidents involving JKF sniffing lighter fuel
engaging in self abuse to the point where PACT felt unable to assist her
further. Her behaviour was clearly incompatible not only with remaining in the
placement at PACT but, in my view, with looking after a young child. It was
inevitable that a Care Order required to be made in respect of this child in
the course of 1998. JKF was not capable of making constructive use of the
supports that were offered to her and indeed after LF’s admission to care
there was a marked deterioration in her situation with a nomadic lifestyle,
recurrent incidents of self harm, solvent and illicit drug misuse and an
erratic uptake of contact with the child.
38. My
attention was drawn by the guardian ad litem to a DHSS Northern Ireland
circular in May 1999 which identifies the benefits of adoption namely:
“The
importance of family life to a child cannot be overstated. It is the
fundamental right of every child to belong to a family and this principle
underpins the United Nations Convention on the rights of the child which
United Kingdom ratified in 1991. Where, for whatever reason, children
cannot live with their families, society has a duty to provide them with a
fresh start and, where appropriate, a permanent alternative home. Adoption is
the means of giving children an opportunity to experience positive family
relationships.
Adoption
continues to provide an important service for children, offering a positive and
beneficial outcome. Research shows that adopted children generally make very
good progress compared with similar children who are brought up by their
parents. Adopted children do considerably better than children who have
remained in the care system throughout most of their childhood. Adoption
provides children with a unique opportunity to become permanent members of new
families enjoying a sense of security and well-being previously denied to
them.”
39. I
am satisfied that rehabilitation has been ruled out for JKF in this case and
that it is very unlikely she would ever be in a position to safeguard and
promote the welfare of LF throughout her childhood. Her last contact with the
child was 24 June 1999. There has been no direct contact since then.
She has told me in evidence that she does not wish to have anymore contact
with LF but that she cannot give her consent because she considers that the
child would not like this when she has grown up. Originally in
September 1998 she had agreed to the child being adopted as long as the
child remained with the McNs. Indeed JKF signed a Form 10 and LF’s
birth certificate on the understanding that Mr & Mrs McN, LF’s foster
carers, were to be assessed as adopters of the child. When Mr & Mrs McN
withdrew their application to adopt LF, JKF then withdrew her consent to the
child’s adoption. Eventually when she met Ms Hollywood on 13
October 2000 in hospital she indicated that she regarded LF as different to ELF
largely due to the manner of the conception, but that she could not bring
herself to consent to the adoption for the same reason that she gave to me.
40. I
have no doubt, therefore, that in all these circumstances the adoption is in
the interests of the child.
41. I
then turn to consider whether or not JKF is withholding her agreement to a
Freeing Order unreasonably. My views are as follows:
1. In
judging this matter as at the date of this hearing, I am satisfied that the
refusal to consent is unreasonable. I have taken account of all the
circumstances of the case that I have mentioned above which I do not find it
necessary to reiterate here. The welfare of the child is not the sole or
necessarily paramount criterion at this stage, but nonetheless I take it into
account as one factor. It is my view that the welfare of the child will
benefit from adoption and accordingly that is another factor which persuades me
that the withholding of consent is unreasonable. The test is an objective one
and I have concluded that a reasonable parent in the position of JKF would not
withhold consent. I must be wary not to substitute my own view for that of the
reasonable parent and I have been careful to avoid this. I recognise that
there may be a band of differing reasons each of which may be reasonable in any
given case. I consider however that in this case, even allowing for such a
band, there is no reasonable basis here for withholding consent to the adoption
given the background circumstances I have already set out together with her
stated intention not to have further contact with LF.
2. No
application can be made under Article 18 unless the child is in the care of the
adoption agency (which is the case in this instance) and the court is satisfied
that it is likely that the child will be placed for adoption (in this case with
Mr & Mrs C). I accept the evidence that has been put before me that Mr
& Mrs C are committed to providing LF with a secure loving home and will
assist her reach her potential. I accept the evidence of the guardian that
they present as a child-focused couple who have a realistic understanding of
LF’s background. I am, therefore, satisfied that it is likely that this
child will be adopted.
42. In
all the circumstances, therefore, I make an order freeing LF for adoption.
43. I
now turn to consider the case of ELF. As I have indicated earlier in my
judgment, I must first decide whether or not it is appropriate to make a Care
Order in her case. The issues to be determined are as follows:
1. Is
ELF suffering or likely to suffer significant harm
?
44. Counsel
on behalf of the South and East Trust has argued that this child is suffering
significant harm in light of the evidence of Dr Gaston. Dr Gaston is a
consultant paediatrician. He had furnished a report along with Dr Martin on
23 March 2000. His training over a number of years had involved
viewing children affected by solvent abuse. He had seen ELF from an early
stage. He records:
“Concerns
emerge as early as six weeks. E was not smiling until about ten weeks of age.
... She also had a history of reflux and was using Carobel. Her feeding
continues to cause concern in that she is slow to tolerate lumps. ... On the
developmental side she is only sitting at ten months but makes no attempt to
explore her surroundings. She does not reach out to objects. It is only
recently that she has changed position in her cot.”
45. In
evidence before me he regarded the lack of development in motor skills as major
delays. The child was in fact suffering from a general delay in development.
He had seen her again on 14 September 2000 and again recorded the general
delay. At seventeen months she was roaming without intent and clearly
there had been developmental delay. In his opinion the long-term outlook for
this child was guarded albeit she had made some progress. His expectation was
that the child would plateau at an early stage. Her skills would probably not
advance beyond pre-school level. She requires special schooling, supervision
with dressing, she is not likely to hold down a job or a household and will
require supervision.
46. Turning
to the causes of this condition, his experience in working with mothers who had
abused solvents was that this was the very kind of diagnosis that occurs if
solvents are abused during pregnancy. This is unfortunately one of the
sequelae of abuse of solvents by mothers. He accepted in cross-examination
that this condition can be caused by genetic pre-disposal and the condition is
possibly genetic. However, he felt that, having witnessed this pattern in the
past, it was more likely that the cause was solvent abuse rather than genetic
causes. He agreed that there was virtually no literature on this and research
was at an early stage. He could not say for certain that the child’s
condition was due to her mother’s solvent abuse, but he felt this was
more likely than not.
47. In
cross-examination by Miss McConnell he accepted that the prognosis he had given
was probably the worst one and that the best prognosis that could be given was
that there would be mild general delay. In other words she could possibly
attend mainstream school, form friends and be trusted to go out on her own.
However, in his opinion although this was possible it was quite unlikely. In
either event, appropriate and informed care is pivotal to her development. In
essence this is a child who requires a placement where she will benefit from
someone who will quietly and consistently play with her and carry out the
necessary routine measures to maximise her development. He emphasised that
this has to be done in the early stages because if this child misses her time
for development then it will be gone for ever. It is imperative that she have
consistent, quiet and steady care in order to maximise her development. The
parenting required is at a very basic level, but must be regular and consistent.
48. As
I have already indicated in this judgment, it is for the party who relies on
the allegations of any form of harm to a child to establish on the balance of
probabilities that this child has suffered harm because of her mother. I am
not satisfied that this heavy onus has been established insofar as the Trust
submit that this child has suffered harm because of the mother’s abuse of
solvents. I consider it would be an extremely heavy burden for JKF to have to
bear for the rest of her life if I were to make such a finding. I wish to make
it clear that I am not satisfied to the level of proof required.
49. In
this context I have considered
Re
H and R
(Child sexual abuse: standard of proof) (1996) 1 FLR 80. The House of Lords
concluded in this case that whilst unproved allegations of maltreatment could
not form the basis for a finding by the court that either limb of Section
31(2)(a) of the Children Act 1989 was established, it was, however, open to a
court to conclude that there was a real possibility that the child would suffer
harm in the future although harm in the past had not been established. There
would be cases where, although the alleged maltreatment was not proved, the
evidence did establish a combination of profoundly worrying features affecting
the care of the child within the family. In such cases it would be open to a
court in appropriate circumstances to find that, although not satisfied the
child was yet suffering significant harm, on the basis of such facts as were
proved there was a likelihood that he would do so in the future. I find the
evidence of Dr Gaston extremely helpful in assisting me to come to the
conclusion, which I now make, that this child is
likely
to suffer significant harm unless a Care Order is made. Inter alia JKF was
warned by Dr Forbes of the dangers of her behaviour in her pregnancy but
continued to use solvents nevertheless. Indeed she refused to address the
issues regarding harm to the unborn child. I have no doubt that the history
that has been unfolded to me of solvent abuse, drug abuse, alcohol abuse and
self harm carried out by JKF is not only clear evidence that she will be
completely incapable of giving this child the necessary care and attention
without which her development will be permanently vitally retarded, but that in
the wake of such behaviour it is highly likely that this child will in fact
suffer irreparable damage. I am satisfied that the likelihood of harm,
therefore, is attributable to the care likely to be given to her by JKF and
which is not what it would be reasonable to expect a parent to give the child.
I am satisfied that this is the position at the relevant time, namely the date
when the Trust sought the Emergency Protection Order ie when the relevant
authority initiated procedures. In any event I consider that this continues to
be the situation.
50. Apart
from the evidence of Dr Gaston in this regard, which in itself would be
sufficient for me to come to this conclusion, there has been a litany of events
unfolded to me concerning her behaviour which would independently draw me to
the same conclusion. Without going into all the details of all the evidence
which I have heard and considered, the following matters illustrate the overall
pattern:
1. I
have already adverted to the concerns that arose about the care given to LF in
light of the evidence of Dr Shepherd. This coupled with the concerns expressed
by Dr Gaston fuels my conviction that this child, ELF, is likely to suffer
harm.
2. Elizabeth
McConkey, who was a social worker in the After Care Team employed by
South East Belfast Trust, and Nuala Power, a social worker employed by
Barnardos in the PACT project, gave evidence of various incidents leading up to
and since the granting of the Emergency Protection Order on 28 January 1998.
Subsequent to LF’s placement in care, JKF’s behaviour and emotional
stability deteriorated. Her drug and alcohol misuse and self injury
recommenced. She was referred to the After Care Team on 29 June 1998 when
she was residing in Verner Street Night Shelter. While resident there she met
Mr VB and this short relationship resulted in the pregnancy which led to
ELF’s birth on 18 March 1999. Her history of self harm, abuse of drugs
and solvents, the previous concerns concerning LF and her evident inability to
care for the newborn baby all led to an application for an Emergency Protection
Order in March 1999 for the protection of EF. The child was placed in foster
care in Bangor. I was impressed by the evidence of Ms McConkey and Ms
Power and despite some of the denials by JKF in her affidavits and suggestions
to them in cross-examination, I am persuaded that both gave accurate and
truthful evidence. The incidents they recorded included:
(a) Ms
Nuala Power, a key worker with PACT, contacted Ms Hollywood on 28 January
1998. She informed Ms Hollywood that JKF had experienced a very traumatic
evening. JKF had sniffed lighter fuel during the early hours of the evening
and was feeling very high. Staff had remained with JKF throughout her
withdrawal period and when they felt she was reasonably settled they left her
for a short period. However when staff returned to JKF they discovered she had
severely cut her left arm with a razor blade – there were two very deep
lacerations and numerous superficial cuts. JKF initially refused to be seen by
a GP or attend Casualty. However, several hours later she decided she would go
to hospital and Ms Power accompanied her. Upon her return to PACT she awoke
early in the morning on 28 January 1998 and immediately requested that LF be
returned to her care. Staff at PACT very firmly believed JKF was in no fit
position to be able to take on the care of LF. JKF was unable to communicate
with staff and sat with her head down and was totally unresponsive to any input
from anyone.
(b) On
20 July 1998 JKF was offered accommodation with Lee Hestia Association at
Empire Parade. Staff agreed to offer intensive support initially to help her.
This placement failed very quickly. JKF continued to abuse alcohol and
aerosols and was causing a disturbance in the neighbourhood. During the visits
of Miss McConkey to JKF she made no attempt to hide empty canisters of
butane gas.
(c)
On
5 August 1998 Dr Forbes was contacted by Mr Henry Barry, senior social worker,
due to concerns re drug and alcohol abuse. Dr Forbes expressed concern
concerning the harm that KF may be causing to her unborn child. Dr Forbes
agreed to attempt to form an admission to psychiatric care at the Mater
Hospital. There she was seen by Dr McCauley and admitted to taking five Kapak
tablets that day and several unidentified tablets the day before. She also
admitted to taking an ‘E’ tab, alcohol and butane gas while living
at Empire Parade. She believed she may have been unconscious for thirty
hours. She would not address the issues regarding the harm to her unborn child.
(d) On
11 August 1998 KF was offered accommodation in Regina Coeli Hostel,
Glen Road. She found it difficult to settle in. On one occasion she
turned up at the Young People’s Centre intoxicated. Staff were concerned
and they took her to the Casualty Department within the Royal Victoria
Hospital. She sniffed gas allegedly while in the waiting area. Contractors
Bureau were contact due to the concerns of the medical staff.
(e) Following
ELF’s birth an Emergency Protection Order was obtained on
19 March 1999.
51. On
the basis of these extracts and the overall evidence given by Ms McConkey,
Ms McConkey concluded that rehabilitation would take a very long time indeed
for KF and that essentially she was not able to look after herself. She was
not remotely ready to care for her child. In cross-examination she accepted
that VB in her opinion had been a bad influence on KF and in fact she had only
detected drink on a couple of occasions. Whilst she denied sniffing gas in the
hospital incident, this of course is only one of a plethora of incidents where
she has been found to be sniffing gas. There were periods when she did settle
down for example when she first went to the Regina Coeli Hostel. I
have no doubt that it was a very difficult emotional period for KF to have her
baby taken away at birth in the case of ELF, already having seen LF taken away.
Nonetheless I reject the case put to Miss McConkey that KF has never been given
the chance to show that she can care for ELF or the chance to get her back.
Miss McConkey’s view is that she has had a great deal of time to think
over her behaviour and that her irresponsible activities have continued
unabated. I recognise that this behaviour may well be beyond her control
because of her background but, for whatever the cause, she has rejected
opportunity after opportunity to obtain self help and has resorted to the
various abuses that I have outlined. There has been, and continues to be fatal
divergence between the rhetoric that KF uses to describe her good intentions
and the approach that in practice she adopts. An unstable dynamic drives her
actions and unhappily all too often has frustrated the attempts of those who
have sought to assist her. It would be perilously easy to accept her current
undertakings and intentions for the future. Sadly they assume that which he
needs to prove namely that she has either the capacity or the will to redress
her past. All of this serves to persuade me that this child is likely to
suffer significant harm which in itself is attributable to the care not being
given to the child which would be reasonable to expect a parent to give her.
52. I
was further fuelled in this conviction by the reports and evidence of
Cliona McBreen. She was a social worker of the South and East Trust and
was an eminently qualified social worker. She produced six reports in all
together with a statement of facts. She was party to the applicant’s
Trust care plan in respect of ELF and which I have scrutinised and approve. A
comprehensive assessment of KF’s lifestyle and ability to provide care
and protection for ELF was completed prior to rehabilitation being considered.
This included:
(i) A
psychiatric assessment of KF.
(ii) An
assessment of KF’s understanding of the needs of ELF by
Beersbridge Family Centre. (I had the benefit of a report from Ethel
McNeil a family centre social worker from the centre dated 17 May 1999.)
(iii) Therapeutic
work at the Young People’s Centre with Ms A Lynn.
(iv) A
referral to the Community Addiction Team to assess KF’s addictions.
(v) A
commitment to regular contact with ELF.
53. However,
subsequent to the commencement of the process of comprehensive assessment, the
pattern of KF’s behaviour in the past resurfaced. The incidents recorded
by Ms McBreen, and which I accept as factually proved to a sufficient level,
were as follows:
(a) 5
May 1999 – KF attended the office of the applicant Trust and was verbally
abusive to staff, giddy and unsteady on her feet. She refused to leave the
building and when asked to do so she said she said she had taken an ecstasy
tablet.
(b) 7
May 1999 – KF was verbally abusive to a social worker, kicked the door
and attempted to break a window at the offices of the Trust. She said she had
attempted to take an overdose.
(c) 14
May 1999 – KF attended the offices of the applicant Trust asking for
money. She was abusive to staff, threw stones at the window and removed a fire
extinguisher from the premises. The police were summoned.
(d) 15
May 1999 – KF contacts the Young People’s Centre stating she was
going to commit suicide. On gaining entry to the unit she threatened staff and
threatened to burn the building. She was arrested by police and seen at the
A&E Department in the City Hospital.
(e) 14
June 1999 – she was verbally abusive and threatening towards a social
worker at Beersbridge Family Centre and a decision was made to terminate her
assessment.
(f) 21
June 1999 – KF attends at the offices of the applicant Trust, threatens a
senior social worker with a milk bottle and subsequently left throwing the milk
bottle smashing an office window.
(g) 28
July 1999 – KF admitted to Belfast City Hospital following an attempted
overdose. She admitted consuming alcohol, cannabis and prescription medication.
(h) 31
July 1999 – KF causes further self injury to her arms and was expressing
suicidal thoughts.
(i) 4
December 1999 – she was admitted to Craigavon Psychiatric Unit –
she formally denied having inflicted serious injuries to her arm with scissors
and a razor blade. She was discharged on 16 December 1999. She was
re-admitted on 21 December 1999. She had been sniffing glue over the
preceding weekend. She was talking about her “imaginary friend”
who was like “the devil” and had encouraged her to burn her leg on
a heater, get a rope and jump.
54. This
behaviour continued against a background where she was rebuffing efforts to
engage her in an assessment of her ability to care for ELF. A report of
Miss McNeil mentioned above is revealing. Inter alia, she records that
whilst KF is knowledgeable about the aspects of the physical care of a young
baby ie feeding routines, bottle making, etc she seemed “confused and
unclear about the emotional needs of a child as it grows and develops”.
It is telling that she records of the session on 11 June 1999:
“I
attempted to use this session to get K to identify her understanding of what
E’s needs might be. It was impossible to meet the aims of this session
as K was unwilling/unable to engage in the discussion.”
55. I
share entirely the views of Miss McNeil who concluded at the end of these
sessions:
“It
would appear that her own needs are so vast that K is unable at present to
prioritise E’s needs before her own. It would also appear that K has not
insight into the purpose of the assessment and has openly stated that her only
reason for attending is because she has been told by the court and her
solicitor to do so. K is unable to foresee or anticipate any difficulties or
problems she may have caring for E.”
56. Herein
lies the essence of the problem. ELF is a little girl who needs a great deal
of informed and well directed care and attention if she is to maximise her
potential. KF is simply unable to grasp this or to so discipline her own
behaviour that she can deal with this need.
57. Dr
Hedley from the Craigavon Psychiatric Unit on 14 January 2000 summed the matter
up well:
“She
is unable currently to engage in any meaningful discussion about her life, her
responsibilities, her relationship and in particular about the future welfare
of her children. ... At times she hallucinates often triggered by solvent
abuse. She is unable to tolerate intrusion or any form of pressure and resorts
to self harm”.
58. She
is currently in St Luke’s Psychiatric Hospital where she is detained
under the Mental Health Act (Northern Ireland) 1986. She has predominantly
resided in St Luke’s since 21 December 1999. During July and early
August 2000 she lived in a friend’s house in Portadown before being
allocated a Housing Executive house. Within a week of moving to her house at
51 Glanroy Avenue, Portadown she was re-admitted to psychiatric hospital.
Although she may soon be released, the view of Dr Best is that the
previous pattern will re-assert itself.
59. I
am, therefore, completely satisfied that the threshold criteria under
Article 50 of the 1995 Order are satisfied.
60. I
must now turn to consider whether an order should be granted and if so what
type of order using the principle that the child’s welfare is at
paramount consideration pursuant to Article 3(1) of the 1995. I must also have
regard to the statutory welfare checklist at Article 3(3) of that order. I
must not make any such order unless I consider that doing so would be better
for this child than making no order at all. I have considered the arrangements
which are to be made for affording any person contact with the child (and which
I shall deal with in rather more detail in the contact aspect of this case) and
I have also scrutinised the care plan.
61. It
is my view that urgent steps must be taken in order to ensure the welfare of
this dependent child who has benefited so much from the consistent high quality
care which has been given to her by her foster carers in a stable nurturing
environment. I share entirely the view of the guardian ad litem that in order
for this child to sustain positive attachment formation and achieve her
developmental potential it is imperative that permanency plans are progressed
promptly. Applying the welfare checklist I have concluded as follows:
(a) ELF
is too young to appreciate her circumstances or articulate her views. She is
dependent on the adults and professionals involved safeguarding her interests
and promoting her welfare.
(b) As
I have indicated above, Dr Gaston’s evidence makes it clear that she is a
child requiring particular care and attention if she is to realise her
potential. She suffers retarded overall development and this will impact on
her emotional, physical and educational needs. It is particularly important,
therefore, that with this child appropriate care be given to her.
(c) At
the moment she is being cared for in an environment which is most conducive to
her needs. Any change of circumstances which re-asserted the uncertainty and
dangers of the past would have a very detrimental effect upon her. It is very
important that delay is avoided in identifying and placing her with appropriate
carers who will facilitate her maximum development.
(d) She
is now one year’s of age, female and has a background and characteristics
which I have already outlined. The background of her parents (the father I
shall deal with shortly) and the developmental problems that I have mentioned
by way of characteristics are relevant.
(e) I
have already indicated that she is at risk of suffering harm in the future.
(f) For
the reasons I have given I do not consider her mother is capable of meeting
this child’s needs. I of course have read her affidavit of 19 October
2000 and heard her evidence before me. Whilst she accepts that she is at the
present moment unable to care for and protect herself, she indicates that it is
her firm belief that she will be able change if ELF is returned to her. She
wishes to be released from hospital with the potential to make a new start.
She thinks that she will be able to live in Bangor on release from hospital and
resume contact visits with ELF. Regretfully I take view that not only is she
incapable at present of meeting the needs of this child, but that
rehabilitation is not going to occur and that she will remain incapable of
meeting the needs of this child. The father of this child is VB and for
reasons which I will shortly outline, I also consider that he is not capable of
meeting the needs of this child.
(g) I
must consider the range of powers available to the court under the
1995 Order. I must also desist from making any order unless I consider
that in doing so it will be better for the child.
62. Before
coming to an opinion on the application for a Care Order by the Trust, I must
now consider the application for a Residence Order by VB, the father of this
child. In considering this application I remind myself of the general
provisions of Article 3 of the order placing the child’s welfare as the
court’s paramount consideration, the statutory checklist to which I have
already adverted to assist me in determining what is for the child’s
welfare and all the other legal principles that I have earlier set out. I have
read the affidavits of VB and have also heard his evidence before me.
63. I
have also heard the evidence of and read the report of Miss McBreen , social
worker, who carried out an assessment of VB in response to this application for
the Residence Order. This assessment was carried out between 20 July 2000 and
2 August 2000. A number of matters are relevant to VB’s
application and these include:
(a) He
is from a large family and in fact has two other children of his own. Although
he describes his relationship with his parents as “normal”, he told
Miss McBreen that he does not know the precise whereabouts of either of
his parents although he has telephone contact with them. He recorded that his
last meeting with his mother was April 2000 when she visited him in
Magilligan Prison and he believes that his father is currently residing at
the home of the mother of VB’s second child, Caolan, who was born on
10 August 1995. Telephone contact with his parents appears to be
infrequent. So far as the relationship with his siblings is concerned,
although he describes it as normal, his last contact with his sister was in
1996, with his brother Robert in 1994, his brother John in 1996 and his brother
Seamus in 1995. In light of this I fail to see how VB asserted that all of his
family members are supportive of his application and will offer him ongoing
support. I consider this to be an unrealistic appreciation of the situation by
him.
(b) Contact
with his two older children, Cairan born on 20 September 1994 and Caolan has
been limited. He told me that he has difficulty seeing them because they live
in an estate where he is in fear of his life due to threats from a paramilitary
organisation. He, therefore, has been unable to maintain much contact with the
children. I was not satisfied that he had exhausted all avenues for making
regular direct or even indirect contact with these children.
(c) He
has spent significant periods of time in prison for offences of dishonesty.
However, he claims that since his most recent discharge from prison in
March 2000 he has not engaged in crime although he is the subject of a
current charge of burglary. On the other hand he freely admitted to me that he
regularly smokes cannabis and seemed to be blissfully unaware of the criminal
nature of this activity.
(d) At
the time that he discussed the matter with Miss McBreen he had recently engaged
in a new relationship with a young lady who had apparently served a prison
sentence in England from June until December 1999 for offences of dishonesty.
His plans to cohabit with her and to involve her in the caring for ELF seem to
have ended by the time he appeared before me. So far as accommodation is
concerned he is apparently actively pursuing the tenancy of the flat and is on
a priority list with the Housing Executive. He currently resides in a hostel.
64. A
substantial part of the exchange with Miss McBreen concerned an analysis of his
ability to understand the needs of the child, his ability to manage the child
and his understanding of her developmental needs. I think VB found this
questioning difficult and at times incomprehensible. I think it would be
unfair to criticise him for this because he is not a professional social
worker. On the other hand my impression of him and his understanding of the
needs of this child coincide precisely with the conclusions drawn by Miss
McBreen. In particular she noted:
(a) He
found it difficult to discuss how he would ensure that the emotional needs of
the child are met. Short of securing his own accommodation and stopping
criminal activity, he had difficulty discussing the needs and benefits of
establishing a routine for the child and how this would impact on his current
lifestyle.
(b)
His
firm view is that the child should be cared by her natural family either by
himself or, at that stage, JKF. Of prime importance, however, is that he does
find it difficult to focus on ELF’s developmental needs and how these may
differ from a child who does not require specialist care. Miss McBreen records:
“He presented as pre-occupied with the possible reasons for E exhibiting
signs of developmental delay and stressed that no explanation could be derived
from ‘his side of the family’. Mr B demonstrated limited
understanding of how he could adequately care for a child with special
needs.”
65. I
find this particularly worrying when I consider it against the background of
the paramountcy of the welfare of this child. He is unrealistic about the
network of support that is available to him and both his previous and current
lifestyle raise great concerns with me as to his ability to bestow on this
child the care and attention that her special requirements demand. I consider
that he has a very limited insight indeed into the specialist needs associated
with the developmental delay of this child. I have no doubt that VB is well
intentioned in this application and that he genuinely cares for the welfare of
this little girl. Regretfully good intentions are but one factor in
considering the paramountcy of the welfare of this child. It is my view,
therefore, that he is not capable of meeting the needs of ELF.
66. I
have considered the welfare checklist again set out in Article 3(3) of the
1995 Order and, in relation to the application of VB, I have gone through
each them. My conclusions about 3(3)(a), (b), (c), (d) are precisely the same
as in the case of ELF. I consider that the child would be at risk of suffering
harm if a Residence Order was made in favour of VB because of his lack of
insight into her condition, and, given his previous behaviour and pattern of
living, I do not believe he will provide the stability and permanency that this
child requires. As I have indicated, I do not consider that he is capable of
meeting her needs. I have considered the range of powers available to me. My
conclusion is that a Care Order is the appropriate order to be made in this
case and accordingly I so do and dismiss the application of VB for a Residence
Order.
67. I
now turn to the application by the South and East Trust for an order freeing
ELF for adoption. The issues are as follows:
1. First,
I must consider Article 9 of the 1987 Order and consider whether or not
adoption is in the best interests of the child. I remind myself of the DHSS
Northern Ireland circular in May 1999 to which I have already adverted. I
have also read again the helpful report of the guardian ad litem, Patricia
O’Kane, on this matter together with all the other evidence before me
and to which I have already adverted. I am of the opinion that adoption is in
the best interests of this child. I am of this view for the following reasons:
(a) ELF
is a child who has particular needs. She has benefited already from an
excellent standard of care within her foster home and a range of therapeutic
services are currently in place and, crucially, need to be kept in place in the
future. A consistent and considered approach to this child’s further
care is pivotal to her development. Only adoption in my opinion can provide
this for her. JKF’s unstable lifestyle, recurrent episodes of self harm,
solvent misuse and unwillingness or inability to engage in any meaningful level
with the range of professionals who have afforded her the possibility of help,
have all resulted in me concluding that rehabilitation for ELF to her is no
longer an option. I share the view of Miss O’Kane that she is withdrawn
from involvement with the childcare professionals and has become increasingly
dependent on mental health services. The prognosis relating to her capacity to
change with the provision of appropriate therapeutic services is extremely
uncertain and I fear that the future will follow the pattern of the past. Her
own needs and interests continue to take precedence and this cannot be in the
best interests of the child. Similarly, I have already ruled that VB is, for
different reasons, incapable of providing the necessary safeguards for this
child or to promote her welfare. Neither JKF nor VB can provide this child
with the stable and harmonious home that she badly needs. I, therefore, am
fully satisfied that adoption is in the best interests of ELF. Long term
foster care in this instance is more likely to bring about the need for further
placements and where, as I have concluded, rehabilitation with her mother is
highly unlikely, it would not afford the long term stability, security and
permanency which adoption will provide and which is the key to ELF’s
future welfare.
68. I
come now to consider whether or not the South and East Trust has satisfied me
that JKF is withholding her agreement unreasonably. I remind myself of the
principles set out in
Re
W
,
Re
C
,
and
Re
F
to which I have already adverted earlier in this judgment and also to the
principles already referred to in Hershman McFarlane at Section H,
paragraph 124. Accordingly:
1. I
have considered the parents’ refusal to consent at the date of the hearing.
2. I
have looked at the reasonableness in the context of the totality of all the
circumstances in this case.
3. I
have taken into account the welfare of the child although I have not considered
it as the sole or necessarily paramount criterion.
4. I
have applied an objective test, namely could a reasonable parent in the
position of this parent withhold consent.
5. I
have recognised that the test is reasonableness and nothing else.
6. I
have been wary not to substitute my own view for that of the reasonable parent.
7. I
have borne in mind the caution stressed by Lord Hailsham in
Re
H
at page 56 that:
“Two
reasonable parents can perfectly reasonably come to opposite conclusions on the
same set of facts without forfeiting their title to be regarded as reasonable.
The question in any given case is whether a parental veto comes within the band
of possible reasonable decisions and not whether it is right or mistaken. Not
every reasonable judgement is right and not every mistaken exercise of
judgement is unreasonable. There is a band of decisions within which no court
should seek to replace the individual judgement with its own.”
69. I
have recognised that although the Trust’s justification for taking
adoption proceedings is that it is in the child’s interests, a parent who
disagrees with the Trust’s view is not necessarily being unreasonable.
The statute requires proof of withholding of consent which is unreasonable. It
is not sufficient to prove that a reasonable parent would consent.
70. I
have also taken into account the very helpful submissions made to me by
Miss Morgan on behalf of JKF in this regard. Inter alia, she has urged:
1. That
rehabilitation should not be ruled out. She submits that although
Dr Lynch does not give a good prognosis he cannot say that she will not
develop and progress or that there is no possibility she will not calm down and
mature.
2. She
relies on the fact that no damage was occasioned to LF. She draws my attention
to the report of Marion Doyle of 20 March 1998 who concluded that JKF’s
whole energies and commitment were channelled into caring for LF since her
awareness of her pregnancy whilst her own needs to a large extent were unmet.
She claims that the difficulties really arose when her needs suffered and
overwhelmed her although her first thoughts were again for LF’s safety.
In this context Miss Morgan also draws my attention to the doubts about Dr
Shepherd’s conclusions as to the reasons for ELF’s loss in weight
gain. She points up the fact that JKF was misused by Mr Cook during 1999 and
that his intervention was the catalyst for her various hospital attendances
thereafter. All of this, Miss Morgan submits, points to a possibility of
her rehabilitating herself in the light of her keenness now to provide help to
her daughter. She specifically objects to the freeing application in addition
on the basis that there is no established likelihood of a placement and the
Trust case based on conjecture.
71. It
is my conclusion, however, that none of these points outweigh the strength of
the medical evidence which points to a fairly uncertain future for JKF and
indeed the likelihood that the pattern of the past will obtain in the future.
Moreover, insight into her life history, her inability to engage in therapy and
benefit from the professional assistance which has been afforded to her,
coupled with her persistent solvent abuse and self harm are all matters which
would dissuade a reasonable parent in the position of this parent from
objectively withholding consent. I am therefore satisfied that JKF is
withholding her consent unreasonably in all the circumstances.
72. I
should add at this stage that I have also considered the issues that arise from
the fact that it has not proved possible to place LF or ELF together. LF is
now in a fully integrated family and I have no doubt that it is in her
interests to continue with that present family. Her present carers, however,
did not consider that they could adopt ELF as an additional child. Accordingly
the original aim on the part of the Trusts to bring the children together has
not proved possible. Sibling contact is certainly important but it must be
qualified by the particular needs of ELF and the plans for her together with
the fact that LF is in a fully integrated family situation. Plans have been
drawn up for exchange of letters and photographs leading perhaps to direct
contact in the future. Post adoption contact will be made on the basis of well
established attachments and positive existing relationships. This position
will be carefully monitored by the Trusts and accordingly I am satisfied that
this is not a circumstance that would militate against a reasonable
parent’s consent.
73. I
am also persuaded that there is evidence before the court that it is likely
that ELF will be placed for adoption. Given her specialist needs, a referral
to the Family Care Society has been made. This is a registered adoption
society from whom the Trust purchases services. They recruit and train
adoptive parents for children who are difficult to place and who have special
needs. ELF is apparently a priority now and the adoption agency have said that
it is likely that a couple will be trained to meet her special needs. I am,
therefore, satisfied that Article 18(2)(b) is satisfied. I therefore conclude
that a Freeing Order in the terms sought by the South and East Trust must be
granted.
74. Finally
I turn to the applications for contact subsequent to the Freeing Orders. I
have concluded that there should be no maternal contact with LF subsequent to
the Freeing Order. I share the view expressed by Ms Hollywood that it is not
in the best interests of this child to have direct contact thereafter. Her
evidence was that such contact is liable to upset and confuse LF. The child
has not known KF as her mother. The child is now progressing well and further
contact is simply calculated to upset her and destabilise the placement. The
history of the behaviour in the past of KF and the instability manifested
through solvent abuse and alcohol is not conducive to a meaningful contact
arrangement with this child. In any event it is not JKF’s wish to have
further contact with her.
75. Both
JKF and VB have also made applications for a Contact Order in light of the
Freeing Order for adoption which I have made in the case of ELF.
76. My
primary duty again is to ensure the welfare of the child as the most important
consideration. I have listened carefully to the evidence in this matter and in
particular the evidence of Miss McBreen. So far as KF is concerned, I share
the views
expressed
by Miss McBreen in this regard. It is her view that it is not in the interests
of this child that there should be post Freeing maternal contact. In the first
place there is no existing relationship between KF and the child. ELF does not
know her mother having been taken into care at a very early stage. Since
August 1999 ELF has only made five visits to the child, each visit being
facilitated by social workers. On none of these occasions did she commit
herself to travel on her own. In terms her uptake of contact has been very
poor. There has been no regular pattern of visits. The thinking behind
contact had been to establish and develop a bond between mother and daughter.
That bond has not developed. In particular on 1 August 2000, it was observed
that the child clearly did not know her mother and certainly stuck close with
her foster mother. It was evident that JKF enjoyed the visit but did not show
any evident interest in a one on one interaction with the child. Subsequent to
the visit on 1 August 2000, Miss McBreen had made arrangements for a
further visit the following week. On the way back to Portadown however on that
date JKF informed Miss McBreen that she would not be re-establishing
contact. No attempt has been made to re-establish contact since then.
Clearly, therefore, there is no existing relationship in being.
77. Secondly,
Miss McBreen considers that contact at this stage could prove disruptive to the
placement. Had there been a significant relationship hitherto or had there
been a sense of permanency in the relationship, that is a danger that might
have been embraced. In this instance, however, I think it is absolutely vital
that ELF develop a sense of permanency with her present placement. JKF’s
behaviour is so challenging and unpredictable and her contact in the past so
erratic and inconsistent that I have formed the view that further contact is
likely to prove disruptive.
78. Thirdly,
Miss McBreen is of the view that further maternal contact is likely to occasion
confusion in the child. Given the lack of any significant relationship or
bonding at the moment, and in light of the unpredictable and erratic behaviour
of JKF, I also share the view that this child is likely to become confused and
upset should there be further maternal contact. I have concluded, therefore,
that consequent upon the Order freeing this child for adoption, there should be
no further maternal contact.
79. The
question then arises as to whether or not there should be paternal contact
between VB and ELF consequent on the Order freeing this child for adoption.
Again I have carefully considered the evidence in this matter and in particular
the evidence of Miss McBreen. I have again concluded that I do not consider it
would be in the interests of this child for there to be further paternal
contact save for one opportunity for VB to make what Miss McBreen has described
as “a final goodbye visit” and to make photographs available for
the child’s life history. I have concluded that there should be no
further paternal contact for the following reasons:
1. There
is no existing relationship or meaningful relationship between the child and
VB. Where such a significant relationship did exist, then of course the court
will always be wary of terminating such a contact. In the absence of any such
relationship, I consider that it is not in the interests of the child to now
commence contact.
2. Whilst
VB’s previous offending would not in itself be sufficient to prevent
further contact, the lifestyle he has adopted with regular periods of
imprisonment coupled with his opposition to adoption of this child, persuades
me that further contact will be a disruptive element in the search for a sense
of permanency, stability and security in this little girl’s life.
80. I
have concluded, therefore, that once these Freeing Orders have been made, save
for the possibility of a final visit of VB to ELF, there should be no further
maternal or paternal contact by KF or VB.
IN
THE HIGH COURT OF JUSTICE IN NORTHERN IRELAND
FAMILY
DIVISION
OFFICE
OF CARE AND PROTECTION
------------
IN
THE MATTER OF THE ADOPTION ORDER (NORTHERN IRELAND) 1987
BETWEEN:
CRAIGAVON
AND BANBRIDGE COMMUNITY
HEALTH
AND SOCIAL SERVICES TRUST
Applicant;
and
JKF
Respondent.
IN
THE MATTER OF THE CHILDREN (NORTHERN IRELAND) ORDER 1995 and
IN
THE MATTER OF THE ADOPTION ORDER (NORTHERN IRELAND) 1987
BETWEEN:
SOUTH
AND EAST BELFAST HEALTH AND SOCIAL SERVICES TRUST
Applicant;
and
KF
and VB
Respondent.
------------
JUDGMENT
OF
GILLEN
J
------------
© 2000 Crown Copyright