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Neglect and serious case reviews (PDF, 735KB) - nspcc

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<strong>Neglect</strong> <strong>and</strong> Serious Case Reviews<br />

60<br />

by police <strong>and</strong> medics also gave rise to the question of whether the home<br />

environment was compatible with the health <strong>and</strong> wellbeing of a threemonth-old<br />

premature child.<br />

background to the family <strong>and</strong> <strong>case</strong>:<br />

The family comprised two adults <strong>and</strong> four children aged under six years.<br />

The parents, who had a history of misusing alcohol <strong>and</strong> drugs, had been<br />

in an enduring relationship for some years. The child’s mother had herself<br />

experienced neglect in her childhood <strong>and</strong> had episodes in care. Her<br />

partner, Daniel’s father, had witnessed domestic violence as a child <strong>and</strong> had<br />

experienced mental health difficulties throughout his adult life. Both parents<br />

had convictions for alcohol-related crime.<br />

Although warm relationships between the children <strong>and</strong> parents had been<br />

observed by some professionals involved with the family, it was also noted<br />

at times that the parents were withdrawn <strong>and</strong> reluctant to be involved in<br />

direct care, <strong>and</strong> the st<strong>and</strong>ard of care received by the children was erratic.<br />

Daniel, their fourth child, had been born prematurely <strong>and</strong> had required<br />

neonatal intensive care at birth. The mother had been distressed by his<br />

poor condition at birth, <strong>and</strong> his special care needs placed high dem<strong>and</strong>s on<br />

a family who were already struggling to cope.<br />

types of neglect experienced:<br />

There were <strong>serious</strong> concerns about the parents’ capacity to provide<br />

appropriate physical <strong>and</strong> emotional care for their children. The home<br />

conditions were described as dirty, overcrowded, untidy <strong>and</strong> in a state of<br />

disrepair. Poor hygiene was noted for all four children <strong>and</strong> Daniel was found<br />

to have very severe ammonia burns from unchanged nappies. Substance<br />

misuse affected the parents’ ability to adequately supervise their children<br />

<strong>and</strong> there had been reports of the children w<strong>and</strong>ering alone. Furthermore,<br />

the SCR notes many missed health appointments <strong>and</strong> poor school<br />

attendance for the oldest sibling. There had also been concerns around<br />

the failure to follow advice from professionals in relation to feeding Daniel<br />

(special feeding requirements for a premature baby).<br />

what it was like to be a child in this family:<br />

The care the children experienced was confusing <strong>and</strong> unpredictable. The<br />

parents’ alcohol consumption adversely affected their ability to attend<br />

to their children’s physical care needs or to be emotionally available to<br />

their children. In the presence of a drunk parent the child is likely to feel<br />

emotionally ab<strong>and</strong>oned <strong>and</strong> frightened. For the baby, his need to be tended<br />

to when distressed or ill, fed when hungry, or being held close when fed<br />

was not always met.

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