BAILII is celebrating 24 years of free online access to the law! Would you consider making a contribution?
No donation is too small. If every visitor before 31 December gives just £1, it will have a significant impact on BAILII's ability to continue providing free access to the law.
Thank you very much for your support!
[Home] [Databases] [World Law] [Multidatabase Search] [Help] [Feedback] | ||
England and Wales Family Court Decisions (other Judges) |
||
You are here: BAILII >> Databases >> England and Wales Family Court Decisions (other Judges) >> D and E (Parent with Autism) [2020] EWFC B18 (11 May 2020) URL: http://www.bailii.org/ew/cases/EWFC/OJ/2020/B18.html Cite as: [2020] EWFC B18 |
[New search] [Printable PDF version] [Help]
B e f o r e :
____________________
A Local Authority |
||
- and - |
Applicant |
|
M F U A, B, C, D and E Through their Children's Guardian |
First Respondent Second Respondent Third Respondent Fourth to Eighth Respondents |
____________________
Miss Geddes, Counsel, instructed by David Barney & Co for the First Respondent mother
Miss Seitler, Counsel, instructed by Noble Solicitors for the Second Respondent father
Miss Vadera, Solicitor, Collins Solicitors, for the Fourth to Eight Respondents
Hearing date: 6th May 2020
____________________
Crown Copyright ©
This judgment was handed down remotely by circulation to the parties' representatives by email and by release to BAILII. The date and time for hand-down is deemed to be at 10:30am on Monday 11th May 2020. The Judge has given leave for this version of the judgment to be published on condition that, irrespective of what is contained in the judgment, in any published version of the judgment the anonymity of the children and members of their family must be strictly preserved. All persons, including representatives of the media, must ensure that this condition is strictly complied with.
Failure to do so will be a contempt of court.
His Honour Judge Middleton-Roy:
(a) Literal interpretation of language;(b) Unclear, vague and ambiguous instructions;
(c) Unwritten rules;
(d) Unexpected and sudden change;
(e) Hypothetical thinking – specifically the ability to accurately interpret and make a decision based on something that has not yet happened;
(f) Hypersensitivity to lights, noise, temperature and/or touch.
(a) Sensory overload, for example, due to lights, noise or temperature;(b) Difficulty answering hypothetical questions. This includes difficulty with a question such as 'What adjustments would you find helpful?' An autistic person may be unable to envisage how he or she would feel if certain adjustments were made;
(c) Difficulty with chronology and time-scales;
(d) Expectations;
(e) Settlement discussion and mediation is difficult. An autistic person will find it difficult to imagine how much he or she would like to settle for because it is too hypothetical to be answered.
(f) Any lack of continuity, for example with legal representation / judge / environment.
(g) Unwritten rules, such as when is it appropriate to speak in Court;
(a) Giving very explicit instructions on all case management directions;(b) Aiming to keep the same judge in all preliminary hearings;
(c) Explaining in advance what the hearing procedure will be like;
(d) Providing a written time-table;
(e) Explaining that the party can visit the hearing venue in advance to look around;
(f) Reducing anxiety by reserving a private waiting/conference room for use by the autistic person rather than the general waiting room and telling the party that this will be arranged;
(g) Preparing a simple chronology of dates which are personal to the individual as reference points;
(h) Explaining the procedure at the outset of the hearing including the length and timing of breaks;
(i) Providing regular breaks, such as 10-minute breaks after every 60 minutes in court to prevent anxiety escalating and other symptoms developing as a result;
(j) Arranging appropriate seating: asking the person where they would like to sit such as a preference to sit near a door as an escape route;
(k) Preventing people going in and out the room or moving behind the individual;
(l) Switching off lights, fans and heaters with any humming sound, however quiet, allowing the party to wear sunglasses or a hat and use of window blinds;
(m) Establishing ground rules at the outset in terms of appropriate styles of questioning;
(n) Avoiding figurative communication, such as 'take a seat';
(o) Avoiding hypothetical questions, both regarding the substance of the person's evidence and regarding court procedure;
(p) Avoiding legal jargon.
The Background Concerns
The Court Proceedings
The May 2019 Final Hearing
1. The children have been placed at risk of physical harma) A, B, C and D have been exposed to frightening adult behaviour. On occasion the children have been exposed to domestic violence and verbal abuse in the home which has taken place between their parents. The mother was subjected to domestic violence by her former partners, the father of A and B, and by the father of C, D and E. The children were at risk of being caught up in the physical harm;b) A, B, D and E were at risk of harm from C who often physically harmed them. Neither his mother nor father attempted to or were able to manage C's behaviour which was often beyond their control. The children have suffered injuries as a result;c) Whilst at the residential unit, C pushed E who was strapped in his bouncy chair causing it to fall on the floor resulting in E hitting his face on the floor causing a small mark to his face;d) C was often at risk of coming to harm by being poorly supervised by his mother. He has often run away from her into heavily trafficked areas or into a busy road or in danger of doing so, thus placing him at significant risk of being knocked over;e) On or around the 24th March 2019, the mother placed the children at risk of physical harm by inviting a male friend, with whom she had struck up a short online relationship, into her home whilst the children were present. The mother was observed by professionals to have bruising around her neck which mother said was caused by love bites from her male friend. Bringing an unknown man, unchecked by children's services, into the family home placed the children at significant risk of physical harm.2. The children have suffered or are at risk of suffering emotional harm
a) The children A, B, C and D have been exposed to frightening adult behaviour by being exposed to domestic violence and volatile behaviour between their mother and her former partners [the father of A and B] and [the father of C, D and E]. C has said that his father swore at his mother and made her cry. C said this made him [C] feel good and he laughed;b) It has been observed that A and B who are not the children of F, were treated in hostile manner by him and treated differently to their half siblings; this included them being put outside in the garden as a form of punishment. B has alleged that F has physically chastised him. F's treatment towards A and B is likely to impact adversely upon their confidence, identity and self-esteem;c) The mother shows little or no emotional warmth to A and B;d) The child, A, presents as guarded when talking to professionals, has issues with food, spitting it out or vomiting after eating, and presented with low weight. He has a long-standing bedwetting problem;e) B has a history of speech and language difficulties, presenting at nursery as mute. His is observed to present with a blank facial expression. He has a long-standing bedwetting problem;f) The mother has been observed to shout, scream and hit C;g) The mother fails to regulate her emotions, often exhibiting distress in front of the children. D has been observed comforting his mother;h) F provides little emotional warmth and attachment to the children and is unable to read their emotional cues resulting in being unable to meet their emotional needs.3. Failure to protect
a) The mother failed to protect A and B from the physical and emotional harm caused to the children by F;b) The mother failed to protect A and B from the physical and emotional harm caused to A, B and D by C.4. The children have suffered neglect
a) The mother and father have not or are unable to establish and maintain appropriate boundaries, adequate supervision in or outside of the home, appropriately discipline the children and provide a safe home environment. The home environment if often chaotic. In particular the parents appear unable to manage the children's behaviour and aggression towards each other, particularly with regard to C. C has also shown aggression towards professionals;b) Whilst at the residential unit, C physically and verbally abused his mother;c) The mother has required prompting to address D's needs and emotional cues. She is inflexible and rigid in reading / addressing D and E's needs. She does not appropriately read when they should be fed, are hungry, unwell, or cold;d) Despite being offered support, the mother has not addressed dealing with her state benefits resulting in her having to live on a very limited amount of money impacting upon her ability to buy adequate and suitable food for the children.5. The mother has failed to address B and D's health needs
a) The mother failed to ensure that B wore his prescribed glasses. He had not worn them for months, the mother being unaware and unconcerned as to where they were;b) The mother has missed A's urology appointment to address his longstanding bedwetting issue. Mother did not rearrange the appointment until she was requested to under the supervision of, the social worker;c) The mother failed to prioritise D's health needs by failing to take him to the GP between 27th Dec 2018 - 9th January 2019 to address his constipation, even though she had been prompted by professionals on occasions.6. Relevant Expert assessments
Dr Phibbs, Clinical Chartered Psychologist, dated 3rd November 2018 reports that:a) In respect of A, he is at high risk of developing disordered patterns of eating which may be as a result of maladaptive home environments rather than diagnosable disorders. He has learnt to manage relationships by keeping people at arm's length as a result of his early experiences. With regard to A's psychological difficulties, if they not ameliorated or seriously considered, he is at risk of developing serious mental health difficulties;b) In respect of B, there are some soft markers for potential autism, but it more likely in her opinion that his communication difficulties may be as a result of his adverse and neglectful early experiences. With regard to B's psychological difficulties, if these are not addressed, they will develop into more significant patters of relating to adults and impact upon future relationships, progress in education and his to struggle with social communication and development;c) In respect of C, his extreme behaviour is highly related to disordered attachment patterns and his high level of anxiety. He is likely to have been exposed to traumatising experiences. He too may have soft markers for autism. That his psychological development presentation has been impacted as a result of his experiences in the care of his parents as a result of being parented in a chaotic, neglectful and frightening environment. His current presentation significantly increased the likelihood of him suffering mental health problems in his childhood, adolescence and adulthood. If his psychological difficulties aren't addressed robustly within a short time frame, the overall prognosis for him psychologically and emotionally is poor;d) In respect of D, he can be self-directed and self-reliant and he is at high risk of developing maladaptive strategies which in the future may be unhelpful for him when developing relationships with other. With regard to possible psychological difficulties, there is a concern that D may develop in a similar trajectory to his siblings, missing out on social cues and opportunities to learn and develop. In the short to medium term, this will have an immediate effect on his emotional wellbeing.
(a) remain free from negative influence and be supported appropriately by social support, professionals and specialist services that support such parents;(b) maintain a meaningful therapeutic relationship with her GP in order to allow her ongoing emotional symptoms to be managed effectively;
(c) continue work in relation to domestic violence awareness. One-to-one work would most likely be preferable, given her apparent difficulties in benefiting from group-based work;
(d) have a robust social support network. It is perhaps less likely that social care professionals could offer the degree of support she may require within the community for the time she is likely to require it, which in reality will be until the children are not reliant upon her for their everyday welfare and wellbeing;
(e) be willing to discuss personal issues with her family members, to prevent social isolation so as to reduce the potential for her to be coerced or manipulated by any individual who seeks to do so;
(f) receive ongoing support in order to allow her to develop insight into her children's needs as they become more diverse and complex.
a. Give clear, slow and direct instructions. Ensure that questions are direct, clear and focused to avoid confusion;b. People with autism often understand visual information better than spoken words. It may be useful to use visual supports/aids, such as drawings or photos, to explain her, what is happening. It may be useful to put your information in writing;
c. Avoid using sarcasm, metaphors or irony;
d. Keep language clear, concise and simple: use short sentences and direct commands.
e. Allow her extra time to respond as people with autism may take a long time to digest information before answering, so do not move on to another question too quickly;
f. Reinforce gestures with a statement to avoid misunderstanding;
g. People with autism can take things literally, causing huge misunderstandings. Examples of idioms that may cause confusion are, "You're pulling my leg," "Have you changed your mind?" "Has the cat got your tongue," or "He'd make mincemeat of you," may be alarming to a person with autism;
h. People with autism may respond to questions without understanding the implication of what they are saying or they may agree with you simply because they think this is what they are supposed to do. If a person with autism is asked, "You didn't do this, did you?" they may repeat the question (echolalia) or say "No," but if the question is "You did this, didn't you?" they may repeat the question or say, "Yes".
(i) The children A and B should remain in the care of their maternal grandparents;(ii) Child C's psychological development and particularly his behavioural development has been impacted as a result of his experiences in the care of his mother and father. C presents as a child who has significant maladaptive attachment patterns that are well engrained and he becomes dysregulated very quickly. There has been an increase in the level of his dangerous behaviour which indicated that his psychological needs were not being met. His behaviour has been so aggressive as to lead to the break down two foster care placements. His presentation significantly increases the likelihood of him suffering mental health problems in his childhood, adolescence and adulthood. His behaviour makes him a moderate risk to other adults and a significant risk to his younger sibling and potentially a risk to his baby brother. Further, his negative behaviour could preoccupy his mother such that she is unable to successfully care for her younger children, which also puts them at significant risk. C's emotional development was at risk as he internalises a belief that his mother cannot manage her own behaviour in response to him. Faced with a lack of containment, his anxiety will rise and he is likely to increase his responses attacking his mother and siblings. Some of the specific aggressive behaviour and especially swearing and particularly aggressive language is likely to have been modelled from interactions C has witnessed between his father and his mother. His aggressive and coercive behaviour towards his mother is likely not only to be a result of his attachment strategies but in combination with learnt behaviour from things he has witnessed at home. His behaviour patterns are likely primarily to be the result of his disordered attachment difficulties which have been influenced by his maladaptive early experiences, most especially aspects of neglect and witnessing domestic violence and potentially witnessing differences in caregiving between himself and his other siblings. Should such patterns of behaviour continue or increase, he will pose a risk to his mother and others around him, his development trajectory from early childhood into school age will be immediately affected and overall the prognosis for him psychologically is likely to be poor with an increased risk of mental health problems. For the mother and C, the pattern of interacting was becoming so dangerous and difficult that ultimately it would not be sustainable.
(a) One-to-one discussions with the mother;(b) Parenting sessions – Triple P parenting;
(c) Use of PAMS tools, including a parenting booklet and cards in pictorial format that can be used or utilised when working with parents to ensure the same level of understanding:
(d) Role modelling sessions;
(e) Reflective sessions;
(f) Cooking sessions;
(g) Healthy relationship sessions;
(h) Self-esteem sessions;
(i) Freedom Programme and Triple R sessions;
(j) Feedback of therapeutic intervention;
(k) Direct observations;
(l) Discussion with health professionals.
The Children A and B
The Child C
The Children D and E
(a) She separated from F and there was no reliable evidence that they resumed their relationship nor that the mother intended to resume that relationship;(b) She was no longer caring for all five of her children. Permanent decisions had been made in respect of the older children, A and B, for them to live together with their maternal grandparents. A permanent decision too had been made that the child C should remain in long-term foster care. The mother now had the sole care of the two youngest children only;
(c) Significantly, the mother had only very recently been diagnosed formally with Autism Spectrum Disorder during the course of the proceedings. Whilst the professionals had considered that the mother may have Autism Spectrum Disorder and whilst the mother had been encouraged to seek a formal diagnosis, it was not until 2019 that the diagnosis was made. That post-dated the significant assessment of the mother in relation to her parenting and post-dated her psychological assessments;
(d) Since the diagnosis of Autism Spectrum Disorder was made, the maternal uncle had made firm and clear proposals that he would support the mother in parenting the children by permanently cohabiting with her, sharing parental responsibility for D and E and supporting the mother in understanding her diagnosis;
(e) The strength of her support network had improved, including support from another parent with Autism Spectrum Disorder in addition to the focused support from the Maternal Grandparents.
The Outcome for D and E
Conclusion
HHJ Middleton-Roy