Laura (aged 5), Joe (aged 3) and Luke (18 months) were referred to children and families social work (a secondary intervention program) by addiction services who were working with their mother Alison and her partner Derek (father to Luke). Alison’s addiction workers raised concerns about her increasing use of illicit diazepam, although it was noted that she been stable on methadone prescription since she became pregnant with Luke. Alison was engaging positively with her addiction worker and reliably attended all appointments. She often bought Joe with her to her appointments and her worker noted a recent decline in his physical presentation. Information from Derek’s addiction worker suggested a similar pattern of substance misuse. His worker advised that Derek had a history of violence and aggressive behaviour towards professionals and was particularly resistant to social work support with regard to the children. A social work records check revealed that support had been provided for just over a year following Joe’s premature birth. Concerns at the time surrounded Alison’s drug misuse and Joe’s father’s violent behaviour. From birth, Joe had had a number of health and development concerns, including needed to be tube fed. Joe had been diagnosed with global development delay, a visual impairment and mobility difficulties. Social work records indicated that Alison’s relationship with Joe’s father had ended shortly after his birth and she subsequently made significant positive progress in terms of minimizing her drug use. She also demonstrated her ability to meet Joe’s complex needs, along with caring for Laura. Alison engaged positively with all relevant professionals and the children’s case was closed to social work when Joe was one year. He continued to receive a high level of support from a team of health professionals. At the point of re-referral, Joe’s GP reported an increase in missed health appointments and said that concern had been expressed about Derek’s presentation and behaviour at a recent hospital appointment. Hospital staff reported that he appeared to be under the influence of drugs or alcohol and, when challenged, became verbally aggressive and was asked to leave. Initial inquiries revealed that Laura was attending the local primary school and making slow but steady progress. School staff reported that her attendance was acceptable, with occasional absences and late arrivals. Her physical presentation was described as poor and she had been noted to arrive without a coat on cold winter mornings. Joe was attending the nursery(early learning centre) attached to the school and the staff were extremely pleased with his progress. Much of the intervention from health professionals was taking place in the nursery. Luke’s name was on the waiting list for the nursery. Staff reported that Alison had been attending all relevant meetings but noted that Derek was generally uncommunicative when collecting the children. It took some time to develop a trusting relationship with Alison and Derek but once this occurred further information was added to the ongoing assessment. Derek articulated that their difficulties stemmed from inadequate housing, which required Laura and Joe to share a room. Part of Joe's disability meant that he rarely slept for more that two hours at a time and was consequently disruptive to Laura, as well as Alison and Derek. It emerged that their illicit use of diazapam was to the help them cope with sleep deprivation. The routine was that one parent slept and the other cared for the children. The family had a limited income. Neither parent worked because of their child care commitments and because of Derek's own health issues, which appeared to stem from chronic substance abuse. Limited income and chronic health issues prevented Alison and Derek attending their health appointments. In discussions, Laura appeared as having low self esteem and to 'get lost' in the family dynamic. There was also some concern that Luke was delayed in meeting some developmental milestones including walking and talking. The delay
appeared to result from a lack of stimulation in the home, as Alison and Derek's focus was frequently on meeting Joe's
Derek and Alison continued to test positively for diazapam at their weekly addiction appointments. However their
parenting of the children continued to improve
1. Reviewing the literature in relation to the child welfare practice framework.
2. Demonstrating understanding of processes and theoretical perspectives towards building solutions and
securing safety for children.
3. Drafting an analysis of the case study identifying processes involved in building solutions and
development of interventions to enhance Joe’s wellbeing.
4. analysis should include:
1. An overview of theories and literature informing solution building and development of interventions
1. The definition and philosophy family led and culturally responsive practice
2. The definition of securing safety and belonging of children
2. Analysis of the case study particularly referring to Joe’s circumstances
3. Specifically, you should apply theories and literature informing solution building and development of
interventions to ensure that Joe’s development and wellbeing is enhanced.
4. reference list