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A Proof-of-Concept Pilot for an Intervention with Pregnant Mothers Who Have Had Children Removed by the State: The ‘Early Family Drug and Alcohol Court Model’

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  • Mike Shaw

    (Tavistock & Portman NHS Foundation Trust, London NW3 5BA, UK)

Abstract

This paper describes a ‘proof-of-concept’ pilot of the ‘Early FDAC model’. The evaluated Family Drug and Alcohol Court (FDAC) model, on which Early FDAC is based, is summarised and the rationale for introducing the pilot variation is set out. This short paper describes the learning from the pilot that set out to work with 30 families across three FDAC teams between 2015 and 2019. At the time of the pilot, there were, and remain, few other interventions in England for pregnant mothers who have already had children removed. An adaptation of the evaluated FDAC model suggested itself because of the overlap with families in public law care proceedings and emerging evidence that FDAC delivers a better experience of justice for families and professionals, better outcomes for children and families and better use of public money. Pilot families were engaged as soon as possible in the pregnancy (hence ‘Early’), and continued to receive support for up to two years. The process started in pre-proceedings with the aim of avoiding court. Where proceedings were necessary, cases were heard in an FDAC court, with provision for a post-proceedings phase. There were problems with recruitment and engagement and families had fewer ‘solvable problems’. Nevertheless, outcomes were promising, with 18 families keeping their children. This represents one-third of the referred families and almost two-thirds of the families who undertook a ‘Trial for Change’.

Suggested Citation

  • Mike Shaw, 2021. "A Proof-of-Concept Pilot for an Intervention with Pregnant Mothers Who Have Had Children Removed by the State: The ‘Early Family Drug and Alcohol Court Model’," Societies, MDPI, vol. 11(1), pages 1-12, January.
  • Handle: RePEc:gam:jsoctx:v:11:y:2021:i:1:p:8-:d:484225
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    References listed on IDEAS

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    1. Grant, Therese & Christopher Graham, J. & Ernst, Cara C. & Michelle Peavy, K. & Brown, Natalie Novick, 2014. "Improving pregnancy outcomes among high-risk mothers who abuse alcohol and drugs: Factors associated with subsequent exposed births," Children and Youth Services Review, Elsevier, vol. 46(C), pages 11-18.
    2. Pamela Cox & Susan McPherson & Claire Mason & Mary Ryan & Vanessa Baxter, 2020. "Reducing Recurrent Care Proceedings: Building a Local Evidence Base in England," Societies, MDPI, vol. 10(4), pages 1-16, November.
    Full references (including those not matched with items on IDEAS)

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