by Dr Lucy Rai, senior social work lecturer at the Open University
In the second episode of the BBC series Protecting Our Children we followed the pregnancy of a young couple, Marva and Shaun.
The pair had already had three babies removed from them and posed a significant risk to their unborn child, due to their chaotic lifestyle and severe alcohol abuse. We saw Annie, their social worker, trying to engage with them to minimise the harm to their unborn child. This episode also provides a number of valuable lessons for social work.
Assessing the safety of an unborn child
The risk to Marva and Shaun's baby began before birth. The level of alcohol Marva was drinking, together with her overdoses and lack of personal care, placed the unborn baby at considerable risk. Intervention at this stage could only focus on supporting Marva to prioritise her health and self care, which was no easy task when her self-harming behaviour was driven by depression and her relationship with Shaun.
Meeting the needs of children is so often only possible through meeting the needs of parents. Marva came heartbreakingly close to letting go of her destructive relationship with Shaun in order to prioritise her own health and that of her baby.
Managing emotional work
Last night's episode illustrated very poignantly that recognising and working with emotions is a central part of social work. As Annie said at the end of the programme, the time to stop working in child protection is when you stop feeling.
Annie could only build a working relationship with Shaun and Marva by acknowledging their feelings of loss, anger and anxiety. Arthur, Annie's team manager, also showed during supervision how important it was for Annie to express her changing feelings about the work.
The pain in this story, tempered only with occasional moments of hope and exhilaration, provides an important lesson about the importance of keeping feelings at the centre of good social work practice.
Harsh decisions
The decision to separate Marva from her baby affected everyone involved in the case profoundly. It illustrated the kind of social work recommendations that keep children alive.
Responsibility for such decisions remains with the court. In this case, the court will have taken into account the vulnerability of such a tiny baby and the level of risk posed by the child being in the sole care of parents with a history of extreme alcohol misuse, overdoses and, in Shaun's case, violence.
In this context, to wait until harm has actually taken place may well be too late.
- The Open University co-produced Protecting Our Children, in partnership with the BBC. Dr Rai provided expert input into the development of the series.