“If only they’d listened...”
Newbold Hope Report, October 2023
By Yvonne Newbold MBE
Direct quotes from parents of SEND children who also present with extreme challenging behaviour, about missed opportunities from services which could have made all the difference
(There are several abbreviations used throughout this report; please see the Glossary at the end for clarification)
Our digital Community of SEND parents
As part of our work at Newbold Hope in supporting families and professionals to better understand and to be able to reduce violent and other difficult or dangerous behaviour in children with a disability or an additional need, we run a private digital community for parents and full-time carers of this group of children.
All of whom live with childhood violence
At the time of writing this report, there are currently over 14,000 parent members of this community, with over 90% being UK-based, All the parent members have at least one SEND child who, when feeling overwhelmed and dysregulated, are often physically violent towards other family members.
Living with frequent injuries and constant fear
These children sometimes cause significant injuries to parents or brothers and sisters, which means the whole family lives in a climate of fear; constantly being on hyper-alert and it can often feel as if everyone is walking on eggshells.
“If only they’d listened…”
Whenever a group of SEND parents get together, there is one topic of conversation that gets revisited time and again. “If only they’d listened”. Virtually every family in the SEND community has an “If only they’d listened” moment, so we asked our community to share these moments with us.
Families are the experts
They know what goes wrong, they have a front-stalls view of where the gaps in services are. This expertise was echoed in all their responses which flowed in. One after another, they detailed missed opportunities that have led to sometimes catastrophic outcomes. There are nearly 50 of their quotes in this report, all anonymised and with identifying features removed.
Parent poll about challenging behaviour
To give an overview of the types of challenging behaviours which the families who took part in this report are experiencing, we also asked our group to take part in a poll to tell us about incidents of difficult or dangerous behaviour that their family had experienced during the previous week. Over 700 parents contributed to these poll results, and they collectively reported over 3,300 incidents of challenging behaviour at home in the previous seven days.
Here are just some of the results: -
Between Monday, 11th September - Sunday, 17th September 2023
Behaviours towards family members. Number of families affected.
Kicking 205
Pinching 122
Punching 209
Biting 108
Spitting 98
Throwing objects 269
Breaking possessions 162
Smashing up the house 89
Overturning furniture 98
Offensive language, (including personal insults,
swearing, and hate speech) 582
Attempted strangulation 27
Threatening with knives 46
Hurting brothers or sisters 318
Hitting 156
Damaging family car 24
Hair pulling 55
Altogether, forty-one different behaviours were reported, these 16 above just give a snapshot as to the sorts of challenging behaviours families are dealing with regularly.
What parents told us
There were several common themes running through many of the quotes, and what came through again and again is that it’s often the very simple things which go wrong. Things which cost absolutely nothing, and yet because they don’t happen, a child can be unintentionally set onto a trajectory which will lead to their deteriorating mental health, an escalation in challenging behaviours, eventual non-attendance of school and a complete breakdown of trust with families. In so many cases, if parents had simply been believed, so much of what later went wrong would have been completely preventable.
When parents aren’t heard or believed
So many parents recounted stories of their serious concerns being dismissed, not believed, or ignored. Time and again, parents have sought help, only to be fobbed off and not taken seriously. Here are just some examples: -
“Our concerns were fobbed off by school. One day, my son threw himself into the ring road on his way to school. Yet school allowed him to walk home alone, and he ended up being hospitalised. I had played audio recordings of his distress to school, but nothing was done and was it was shrugged off as being all my fault etc. Secondary school has been so traumatic for my son. He feels nobody listened to him. We’re just about to start it all over again with college.”
“If things had been done properly back then, we wouldn’t have a traumatised, violent, suicidal child now.”
“If only my child had been offered mental health support when we first asked for it. Instead, we had to wait until things became more and more extreme, when he was a risk to himself and to others.”
“Six years ago, my then six-year-old son was in school. Now he is completely unable to attend school and he has no social interaction with his peers or any social experiences at all. He often doesn't leave the house. His anxiety is so bad he has very distressing meltdowns where he is physically violent and hurts me and his siblings. He is in such a heightened anxious state that he cannot engage with therapy. When he was six I know early intervention would have helped my child massively. Yet back then we were discharged from CAMHS, and I was told his behaviour was my fault. It took several more difficult years until he was assessed and diagnosed as autistic.”
If only they had listened when I told my GP and Health Visitor that my son needed an autism assessment. Instead, I was told that I needed a parenting course, because I was either a negligent or a paranoid mother. By the time he was five years old, he was talking about shooting himself, and his violence in meltdowns were lasting over three hours. By the time he was in Year Five, his violent meltdowns and frequent running away was a danger to himself and to others, including his younger siblings. At this point, the SENCO reported us to the police and social services because they suspected we were maltreating him. We were interviewed under caution; he was strip searched in hospital for suspected injuries. We were so lucky that the Social Worker assigned to us had come across a previous case of Autistic Masking, and she believed us. With her help, things are so different now. He is diagnosed and doing well in a specialist provision, very happy and proudly Autistic. Meltdowns and behavioural issues are very rare now.“
“Not listening caused 10 extra years of struggle with all the associated MH issues that brings too.”
“If only they had listened to me when my daughter was in primary school. I told them she was different. They ignored me because she was doing well academically. I’m now fighting a battle at high school. If they had just listened and helped we would be in a totally different place. Instead, things are getting harder for her, she has been made to feel like a problem child and she is being given lots of isolation time and lots of detention. I feel like I’m letting her down. It’s me and her against the world and we are both struggling with all of it.”
“If only some SEND teams weren’t so stubborn and insist on mainstream secondary when children are clearly at crisis point already in primary school.”
“If only they listened” when we first got my then 6-year-old’s EHCP and 5 different schools said they couldn’t meet need because he was too cognitively delayed. So, he has to stay at the school that failed him for another full year. He became so distressed that even walking through the front door of the school was too much for him, I then had the attendance officer come to my house and threaten me with going to court if I didn’t get him in. It took 7 requests for an EHCP.”
“If only there wasn’t a lack of holistic approaches which recognise that anxiety and autism go hand-in-hand and you have to address and support both.”
“If only they'd listened when we said that "socialisation” and “being with other children in a classroom" should be dropped as his goals. it is too stressful due to early life trauma and consequent hypervigilance. Calm one to one activities are best. We have got to this point now, but they could have done it 3 years earlier. In those three years, his anxiety and dysregulation were so heightened that he was hiding under the table, running out of the classroom, getting louder and more insistent, shouting, hitting, and biting teachers and so much more. He was exhausted by all of it, and it could all have been avoided had they met his needs earlier.”
“The refusal by commissioning services to invest in child mental health services with expertise in complex behaviours so that my child was only seen and taken seriously when he attempted to take his life by putting a plastic bag over his head.”
“Six years ago, I had a CAMHS meeting which dismissed my son's difficulties. He could have been helped then. He would engage then. Now he is unable to engage and is struggling massively. Things could have been so different if he had had the help he needed then.”
“I wish they would listen to the parents before it becomes extreme and can't be ignored anymore. Even then they'll just listen but can't often help."
Parent Blame
As well as not being listened to, parent-blame is another recurrent theme. Again and again through these quotes, parents recount how, instead of supporting their child towards a diagnosis, they were blamed, judged and shamed for their child’s behaviour.
When parents are repeatedly blamed and judged, it damages the entire family unit, and achieves absolutely nothing. This group of parents are on the front-line of trying to contain extreme challenging behaviour and prevent injuries or damage every day. Their lives are tough enough, and they need support, not to be pulled apart, belittled and criticised. When people feel good about themselves, everything they do is that little bit easier, whereas when their self-esteem in their boots, even getting the simple things done can feel like a mountain to climb. This affects the quality of parenting too. When a parent is blamed, their parenting role becomes significantly harder, which will impact on their children’s well-being as well.
When parents have been blamed, they can also become reluctant to ask for help again for their child, for fear of being blamed all over again.
The reality is that a child’s behaviour is seldom anything whatsoever to do with the quality of parenting skills. Nearly always, it’s anxiety that is the underlying cause, it’s not the parent’s fault and nor is it the child’s fault.
Yet that blame continues, and from everywhere. Please read this next section of parents’ quotes about being wrongfully blamed for a child’s behaviour.
“If only they’d listened when I began to suspect that my younger child was autistic too, instead of using their symptoms as further clarification that I was a rubbish parent.”
“If only they listened when I said mainstream secondary wasn’t suitable for my autistic son. He has been bullied and traumatised, and he has been excluded so many times for disruptive behaviour. He is a shadow of his former self. He has become very violent and has self-harmed and also put other children in danger. His mental health has deteriorated rapidly. We as a family are at crisis point, there is no support, only parent blaming/shaming.”
I found the gas-lighting and lack of support way harder to cope with than my son's disability. In fact, just this week I was told I hadn't accepted he was disabled (he's nearly 15), to which I said no what I have never got over is the lack of support and trauma caused by professionals who have not listened to me or helped me over 15 years and still don't want to help until we are at crisis point. We asked for help repeatedly, and instead we were dismissed every time, in a way that made us feel as if we were the problem.”
“If only they’d listened to what we were saying instead of blaming us and judging us. I wish I’d known how common parent-blame is because I really began to think it really was all my fault. Right from the start we have been failed because a school SENCO who didn't understand masking, phoned my GP before my appointment with them to ask for an Autism assessment, and told our GP that there were no issues, Worse than that, the SENCO told the GP that it was all in my head, and that they had concerns about my daughter’s welfare. This resulted in the GP stripping off my six-year-old daughter to look for potential injuries, which was incredibly traumatic for her. Of course, they found nothing, but we never got that referral either.”
“Before my child was diagnosed, it was impossible to get a CAMHS appointment. Finally, after we received a diagnosis we were seen and dismissed. I was told his 'distress' was a projection of my own feelings. I was also told by a psychologist that it was very likely that my child would end up in the prison system. He was 6 years old at the time. He was written off as a lost cause at the tender age of 6. With some support then, I think my son would be a happier person today instead of a teenager who is unable to access education and who spends his whole day at home on his own with crippling anxiety.”
“I wish that there wasn't such a blame culture on parents with children with difficult behaviour. It's hard enough as it is without being made to feel like you are to blame and that you aren't doing enough when your whole life is your children and everything you do is for them only to be made to feel like its not good enough. I wish things didn't have to get to crisis point before services step in to help when you are crying out for help way before it gets to that point.”
“In society it would just be so nice to not feel so judged and also for your child not to be judged as a naughty child and for people to understand that it’s not just a case of your child being "naughty". Because of this, just going out can be so hard it almost makes you feel like you don't want to leave your house because of all the stares and the tutting and lack of understanding."
Let down by staff and services
Families so often feel very badly let down or poorly informed by professionals and front-line staff. Some parents feel they have been deliberately tricked or willfully abandoned, which is a strong indicator about the lack of trust that countless families have in the staff working within their local services.
“If only we had been told that having my autistic seven-year-old son placed in a behavioural school, we would have to appeal to get him out. We did not know this at the time, and he is just not coping. The school is like a prison, and he should have not gone here. There are very high fences and another new high fence gate that I have to wait at when I collect him. He is being hit by other children, but nothing is done to protect him, and often we aren’t even told. We feel we were failed by everyone who suggested that this would be a good move for our son. He had previously been aggressive towards his teachers, but he’s anxious, not naughty, and he actually enjoyed school most of the time. “
“In our council we have a short breaks team, and we have a complex care needs team, both who support children with respite. The criteria to get under the complex care needs team is extremely high, and we had to have professional support to get there. However, I have recently been informed by them that their criteria is changing, and in order to be under that team, your family must require a social worker, otherwise you’ll be discharged.”
“Our daughter has funding for two-to-one PA support, but I can’t find anyone to do it. Her support plan contains lots of support, but the services don’t exist that could put this support into action.”
“Professional and front-line staff seldom have the time, patience, and consistency that families need. You can get someone great from time to time but only for a few weeks/months then nothing at all again, like they think the situation is fixed? Removing help when it's only just started to work doesn't make any sense. This means you have to keep going back and forth and never really get anywhere. Or you get someone new so you're starting all over again and everyone does things differently. This is especially difficult for children like ours who can't cope with change and really struggle with strangers and trusting people.”
“My seventeen-year-old autistic son has just started an apprenticeship. If only they told me that this doesn’t count as education, so transport has been stopped, his EHCP is no longer applicable, and I’ve also lost tax credits.”
“I wish there were more specialist social workers who understand Pathological Demand Avoidance and linked conditions. I wish there was much more support for special guardians who are left to deal with the growing needs of complex children once they have got proceedings to court. I wish there was a better network of support for our most vulnerable families who are often doing an amazing job in extreme situations.”
“It was strongly suggested to us that our child should be placed on the Dynamic Support Register. Unfortunately, our town have changed the criteria for this, and now say that unless you are referred by CAMHS then a referral will not be accepted. That means that children like mine, who CAMHS won’t see, cannot receive the support from being on the DSR.”
Masking
It’s very common for some neurodiverse children to hold it all together in school, bottling up their anxieties, fears, and distress, and then letting all that pent-up emotion out as soon as they get home. Many parents report extreme behaviour episodes straight after school, with children becoming violent, or destroying the house or possessions.
Yet many of these same children are considered to be “model students” by school staff, who don’t see any traces of these sorts of behaviours in the classroom.
It’s called “masking”, and it’s usually indicative that a child isn’t feeling safe in their current environment or with the people around them. It’s enormously stressful and exhausting for a child or young person to spend all day hiding who they really are, and it happens for a number of reasons. They may be trying hard to “fit in” and to conform. They may be embarrassed about being how their diagnosis makes them “different”. They may be fearful about being picked on or bullied by classmates if these differences become too obvious.
Yet many school staff have had very little or no training about masking, and often draw the wrong conclusions about it showing that a child is happy at school but has an unhappy home life if that’s where they are behaving in difficult or dangerous ways. The reality is the complete opposite. A child will mask when they don’t feel safe, which is why is happens at school, and then let it all out when they do feel safe, back home and with their family.
It often seems as if the lack of understanding about masking can be the starting place for parent-blame. Before long, relationships and trust between staff and families can become fractured. When that happens, there is a risk of significantly poorer outcomes for the child, who needs all their significant adults pulling together and finding common ground.
“If only our children didn’t have to fail so tremendously before they got support. I have two autistic sons. They are both very academic, but both also masked their differences very successfully at primary school, and then coming home and dissolving spectacularly. I told everyone that things weren’t going to go well for them in mainstream Secondary School. I asked for help for both of them, but I was ignored. Instead, both boys had to start mainstream school and then be seen to fail. They were both unable to attend school by the end of Year 7; the younger one only managed four weeks. Eventually, EHCPs were put in place, and they moved to specialist provision. But it was very traumatic, they both suffered immeasurable harm to their mental health and overall well-being, and this should all have been put in place before the end of primary school.”
If only infant school had listened when I said my son was falling apart at home - instead of saying “well he’s a model pupil at school so it must be you.”
“Mainstream primary school that "specialised in SEND in the mainstream" ignoring my concerns about how distressed my daughter was around coming in and how aggressive she was in the evening. I explained to them that the time would come where I wouldn't be able to get her in and please could we work on it now. Fast forward a year, and my daughter became too distressed to go to school, and I got fed up with being fobbed off with "She's fine when she's here", "yes, we know she's masking, but we are supporting her.” “No, she doesn't need an ehcp". They even advised me to use "special time with mum" as a carrot to encourage school attendance and "good behaviour". I withdrew her in May to home educate, and I will never send her back. She is still only six, and in burnout, but happier overall, and our relationship has improved because I'm no longer the "evil one” forcing her to go to school every day.”
“It was incredibly frustrating that the school took the approach that because it wasn't a "problem at school" that nothing needed to be done. We were ringing the alarm bells furiously and were ignored and placated at every stage. Here we are now, and my daughter is now traumatised about the very idea of school. A few little tweaks were all she needed, and they just didn't want to know. Had she been aggressive at school, I daresay they would have been the ones demanding meetings, instead of us. Between us, her father and I have over 30 years’ experience in supporting adults and children with Autism, Intellectual Disabilities, Mental Health issues and a number of other conditions. Yet we were given zero guidance in how to support our child. When she was first diagnosed as being Autistic, it felt as if they were saying “Here’s the diagnosis. Goodbye.” I dread to think how we would have coped without our professional skills, knowledge, and experience.”
“If only they had listened when I kept on saying just how difficult things were at home. All I kept on getting was 'but we don't see that in school'. It took my son assaulting a member of staff for me to be believed for the first time ever. He 10 now and finally in SEMH provision.”
“If only they had listened when, at 18-months, I began raising my son's difficulties. I listened, while they said things like “He's fine with us.” “He won't get an EHCP.” “You're over worrying.” “Oh, my son does that too.” “You're depressed.” “You need to be firmer.” “'You need to set more boundaries,” “You need to make home boring, so he chooses school.” And so on.. I listened. Yet no-one listened to me, the person who knows my son best. He’s 11-years-old now and he’s been out of school for 3 years. He's doing well now but took nearly ten years of trying to get people to listen.”
When children can no longer attend school
When children have been repeatedly failed in school; when their needs have not been identified and met, eventually, there often comes a point whereby school is simply too traumatic for a child to cross the threshold and attend regularly.
Among this cohort of children, what is often referred to as “school refusal” is very common indeed. Yet many believe that the term “school refusal” infers blame upon the child, and it’s often regarded as willful truancy on the part of the child, instead of the extreme levels of trauma and anxiety which prevents the child from attending.
This cohort of children and young people are also at a very high risk of permanent exclusion from school due to their difficult and dangerous behaviours. Other children are unable to attend school because no local provision can meet their needs.
Often, non-elective home education becomes the only option, which then can cause huge financial difficulties within the family, because one parent becomes unable to work.
“We have two children, aged 9 and 11. Both have complex needs and disabilities, and both of them are out of school. There isn't a school that can meet our 9-year-olds needs, and by the time specialist provision was agreed for our 11-year-old, she was too traumatised for it to work. I have no doubt that had the schools, the LA, and the NHS listened to us, that at least our 11-year-old would still be in a school setting.”
“If only they'd listened ... when I first said my child was struggling - back in nursery. And again when the wheels truly began to fall off at the beginning of Year Three. We had already had his elder brother the year before completely fall apart, unable to cope in mainstream. He had wanted to “unalive himself” and it felt no one had batted an eyelid of concern. We’d been there before, so when I started to see my youngest child struggle to cope and his mask cracking, I tried to get everyone around to listen. Instead, I got told he was fine, that it was all my anxiety projected on to him, that I just needed to discipline him more strictly. And now I have a traumatised child who has been referred for much needed mental health support, who I am now having to home educate as he struggles with significant school trauma.”
“I wish our neurological development team had listened to me begging them to complete his assessments so he could be officially diagnosed autistic and therefore have the opportunity to get into a school that would better suit his needs. I told them so many times that we were going to hit crisis point. And then we did. We have now finally got a diagnosis when I sent an angry email detailing how they had failed my child. But let's face it, it's years too late. It's heartbreaking. He’s only eight, so still little. Too little to have been let down by the system so many times. Things have eased a bit now I've pulled him out of school, but he is angry and traumatised.”
“If only they had listened to me advocating for my child’s needs in school instead of saying to my face that I was lying. It means that two years have already been wasted, with my child becoming increasingly distressed and unable to always attend school. They told me my daughter was fine there, when clearly, she wasn’t. School refusal/frequent sore tummies/difficulties, maintaining relationships with girls, and preferring company of boys, unable to follow 2 step instructions. She was diagnosed ASD/ADHD at high school, but earlier support may have helped her engage with workers and maintained a more stable mental health.”
The children who are “too difficult” to help
Some children are so complex, that it often feels to parents as if they are too difficult for services to support. Instead, they fall through the cracks between services, not quite meeting the criteria for some, or exceeding the criteria for others. Parents get fobbed off and pushed from pillar to post. Nobody wants to work with them, and they are effectively abandoned. Exhausted family members pick up the slack and do their absolute best, but sometimes a child or young person’s needs are so great that they are beyond the capacity of even the most competent, committed, and loving family. These are often the children who will spend much of their adult life locked away, either in an unsuitable Assessment and Treatment Centre, or in the Criminal Justice System. We, as a society, failed this group of adults, and we continue to fail the next generation of this group, who are still only children.
“I think they just don’t care. Our young people are difficult to manage so they can’t be bothered. There’s no money to support our children/young people. it’s lack of funding, so lack of staff, and the ones they do have are overworked because the government don’t feel that our young people have any worth.”
“All NHS services other than the sleep clinic have discharged our 9-year-old, and it is extremely difficult to get him the right support without going private, because people are scared of how complex he is, so instead they dismiss that he needs their support.”
“We are at the older end of the age group. My daughter is 24 now. The biggest failure of support is around overnight respite. We got respite in children’s services at my daughter’s school but even when she was having transition Annual Reviews from Y9 we were asking what would happen when she moved out of children’s services. We were told it was too far in the future to plan for, that existing services could be tweaked to make them suitable. But when she left her respite age 19 there was nothing. It was left to the family to try and find somewhere and because of her crisis behaviour nowhere was suitable or would take her.”
There are three quotes that didn’t quite fit into any of the above categories, but instead deserve a section of their own
When your GP tells you your baby isn’t disabled, they’re just a bit “gormless”
“My son has cerebral palsy, he is Autistic, and he has a significant learning disability. Despite his complex needs, he had no diagnosis whatsoever until he was four-and-a-half, and he no support at all until he was three years old. Up to this point, I was just told "Mum needs to stop worrying". "Mum needs to put child in nursery to give him some stimulation". And from our GP; "Your son is just a late developer who looks a bit gormless" – yes, really. The comment was made in response to my concerns about his mouth being open a lot, his lack of babbling, and his delayed motor responses. He was less than a year old at the time.”
When a parent’s “Why didn’t they listen” moment only happened yesterday
“I wish they’d listened to me yesterday! My little boy started school in the Reception Class only last week, on 4th September My biggest fear is his behaviour leading to him being ostracised. I have tried and tried to communicate this with them, but the school seem to think they know best and are giving little back and are not willing to put in place the regulation strategies that we know will work. Yesterday he lost it and hurt other children as well as teachers. Last night he needed constant physical contact from me and today he didn't want to go into school. Maybe they don't know it yet but through ignoring me they have taken the first steps down a path I desperately wanted to avoid for him. He is collateral damage in the organisations refusal to acknowledge me as the expert in my own child.”
When everything falls apart and your child is taken into care, then this happens
“If only they had listened when we needed help. My daughter ended up in care, and she was abducted and raped at thirteen-years-old. if only they had listened. She was subjected to abuse by different men and then she was placed in an isolated home 60 odd miles away. If only they had listened.”
Final Thoughts
Thank you to everyone who took part in this
I would like to sincerely thank all the parents who have contributed to this report. Their courage in sharing such heart-felt, raw and painful experiences cannot be underestimated.
This is a snapshot, not an academic study
This report, from beginning to end, was produced in four days, supported by the hundreds of parents who took part from all over the UK. It is intentionally long to include as many voices as possible. It is a direct “cry from the heart” from families who have experienced hopelessness, helplessness, and despair when their genuine concerns have been repeatedly ignored, fobbed off, disbelieved or diminished.
Everyone wants the best for children – so why isn’t it happening?
The parents
The overwhelming majority of parents are doing all they can to provide a loving home for their children. They know their children very well indeed, and when they feel something isn’t right, their instincts are often spot-on. So they seek help from those who are tasked to support the most vulnerable in society; - healthcare professionals, school staff or social services. And yet they are repeatedly pushed back, dismissed, and then blamed and judged.
The staff
Just like parents, the vast majority of staff who work with this group of children are caring, committed and want every child to thrive.
What’s going wrong?
1. Very little training available for staff about extreme behaviour in SEND children
The vast majority of staff at all levels who work across health, education, social services or the third sector, will have had no training whatsoever in the underlying causes of difficult and dangerous behaviour in SEND children and teenagers.
2. Many staff will have had no previous experience of working with this
Many staff across all sectors may never have come across difficult or dangerous behaviours in SEND children before, and therefore have little or no previous experience to draw on to enable appropriate support for this group of families.
3. Childhood violence in SEND children is sixteen times more likely to happen at home than elsewhere
This means that most people, including school staff, clinicians and social workers are unlikely to have previously witnessed this sort of behaviour . (Please see the Newbold Hope 2022 report, "How families are Failed by Health, Education and Social Service".)
4. Families rarely discuss the realities of their child’s difficult or dangerous behaviour
Families are understandably reluctant to talk openly about the difficulties they are facing at home, because it is invites judgement and blame to both the parents and the children involved, due to a strongly held public perception that extreme behaviour in children is closely linked to poor parenting skills.
5. The safeguarding and child protection lens
Safeguarding children and protecting them from harm is an essential responsibility of all staff members who work with children; however, it can’t be the only approach available for every family circumstance. Families of children with disabilities, additional needs of challenging behaviours can experience significant harm when this approach is taken, particularly when those who are carrying out these assessments have no training in being able to understand the underlying anxiety-driven causes of this sort of behaviour.
What this means
In the absence of both training and experience, staff cannot be expected to have the knowledge, skills, or confidence to support this group of children and their families.
With most of these serious episodes of extreme behaviour happening at home where they go unnoticed, undocumented, and unrecorded, the prevalence of these behaviours has been significantly under-acknowledged in the development and design of appropriate services.
These serious behavioural episodes are wrongly attributed to the quality of parenting within a family, which simply isn’t the case. However, in the absence of training about anxiety and the detrimental impact it can have on behaviour, these erroneous beliefs are also held by the staff working across services which are tasked to support this group of vulnerable families.
This perpetuates the blame culture that causes immense damage to families, with parents and children being blamed, shamed and judged instead of supported and strengthened.
This blame and judgement is further perpetuated by the safeguarding and child protection approach taken with this group of families.
We can and we must do better
What really comes through loud and clear in almost every one of the parent’s quotes, is that the things which would make the biggest difference cost next to nothing; the lack of support to families of disabled children is not solely a funding issue.
These are the four recommendations for change which could make all the difference
Culture – Listening and believing costs nothing. If public sector staff could be encouraged to remain curious during conversations when families are sharing difficult issues, instead of making judgments and assuming blame. Being curious and asking the “why” questions promote understanding and trust. Staying curious also encourages an open mind which prevents judgement.
Training – Robust training about anxiety-led difficult or dangerous behaviour in SEND children and young people is essential for all those working with children and families.
Updated legal framework – An alternative social care framework for children and young people who have disabilities or additional needs, that is better equipped to support families than the current safeguarding or child protection frameworks which are being used.
A Commissioner for Families of Disabled Children - It is unacceptable that vulnerable and struggling families are so casually blamed and judged by many of those who are in positions of authority across all our Public Sector Services, and with very little or no accountability. The needs of this group of families are routinely misunderstood, or worse, minimised, ignored or denigrated. Parents of this group of children face discrimination and disapproval on a scale that simply would not be tolerated towards any other group of people. A designated Commissioner for this group of families could provide much needed protection, as well as promoting their needs at a national level.
In short…
The cost of training is minuscule compared to what is currently being spent further down the line to support these children when families break down and when a child or young person’s mental health has deteriorated, or their behaviours have spiralled out of control. Getting it right, so that families are supported properly and much earlier, when they first ask for help, could significantly reduce public spending.
More importantly, it could give each of these children a real chance of a promising and happy future and prevent the trauma to their their parents of living with unpredictable violence for years to come. I know this, because we lived with unpredictable and extreme childhood violence for over 10 years. I can never replace those precious years of childhood for my three children. However, we can work together to ensure that families - the child involved, their parents and their brothers and sisters - get properly supported and strengthened when they first ask for help.
Resources
TED Talk – How to meet your child’s difficult behaviour with compassion - go.ted.com/yvonnenewbold
In just seventeen minutes, this TED Talk gives an overview of what this group of children and families really need from the professional staff who work with them. 630,000 people have already watched it in the three weeks since it was uploaded to the main TED Talks platform.
12 points for professionals - https://www.newboldhope.com/page/283939
A guide to understanding anxiety-led difficult and dangerous behaviour in children and young people with disabilities or additional needs.
How families are being failed by professionals – A Newbold Hope Report on the parent-blame culture. March 2022 - https://www.newboldhope.com/parent-blame-report1
This Newbold Hope report on the impact of blame on families also shares the usually unheard voices of this community.
Yvonne Newbold MBE
Founder, Newbold Hope
October 2023
Email: - yvonne@newboldhope.com
Glossary of abbreviations used in this report
ADHD Attention deficit hyperactivity disorder
ASD Autistic Spectrum Disorder
CAMHS, Child and Adolescent Mental Health Services
DSR Dynamic Support Register
GP General Practitioner
LA Local authority
MH Mental Health
NHS National Health Service
PA Personal Assistant
SEMH Social Emotional and Mental Health needs
SENCO Special Educational Needs Coordinator
SEND Special education needs and disabilities