Experiences of baby removal prevention: A collective case study of mothers and community-based workers

Abstract

The removal of a baby at birth is a significant intervention in family life. Avoiding removal requires attention to all levels of the family social ecology. Utilising a collective case study approach, and a critical realist epistemology, this project explores the experiences of three women who have avoided removal, and their community-based workers. Key themes are the necessity of intensive, ecological and relational service provision; and the mediation role of the community-based worker between women and the statutory child protection service. Services that were ‘by Māori for Māori’ were reported as most likely to maintain these fragile relationships. Effective services were holistic and intensive, drew on parent’s own motivation of care for children, and focussed on stress reduction and creating ‘friend-like’ relationships. The mediation role of community workers reflected their instrumental position, and included mediating risk perceptions between the statutory agency and women. In the instance of disability, mediation included direct, collective advocacy to challenge risk perceptions utilising children’s rights concepts and a social model of disability. The implications for policy and practice are: to improve equitable access to intensive services based on an ecological theory of change and with an emphasis on relational practice; improve provision of by Māori, for Māori services; and require services to take a rights-based approach to both mothers with disabilities and their children. It also highlights the important role of community-based workers to advocate, support change and improve coordination between families and the statutory child protection system.