Addicted: Last Chance Mums Panorama


Addicted: Last Chance Mums

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Can a drug addict mother change?

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Or should the state take away her baby?

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More children were taken into care last year than ever before,

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with many cases directly linked to substance misuse.

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With addiction fuelling a care crisis, should mothers

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be given the chance to turn things around and keep their kids?

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Panorama investigates these last chance mums.

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It's thought that one in 20 pregnant women in the UK

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are addicted to drugs or alcohol.

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If they don't get clean, their children can be taken into care.

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Almost half of drug-using mums

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don't have their children living with them.

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But research has shown that mothers who are allowed to remain

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with their kids are much more likely to try and fight their addiction.

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About 10 years ago, there were quite a lot of rehabs that worked

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with women and children, but over the years, due to funding cuts

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and various other reasons, one by one, they've closed.

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In terms of a unit that's just working with mothers and children,

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I believe we're the only one.

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Trevi House in Plymouth is one of the last rehab units in the UK

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that allows mothers to keep their children

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while they try to get clean.

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The majority of women that come into Trevi

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have either been on heroin or crack cocaine, or both.

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Women are referred through the courts or social services.

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It takes 3-6 months to complete treatment,

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and costs up to £38,000,

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which needs to be funded by their local authority.

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Residents here follow a strict programme of detox therapy

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and parenting support.

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Come in!

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Women and children are under 24/7 observation by the 30-strong team,

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made up of nursery workers, therapists and support staff.

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Doing chores and looking after the communal areas are also

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an important aspect of life here,

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helping to build a sense of community.

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-Your cleaning is perfect.

-Always is.

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Cos I'm a good girl.

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But everybody is aware of the strict house rules.

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If a woman uses drugs, uses alcohol, the placement is ended.

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And there's no negotiating around that, there's no discussion.

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For most families, that means that a child is removed.

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For the women here,

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this is likely to be the last chance to keep their children.

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How did you do that?

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How did you do that?

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We joined Leanne, 37, four months into her treatment.

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All right, my darling.

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Her smile, it lights up my day.

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I get more of a buzz off of her smile

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than I did off of any drugs.

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Leanne first took heroin when she was just 18.

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And then, after a number of years clean, began using again

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when she got into a relationship with the father of her child.

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It's not easy, here. It's not... It's not a holiday camp.

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They put you through a lot of, um...

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..dealing with your problems.

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And you get a lot of negative feedback, cos obviously,

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to get here in the first place, a lot of bad stuff's happened.

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Leanne must prove she can get clean and be a fit mother for her baby.

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If I leave before my time's up, I signed an agreement saying

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that I would be walking out of the gate without her.

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And I'm not going to do that.

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No.

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BABY CRIES

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Leanne has already had one child removed from her care,

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and was addicted to both drugs and alcohol.

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I was on heroin, but I was smoking weed, as well, and drinking.

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And on Valium, diazepam.

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My skin was all grey. I was as skinny as anything. I was...

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I was wearing 13-year-old clothes at 37.

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As soon as Leanne found out she was pregnant,

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she was put on methadone,

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a drug commonly used to wean people off heroin.

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SHE WHISPERS TO BABY

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Have you got your plan upstairs?

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Methadone is itself addictive,

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so a specialist team administer the drug

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and supervise the detox process.

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Get every last drop down.

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Soon, Leanne's methadone will be stopped

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and one of the hardest parts of her recovery will begin.

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If she relapses,

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her daughter will be removed from her care immediately.

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On your feet. That one, on your feet.

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No? All right.

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Hayley is 37 and three months into her programme.

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I was a greedy addict.

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Heroin, crack cocaine, spice, weed,

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and I was also drinking.

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She has had six children.

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Three of them are in care.

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When one-year-old Codie was born,

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he was made the subject of a child protection order.

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There's a lot of things in my life I don't like talking about,

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cos obviously, it...

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..shouldn't have happened, and...

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Yeah.

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Before coming here, Hayley was addicted to heroin for 22 years.

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I just wish I could turn back time and realise, you know,

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what I was doing wasn't covering pain.

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It wasn't replacing anything.

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It was just making things worse, really.

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CODIE BABBLES

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It was quite mad, because when I had my other kids,

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giving up wasn't an option.

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-It wasn't enough to give up back then...

-CODIE COUGHS AND GURGLES

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..like, for the kids or even for myself.

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But then when I found out I was 20, 24 weeks pregnant

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and didn't even know. I was living out on the streets at the time.

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I don't know, something just switched in...

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CHILD GURGLES

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Time to grow up and fix all the wrongs to rights.

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CHILD SQUEALS HAPPILY

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One in four mothers who have a child taken into care

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go on to have more children.

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Lots of the women we assess have had previous children removed.

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Why is this the time that's going to be different?

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Not all applications to Trevi House are successful.

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To secure a place,

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women must convince the assessment team that they are ready to change.

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It's a big day for Leanne.

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Another couple of weeks have passed,

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and the time has come for her to take her last dose of methadone.

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-Last 5ml?

-It is.

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My last 5ml!

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-She won't remember any of this.

-She's so clever.

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Woohoo!

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Give Mummy a clap. Yay!

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-APPLAUSE

-I'll give myself a clap.

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Yeah, the methadone is finished.

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How do you feel?

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Yeah, I feel fine.

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-Are you excited?

-Yeah.

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I'm fine.

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Thank you. Enjoy your cake, there.

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-SHE LAUGHS

-Oh, thank you.

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I feel a bit like a weight's been lifted off me.

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Oh, it's all strange.

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I don't know how I'll feel tomorrow...

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SEAGULLS SQUAWK

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..but I'll probably be the same, because I've had enough.

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Tomorrow will be the first time in years that she will be drug-free.

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Key to the unique approach here is the children being nearby.

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They are looked after in the on-site nursery

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while the mothers attend therapy.

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There are two sessions a day and both are mandatory.

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Today's group is being run by key worker Lee.

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Does anyone know what a genogram is?

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It's a diagram just help us to see the, sort of, make-up of our family.

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-This way?

-Yeah.

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This session is looking at family patterns.

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All right?

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Is this really relevant to our treatment?

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-Mmm.

-Truthfully?

-Yeah.

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So this is Hayley's...Hayley's genogram, and her family tree.

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So, this is for anybody in the family

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that's had any...any issues with substance abuse.

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And the next one is, all right, domestic abuse, OK?

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And me.

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And mental health issues.

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Forcing the women to look at their complex pasts is an important

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part of recovery.

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This has been quite difficult for you, hasn't it?

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Because this is connecting to, you know, your mum,

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who obviously you've called a slut.

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-I imagine...

-She's not my mum.

-Yeah.

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-She don't deserve the title of mum.

-Yeah, yeah.

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-And that's the impact she's had, isn't it?

-Mm-hmm.

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So how did her alcohol use affect you?

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She used to get pissed up with the bloke that used to abuse me,

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and then, like, she didn't care just to

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-chuck me over to that house to get abused.

-Yeah.

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She just didn't have a care in the world.

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-Yeah.

-The thing we got was slaps, torture and given over to perverts.

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That's all we got from that woman,

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and a load of lies.

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This group isn't about blame in any way whatsoever.

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It's clear that Hayley's family history is particularly troubled.

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When I was really young, I was sexually abused nearly every day,

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from the age of about five, six till I was 14.

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Erm... It went to court.

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He got eight years.

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Hayley is not alone.

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Most women who come here are victims of abuse or domestic violence,

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including Leanne.

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I got pregnant,

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and her dad was very violent.

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He was... He was hitting me a lot before the pregnancy,

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but when I got pregnant, the violence got ten times worse.

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Leanne was subject to systematic domestic abuse

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at the hands of her ex-partner.

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He started shattering bones in my face,

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and strangling me unconscious,

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and kicking me down the stairs when I was pregnant.

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One attack was so vicious, Leanne ended up in hospital for 26 days,

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and her partner was arrested.

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Yeah.

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Yeah, I'm very nervous about doing it, to be honest.

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I know I'm not in trouble but I'm going to feel like I am.

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She's speaking to the Victim Support team,

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as she will need to testify at his trial.

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Yeah, she's going to ring Plymouth Crown Court and set up

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a video link, and then there'll be no-one in and around the court.

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I just can't relive it all, no.

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And the barristers, they'll bring up everything,

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cos they're...they're clever people as well,

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and they will bring up everything.

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Come and see us if you need anything, all right?

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-All right. I'll see you.

-Bye.

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Rachel's here tonight till 9.00.

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Support for women here isn't limited to the rehabilitation process.

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They also help residents handling issues

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not directly related to drug use.

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I'd rather on Thursday,

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but he could be back, and then I can't...

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Today, Leanne must go to court and give evidence

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against her ex-partner using a video link.

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Key worker Kerry goes with her.

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I used to say, you will kill the baby,

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stop hitting me, you will kill the baby and he...

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..used to do it worse.

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Just got to remember those reasons you told me

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on the phone last night as to why you are here.

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Despite all the help they get, 40% of women who come here

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fail to complete the programme, and leave without their children.

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Hayley is struggling, and she has told staff she wants to leave.

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I've said before, though,

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I've said to you, all of you, is when people have walked out...

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Everyone that's ever walked out has regretted it and

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they've phoned up either the same day or the following day and said,

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"I've really made a big mistake, can I come back?"

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To be honest, I didn't think it would be that hard.

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If Hayley walks out, she risks Codie being removed from her care.

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I know you are struggling now but you have still done a good job

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because you have dealt with things in a different way.

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You have actually learned some strategies already.

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We show you these techniques, you've got to practise them,

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-you know what I mean? It's like anything, you know.

-Yeah.

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I want to be a decent mum.

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Which I wasn't in the past, do you know what I mean?

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And I want to be clean, I want to stay clean.

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In the future you'll look back and this is the making of you.

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The next few days will be critical...

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..and Hayley isn't the only one finding it tough.

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Leanne being disengaged

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and she was late for collecting baby four times.

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At a weekly family review meeting,

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staff are worried Leanne is not coping.

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Staff worked to continue to support with baby overnight.

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Staff regularly assess mother and baby's progress.

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The child's welfare is paramount.

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-HS voiced that Leanne had told her

-(MUTED)

-had been wearing the same

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baby grow for 48 hours. Nursery staff confirmed that this was true.

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L voiced that she appreciate it

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but felt bad as he hadn't had a bath in over a week.

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Wasn't a particularly a good week for Leanne, last week.

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Tuesday got a phone call early in the morning saying that

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Leanne wanted to leave and she was going to leave.

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-TSWs had phoned me, legally she cannot leave with

-(MUTED).

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I met with her in the morning and basically said to her,

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-you can leave but

-(MUTED)

-will be staying here at Trevi

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and they would look at placing her into foster care.

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Leanne's lack of hygiene are red flags for the Trevi team.

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And social services have been informed.

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If she doesn't turn things around, her placement will be ended

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and her child will be removed from her care.

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Oi! Come and see what I've got.

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Mash up.

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Lee's one-to-one with Hayley has had an impact,

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and she has decided to stay.

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Dealing with the past.

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All them feelings I've pushed down for so many years.

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Facing...

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..shit that has happened.

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Finding out why it happened.

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Understanding it a bit more.

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I can build a life.

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I've just got to stay strong and fight through it.

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Hayley has got another 10 weeks until she leaves Trevi House.

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Leaving comes with its own risks.

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Many ex-residents relocate to Plymouth and there is

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an ongoing support network to help them once they've left.

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The pressure is on, when you have kids...

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Today, Hayley is meeting ex-residents Rosie and Emma.

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It wasn't always easy,

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the first year of leaving Trevi was really, really challenging for me.

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Really, really challenging.

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Because I was trying to cope with everything myself

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and I just thought, "I'm OK, I'm OK" and actually

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I needed more support than I was admitting I needed to myself.

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It is OK not to be OK.

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It is OK to be like, actually, I am not all right at the minute.

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I'm moving soon and I'm worried about it.

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What are you worried about?

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Like the last three days I thought getting clean, that's it done,

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but it's not.

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I have been craving horribly and people see craving

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come and go but it is stuck with me for three days now.

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Dealing with addiction is a daily battle.

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If you sat here and told me you never ever think about a drink or a drug

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or you didn't ever feel like doing it I would think you are a liar.

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I know it sounds mean but my other kids have been through

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some shit and I just don't want it for Codie.

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But I'm scared. I am, I'm scared.

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I'm scared to be clean, I'm scared to find out who I am.

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I had fear, fear of failing. Everything.

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Fear of life, isn't it?

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You know I had doubts,

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I felt all of that but I continued despite all of that...

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..because of my son.

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And what you have got which is the bit that gets women through

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is that sheer bloody determination to do it for your boy.

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That tenacity, that fight.

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A few days after the family review and with the court case

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and detox behind her, Leanne is coping much better.

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And in two weeks she will be ready to leave.

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You do work through a lot of things here, not just detox.

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The detox is just on top of everything else.

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And when you're working through your emotions as well

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and dealing with life in a different way,

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looking at life from a different angle, it's hard.

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Hayley is close to finishing her treatment, so she's allowed

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to attend her brother's wedding without supervision.

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-I forgot you're short, Mum, sorry.

-Shut up.

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THEY LAUGH

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Right, get those bloody leggings off.

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Now you're going to have to stand up now, love.

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Beryl, who has been like a grandmother to Hayley,

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helps her get ready.

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BERYL SIGHS

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She was always up to something.

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-Supposed to have been at school, weren't you?

-Mmm.

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And where were you?

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-On the field smoking a spliff, Mum.

-Yeah, or at mine.

-Or at yours.

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I was worried about her when she started on the drugs.

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And now she's completely different and, yeah, I am very proud of her.

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You've done us all proud.

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It is just a shame that she had to see me at that part.

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And what did I say to you many years ago?

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-"You'll wake up one day."

-Yeah.

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Hayley lived on the streets here for four years.

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Being back in the city where she suffered abuse,

0:23:010:23:03

and clean for the first time, has been a true test.

0:23:030:23:07

CHEERING

0:23:070:23:08

Six months after she walked into Trevi House,

0:23:150:23:18

pregnant and on methadone,

0:23:180:23:20

the time has come for Leanne to say goodbye.

0:23:200:23:23

Now, you've had your ups and downs and, you know, some difficult times,

0:23:240:23:28

you know, you're going through the detox and everything like that.

0:23:280:23:31

I believe that you're going to go out there

0:23:310:23:33

-and be a fantastic mum to your daughter.

-Thank you.

0:23:330:23:36

Leanne has successfully completed her programme and will be

0:23:360:23:40

allowed to keep her baby, as long as she remains drug-free.

0:23:400:23:44

Do you know what? It says that they're sorry you're leaving, yeah?

0:23:440:23:47

-I'm not sorry, I'm gutted.

-Aw.

0:23:470:23:48

Cos I think you're mint, do you know what I mean?

0:23:480:23:52

But I still think you ought to stay, just for me.

0:23:520:23:55

Aw.

0:23:550:23:56

The friendships the women build are an important part of their recovery.

0:23:560:24:01

Leanne, it's now time for you to go.

0:24:010:24:04

It's been a pleasure to meet you and I wanted you to know.

0:24:040:24:07

Remember life isn't easy, no matter where you are.

0:24:070:24:10

But the gates to Trevi are never far.

0:24:100:24:12

THEY LAUGH

0:24:120:24:14

Cheers.

0:24:140:24:15

Trevi House will continue to support her, even after she leaves,

0:24:150:24:19

with regular contact and updates.

0:24:190:24:21

But with just ten beds, most addicted mothers aren't as lucky as Leanne.

0:24:230:24:28

Why is it important that we as a society have to carry on

0:24:280:24:34

giving chances to women like you?

0:24:340:24:36

For people like me, that want their children, that want to do it,

0:24:360:24:40

cos we do want to do it and, well, there's

0:24:400:24:44

plenty of women out there that do want their children

0:24:440:24:47

and aren't just coming here for silly reasons.

0:24:470:24:50

They are coming here to sort their life out,

0:24:500:24:52

to deal with their emotions and leave with their children.

0:24:520:24:56

Oh, there's Nemo.

0:24:560:24:57

A six-month placement here is expensive for cash-strapped councils.

0:24:580:25:04

It's not a cheap answer, Trevi House.

0:25:040:25:07

It's a lot of money.

0:25:070:25:08

But when you look at the bigger picture, it's a

0:25:080:25:11

really worthwhile investment.

0:25:110:25:14

Care can cost in the hundreds of thousands per child.

0:25:140:25:17

This approach gives families the chance to break the cycle.

0:25:170:25:21

Mum stops using drugs. The child doesn't end up in care.

0:25:220:25:27

And actually, long-term,

0:25:270:25:30

it's an investment that saves money the whole way across the system.

0:25:300:25:35

But with not all mothers successfully completing

0:25:360:25:38

the programme, it's a risk some local authorities won't take.

0:25:380:25:43

People say to me time and time again,

0:25:430:25:46

"You must have a waiting list as long as your arm."

0:25:460:25:49

As I sit here and talk to you, we're half-full

0:25:490:25:52

and that's the reality.

0:25:520:25:53

Hayley's hard work has paid off.

0:25:570:26:00

CODIE GURGLES

0:26:000:26:02

What is he telling you?

0:26:020:26:04

I ain't got a bloody clue.

0:26:040:26:06

SHE LAUGHS

0:26:060:26:08

The aim for every resident is to prove she can be a fit mother,

0:26:080:26:12

and to lower social services' involvement in her child's care.

0:26:120:26:15

Can you tell me about what's happening on Monday?

0:26:180:26:22

I am coming off of CP,

0:26:220:26:25

and going on to Child in Need.

0:26:250:26:28

What does that mean?

0:26:280:26:30

It means that I just work with Trevi House,

0:26:300:26:34

and I carry on doing what I'm doing with no social worker.

0:26:340:26:39

Hayley is now trusted to look after her son with no

0:26:410:26:44

involvement from social services.

0:26:440:26:46

It's a fresh start. And he can have a life like he deserves.

0:26:480:26:52

Yeah, and I can be a mum, finally, after all these years of battling it.

0:26:560:27:01

I've done it.

0:27:040:27:06

Dirty!

0:27:060:27:07

Done it. I've got where I wanted to be.

0:27:090:27:12

Done it.

0:27:120:27:14

Who said people like us can't do it, eh?

0:27:140:27:16

Set your head to it, you can do it.

0:27:160:27:19

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