Liverpool has the second highest rate of Looked After Children in the North West with 155 per 10, 000 0–17-year-olds. Parental mental health issues were identified as one of the most significant factors contributing to higher levels of children entering care. We wanted to work with parents to improve their mental health and parenting skills to support more children to remain within the care of their families. We had previously trained social workers in Cognitive Behavioural Therapy (CBT) driving some improvement, yet without securing sustainable change. For families who were receiving the high levels of intervention, including those involved in Public Law Outline, and not evidencing change were offered the Fiona Programme.
