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Relationships and caring

for a disabled child


Information for families
1 Relationships and caring for a disabled child
UK Incorporating The Lady Hoare Trust
Introduction
Relationships matter. When they work well they are
a vital source of support and protection against life’s
stresses and strains. All relationships go through
periods of change and challenge. Parents caring for a
disabled child have to adjust to new roles, different
expectations about their child, and cope with
significant emotional, social, physical and financial
pressures. Many parents find these experiences
bring them together and make their relationship
stronger, as in the case of some of the parents who
took part in a Contact a Family survey:

“Neither my husband nor I can imagine life


without the other – neither of us could cope
with the children without the other’s help.
There is a bond between us that can never
be shared by anyone else.”

2 Relationships and caring for a disabled child


But some couples are overwhelmed by the
experience and struggle to stay together. This guide
offers information and ideas to parents of disabled
children about looking after their family relationships.
It has been developed from the experience of over
2000 parents who took part in a survey about how
their relationship has been affected by caring for a
disabled child, and the expertise of One Plus One,
the UK’s leading relationships research charity and
creators of thecoupleconnection.net.

Contents
Background to this guide...............................................................................4
Looking after your relationship.....................................................................6
Recognising each other’s role and ways of coping..............................7
Intimacy................................................................................................................8
Building for the future.....................................................................................8
Managing differences................................................................................... 10
Children and conflict......................................................................................12
Relationship advice and counselling........................................................13
Domestic violence..........................................................................................13
The whole family........................................................................................... 14
Networks of support..................................................................................... 16
Relationships under pressure.................................................................... 18
If things break down..................................................................................... 23
Relationship breakdown and the law..................................................... 25
Useful resources............................................................................................. 27
Useful organisations...................................................................................... 27
Freephone helpline: 0808 808 3555
Web: www.cafamily.org.uk

Relationships and caring for a disabled child 3


what parents need to help them in their
relationships.

What parents said


Parents who responded to our survey
described feelings of isolation; struggling
to come to terms with the news of
a child’s disability; a lack of time for
themselves and each other; problems
balancing work and caring; increased
financial worries; a lack of support and
understanding from professionals and the
wider family network; a lack of suitable
services and having to fight for those that
are available.

“Any difficulties between my husband


and I are exacerbated by the additional
stress and time lost to caring for a
disabled child. Neither of us gets enough
time and attention for us as individuals
and neither of us has the capacity to give
more to the other. There is a great deal
of resentment – he resents that I don’t
spend as much time with our disabled
child as he does, and I resent that he
Background to this guide doesn’t recognise the colossal effort I
put into co-ordinating schedules, visiting
Contact a Family’s survey of over
school and fighting continuous battles to
2,000 parents asked them how caring
get what our son needs.”
for a disabled child had affected their
relationship with their partner. Parents
Ultimately for some, such challenges were
in all sorts of circumstances responded:
a huge factor in a relationship coming to
mums and dads in relationships; those
an end.
caring alone or who had formed a
new relationship, and gay and lesbian “The break up of my marriage was as a
couples with children. One Plus One direct result of giving birth to a disabled
has also completed a review of the child. But I consider this to have been a
research, ‘Growing Together or Drifting good thing in the long run. In my view a
Apart? Children with disabilities and their disabled child in the family strengthens
parents’ relationship’ a good marriage but shows up flaws
(www.oneplusone.org.uk), which looks in a way nothing else would in a
at the relationship between parents bad marriage.”
raising a child with disabilities, to find out

4 Relationships and caring for a disabled child


Pressures on parents’ relationships part of keeping us healthy; reducing the
The research review conducted by One chances of developing poor physical and
Plus One into the couple relationship mental health.
and caring for a disabled child brought
together the range of evidence on Children also benefit when parents get
the subject. on well. They are likely to feel more
secure, do better at school, and less
Looking at surveys, it found that couples likely to develop additional emotional or
caring for a child with a disability are behavioural problems. Disabled children
at greater risk of marital problems and with high care needs do better when their
divorce. It recorded the pressures that parents get on because their parents are
can overwhelm parents’ relationships, more able to focus on their care.
including: adapting to traditional gender
roles; lack of time for one another; This guide
dealing with the grief over the loss of the If you are experiencing similar issues,
‘hoped’ for baby; adjusting to changes hopefully this guide will help you to
associated with the child’s growing up; strengthen and build on the support you
and significant financial pressures. need in your own relationships. Many of
the tips and suggestions in it have been
One important factor is coping style, put together from what parents with
which affects parents’ ability to disabled children have told us.
draw support from one another and
their ability to handle the pressures
and circumstances of their caring
responsibilities. The research showed that
supportive spouses protect one another
from the parenting stresses and risk of
depression associated with caring for a
child with a disability.

You can download a copy of this research,


‘Growing together or drifting apart’, at
www.oneplusone.org.uk

Why relationships matter


It is hard to underestimate how important
relationships are. When a relationship is
working well, it can make you feel happy,
safe and secure. It can also protect you
from some of the stresses of caring
for a disabled child, including the risk
of depression. In fact, research shows Freephone helpline: 0808 808 3555
that our relationships are an important Web: www.cafamily.org.uk

Relationships and caring for a disabled child 5


“Keeping talking to each other and
not bottling up our feelings – being
truthful about what we really think about
our situation.”

When your partner shares their feelings


with you, don’t judge them, do listen
and try to understand. Recognise your
differences. Try not to make assumptions
about what your partner is thinking and
try and be as open with your partner as
you can be. Look at where you might be
able to make changes that might make
things better.

Saying it well
Research has found that the way you
express your feelings is very important.
Couples who avoid saying every critical
thought and who can raise problems
Looking after your gently are consistently the happiest. When
relationship there are potential disagreements, you’re
more likely to see eye to eye if you pause
All relationships go through good times a moment and resist going on the attack
and bad times. Managing the bad times straight away. But try not to bottle up
well is an important part of creating feelings; you will probably end up feeling
a strong, lasting relationship. The next resentful and explode when you reach
section looks at things you can do. the ‘last straw’.
You can find more information about
managing life as a couple and as parents
on One Plus One’s dedicated website:
www.theparentconnection.org.uk Your relationship relies
on each of you knowing
Keep communicating!
how the other feels,
Talking and listening
Your relationship relies on each of you which means taking time
knowing how the other feels, which to talk about feelings,
means taking time to talk about feelings,
thoughts, concerns, hopes and needs. thoughts, concerns,
Each of you needs to know the other has hopes and needs.
heard those things – that means really
listening – listening to the words and the
feelings that underlie them.

6 Relationships and caring for a disabled child


will help keep some of the pressures and
When your partner stresses off your relationship.

shares their feelings Think about how you both cope


with problems
with you, don’t judge Recognise that you may have different
them, do listen and try to coping styles. Some people cope by
focusing on the problem and finding
understand. Recognise solutions or strategies to improve the
your differences. situation. Other people focus on finding
ways to feel better about a situation by
reinterpreting it, distancing themselves,
or even denying or avoiding it. Partners
can find these differences frustrating.
Recognising each other’s Recognising and acknowledging feelings
is important. Finding ways to reduce
role and ways of coping stress, and focussing on how to improve
Sharing the care the problems you face is likely to bring
Research shows that mothers often take long term gains for both of you.
on the main responsibility for a child’s
Talking to other parents caring for a child
physical care and home care. Couples
with the same condition can help. Sharing
can find themselves in relationships
practical solutions to shared experiences
divided along traditional roles where
is a valuable source of support that many
they had previously shared breadwinner
parents get from talking to others who’ve
and home-maker responsibilities. Many
been there too (see ‘Contact with other
couples are happy with this division
parents’ on page 17 for more information
of labour, but it can cause tensions for
about the different ways this is possible).
some. One way to avoid these tensions is
to recognise each other’s contributions. If
you are out to work all day, you can help
your partner by showing an interest in and
an understanding of their day at home.

If there is conflict over who does what,


find ways to share the work – avoid
nagging people to do jobs, instead make
sharing tasks part of everyone’s daily
routine, adults and children.

Make arrangements to cope with the


practical aspects of your family’s daily life, Freephone helpline: 0808 808 3555
troubleshoot problems in advance – this Web: www.cafamily.org.uk

Relationships and caring for a disabled child 7


Intimacy “I found it helpful to meet with and talk
to other mums in the same situation
Touch is important and caring gestures – finding their sex lives are also non
keep you close as a couple. Touch on existent due to sleep problems!”
a daily basis – a squeeze of the arm, a
touch on the shoulder, a kiss. Lots of people find problems with sex
don’t last long. Where a problem does
Sex is an important part of a relationship last then speaking with a relationship
– but tiredness, or complete exhaustion, counsellor can help. See ‘Relationship
will take its toll. This is a common information and support’ in the ‘Useful
experience for parents, especially those organisations’ section on page 30 for
caring for young or disabled children. more information.
Stress or worry can also affect your sex
drive. Talk through your needs and agree Building for the future
on how you want your sex life to be.
Remember your needs from sex might be Building in time
different from your partner; women often It sounds strange, but your relationship
want to be sexual when they feel desired will benefit if you each set some time
and safe, men may want sex to feel loved aside for yourself. This is not an indulgent
and intimate. Couples also have sex less luxury but valuable time to recharge your
frequently after they have been together batteries. Let others know when your
a while, but this does not mean they are time is – it might be a long bath, or out
not happy with their sexual relationship. walking the dog.

8 Relationships and caring for a disabled child


Set time aside to spend as a couple, too.
You don’t have to go out, it might be
one evening a week when the children Set aside time as a couple.
are in bed – but agree in advance you You don’t have to go out
will spend the time together, not doing
jobs. If this sounds impossible then it is but agree in advance
probably most important of all! Also, be you will spend the time
sure you’ve explored all opportunities
for help and services that would make together, not doing jobs.
finding time for you and your relationship
possible. See the box ‘Getting a break’ on
page 16 for more information on this sort
of practical help.

Digging deeper
Just as each of you needs looking after, times – moving in together, holidays,
so does your relationship. These are family events, nights out together.
some ideas for how you might build up Remember the warmth, the fun,
your relationship. See what might work the closeness.
for you. If you find it difficult to express • Each of you will be under pressure,
yourself to your partner you could but are there small ways you can
think about inviting a trusted friend or show support for one another
professional to talk with you both. – emotionally or physically? Often
just a small change can make a
• Spend some time thinking about your big difference.
expectations and how things have • Try and think the best of one another
turned out. For most people, life will – grant each other the benefit of the
not be as they imagined. What about doubt wherever possible.
the future? Share your expectations • Seek out support wherever you can.
and hopes and dreams. When parents are coping with the
• Think about when you first met. care of a disabled child as well as the
What attracted you to each other? financial and other pressures that go
Hold on to those memories. And with it, they need as much support as
reinforce them – remember good they can find.

Freephone helpline: 0808 808 3555


Web: www.cafamily.org.uk

Relationships and caring for a disabled child 9


Managing differences
Discussing difficulties
When we choose a partner, we are
attracted both by their similarities to us and differences is an
and by their differences. Similarity means important element
we can share interests for the future and
understand where each other is coming of managing them,
from. Differences can be exciting and especially when they stir
bring new things to the relationship. But
differences can also become troubling. up difficult and hard to
Discussing difficulties and differences is understand feelings.
an important element of managing them,
especially when they stir up difficult and
sometimes hard to understand feelings.

The same old argument


For most couples, it is the same old dealing with it. If it always ends up in a
arguments that keep cropping up again slanging match, at least agree to put the
and again. If that is you, keep a sense of subject on hold for the time being and
humour and try and work out a way of discuss it another time.

10 Relationships and caring for a disabled child


Positives can cancel out the negatives If there are lots of other times when you
People who are good communicators show affection, warmth, enthusiasm
are often good at managing their and humour towards each other, these
differences. After all, arguing is a form can make up for the times when you fall
of communication. If you aren’t good out. So too can thinking the best of our
at managing your differences, try to partner and overlooking or accepting their
understand the feelings underneath. failings or hurtful behaviour or comments.
Rows are often just the symptom that we
feel our partner isn’t supporting us or that
they’re not ‘there for us’.

Tips for managing differences Remember that what a row seems


to be about is often not the real,
All couples argue and it is normal not underlying problem – try to work
to agree on everything. Be prepared out the real cause of the upset and
to compromise – you want a win-win address that.
situation for both partners – not one
the victor and one the loser. Judging, accusing and criticising
are damaging to a relationship and
Set aside time to talk about a you’ll have to work hard to put things
disagreement or conflict. Give each right if rows become damaging
other 10-15 minutes to explain the or acrimonious.
point without interruptions and without
criticism. If you get worked up and can’t Try not to drag out old disputes
see a way of sorting something out, or argue a point for longer than is
why not agree to disagree? Set aside necessary. A good rule is to keep
some time later (and a time limit) to it to under an hour, agreeing to
explore what you can’t agree on. talk at another time if the issue
remains unresolved.
For all couples there will be the same
old sticking points that you never Try not to argue after drinking or act
resolve. They are unique to you and aggressively or shout. And always, stop
your relationship. Learn to live with arguing and go to a seperate place
them – and have a sense of humour! if it appears to either of you that an
argument may escalate into violence.

Freephone helpline: 0808 808 3555


Web: www.cafamily.org.uk

Relationships and caring for a disabled child 11


Children and conflict father offers, causing him to withdraw
even further.
Your relationship and parenting
How we get on with each other not only Difficulties between partners can leave
affects us and our relationships, it affects children feeling vulnerable and anxious,
how we parent. Fathers find it more which can result in the child developing
difficult to be involved in parenting when worsening behaviour. In turn, children’s
they are not getting on well with their difficult behaviour can put an even
partner. Mothers can feel unsupported greater strain on the relationship between
and become critical of the care a parents. Be wary of falling into unhappy

Children and conflict


see things resolved or if arguments
Children can be particularly troubled don’t end smoothly, let them know
when you are arguing a lot; when you that you made things up with your
show real contempt for your partner; partner and everything is ok.
when things are left unresolved; when • Reassure children that they aren’t to
there is a strained atmosphere; or blame for an argument.
where arguments involve the children. • Don’t try and get them to take sides,
They might react by becoming difficult and don’t lavish lots of attention
or challenging or they might become on them because things with your
withdrawn and depressed. You can partner aren’t working out well.
help by bearing in mind some of Instead, take time to listen to what
these suggestions. they are thinking and help them to
explain how they are feeling.
• Don’t try and hide conflict behind • If possible, stay united with your
closed doors. Children are sensitive partner on discipline.
to an atmosphere and know when • If you and your partner are going
things are not right. Research has through a bad patch be sensitive
shown that even infants under to any changes in your child’s
one are troubled by unhealthy behaviour. Have they become more
parental conflict. withdrawn, started acting up, or are
• If you do find yourself caught up in finding it hard to settle in school?
an argument in front of the children, • Think about how you argue and what
try and make sure they also see you you argue about. Choose a good
making up, and, if possible, resolving time to talk, not when your partner
the problem. The humour, apologies has just walked through the door or
and understanding that can come when one of you is in the middle
at the end of an argument provide a of something.
helpful model that children can use • If conflict feels like a serious problem
in their own lives. If children don’t consider seeking outside help.

12 Relationships and caring for a disabled child


cycles of criticism and withdrawal. If you
feel stuck, look at some of the tips in this Relationship counselling
guide, or look to get some outside help.
can help you with your
Relationship advice relationship difficulties.
and counselling
“In the end, a local charity provided us
with counselling and I’m sure that is
the main reason we are still together Domestic violence
as a family.”
In our survey around 1 in 10 respondents
You might consider talking to a indicated that they had experienced
relationship counsellor – they will explore domestic violence since having a disabled
with you the issues in your relationship child. The survey does not tell us the
and help you make changes. You will identity of victim or abuser, or whether
have regular sessions that can be face- the violence involved the birth parents, a
to-face or by telephone. The counsellor reconstituted family, or even other family
will listen to both of you, and will not take members. However, crime statistics do
sides. The counsellor will respect your tell us that in the overwhelming majority
ideas about your relationship, as well as of cases, the victims of domestic violence
suggesting some others. are women. Sometimes that violence is
directed towards children, other family
Whether you are married, living together, members and friends.
straight or gay, separated, divorced
Recognising an abusive relationship
or single, relationship counselling
Women may be subject to a wide
can help you to deal with your
range of manipulative and controlling
relationship difficulties.
behaviours by a partner. This may happen
once every so often or on a frequent and
For details of counselling services in your
regular basis. Every situation and every
area, ring the Contact a Family freephone
relationship is unique, but abuse is always
helpline, Tel: 0808 808 3555.
about power and control.

The organisation Women’s Aid produces


If you are worried about your some very helpful information about
relationship there are many websites different behaviours to help you recognise
and books you can look at and you if you, or someone you know, are in
can find more relationship advice at,
for example
www.oneplusone.org.uk and Freephone helpline: 0808 808 3555
www.relate.org.uk Web: www.cafamily.org.uk

Relationships and caring for a disabled child 13


an abusive relationship. This includes men don’t suffer too. It may be hard to
examples of physical violence (punching, admit to yourself and to others that this
slapping, hitting, biting, pinching, kicking, is happening to you but it’s not your fault
pulling hair out, pushing, shoving, burning, and you can get help.
strangling, raping) and verbal abuse
(shouting, mocking, accusing, name Men have exactly the same rights as
calling, verbally threatening). women to be safe in their own homes.
All statutory services (such as the police,
We have included some helplines and housing department and social services)
support services on pages 28-29 which have a duty to provide services to all
you may find helpful if you are in a – male or female. Local and emergency
situation with domestic violence. numbers will be in your local telephone
directory. Also, many local support
Refuges organisations provide services for both
A refuge is a safe house where women men and women who have been
who are experiencing domestic abuse affected by domestic violence. For details
can live free from violence. If you have of local support organisations ring the
children, you can take them with you. Contact a Family helpline. There are more
Refuge addresses are confidential. contact details for support services at the
back of this guide.
There are over 250 refuges in England,
Scotland, Wales and Northern Ireland
– you can choose to travel as far away The whole family
from, or stay as near to your home town
as you wish. Some refuges have space As well as setting time aside to spend as
for many women and children, and a couple, also set time aside to spend
some refuges are small houses. Some as a family with activities for all. What
refuges are specifically for women from children most want from their parents
particular ethnic or cultural backgrounds, is their time – and this can be in short
for example Black, Asian or South supply! Make sure you set time aside to
American women. Some refuges have spend with all your children – everyone
disabled access and workers who can will benefit.
assist women and children who have
additional needs. “Finding a balance between the disabled
and non-disabled world – which having
Men who are victims of a second child allowed. Letting the two
domestic violence develop their own relationship.”
If you are a man who is experiencing
domestic violence you may feel as if For more information about leisure
you’re the only one, but you’re not activities ring the Contact a Family
alone. Although research shows that it is helpline for a copy of the guide ‘Holidays,
mainly women, this doesn’t mean that play and leisure’ and details of local
information services.

14 Relationships and caring for a disabled child


Siblings if there are holiday schemes the sibling
Here are just a few tips from other or disabled child can take part in, and
parents on dealing with common issues use help from family or friends with the
around siblings of disabled children: disabled child or siblings.
• Guilt about being angry with a
• Limited time and attention for other
disabled brother or sister? Make
children? Protect certain times to spend
it clear that it’s all right to be angry
with siblings, e.g. bedtime, cinema once
sometimes – strong feelings are part
a month. Organise short-term care
of any close relationship. Share some
for important events such as sports
of your own mixed feelings at times.
days and sometimes put the needs
Sometimes siblings may want to talk to
of siblings first and let them choose
someone outside the family.
what to do.
• Embarrassment about a brother or
• Why them and not me? Emphasise sister in public? Realise that all relatives
that no-one is to blame for their can be embarrassing, especially parents.
brother’s or sister’s difficulties. Come Find social situations where the whole
to terms yourself with your child’s family is accepted. If old enough, split
disability and encourage siblings to up for a while when out together.
see their brother or sister as a person
with similarities and differences Contact a Family also publishes a
to themselves. ‘Siblings’ guide.
• Worry about bringing friends home?
Talk over how to explain a brother’s
or sister’s difficulties to friends.
Occasionally, invite friends round when
the disabled child is away and don’t
expect siblings to always include the
disabled child in their play or activities.
• Stressful situations at home?
Encourage siblings to develop their
own social life. A lock on a bedroom
door can ensure privacy and avoid
possessions being damaged. Get
professional advice about caring tasks
and handling difficult behaviour in which
siblings can be included. Try to keep the
family’s sense of humour.
• Restrictions on family activities? Try
to find family activities that everyone Freephone helpline: 0808 808 3555
can enjoy, e.g. swimming, picnics. See Web: www.cafamily.org.uk

Relationships and caring for a disabled child 15


Getting a break

Practical services might be available local authority which is responsible for


to give you the chance of a real break providing help to meet the needs of
and to make time for you and your disabled children and adults. Usually
relationship. ‘Short breaks’ (previously social services will need to assess your
called ‘respite care’) is the general child and the family’s needs before
term used to describe any service services can be arranged but getting
provided by your local authority or a break can prove to be a lifeline for
a voluntary agency which ensures some relationships.
a disabled child or adult is cared for
while the main carer has a break. For For information about getting a break
example regular overnight stays with call the Contact a Family helpline and
another family (sometimes known as ask for a copy of the guide ‘Disabled
Family Linking Schemes). Children’s Services (England and
Wales)’ or ‘Assessments and Services
Most breaks are arranged by social in Scotland.’
services – the department within your

Networks of support Sometimes it tails off, or they are simply


not supportive.
The extended family
Support and understanding from other Here are some quotes from grandparents,
family members can be a lifeline for describing their feelings when they
some parents during difficult periods. heard the news that their grandchild
Practical support can create time to be had a disability:
together or take time apart. Emotional
support can help you feel understood “It was hard coping and fighting, if only I
and more able to cope. was ten years younger.”

“Having a supportive extended family “Hard to know how to support my


nearby [helped our relationship] – when daughter and husband – tried to give
our child was younger we would only them space.”
leave him with close family members
who understood his needs.” “It was a double whammy – concerned
for the child’s parents but also worried
For some parents the wider family about the child.”
network, especially grandparents, can be
a huge source of practical help. But many As some of these quotes suggest, it
parents feel disappointed by the support isn’t always easy for family members
they receive from grandparents or others. to know what to do or when to step in

16 Relationships and caring for a disabled child


and offer help. Sometimes, it may feel
like you need to support them. At times Support and understanding
you may not share the same views on
parenting or sensitive issues like growing from other family
up and disability. members can be a lifeline
“It’s not worth letting her spend a night at for some parents during
her grandmother’s, because she changes
the sleep pattern and it takes us up to
difficult periods.
five days to get her back the way she
needs to be.”

A consistent approach is often very “The grandparents have their other


important, particularly for children with grandchildren to stay but we are avoided
learning disabilities or behavioural and not invited to family ‘dos’.”
problems. This doesn’t have to mean that
other family members can’t contribute, The key might be in honest and open
even if only in small ways. Don’t wait discussion with your parents about the
until help is offered – ask, and be specific issues. Our guide ‘Grandparents’ goes into
about what would help you. more depth on this subject.
If your relationship with your own parents Contact with other parents
has always been difficult, having a Almost invariably, parents of disabled
disabled child is unlikely to improve it. children say that at one time or another
Families also told us that there are times they have experienced feelings of
when they have been hurt by extended isolation. Some parents find it helpful
family and friends’ words and behaviour, to chat to other parents who have gone
even if it was unintended. through similar experiences. Many
medical conditions that affect children
(including some very rare ones) have
a national support group, usually run
by parents of a child with the condition.
They are an invaluable source of support
and advice, especially when it feels as
if nobody else understands what you’re
going through.

Freephone helpline: 0808 808 3555


Web: www.cafamily.org.uk

Relationships and caring for a disabled child 17


Sometimes there won’t be a support Relationships under
group for your child’s specific condition,
but there will be a local multi-disability pressure
group for parents of children with any
kind of disability. You’ll meet other Parents in our survey identified
parents who have experienced the same particular issues that put them and their
feelings of isolation that you have, and relationship under pressure. All families
who understand the strains that having a struggle with these issues at different
disabled child can put on a relationship. phases in their lives, but families caring
for a disabled child have an extra dose of
Call our helpline for details of national these concerns.
and local support groups for families
Financial worries
caring for a disabled child. If your child
In any relationship, money worries can be
has a rare condition for which there is no
a huge problem. The additional costs of
existing network of parents, our helpline
caring for a disabled child, perhaps having
will try to link you on a one to one basis
given up work too, for many parents
with other parents caring for a child with
means an extra strain on a relationship.
the same condition. If you have access to
the internet you may wish to visit
“It is still difficult with hospital costs, our
www.makingcontact.org – our online
son has had many operations so my
linking scheme.
husband has had much unpaid leave.”
For many couples, the initial period when
“Money is a continuous worry and this
their child has just been diagnosed with
puts us under added strain.”
a disability is the most trying time of
all. To reduce the uncertainty and fear Making sure you claim all the benefits
of the unknown, try and find out as you are entitled to can help ease some
much information as possible on your of the other pressures on family life.
child’s condition, and share what you For detailed advice on the full range
have learned with each other. Get as of benefits you should phone our free
much support as you can from all the helpline, Tel: 0808 808 3555. We employ
sources mentioned above, and from the a welfare rights specialist who can advise
healthcare team looking after your child. on any aspect of claiming benefits and
Sometimes just getting a firm diagnosis tax credits. We also produce a free guide
can take a long time, but don’t let that ‘Benefits, Tax Credits and other financial
stop you seeking help in the meantime. help.’ Our helpline can also provide details
of charitable trusts that may be willing to
offer some financial assistance.

Challenging behaviour
Many parents whose children have
behavioural problems linked to their

18 Relationships and caring for a disabled child


medical condition talk of the frustration Even if your anxieties do not turn to
and hurt they feel when friends, teachers, blame, dealing with difficult behaviour
health care professionals and others places a real strain on you and your
dismiss their child as simply badly relationship. It might help to avoid
behaved, or imply that the problems are criticising one another’s handling
all due to bad parenting. This often occurs of difficult behaviour, and to be
in the period before your child receives supportive of the main carer, where
a firm diagnosis. one of you has taken on that role.
Some parents find parenting programmes
“We thought our child was just naughty a helpful source of support and
and we argued over this.” information. To find out more talk to your
health visitor, local children’s centre
If you’re already feeling vulnerable, it’s all (www.dcsf.gov.uk/surestart) or ring
too easy to believe that other people’s Contact a Family’s helpline on
criticisms are valid, and to turn these Tel: 0808 808 3555.
feelings of guilt on to your partner. It is
helpful if you can recognise when this It is also worth addressing any problems,
is happening, and avoid blaming each particularly high levels of acrimonious and
other. Remind yourselves that you’re unresolved conflict, in the relationship,
in this together. Research shows that as children may become troubled,
where parents can take a positive attitude and develop challenging behaviour, as
towards their child’s disability and work a response.
together in dealing with behavioural
problems, children’s behavioural
problems are minimised. Freephone helpline: 0808 808 3555
Web: www.cafamily.org.uk

Relationships and caring for a disabled child 19


The work, care, life balance “For thirteen years we have had
For some of the parents who took part disturbed and relatively little sleep. Our
in our survey, being able to go to work eldest, fortunately still small in stature,
was a major boost to the relationship spends half the night in between us in
they had with their partner. It allowed for our bed or she doesn’t go back to sleep
a break from the family situation, outside when she wakes at 2am. During holidays
interests, other friendships, increased I am accustomed to taking the children
personal confidence, and the opportunity out during the day and then working in
to talk about different experiences with the office all night when [my partner]
your partner beyond the day-to-day gets home. By the end of a school
family issues. holiday I am completely zombie-like with
no chance to recover.”
For a few, balancing work, the
responsibilities of caring for children and Parents have told us the main obstacles
running a family home left them with no to working include: the unpredictable
free time to devote to themselves or their nature of some conditions, difficulties
relationship, or simply too exhausted to getting time off for hospital appointments,
enjoy any free time they could find. This a lack of understanding from employers
may be particularly difficult during school and problems finding suitable childcare.
holidays when children are at home
full-time. We know from listening to parents
that sometimes a working parent feels

20 Relationships and caring for a disabled child


excluded from daytime appointments and The employment rights include:
unable to provide support to a partner
who cares full time, while a parent left • the right to ask to work flexibly
at home may feel resentful and isolated. • parental leave
However, work can be seen as essential • time off for emergencies relating
to minimise a family’s financial difficulties. to a dependant
• paternity leave.
“My wife is there at meetings and
appointments and makes all the These, and other rights, are discussed
decisions, then, because of work, I am in more detail in our employment guide
accused of not being there to help make ‘Working’. Roles and relationships in
the decisions.” the family may change over time and
non-working parents may want to return
“I come home tired. Then I have to face to work. The employment guide also
caring and I have a stressed partner to contains information on benefits available
deal with.” to make the transition back into work.

Employment rights Childcare and other care for children


Employment legislation, effective from Many families struggle to find appropriate
2003, has given most working parents childcare. The Childcare Act (2006)
new rights, with enhanced rights for places a requirement on local authorities
parents of disabled children. Such rights to provide good quality childcare for
may enable working parents of disabled families caring for a disabled child. It
children to have more time to spend is hoped that this will increase existing
with their children and each other. For provision. In England, Wales and Scotland
example, it should now be easier for a help with finding suitable childcare can be
working parent to have more opportunity obtained from the National Association
to accompany a partner who is a full time of Family Information Services,
carer to hospital appointments. www.familyinformationservices.org.uk
In Northern Ireland families can call
Employers for Childcare
Tel: 0800 028 3008.

Sometimes a working Across the UK it may be possible to use


parent feels excluded from direct payments to arrange childcare.
Through the direct payments scheme,
daytime appointments, local authorities can give cash payments
while a parent left at rather than a service. For example, this
can enable working parents to employ
home may feel resentful
and isolated. Freephone helpline: 0808 808 3555
Web: www.cafamily.org.uk

Relationships and caring for a disabled child 21


someone to look after a child after Problems in your relationship can also
school. In exceptional circumstances create stress-related health problems.
direct payments can be used to pay Experiencing stress for short bursts is
a close relative and may be a way of a healthy way to respond to difficult
receiving and acknowledging help given situations but excessive or prolonged
by someone who has a close relationship stress can cause illness. You might
with you and your child. Our guides experience physical symptoms
on direct payments and ‘Finding – headaches, nausea, indigestion,
and paying for childcare’ have more palpitations, and/or perspire more.
detailed information.
Stress might encourage feelings of
Coping with stress anxiety, fear, anger, frustration, and
Stress affects millions of people in the depression. You may find your behaviour
UK every year. It can be brought about changes too – perhaps you are more
by major life events like moving house irritable or tearful, affecting how you
or bereavement, or by a stream of less interact with others (including your
serious difficulties, such as the day-to- partner), and it may interfere with your
day pressures of bringing up a child. sleep patterns or sex life.
For parents of a disabled child there are
the additional pressures – the constant The vast majority of parents caring for a
battle for services, attending meeting after disabled child describe periods of stress
meeting, or the struggle to meet extra or depression at some time or another.
financial costs. Most link this directly to the additional
pressures of caring for a disabled child.

“It’s not because the child is disturbing


Stress affects millions of you, but what goes on inside your head.
people in the UK every You worry about the future.”
year. It can be brought How a couple copes with a very difficult
about by major life events time in their lives is often seen as an
important factor in determining how
like moving house or a relationship develops. It can make a
bereavement, or by a relationship stronger, bringing a couple
closer together.
stream of less serious
difficulties, such as the For those couples who don’t cope well
during stressful times, it can have a
day-to-day pressures of negative impact on the relationship.
bringing up a child. For some who took part in our survey
it played a significant part in their
relationship coming to an end.

22 Relationships and caring for a disabled child


“It would have helped if I hadn’t been so Housing
depressed when I first had my child. If I’d Unsuitable or inadequate housing
been as strong and coped like I do now, can have a huge impact on all
I probably wouldn’t be on my own with aspects of family life, and will often
my son now. It could have helped if I’d put a considerable strain on personal
listened to my ex partner more but at the relationships within the household.
time I was too stressed and depressed.” For advice about any kind of housing
problem, look at the back of this guide for
“Any difficulties between my husband places to contact.
and I are exacerbated by the additional
stress and time lost to caring for a For information about getting help to
disabled child.” adapt your home to meet the needs of a
disabled person ring the Contact a Family
A number of organisations produce a helpline for a free copy of the guide ‘Aids,
range of helpful information on coping equipment and adaptations’.
with stress, feelings of anxiety and
depression. There are contact details for
them at the end of this guide.
If things break down
Alcohol and drug abuse This next section looks specifically at
People use drugs for a variety of reasons, some of the legal and practical issues that
but for most it is about changing the parents may face if the relationship has
way they feel. It might be to feel relaxed, broken down completely and one partner
to forget about problems, to increase has now moved out of the family home.
self confidence, or simply to feel good.
Maintaining contact with children
It may involve taking illegal drugs or
No longer living under the same roof as
abusing legal drugs such as prescription
your children will inevitably affect the
medications or alcohol. Using drugs in this
level of contact you have with them
way can become harmful, for example
and it will usually be necessary to agree
when it begins to affect a person’s
contact arrangements with your former
ability to cope with difficult situations,
partner. Legally, a person with parental
causes damage to their health, or leads
responsibility cannot be denied contact
to destructive behaviour which affects
with their child without the intervention
the individual and their relationships with
of the courts. Of course, it will usually be
those close to them.
best if both parents can discuss and agree
appropriate arrangements informally.
If you are worried that you or your
partner may have an alcohol or drug
related problem you can discuss this
with your GP. Also, there are a number of
organisations that may be able to help.
These are listed at the end of this guide. Freephone helpline: 0808 808 3555
Web: www.cafamily.org.uk

Relationships and caring for a disabled child 23


Perhaps a trial period can be agreed, protect your children from any fallout
and the arrangements reconsidered at a from the separation:
later date? Where an agreement can’t be
made, it may be necessary to consider • avoid blaming yourself or your partner
professional family mediation (see page • agree not to let your own relationship
25) and getting legal advice. Children issues get into the discussion
generally find it helpful to say what • create some rules together about how
arrangements they would like to be in best to manage meetings
place, whilst being reassured that they are • continue at another time if you feel
not responsible for making final decisions discussions sliding into tricky waters
or having to choose between parents. • don’t communicate with your partner
through your child
Communicating with your ex • focus on child-related issues; it can
For some couples, having to maintain help keep your dialogue clear and to
contact with one another and sort out the point
arrangements for the children can be • work on a parenting plan together
a huge strain. These are some tips to • don’t argue with your partner about the
help you communicate with your ex and children in front of them. This will only

Supporting children
Helping your child through a period Children often go through stages of
of separation or divorce is challenging loss and grief, and denial is a common
as you come to terms with your own response. They may also express anger
feelings. But research shows there are towards you, whilst this can be hurtful,
things you can do that can help. try not to take it too personally as it
can be a sign they are finding it hard
Keeping children informed about what to cope.
is happening will help to prevent them
blaming themselves and worrying A child will naturally have hopes and
unnecessarily. You can help children fantasies about the family, such as
feel more secure by helping them to wanting you all to be reunited. Talking
express their feelings, letting them know about these feelings, without raising
that you understand how they feel, false hopes, will help your child to
and making sure they feel they can ask move on.
questions if they want to, will help.
Avoid criticising your ex partner in front
Children often feel a great sense of loss of the children. It can be very upsetting
and letting them grieve is an important for them and leave them feeling forced
part of helping them to deal with the to take sides.
situation and to move on to accept the
changes in their family relationships.

24 Relationships and caring for a disabled child


Parental responsibility

The law presumes married parents parental responsibility in a similar


both have parental responsibility. way. Call your local CAB if you
Unmarried mothers have parental would like more information, or visit
responsibility but not all unmarried One Plus One’s specialist website,
fathers do. Unmarried fathers can www.marriedornot.org.uk
acquire parental responsibility, for for more information about the
example by entering into a parental legal differences in parental rights
responsibility agreement with the and responsibilities when married
mother. A civil partner or member or unmarried.
of a same-sex couple can acquire

increase their sense of guilt and blame can be reached on issues concerning
about the break up. children, property and money. There are
several ways to end a marriage legally,
Family mediation the most common being divorce. If
Family mediation services help any both parties agree to divorce (i.e. it is
couple separating or divorcing / dissolving ‘undefended’) a solicitor will not usually
their relationship to resolve disputes and be needed and a local Citizens Advice
reach their own decisions on specific Bureau (CAB) should be able to help
issues, particularly matters involving with the petition. If a divorce is defended,
the children of a relationship. They can or there are other issues in dispute
also help with disputes around finance concerning children, money or property,
and property. Although often helpful, then it will be necessary to consult a
mediation is not a substitute for legal solicitor. The same applies to civil partners
advice. Services vary from area to area wishing to formally end their relationship
and there may be a fee (although legal (this is sometimes called ‘dissolution’
aid might be available). Information rather than ‘divorce’).
about family mediators is available from
the United Kingdom College of Family A local CAB should be able to help you
Mediators, details for whom are on locate a solicitor in your area and advise
page 29. you about any legal aid which might be
available to help with the costs.
Relationship breakdown
and the law
Couples who were cohabiting, or are
married but do not wish to formally end Freephone helpline: 0808 808 3555
the relationship, including civil partners, Web: www.cafamily.org.uk
might need legal advice if no agreement

Relationships and caring for a disabled child 25


Independent legal advice can be
obtained from Community Legal Advice
Helpline: 0845 345 4345
www.communitylegaladvice.org.uk

This website offers free, confidential and


independent legal advice for residents of
England and Wales.

Child support
Both a child’s parents (biological or
adoptive) are legally responsible for his
or her financial support. If one of the
parents does not have day-to-day care of Child Maintenance Options
the child, s/he may be liable to pay child Tel: 0800 988 0988
support maintenance. (Mon-Fri 8am-8pm; Sat 9am-4pm)
www.cmoptions.org
There are two main options for arranging
child support: Anyone who wishes to set up a statutory
agreement for child support rather than
• a private agreement between you and a private arrangement should contact
the other parent, or the CSA’s national enquiry line. Contact
• an arrangement that is set up by the details for the CSA are on page 29.
Child Support Agency (CSA).
The CSA can only consider
The CSA can calculate how much is applications for child support in respect
due and set up arrangements for the of children under 16 years, or under
collection of payments. 19 years if he or she is still in full-time
non-advanced education.
Until recently a parent with day-to-day
care of a child had little option but Benefits and tax credits when a
to agree to a CSA assessment if they relationship has ended
claimed certain benefits like Income If you are in receipt of benefits or tax
Support. However, legal changes in child credits you may need to seek advice
maintenance during 2008 mean that immediately following the break-up of
parents claiming these benefits have a relationship. This is because some
been able to choose between using the benefits are assessed and paid for the
CSA or not. A new Child Maintenance whole family, and a change in the family
Options service has been set up to circumstances like a person leaving the
provide information to parents on the family home will affect entitlement. With
choices available. tax credits you risk a fine if you do not
stop claiming when you stop being part
of a couple (you might be able to claim
again as a single claimant). The benefit

26 Relationships and caring for a disabled child


and tax credits system also recognises The Parent Connection
gay and lesbian couples who live together www.theparentconnection.org.uk
whether or not you have registered
as civil partners. For more information A website created by One Plus One, The
about benefits and tax credits ring the Parent Connection aims to encourage
Contact a Family helpline. The helpline you to think about the importance of your
can also put you in touch with a specialist relationship with your child’s other parent,
benefits adviser. whether or not you are still together, and
the impact this has on your child.
Useful resources
Useful organisations
Finding a place to live
Shelter, 88 Old Street, London EC1V 9HU Alcohol and drug use
Tel: 0300 330 0516
Price: £0.55 Al-Anon Family Groups UK & Eire
www.shelter.org.uk 61 Great Dover Street, London SE1 4YF
Tel: 020 7403 0888
This guide gives information about www.al-anonuk.org.uk
finding a place to live in England and Al-Anon Family Groups provide
Wales. It explains how to get temporary understanding, strength and hope to
accommodation in an emergency and anyone whose life is, or has been,
how to find a more permanent home. affected by someone else’s drinking.
Over the top behaviour: in the Alcohol Concern
under 10s.
64 Leman St, London E1 8EU
www.familyandparenting.org
Tel: 020 7264 0510
Or send a 2nd class stamp and A4
www.alcoholconcern.org.uk
envelope to:
Family and Parenting Institute, The national agency on alcohol misuse.
430 Highgate Studios,
53-79 Highgate Road, Alcoholics Anonymous
London NW5 1TL PO Box 10, 10 Toft Green, York YO1 7NJ
Tel: 020 7424 3460 Tel: 0845 769 7555
www.alcoholics-anonymous.org.uk
Looks at the differences between normal Men and women share their experience,
misbehaviour and where there might be strength and hope that they may solve
more serious problems. their common problem and help others
to recover from alcoholism.

Freephone helpline: 0808 808 3555


Web: www.cafamily.org.uk

Relationships and caring for a disabled child 27


Families Anonymous The Mental Health Foundation
Doddington & Rollo Community incorporating the Foundation for
Association, Charlotte Despard Avenue, People with Learning Disabilities
Battersea, London SW11 5HD 9th Floor, Sea Containers House,
Tel: 0845 1200 660 20 Upper Ground, London SE1 9QB
www.famanon.org.uk Tel. 020 7803 1100
www.mentalhealth.org.uk
For relatives and friends concerned
about the use of drugs or related Information on mental health issues.
behavioural problems.
MindinfoLine
National Association for Children PO Box 277, Manchester M60 3XN
of Alcoholics Tel: 0845 766 0163
PO Box 64, Fishponds, Bristol BS16 2UH E-mail: info@mind.org.uk
Tel: 0800 358 3456 www.mind.org.uk
www.nacoa.org.uk
Mental health charity in England and Wales.
Supports children growing up in families
where one or both parents suffer from Turning Point
alcoholism, or similar addictive problems. Standon House, 21 Mansell Street,
London E1 8AA
Behaviour problems Tel: 020 7481 7600
www.turning-point.co.uk
Challenging Behaviour Foundation
c/o The Old Courthouse, New Road Charity with services for adults across
Avenue, Chatham, Kent ME4 6BE England and Wales working in the areas
Tel: 0845 602 7885 (Mon-Fri 9am-5pm) of drugs and alcohol misuse, mental
www.challengingbehaviour.org.uk health and learning disability.
Supports families with children with
Domestic violence
severe learning disabilities and associated
challenging behaviour. Everyman Project
1a Waterlow Road, London N19 5NJ
Counselling and mental health Tel: 020 7263 8884
www.everymanproject.co.uk
The British Association for Counselling
and Psychotherapy (BACP) For men behaving violently who want to
Tel: 01455 883300 change and others concerned about this
www.bacp.co.uk issue. Operate a national helpline.
Can provide a list of accredited
ManKind
counsellors in your area.
Tel: 01823 334 244
www.mankind.org.uk
A charity providing help and information
to male victims of domestic abuse or
domestic violence.

28 Relationships and caring for a disabled child


Women’s Aid United Kingdom College
PO Box 391, Bristol BS99 7WS of Family Mediators
Tel: 0808 2000 247 (24hrs) Alexander House, Telephone Avenue,
www.ndvh.org.uk Bristol BS1 4BS
e-mail: helpline@womensaid.org.uk Tel: 0117 904 7223
www.ukcfm.co.uk
A national charity working to end
domestic violence against women For details of local family
and children. mediation services.

Debt Gay and lesbian families


The National Debtline Pink Parents UK
Tel: 0808 808 4000 (Mon-Fri, 9am-9pm Unit 29, Hillier Road, Devizes,
& Sat 9:30am-1pm) Wiltshire SN10 2FB
www.nationaldebtline.co.uk Tel: 01380 727 935
Offers specialised money advice if you www.pinkparents.org.uk
are struggling to manage. A national organisation offering
support to lesbian, gay, bisexual and
Divorce and separation transgender families.
The Child Support Agency (CSA)
Housing
Tel: 08457 133 133
Textphone: 08457 138 924 Shelterline
www.csa.gov.uk Tel: 0808 800 4444 (24hrs).
www.shelter.org.uk
Operates a national helpline.
For advice on your housing rights.
Cases in Northern Ireland are managed
by the Child Maintenance and
Parenting
Enforcement Division
Tel: 0845 608 0022 Parentline Plus
Textphone: 08457 139 704 520 Highgate Studios,
53-79 Highgate Road,
Gingerbread London, NW5 1TL
255 Kentish Town Road, Tel: 0808 800 2222 (24hrs)
London NW5 2LX www.parentlineplus.org.uk
Freephone Helpline: 0808 802 0925 Offers support to anyone parenting a
www.gingerbread.org.uk child. Runs a freephone helpline, courses
Contains information and practical advice for parents, develops innovative projects
for those in the process of, or thinking and provides a range of information.
about, splitting up or divorcing.
Freephone helpline: 0808 808 3555
Web: www.cafamily.org.uk

Relationships and caring for a disabled child 29


Relationship information Short breaks
and support
Shared Care Network
Relationships Scotland Units 34-36 Easton Business Centre,
18 York Place, Edinburgh EH1 3EP Felix Road, Bristol BS5 0HE
Tel: 0845 119 6088 Tel: 0117 941 5361
www.relationships-scotland.org.uk www.sharedcarenetwork.org.uk
Offers advice, relationship counselling, Promoting family-based short breaks for
sex therapy, consultations and support disabled children and young people.
face-to-face, by phone and website.
Working
Relate
Premier House, Carolina Court, Lakeside, Waving not Drowning Project
Doncaster DN4 5RA Working Families, 1-3 Berry Street,
Tel: 0300 100 1234 London EC1V 0AA
www.relate.org.uk Tel: 020 7017 0072 (Wed-Fri,
9.30am-1pm & 2-4.30pm)
Offers advice, relationship counselling, www.workingfamilies.org.uk
sex therapy, workshops, mediation and
support either face-to-face, by telephone Has an established network for working
or e-mail. parents of disabled children focusing
on issues around combining paid work
One Plus One and parenting.
www.thecoupleconnection.net
One Plus One puts relationship research
into practice. Their free web based
service has been designed to help
couples strengthen their relationship and
includes articles and exercises specifically
to help couples who have a child with
additional needs.

Marriage Care
1 Blythe Mews, Blythe Road,
London W14 0NW
Tel: 0845 660 6000
www.marriagecare.org.uk
Marriage Care works across England
and Wales. It helps people prepare for
and sustain successful marriages, and
to support them should their marriage
break down.

30 Relationships and caring for a disabled child


This guide was produced in
partnership between Contact a
Family and One Plus One. It was
revised and updated by Jenny
Reynolds on behalf of One Plus One.
The original guide was written by
Mark Robertson for Contact a Family
with the help of Relate.

Social networking
Contact a Family is on Facebook
and Twitter. Join us at:

Facebook
www.facebook.com/contactafamily

Twitter
twitter.com/contactafamily

Podcasts
You can download podcasts from our
website at: www.cafamily.org.uk/
news/podcasts.html

iTunes users can listen to our


podcasts at: http://bit.ly/96EVT

Videos
You can watch videos on our
YouTube channel at:
www.youtube.com/cafamily Freephone helpline: 0808 808 3555
Web: www.cafamily.org.uk

Relationships and caring for a disabled child 31


Getting in contact Other information
with us booklets available
Free helpline for parents and families This guide is one of a series
0808 808 3555 produced for parents and groups
concerned with the care of disabled
Textphone
children. A full list of Contact a Family
0808 808 3556 publications is available on request or
Open Mon–Fri, 10am–4pm can be downloaded from our website
Mon, 5.30–7.30pm www.cafamily.org.uk
Access to over 100 languages • Benefits, tax credits and other
financial help (UK)
www.cafamily.org.uk • Holidays, play and leisure (UK)
www.makingcontact.org • Siblings (UK)
Contact a Family Head Office: • Grandparents (UK)
209-211 City Road, London EC1V 1JN • Fathers (UK)
Tel 020 7608 8700
Fax 020 7608 8701 • Working (UK)
Email info@cafamily.org.uk • Disabled children’s services
Web www.cafamily.org.uk (England & Wales)

Registered Office: 209-211 City Road, ® Contact a Family is a registered trade mark
London EC1V 1JN Although great care has been taken in the
Registered Charity Number: 284912 compilation and preparation of this guide to
Charity registered in Scotland No. SC039169 ensure accuracy, Contact a Family cannot take any
Company limited by guarantee responsibility for any errors or omissions.
Registered in England and Wales No. 1633333
VAT Registration No. GB 749 3846 82

Order code i21


32©Relationships
Contact a Family, November
and caring 2009
for a disabled child

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