A Small Boy’s Cry. Rosie Lewis

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to my feet and dress hurriedly, pulling on an old jumper, leggings and a pair of fluffy socks. At 1 a.m. in mid-November, the temperature is already dipping close to zero.

      ‘Boy, aged three. Suspected neglect. He’s receiving emergency treatment at the moment. Not sure how long he’ll be at the hospital but you’s best get yourself ready.’

      Aw, three, I think, aware of a familiar clawing in my stomach; it’s the desire to make him all better before he’s even arrived. Des promises to ping the details through to me and reminds me I can call him for support any time, day or night. After making a quick coffee I switch on the computer and open the email sitting in my inbox from Des.

      EMERGENCY PLACEMENT REQUIRED

      Charlie SMITH, age three

      Charlie has been on the vulnerable children’s register since birth, as his mother, Tracy, has struggled for years with depression and addiction issues. With support, Tracy has demonstrated that she’s able to meet Charlie’s basic needs, but he’s rarely present at nursery, and neighbours have complained of continued bouts of crying coming from their flat. Tracy has no extended family or network of friends to offer support.

      Late this evening Charlie was found wandering the concrete walkway below the family home. Though his vocabulary seems limited, the boy indicated to a passer-by that he had fallen from the first-floor window. Police were unable to rouse his mother when they entered the flat. She appeared to be heavily intoxicated. Charlie’s currently in A&E where he’s receiving treatment for a gash to the head. An urgent foster placement is required while investigations are carried out.

      I click ‘X’ to close the window, and sit staring at the blank screen for a moment. It sounds to me like both Charlie and his mother have been living an isolated existence, with no one but professionals around to offer support. My stomach begins to churn, as it does whenever someone new is about to arrive.

      Stop fretting, I tell myself. If Des were here he would say, ‘You’s haven’t done too badly so far, m’darling.’ All of the children I’ve cared for in my years as a foster carer have left happier than when they came, so I suppose he’d be right. Knowing the trauma Charlie has been through, I feel the familiar tug to offer comfort intensifying. The chance comes sooner than expected. Just as I’m finishing the dregs of my coffee, the doorbell rings.

      Charlie stands on the doorstep, the top of his mousy-coloured hair bathed in pale moonlight. The delicate skin above his right eye is covered with white gauze and tape, held in place by a bandage circling his head like a bandana. I can’t see his face as he’s staring down at his black plimsolls, but I notice how tiny he looks next to the stocky police officer beside him. It’s freezing, but all he’s wearing is a pair of dirty pyjamas. A middle-aged woman, presumably the duty social worker, hovers behind.

      ‘I’m Evelyn,’ she says, leaning around the officer who’s massaging Charlie’s shoulder with meaty fingers.

      ‘Hello, Evelyn. And you must be Charlie,’ I say softly, crouching down to his level.

      His eyes are barely visible under a heavy crop of wispy hair, but I can sense bewilderment there. His features are small and appealing but unusually angular for a child so young – he’s much too thin. His head hangs awkwardly to one side, as if it’s too heavy or uncomfortable to hold up. I feel a rush of pity.

      ‘You look freezing. Come in, all of you.’

      ‘He wouldn’t let me carry him or wrap him in my coat,’ Evelyn says, as she follows me through the hall, her fingers on Charlie’s back, propelling him in. His eyes are swollen with tiredness. ‘And we couldn’t find anything warm for him at the flat.’

      She hands me a small, grubby Fireman Sam rucksack. ‘Here are a few of his bits, but not much, I’m afraid.’

      When we reach the living room she leans towards me. ‘Most of his clothes were damp, covered in all sorts. Mum was so out of it we couldn’t make head or tail of what she was saying.’

      ‘It’s OK,’ I say. ‘I have spares.’

      Turning to Charlie, I kneel beside him. He stares at me with an anxious frown.

      ‘Don’t worry, Charlie, everything will be fine. We’ll find you some things to wear in the morning. I’m Rosie, by the way. You’ll be staying with me for a bit. You’re safe here, sweetie.’

      The police officer, a man in his forties with closely cropped dark hair, smiles warmly at me, then grimaces and shakes his head, his expression saying: doesn’t bear thinking about, does it?

      Evelyn and the officer sit on the sofa, and Charlie sinks down on the rug in the middle of the floor, exhausted.

      ‘I know the mum.’ The social worker speaks out of the corner of her mouth like a ventriloquist, as if Charlie would be unable to hear that way. ‘I was hoping she’d get a grip on things, but …’ She gives a weary sigh, shrugging her shoulders. ‘Well, you know …’

      I nod. How many times had I seen it now? An over-dependence on alcohol or drugs – or both – and a child’s chances of having a good day or a harrowing one spin on a penny, all determined by the chemicals pulsing through their mother’s veins. It’s not always beatings and bruises that signal the end of a birth family and the beginning of life in foster care, I muse. Sometimes it’s a simple case of daily deterioration, the slow unravelling of a mother’s ability to cope. I flick my mind back to the early days, after my daughter Emily was born.

      Catapulted into a life without the reassuring structure of work, I felt isolated and lonely. Each day was seemingly endless, and the monotonous cycle of changing, feeding and rocking really got me down. If someone had told me back then that I would soon choose to spend my life caring for other people’s children, I would have pronounced them deluded. Remembering how lost I felt, it doesn’t take a huge stretch of the imagination to think that I too might have been unable to cope, perhaps drifting towards a crutch to numb the feelings of uselessness. I shudder at the thought, feeling a stab of pity for both mother and child.

      Charlie’s chin is quivering. I’m not sure whether it’s with cold, fear or perhaps because his head’s aching.

      ‘When did he last have pain relief?’ I ask Evelyn, while I reach behind the sofa for a small, pale-blue blanket. I drape it around his shoulders then sit quietly beside him, letting him get used to having me near. He looks sideways at me with solemn eyes and I smile, noticing that his face is dotted with fine white crusts, presumably salty deposits from anxious tears at separating from Mum.

      ‘Just before we left the hospital, about …’ Evelyn inclines her head towards the police officer.

      He checks his watch, pursing his lips. ‘About half an hour or so ago, I’d say.’

      I nod grimly, knowing that the poor little mite is in for a rough few days. With his legs splayed and shoulders hunched over, Charlie looks like he’s reached the same conclusion, as if he’s lost all hope at the tender age of three. Watching as he nibbles his fingernails, tearing into the ragged skin, I’m flooded with a longing to pick him up and soothe him.

      It’s actually this first, unscripted half an hour or so that I find the most difficult, when I’m weighing up what the child needs, trying to read their signals. I’m getting better at it. In the early days I was overly attentive, moving awkwardly around children who probably would have preferred a little distance while they adapted to their new environment. I would fuss around, straightening

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