Abstract

Background

County lines is used to describe the illicit drug supply model whereby drugs are transported from one area of the country to another, often by children believed to have been physically and psychologically coerced to do so. County lines is a serious threat to public health, with significant negative impacts on the physical and psychological health and wellbeing of children and families.

Methods

We conducted in-depth interviews with parents of children involved in county lines to understand their experiences and the impact of grooming and recruitment. Interviews were conducted between December 2019 and January 2021. Thematic analysis identified four primary themes: (i) out of nowhere behaviour change, (ii) escalation and entrenchment, (iii) impact of intervention failures and (iv) destructive lifestyle choices.

Results

Parents from across England all reported similar experiences, and so these data offer novel insight into potential grooming and recruitment indicators. All were frustrated by the prevailing vulnerable narrative, which they argued hindered understanding. A lack of consultation, and reports of numerous intervention failures was common.

Conclusion

The importance of giving parents a voice and involving them as a potential first line of defence, and how the current vulnerability narrative appears to be closing impactful education opportunities are discussed.

Introduction

County lines (CL) is used to describe an illicit UK drug supply model whereby drugs are transported across the country, often by children and vulnerable (Throughout, we use the term vulnerable in its broadest sense to refer to situations or individual differences and circumstances that render a person more exposed to the possibility of harm, either physically or emotionally.) adults who are believed to have been physically and psychologically coerced to do so.1–3 Typically, drugs are transported from urban areas to smaller rural and/or coastal towns, facilitated by dedicated mobile phone lines (deal lines). In 2016, the National Crime Agency began collecting information concerning the prevalence of CL activity. Just 2 years later, CL was acknowledged as a serious threat to public health and wellbeing4 with 100% of police forces reporting CL activity, a continuing trend even during the COVID-19 pandemic.5

CL remains an emerging phenomenon. There is a dearth of research concerning the physical and psychological health and wellbeing impacts on children and families. Governments, national leaders and wider policy makers (e.g. HMI Probation, Children’s Commissioner & Home Office) are increasingly more aware of CL, much of our understanding is centred on the emergence of CL, and social reactions to it6–9 with additional insights from non-government, and charity reports outlining health and wellbeing, and wider impacts.4,10,11 All agree that the CL business model relies heavily on child criminal exploitation (CCE) with children as young as 8 years of age transporting and selling mainly class A drugs,11–14 often becoming ‘line holders’ themselves, a term used to refer to the person running the deal line.15–17

CCE is believed to involve some element of grooming8,13,18,19 possibly akin to that of adult victims of modern slavery where psychologically controlling and manipulative techniques are employed alongside violence or threats of violence to enforce and reinforce compliance.13,20–27 Hence, CL is an important public health and wellbeing issue since criminally exploited individuals are at a higher-than-average risk of drug and sexual abuse and of being convicted of crime. Indeed, CL criminal activity is known to have devastating impacts on individuals and the local and wider communities in which they operate.

Current understanding of grooming of children is largely grounded in sexual exploitation28–32 and based upon the perspective of offenders. Research focusing on psychological understanding of behavioural cues and longer term impact of grooming for CL does not, as far as we are aware, exist. The prevailing narrative suggests some similarities to grooming for sexual exploitation in terms of predatory processes,19,33 but indicates fundamental differences. For example, strategies to gain access appear to include child-on-child approaches, and although compliance techniques maybe similar at the outset with sexual grooming, violence quickly becomes key. CL grooming and exploitation may be less subtle and more effective, aided by social media platforms offering lifestyle content that is easily accessible and preparatory in nature.10,26,33,34

It is widely reported that the types of children groomed for CL are looked after children, children at points of crisis, children with chaotic lives, who have had adverse childhood experiences and children of parents/carers with poor mental health, alcohol or drug dependency.3,4,12,35,36 These more ‘vulnerable’ children are believed targeted because parents, carers and other adults may be absent, less engaged and/or unable to ‘gate keep’ as might be expected when families and children fall outside this definition of vulnerable. There is some indication that children who fall outside this typically defined vulnerable groups may also become involved in CL (e.g. http://www.bespaceaware.co.uk/). However, to date the empirical literature is sparse and so this vulnerability narrative prevails. Yet, vulnerability may be more transitory than the current narrative suggests, perhaps triggered by unexpected events or experiences, creating a vulnerability window. Or, children may be developmentally vulnerable with parents assuming children are beginning to move into adolescence when behavioural norms often alter (e.g. NSPCC.org.uk). Opportunities for early interventions may be lost due to a lack of understanding and insight, which inhibits the development of public health interventions. Parents may notice unusual or unexpected behaviour changes but may be unaware what CL grooming ‘looks’ like and how it might be managed when behaviours are a cause for concern.

This research moves towards filling this gap in knowledge. In probably the first research of its kind, we conducted one-to-one semi-structured qualitative interviews to examine perspectives and experiences of parents and carers37 towards gaining experiential understanding of CL grooming. We set out to discover what does the process ‘looks’ and ‘feels’ like and what the impact is on health and well-being of children and families. We employed a life history approach to collect subjective oral narrative accounts across personal timelines to identify instances of change and turning points. Given a lack of research and theoretical understanding of CL, we conducted thematic analysis,37 generating knowledge grounded in human experience to encourage wider discussion and further research.

Methods

Ethical approval was granted by University of Westminster (ETH1920-0657) and conducted in accordance with Health and Care Practitioner Council codes of ethical conduct. Participation was on a voluntary basis. We advertised widely for parents and carers of children currently involved in CL via social media, charities, parent support organizations and community police. Participants contacted the research team who provided further information and arranged to conduct interviews. Informed written consent was obtained, and participants were given the opportunity to ask questions. Participants could stop and withdraw at any time without explanation. All interviews were digitally audio recorded. A semi-structured interview protocol allowed the researchers (CD & TO) to engage with participants using open-ended questions and prompts modified according to responses. Audio files and associated field notes were transcribed, de-identified and imported to qualitative data analysis software (NVivo 10).

Twenty-four self-selecting parents took part (pre-pandemic). Six contacted the researchers via social media, nine via a parent support NGO, the remainder via two Charities. Five withdrew due to concerns regarding personal safety. The final sample comprised 19 female birth parents (36–57 years). All attended alone, 60% (12) were in a long-term relationship with the father of the child/young person in question. All the children/adolescents were male and aged under 18 at the time of the research, 50% of parents self-identified as British black/mixed ethnic, 20% as British Asian and 30% as white British. Parents were all employed (full and part-time) and lived in their own homes (mortgaged or owned outright). Six were teachers/head-teachers, four were legal professionals, four were employed by government and non-government agencies/organizations, three were charity workers, one an academic and one a CEO. Families were variously resident in London, Surrey, Cardiff, Hull, Liverpool, Norwich, Manchester, Lancaster and Guildford.

Findings

Interviews were read and summarized, resulting in a series of distinct but related themes which were subjected to repeated reading and scrutiny (CD & TO). Analysis revealed significant common patterns in parental lived experiences and impact of experiences. Researchers’ interpretive understandings were applied, reducing the data to four overarching themes, (i) Out of nowhere behaviour change, (ii) Escalation and entrenchment, (iii) Impact of intervention failures and (iv) Destructive and risky lifestyle choices, all illustrated below with verbatim data extracts. Themes encompassed behavioural descriptors and physical and mental health impacts.

Out of nowhere behaviour change

Parents described how seemingly ‘out of nowhere’ children’s behaviour changed. Behaviours (Table 1) fell into two broad subthemes: clusters of behaviours that emerged suddenly; or one significant event triggered by out of character behaviour. Such as an arrest or school. Accounts were all prefaced by phrases such as ‘suddenly’ ‘out of the blue’ and ‘from nowhere’. Parents describing how with hindsight they now recognized these behaviours as markers, but then they had no understanding of what they indicated.

Out of Nowhere Behaviour Change
Out of the blue, he started to get up super early, at 6 am which was so unlike him because normally I would have to drag him out of bed for school. He would get dressed and just leave. I knew he wasn’t sleeping he looked terrible but I thought this was stress of moving school. [P6]
Suddenly, he started having difficulties at school…overnight, he was a very different boy from the boy we had known previously. Someone told me he started smoking cannabis – I don’t know if this changed him or whether he started taking cannabis because of trouble at school. He changed from a kind boy child to being aggressive. [P16]
Suddenly, he was permanently excluded from school, aged 11. This phone call came out of the blue, from the head teacher, who called me in. This was a junior school for goodness sake. I am a professional and so is his father. We had no idea what was happening but from here it all began to go terribly wrong. [P7]
Then when he was around 13, for some reason, suddenly they, him and his friendship group, fell out after he was arrested with a knife. I still don’t know, nobody will say what happened… this was a year ago. This is when it all started, the beginning of the end. [P1]
All of a sudden his behaviour deteriorated. To start with it was small stuff, like he let off a firework at school. Then the next day he swore at teacher, and a couple of his friendship group were caught selling drugs at school, then he had a knife. I was so upset, so shocked. They called me as they were permanently excluding him, he was 10 years old. Friends ignore me. I have been ostracised. [P15]
We didn’t know what we were dealing with then, we just thought he was being naughty and I believed what he said. When I asked him he made up stories and when I told him I would check, he just closed down, he totally closes down and says nothing and ignores us all or shouts and swears—just like that, overnight. [P10]
You expect a few rumbles and grumbles…the big leap from primary to secondary, but when it goes above that, it’s something else, and you think initially it is nothing, it was just what I would call home lies…then I start picking out little bits and bobs in normal situations and conversation, all lies. He just lies and lies and lies and he knows I know…. [P12]
He also started going to places in the city that he had never been to before. I knew this because people would tell me they had seen him. He denied it and denied it until I followed him one day. When I confronted him he told me to keep out of his business and went completely mad. [P13]
He just goes out. I can’t lock him up. He won’t say where he is going, where he has been or when he will come back. The usual house rules are ignored, completely. It could be 10 min, or he could be away for a weekend. He is only 15. [P3]
We hoped all the work that we had put into bringing him up would help him to get through. He was young, and he had said sorry to me for getting arrested with a knife, so he knew he was wrong. We trusted him then I saw him and a group I didn’t know walking past our living room window. I called out, what are you doing. He ignored me and ran off, he then said it wasn’t him, gaslighting me all the time till I doubt myself. [P19]
Out of Nowhere Behaviour Change
Out of the blue, he started to get up super early, at 6 am which was so unlike him because normally I would have to drag him out of bed for school. He would get dressed and just leave. I knew he wasn’t sleeping he looked terrible but I thought this was stress of moving school. [P6]
Suddenly, he started having difficulties at school…overnight, he was a very different boy from the boy we had known previously. Someone told me he started smoking cannabis – I don’t know if this changed him or whether he started taking cannabis because of trouble at school. He changed from a kind boy child to being aggressive. [P16]
Suddenly, he was permanently excluded from school, aged 11. This phone call came out of the blue, from the head teacher, who called me in. This was a junior school for goodness sake. I am a professional and so is his father. We had no idea what was happening but from here it all began to go terribly wrong. [P7]
Then when he was around 13, for some reason, suddenly they, him and his friendship group, fell out after he was arrested with a knife. I still don’t know, nobody will say what happened… this was a year ago. This is when it all started, the beginning of the end. [P1]
All of a sudden his behaviour deteriorated. To start with it was small stuff, like he let off a firework at school. Then the next day he swore at teacher, and a couple of his friendship group were caught selling drugs at school, then he had a knife. I was so upset, so shocked. They called me as they were permanently excluding him, he was 10 years old. Friends ignore me. I have been ostracised. [P15]
We didn’t know what we were dealing with then, we just thought he was being naughty and I believed what he said. When I asked him he made up stories and when I told him I would check, he just closed down, he totally closes down and says nothing and ignores us all or shouts and swears—just like that, overnight. [P10]
You expect a few rumbles and grumbles…the big leap from primary to secondary, but when it goes above that, it’s something else, and you think initially it is nothing, it was just what I would call home lies…then I start picking out little bits and bobs in normal situations and conversation, all lies. He just lies and lies and lies and he knows I know…. [P12]
He also started going to places in the city that he had never been to before. I knew this because people would tell me they had seen him. He denied it and denied it until I followed him one day. When I confronted him he told me to keep out of his business and went completely mad. [P13]
He just goes out. I can’t lock him up. He won’t say where he is going, where he has been or when he will come back. The usual house rules are ignored, completely. It could be 10 min, or he could be away for a weekend. He is only 15. [P3]
We hoped all the work that we had put into bringing him up would help him to get through. He was young, and he had said sorry to me for getting arrested with a knife, so he knew he was wrong. We trusted him then I saw him and a group I didn’t know walking past our living room window. I called out, what are you doing. He ignored me and ran off, he then said it wasn’t him, gaslighting me all the time till I doubt myself. [P19]
Out of Nowhere Behaviour Change
Out of the blue, he started to get up super early, at 6 am which was so unlike him because normally I would have to drag him out of bed for school. He would get dressed and just leave. I knew he wasn’t sleeping he looked terrible but I thought this was stress of moving school. [P6]
Suddenly, he started having difficulties at school…overnight, he was a very different boy from the boy we had known previously. Someone told me he started smoking cannabis – I don’t know if this changed him or whether he started taking cannabis because of trouble at school. He changed from a kind boy child to being aggressive. [P16]
Suddenly, he was permanently excluded from school, aged 11. This phone call came out of the blue, from the head teacher, who called me in. This was a junior school for goodness sake. I am a professional and so is his father. We had no idea what was happening but from here it all began to go terribly wrong. [P7]
Then when he was around 13, for some reason, suddenly they, him and his friendship group, fell out after he was arrested with a knife. I still don’t know, nobody will say what happened… this was a year ago. This is when it all started, the beginning of the end. [P1]
All of a sudden his behaviour deteriorated. To start with it was small stuff, like he let off a firework at school. Then the next day he swore at teacher, and a couple of his friendship group were caught selling drugs at school, then he had a knife. I was so upset, so shocked. They called me as they were permanently excluding him, he was 10 years old. Friends ignore me. I have been ostracised. [P15]
We didn’t know what we were dealing with then, we just thought he was being naughty and I believed what he said. When I asked him he made up stories and when I told him I would check, he just closed down, he totally closes down and says nothing and ignores us all or shouts and swears—just like that, overnight. [P10]
You expect a few rumbles and grumbles…the big leap from primary to secondary, but when it goes above that, it’s something else, and you think initially it is nothing, it was just what I would call home lies…then I start picking out little bits and bobs in normal situations and conversation, all lies. He just lies and lies and lies and he knows I know…. [P12]
He also started going to places in the city that he had never been to before. I knew this because people would tell me they had seen him. He denied it and denied it until I followed him one day. When I confronted him he told me to keep out of his business and went completely mad. [P13]
He just goes out. I can’t lock him up. He won’t say where he is going, where he has been or when he will come back. The usual house rules are ignored, completely. It could be 10 min, or he could be away for a weekend. He is only 15. [P3]
We hoped all the work that we had put into bringing him up would help him to get through. He was young, and he had said sorry to me for getting arrested with a knife, so he knew he was wrong. We trusted him then I saw him and a group I didn’t know walking past our living room window. I called out, what are you doing. He ignored me and ran off, he then said it wasn’t him, gaslighting me all the time till I doubt myself. [P19]
Out of Nowhere Behaviour Change
Out of the blue, he started to get up super early, at 6 am which was so unlike him because normally I would have to drag him out of bed for school. He would get dressed and just leave. I knew he wasn’t sleeping he looked terrible but I thought this was stress of moving school. [P6]
Suddenly, he started having difficulties at school…overnight, he was a very different boy from the boy we had known previously. Someone told me he started smoking cannabis – I don’t know if this changed him or whether he started taking cannabis because of trouble at school. He changed from a kind boy child to being aggressive. [P16]
Suddenly, he was permanently excluded from school, aged 11. This phone call came out of the blue, from the head teacher, who called me in. This was a junior school for goodness sake. I am a professional and so is his father. We had no idea what was happening but from here it all began to go terribly wrong. [P7]
Then when he was around 13, for some reason, suddenly they, him and his friendship group, fell out after he was arrested with a knife. I still don’t know, nobody will say what happened… this was a year ago. This is when it all started, the beginning of the end. [P1]
All of a sudden his behaviour deteriorated. To start with it was small stuff, like he let off a firework at school. Then the next day he swore at teacher, and a couple of his friendship group were caught selling drugs at school, then he had a knife. I was so upset, so shocked. They called me as they were permanently excluding him, he was 10 years old. Friends ignore me. I have been ostracised. [P15]
We didn’t know what we were dealing with then, we just thought he was being naughty and I believed what he said. When I asked him he made up stories and when I told him I would check, he just closed down, he totally closes down and says nothing and ignores us all or shouts and swears—just like that, overnight. [P10]
You expect a few rumbles and grumbles…the big leap from primary to secondary, but when it goes above that, it’s something else, and you think initially it is nothing, it was just what I would call home lies…then I start picking out little bits and bobs in normal situations and conversation, all lies. He just lies and lies and lies and he knows I know…. [P12]
He also started going to places in the city that he had never been to before. I knew this because people would tell me they had seen him. He denied it and denied it until I followed him one day. When I confronted him he told me to keep out of his business and went completely mad. [P13]
He just goes out. I can’t lock him up. He won’t say where he is going, where he has been or when he will come back. The usual house rules are ignored, completely. It could be 10 min, or he could be away for a weekend. He is only 15. [P3]
We hoped all the work that we had put into bringing him up would help him to get through. He was young, and he had said sorry to me for getting arrested with a knife, so he knew he was wrong. We trusted him then I saw him and a group I didn’t know walking past our living room window. I called out, what are you doing. He ignored me and ran off, he then said it wasn’t him, gaslighting me all the time till I doubt myself. [P19]

All parents described how when they quizzed their children and discussed incidents towards understanding what had happened and why, all offered seemingly credible accounts. However, it quickly transpired these accounts were deceptive, either in part or entirely. Parents described deceptive and manipulative behaviours, and how they felt foolish and naïve for giving children the benefit of the doubt. As parents became more and more concerned about behaviours and began to explore accounts in detail and confront children, lies were replaced by dismissive silence or complete denial, accompanied by physically and verbally aggressive behaviours that significantly disrupted family dynamics, as well as children and parent friendship groups.

Escalation and entrenchment

All parents explained how children’s behaviour quickly escalated (see Table 2 ), becoming verbally aggressive, more unpredictable, with most threatening violence. Many became physically violent towards property, parents, siblings and others. Parents (n = 14) explained these behaviours were initially intermittent and appeared triggered by parental interventions, for example, when negotiating improvements in behaviours, enforcing previously agreed house rules, calling out deceptive and unacceptable verbal and physical behaviours and questioning children’s whereabouts. Often in a matter of days or weeks, threatening and violent behaviour became the new normal. Parents explained that, although they realized the seriousness of the emerging situation, they also recognized the need to try to keep communication channels open wherever possible to develop non-judgmental ways to support their child. Many (n = 13) mentioned their child was regularly using drugs at this point—cannabis and crack cocaine. Although timescales differed, all parents indicated violent behaviour very quickly escalated.

Escalation and Entrenchment
Quickly he became very very aggressive, very destructive in the house …he’s damaged my car, he’s damaged things in the house, so we’d have to ring the police an get help. He was only 12 years old at that time. It was not what I wanted, but we have other children, so I needed help. I am sure he was using at that point. [P3]
It soon became quite clear that we probably couldn’t keep him at home for much longer. Police had started to get involved because he was violent to me and others. He was caught in possession of cannabis and he had got involved in some particularly violent fights at school and at home with weapons. So yes, it all just escalated. But, throwing him out was not an option at that point. Things soon changed. [P2]
He was smashing the house up. His bedroom was completely destroyed. I would try and stop him from leaving. That would just cause him to smash up the house even more. One time I ended up locking him out of the house, because I just didn’t want him in there and he broke his way in, smashed all the windows to get in. I tried to talk to him, to reason, but it was like there was nothing there. He changed overnight into a violent thug at the age of 13. [P9]
He just began to disappear, for hours at first, then days and then months. His phone would be turned off, so I couldn’t contact him, ever. Then he would call me, and tell me to come and get him from random places. He was filthy, thin and tired. I used to ask but he would shout and swear and become violent. In the end I just thought I must keep him safe and so I made no comment, no questions asked. What could I do. I needed to try to keep him safe. [P1]
I would call it hyper or speed grooming, like speed dating. Saw something he liked and overnight he changed, became hard and aggressive. He had several phones all hidden round his bedroom. He was constantly alert. Never without phones. Always texting and answering all hours of the day and night. Never explained and just used to get up and go. We didn’t push it coz he would smash the place up and would disappear anyway. [P13]
On Christmas day we went to my sister, he turned up for about an hour and then just left. By which point I was like I can’t stop him. I can’t, I don’t know what to do to stop him. He was just off his head on Crack all the time. In 2 months, he moved from what I thought was a naughty child phase to being at serious risk so I had to let him come and go as he pleased, or lose him. [P7]
I called social services and the police for help…he just went completely crazy when I told him. He ran off before anyone arrived and was gone for 48 h. I reported him missing but the damage was done, he punished me then and is still punishing me now. [P18]
He’ll say, we’re all going out for food in Liverpool. And I think we felt if we didn’t keep that communication going with him, and go OK then, so will you ring us when you’re there he would have gone anyway, would we have just lost him. I have to acquiesce. I am so uncomfortable, so anxious and depressed with worry. Life is bleak. [P17]
Escalation and Entrenchment
Quickly he became very very aggressive, very destructive in the house …he’s damaged my car, he’s damaged things in the house, so we’d have to ring the police an get help. He was only 12 years old at that time. It was not what I wanted, but we have other children, so I needed help. I am sure he was using at that point. [P3]
It soon became quite clear that we probably couldn’t keep him at home for much longer. Police had started to get involved because he was violent to me and others. He was caught in possession of cannabis and he had got involved in some particularly violent fights at school and at home with weapons. So yes, it all just escalated. But, throwing him out was not an option at that point. Things soon changed. [P2]
He was smashing the house up. His bedroom was completely destroyed. I would try and stop him from leaving. That would just cause him to smash up the house even more. One time I ended up locking him out of the house, because I just didn’t want him in there and he broke his way in, smashed all the windows to get in. I tried to talk to him, to reason, but it was like there was nothing there. He changed overnight into a violent thug at the age of 13. [P9]
He just began to disappear, for hours at first, then days and then months. His phone would be turned off, so I couldn’t contact him, ever. Then he would call me, and tell me to come and get him from random places. He was filthy, thin and tired. I used to ask but he would shout and swear and become violent. In the end I just thought I must keep him safe and so I made no comment, no questions asked. What could I do. I needed to try to keep him safe. [P1]
I would call it hyper or speed grooming, like speed dating. Saw something he liked and overnight he changed, became hard and aggressive. He had several phones all hidden round his bedroom. He was constantly alert. Never without phones. Always texting and answering all hours of the day and night. Never explained and just used to get up and go. We didn’t push it coz he would smash the place up and would disappear anyway. [P13]
On Christmas day we went to my sister, he turned up for about an hour and then just left. By which point I was like I can’t stop him. I can’t, I don’t know what to do to stop him. He was just off his head on Crack all the time. In 2 months, he moved from what I thought was a naughty child phase to being at serious risk so I had to let him come and go as he pleased, or lose him. [P7]
I called social services and the police for help…he just went completely crazy when I told him. He ran off before anyone arrived and was gone for 48 h. I reported him missing but the damage was done, he punished me then and is still punishing me now. [P18]
He’ll say, we’re all going out for food in Liverpool. And I think we felt if we didn’t keep that communication going with him, and go OK then, so will you ring us when you’re there he would have gone anyway, would we have just lost him. I have to acquiesce. I am so uncomfortable, so anxious and depressed with worry. Life is bleak. [P17]
Escalation and Entrenchment
Quickly he became very very aggressive, very destructive in the house …he’s damaged my car, he’s damaged things in the house, so we’d have to ring the police an get help. He was only 12 years old at that time. It was not what I wanted, but we have other children, so I needed help. I am sure he was using at that point. [P3]
It soon became quite clear that we probably couldn’t keep him at home for much longer. Police had started to get involved because he was violent to me and others. He was caught in possession of cannabis and he had got involved in some particularly violent fights at school and at home with weapons. So yes, it all just escalated. But, throwing him out was not an option at that point. Things soon changed. [P2]
He was smashing the house up. His bedroom was completely destroyed. I would try and stop him from leaving. That would just cause him to smash up the house even more. One time I ended up locking him out of the house, because I just didn’t want him in there and he broke his way in, smashed all the windows to get in. I tried to talk to him, to reason, but it was like there was nothing there. He changed overnight into a violent thug at the age of 13. [P9]
He just began to disappear, for hours at first, then days and then months. His phone would be turned off, so I couldn’t contact him, ever. Then he would call me, and tell me to come and get him from random places. He was filthy, thin and tired. I used to ask but he would shout and swear and become violent. In the end I just thought I must keep him safe and so I made no comment, no questions asked. What could I do. I needed to try to keep him safe. [P1]
I would call it hyper or speed grooming, like speed dating. Saw something he liked and overnight he changed, became hard and aggressive. He had several phones all hidden round his bedroom. He was constantly alert. Never without phones. Always texting and answering all hours of the day and night. Never explained and just used to get up and go. We didn’t push it coz he would smash the place up and would disappear anyway. [P13]
On Christmas day we went to my sister, he turned up for about an hour and then just left. By which point I was like I can’t stop him. I can’t, I don’t know what to do to stop him. He was just off his head on Crack all the time. In 2 months, he moved from what I thought was a naughty child phase to being at serious risk so I had to let him come and go as he pleased, or lose him. [P7]
I called social services and the police for help…he just went completely crazy when I told him. He ran off before anyone arrived and was gone for 48 h. I reported him missing but the damage was done, he punished me then and is still punishing me now. [P18]
He’ll say, we’re all going out for food in Liverpool. And I think we felt if we didn’t keep that communication going with him, and go OK then, so will you ring us when you’re there he would have gone anyway, would we have just lost him. I have to acquiesce. I am so uncomfortable, so anxious and depressed with worry. Life is bleak. [P17]
Escalation and Entrenchment
Quickly he became very very aggressive, very destructive in the house …he’s damaged my car, he’s damaged things in the house, so we’d have to ring the police an get help. He was only 12 years old at that time. It was not what I wanted, but we have other children, so I needed help. I am sure he was using at that point. [P3]
It soon became quite clear that we probably couldn’t keep him at home for much longer. Police had started to get involved because he was violent to me and others. He was caught in possession of cannabis and he had got involved in some particularly violent fights at school and at home with weapons. So yes, it all just escalated. But, throwing him out was not an option at that point. Things soon changed. [P2]
He was smashing the house up. His bedroom was completely destroyed. I would try and stop him from leaving. That would just cause him to smash up the house even more. One time I ended up locking him out of the house, because I just didn’t want him in there and he broke his way in, smashed all the windows to get in. I tried to talk to him, to reason, but it was like there was nothing there. He changed overnight into a violent thug at the age of 13. [P9]
He just began to disappear, for hours at first, then days and then months. His phone would be turned off, so I couldn’t contact him, ever. Then he would call me, and tell me to come and get him from random places. He was filthy, thin and tired. I used to ask but he would shout and swear and become violent. In the end I just thought I must keep him safe and so I made no comment, no questions asked. What could I do. I needed to try to keep him safe. [P1]
I would call it hyper or speed grooming, like speed dating. Saw something he liked and overnight he changed, became hard and aggressive. He had several phones all hidden round his bedroom. He was constantly alert. Never without phones. Always texting and answering all hours of the day and night. Never explained and just used to get up and go. We didn’t push it coz he would smash the place up and would disappear anyway. [P13]
On Christmas day we went to my sister, he turned up for about an hour and then just left. By which point I was like I can’t stop him. I can’t, I don’t know what to do to stop him. He was just off his head on Crack all the time. In 2 months, he moved from what I thought was a naughty child phase to being at serious risk so I had to let him come and go as he pleased, or lose him. [P7]
I called social services and the police for help…he just went completely crazy when I told him. He ran off before anyone arrived and was gone for 48 h. I reported him missing but the damage was done, he punished me then and is still punishing me now. [P18]
He’ll say, we’re all going out for food in Liverpool. And I think we felt if we didn’t keep that communication going with him, and go OK then, so will you ring us when you’re there he would have gone anyway, would we have just lost him. I have to acquiesce. I am so uncomfortable, so anxious and depressed with worry. Life is bleak. [P17]

Impact of intervention failures

All parents explained their experiences and impact of numerous and often repeated multi-agency intervention failures (see Table 3). This theme is dominated by descriptions of perceived systematic failures or failures by individual professionals to understand what children were experiencing or to recognize the true threat (n = 16). Many parents blamed themselves, in part, for early intervention failures. They reflected how decisions taken by those they had looked to for guidance and support had, with hindsight, resulted in their child becoming even more vulnerable to intensive ‘hard core’ coercion and control of criminal exploitation tactics. School exclusions were common to most accounts, every parent believing this had hastened their child’s involvement in CL criminal activity. Feelings of helplessness, hopelessness and mental and physical exhaustion were common and enduring by this stage.

Impact of Intervention Failures
Looking back I should have fought, I would do things so much differently. I’d challenge every decision—excluded from school was the start of his end. I think I’ve learnt a lot over the past 12 months. I’ve found my voice. You think that all these people, these professionals and teachers, all know what they’re doing but they don’t. They failed him and they failed us. [P5]
I found out he had suddenly been excluded from school. He had managed to keep this from me—how, I have no idea, but he is manipulative and clever. I am a teacher, but they set him no schoolwork, and so I set him work. He then became like a feral child. There was a complete lack of provision. Despite all my attempts, there was complete lack of interest from the authorities. They just ignored him. I kept asking for help. Nothing. Nothing. [P8]
He’d given information of places he’d been taken to his support worker, including that he’d been escorted on a train by a man with a gun up to Scotland. He was scared to death and we lived in fear. He had already been shot twice. So, after all that and everything they knew they deemed he was ready to come home but hadn’t set anything up for him, so there was no support for us, there was no support for him. So, he came home in November and immediately went missing again for 3 weeks—someone picked him up in the middle of the night. I have no idea where he is. What can we do—nothing—they think we can manage all this. [P11]
He was made a ‘Child in Need’, he has an NRM so that’s how we started off with a Child in Need plan, so we would go to meetings every 6 weeks and the same rubbish would be discussed at these meetings, nothing would ever get done and at this one particular meeting he had gone missing and they didn’t even know about it. [P10]
By this point, social services were involved, the police were involved and they said, we think he’s being groomed…then it’s just gone on from there, really. But then when I spoke to the school about this and the police concerns, they just kicked him out, there and then—threw him to the lions—nothing I could do. That was the end. I should have fought harder. I was just floored by it. It is killing me. They wait outside out house and just stare at us. [P2]
I knew he was visiting Scunthorpe, Grimsby, Hull, Hornsea, Driffield. I had evidence. I used to go into all these bloody meetings with the police and social services and they all sit there and go, I don’t know what to do, we don’t know what to do. And I’m like, please help us, just do something, you’ve got to get him out of this. Please help me. Nothing. [P18]
So, he was detained and arrested as a missing, and for being in this cuckooed property for the eighth time in a month. The last time was last weekend and he was arrested in Blackpool, they found him in a B&B and at that point he had drugs on him, but he tried to flush them down the toilet. He says nothing, just saying no comment all the time. They just bring him home, and dump him with us. [P12]
We had two risk management meetings set up. So, the first one we went to, nobody turned up, there was just me and his dad. We had another one in December, yet again nobody turned up, there was just me. He has started to go missing again. [P10]
Impact of Intervention Failures
Looking back I should have fought, I would do things so much differently. I’d challenge every decision—excluded from school was the start of his end. I think I’ve learnt a lot over the past 12 months. I’ve found my voice. You think that all these people, these professionals and teachers, all know what they’re doing but they don’t. They failed him and they failed us. [P5]
I found out he had suddenly been excluded from school. He had managed to keep this from me—how, I have no idea, but he is manipulative and clever. I am a teacher, but they set him no schoolwork, and so I set him work. He then became like a feral child. There was a complete lack of provision. Despite all my attempts, there was complete lack of interest from the authorities. They just ignored him. I kept asking for help. Nothing. Nothing. [P8]
He’d given information of places he’d been taken to his support worker, including that he’d been escorted on a train by a man with a gun up to Scotland. He was scared to death and we lived in fear. He had already been shot twice. So, after all that and everything they knew they deemed he was ready to come home but hadn’t set anything up for him, so there was no support for us, there was no support for him. So, he came home in November and immediately went missing again for 3 weeks—someone picked him up in the middle of the night. I have no idea where he is. What can we do—nothing—they think we can manage all this. [P11]
He was made a ‘Child in Need’, he has an NRM so that’s how we started off with a Child in Need plan, so we would go to meetings every 6 weeks and the same rubbish would be discussed at these meetings, nothing would ever get done and at this one particular meeting he had gone missing and they didn’t even know about it. [P10]
By this point, social services were involved, the police were involved and they said, we think he’s being groomed…then it’s just gone on from there, really. But then when I spoke to the school about this and the police concerns, they just kicked him out, there and then—threw him to the lions—nothing I could do. That was the end. I should have fought harder. I was just floored by it. It is killing me. They wait outside out house and just stare at us. [P2]
I knew he was visiting Scunthorpe, Grimsby, Hull, Hornsea, Driffield. I had evidence. I used to go into all these bloody meetings with the police and social services and they all sit there and go, I don’t know what to do, we don’t know what to do. And I’m like, please help us, just do something, you’ve got to get him out of this. Please help me. Nothing. [P18]
So, he was detained and arrested as a missing, and for being in this cuckooed property for the eighth time in a month. The last time was last weekend and he was arrested in Blackpool, they found him in a B&B and at that point he had drugs on him, but he tried to flush them down the toilet. He says nothing, just saying no comment all the time. They just bring him home, and dump him with us. [P12]
We had two risk management meetings set up. So, the first one we went to, nobody turned up, there was just me and his dad. We had another one in December, yet again nobody turned up, there was just me. He has started to go missing again. [P10]
Impact of Intervention Failures
Looking back I should have fought, I would do things so much differently. I’d challenge every decision—excluded from school was the start of his end. I think I’ve learnt a lot over the past 12 months. I’ve found my voice. You think that all these people, these professionals and teachers, all know what they’re doing but they don’t. They failed him and they failed us. [P5]
I found out he had suddenly been excluded from school. He had managed to keep this from me—how, I have no idea, but he is manipulative and clever. I am a teacher, but they set him no schoolwork, and so I set him work. He then became like a feral child. There was a complete lack of provision. Despite all my attempts, there was complete lack of interest from the authorities. They just ignored him. I kept asking for help. Nothing. Nothing. [P8]
He’d given information of places he’d been taken to his support worker, including that he’d been escorted on a train by a man with a gun up to Scotland. He was scared to death and we lived in fear. He had already been shot twice. So, after all that and everything they knew they deemed he was ready to come home but hadn’t set anything up for him, so there was no support for us, there was no support for him. So, he came home in November and immediately went missing again for 3 weeks—someone picked him up in the middle of the night. I have no idea where he is. What can we do—nothing—they think we can manage all this. [P11]
He was made a ‘Child in Need’, he has an NRM so that’s how we started off with a Child in Need plan, so we would go to meetings every 6 weeks and the same rubbish would be discussed at these meetings, nothing would ever get done and at this one particular meeting he had gone missing and they didn’t even know about it. [P10]
By this point, social services were involved, the police were involved and they said, we think he’s being groomed…then it’s just gone on from there, really. But then when I spoke to the school about this and the police concerns, they just kicked him out, there and then—threw him to the lions—nothing I could do. That was the end. I should have fought harder. I was just floored by it. It is killing me. They wait outside out house and just stare at us. [P2]
I knew he was visiting Scunthorpe, Grimsby, Hull, Hornsea, Driffield. I had evidence. I used to go into all these bloody meetings with the police and social services and they all sit there and go, I don’t know what to do, we don’t know what to do. And I’m like, please help us, just do something, you’ve got to get him out of this. Please help me. Nothing. [P18]
So, he was detained and arrested as a missing, and for being in this cuckooed property for the eighth time in a month. The last time was last weekend and he was arrested in Blackpool, they found him in a B&B and at that point he had drugs on him, but he tried to flush them down the toilet. He says nothing, just saying no comment all the time. They just bring him home, and dump him with us. [P12]
We had two risk management meetings set up. So, the first one we went to, nobody turned up, there was just me and his dad. We had another one in December, yet again nobody turned up, there was just me. He has started to go missing again. [P10]
Impact of Intervention Failures
Looking back I should have fought, I would do things so much differently. I’d challenge every decision—excluded from school was the start of his end. I think I’ve learnt a lot over the past 12 months. I’ve found my voice. You think that all these people, these professionals and teachers, all know what they’re doing but they don’t. They failed him and they failed us. [P5]
I found out he had suddenly been excluded from school. He had managed to keep this from me—how, I have no idea, but he is manipulative and clever. I am a teacher, but they set him no schoolwork, and so I set him work. He then became like a feral child. There was a complete lack of provision. Despite all my attempts, there was complete lack of interest from the authorities. They just ignored him. I kept asking for help. Nothing. Nothing. [P8]
He’d given information of places he’d been taken to his support worker, including that he’d been escorted on a train by a man with a gun up to Scotland. He was scared to death and we lived in fear. He had already been shot twice. So, after all that and everything they knew they deemed he was ready to come home but hadn’t set anything up for him, so there was no support for us, there was no support for him. So, he came home in November and immediately went missing again for 3 weeks—someone picked him up in the middle of the night. I have no idea where he is. What can we do—nothing—they think we can manage all this. [P11]
He was made a ‘Child in Need’, he has an NRM so that’s how we started off with a Child in Need plan, so we would go to meetings every 6 weeks and the same rubbish would be discussed at these meetings, nothing would ever get done and at this one particular meeting he had gone missing and they didn’t even know about it. [P10]
By this point, social services were involved, the police were involved and they said, we think he’s being groomed…then it’s just gone on from there, really. But then when I spoke to the school about this and the police concerns, they just kicked him out, there and then—threw him to the lions—nothing I could do. That was the end. I should have fought harder. I was just floored by it. It is killing me. They wait outside out house and just stare at us. [P2]
I knew he was visiting Scunthorpe, Grimsby, Hull, Hornsea, Driffield. I had evidence. I used to go into all these bloody meetings with the police and social services and they all sit there and go, I don’t know what to do, we don’t know what to do. And I’m like, please help us, just do something, you’ve got to get him out of this. Please help me. Nothing. [P18]
So, he was detained and arrested as a missing, and for being in this cuckooed property for the eighth time in a month. The last time was last weekend and he was arrested in Blackpool, they found him in a B&B and at that point he had drugs on him, but he tried to flush them down the toilet. He says nothing, just saying no comment all the time. They just bring him home, and dump him with us. [P12]
We had two risk management meetings set up. So, the first one we went to, nobody turned up, there was just me and his dad. We had another one in December, yet again nobody turned up, there was just me. He has started to go missing again. [P10]
Destructive Lifestyle Choices
I would say a complete and utter hyper transformation. I’m talking about you do not recognize your own son, because there’s stuff that’s coming out of his mouth, the way he’s dressing and his morals and his principles are completely out the window. Nothing. It’s just so alien, nothing you can do, his choice and he is 17 now. And, there’s like a hatred for the family, who become the enemy, and anyone who is not part of his sordid life—we are a decent hardworking family. [P3]
His mobile goes off all day and all night. He doesn’t sleep, he doesn’t rest. They are outside, circling like wild dogs. He is scared of no-one. I know he supplies drugs. He has money everywhere. He has no education—he was excluded in year 7 and never returned. He has no prospects, he can only carry on with his lifestyle—he likes it he thrives on it. The risk, the excitement. The glory. I have no choice. I have paid drugs debts twice now—I can’t do it anymore. We have other children. [P8]
He’s always liked nice things to be fair, he’s always wanted the best phone or the best trainers and while you do your best as a parent, they can’t have everything. Now he has everything and he keeps telling me I am not a victim mum, I am earning a living, doing what I want. [P17]
He tried to kill me with a kitchen knife because I told him some home truths. He is in prison now and so I guess he is safer. I love him, he’s my son. I keep going to visit him but he does not often see me, but I have got to remain hopeful for the future otherwise, what is there… but no-one else cares one jot. We are left to rot. [P5]
We’re coming up to 12 months since he went to secure, yeah. It took a lot to get him there, a lot of fighting because obviously the resources, it’s got massive cost implications. They don’t do it lightly, I get that, but to me it was all about keeping him safe, I just wanted him safe. But he isn’t safe because he will go back as soon as he is out. He has done it before and he will do it again but I have to keep trying to get him out although I think he has been brainwashed. [P11]
In my heart, I know he is not a victim anymore. He was once, but only for a short time. Now he is the villain, a groomer and a controller. He has been brainwashed and he is doing the same to others. He always has a knife or a gun in his car, I know this. Sometimes I can’t even get out of bed in the morning because the world is a black place right now. [P6]
When they got the final Care Order, I was completely devastated. I still am. I am a professional and I thought I’d never let my kids be taken away, but we had no choice. We stood in court and had a judge tell us that he was out of our parental control, that’s the hardest thing to hear. I know he is uncontrollable now. It’s so hard. This is a problem for society, too. Not just parents. We need help. This could happen to anyone. A daughter has lost her brother. A son has lost his future. [P15]
‘I just keep going because I have two other boys, my babies, they keep me going, but I would be lying if I didn’t say I have thought about whether it is worth carrying on. I have had some amazing help from my doctor and I am in a better place now—I cannot even begin to explain the bleakness and feeling of utter hopelessness at times. But, I do manage to live with what has happened and some days are just OK. I take a lot of medication. [P1]
Destructive Lifestyle Choices
I would say a complete and utter hyper transformation. I’m talking about you do not recognize your own son, because there’s stuff that’s coming out of his mouth, the way he’s dressing and his morals and his principles are completely out the window. Nothing. It’s just so alien, nothing you can do, his choice and he is 17 now. And, there’s like a hatred for the family, who become the enemy, and anyone who is not part of his sordid life—we are a decent hardworking family. [P3]
His mobile goes off all day and all night. He doesn’t sleep, he doesn’t rest. They are outside, circling like wild dogs. He is scared of no-one. I know he supplies drugs. He has money everywhere. He has no education—he was excluded in year 7 and never returned. He has no prospects, he can only carry on with his lifestyle—he likes it he thrives on it. The risk, the excitement. The glory. I have no choice. I have paid drugs debts twice now—I can’t do it anymore. We have other children. [P8]
He’s always liked nice things to be fair, he’s always wanted the best phone or the best trainers and while you do your best as a parent, they can’t have everything. Now he has everything and he keeps telling me I am not a victim mum, I am earning a living, doing what I want. [P17]
He tried to kill me with a kitchen knife because I told him some home truths. He is in prison now and so I guess he is safer. I love him, he’s my son. I keep going to visit him but he does not often see me, but I have got to remain hopeful for the future otherwise, what is there… but no-one else cares one jot. We are left to rot. [P5]
We’re coming up to 12 months since he went to secure, yeah. It took a lot to get him there, a lot of fighting because obviously the resources, it’s got massive cost implications. They don’t do it lightly, I get that, but to me it was all about keeping him safe, I just wanted him safe. But he isn’t safe because he will go back as soon as he is out. He has done it before and he will do it again but I have to keep trying to get him out although I think he has been brainwashed. [P11]
In my heart, I know he is not a victim anymore. He was once, but only for a short time. Now he is the villain, a groomer and a controller. He has been brainwashed and he is doing the same to others. He always has a knife or a gun in his car, I know this. Sometimes I can’t even get out of bed in the morning because the world is a black place right now. [P6]
When they got the final Care Order, I was completely devastated. I still am. I am a professional and I thought I’d never let my kids be taken away, but we had no choice. We stood in court and had a judge tell us that he was out of our parental control, that’s the hardest thing to hear. I know he is uncontrollable now. It’s so hard. This is a problem for society, too. Not just parents. We need help. This could happen to anyone. A daughter has lost her brother. A son has lost his future. [P15]
‘I just keep going because I have two other boys, my babies, they keep me going, but I would be lying if I didn’t say I have thought about whether it is worth carrying on. I have had some amazing help from my doctor and I am in a better place now—I cannot even begin to explain the bleakness and feeling of utter hopelessness at times. But, I do manage to live with what has happened and some days are just OK. I take a lot of medication. [P1]
Destructive Lifestyle Choices
I would say a complete and utter hyper transformation. I’m talking about you do not recognize your own son, because there’s stuff that’s coming out of his mouth, the way he’s dressing and his morals and his principles are completely out the window. Nothing. It’s just so alien, nothing you can do, his choice and he is 17 now. And, there’s like a hatred for the family, who become the enemy, and anyone who is not part of his sordid life—we are a decent hardworking family. [P3]
His mobile goes off all day and all night. He doesn’t sleep, he doesn’t rest. They are outside, circling like wild dogs. He is scared of no-one. I know he supplies drugs. He has money everywhere. He has no education—he was excluded in year 7 and never returned. He has no prospects, he can only carry on with his lifestyle—he likes it he thrives on it. The risk, the excitement. The glory. I have no choice. I have paid drugs debts twice now—I can’t do it anymore. We have other children. [P8]
He’s always liked nice things to be fair, he’s always wanted the best phone or the best trainers and while you do your best as a parent, they can’t have everything. Now he has everything and he keeps telling me I am not a victim mum, I am earning a living, doing what I want. [P17]
He tried to kill me with a kitchen knife because I told him some home truths. He is in prison now and so I guess he is safer. I love him, he’s my son. I keep going to visit him but he does not often see me, but I have got to remain hopeful for the future otherwise, what is there… but no-one else cares one jot. We are left to rot. [P5]
We’re coming up to 12 months since he went to secure, yeah. It took a lot to get him there, a lot of fighting because obviously the resources, it’s got massive cost implications. They don’t do it lightly, I get that, but to me it was all about keeping him safe, I just wanted him safe. But he isn’t safe because he will go back as soon as he is out. He has done it before and he will do it again but I have to keep trying to get him out although I think he has been brainwashed. [P11]
In my heart, I know he is not a victim anymore. He was once, but only for a short time. Now he is the villain, a groomer and a controller. He has been brainwashed and he is doing the same to others. He always has a knife or a gun in his car, I know this. Sometimes I can’t even get out of bed in the morning because the world is a black place right now. [P6]
When they got the final Care Order, I was completely devastated. I still am. I am a professional and I thought I’d never let my kids be taken away, but we had no choice. We stood in court and had a judge tell us that he was out of our parental control, that’s the hardest thing to hear. I know he is uncontrollable now. It’s so hard. This is a problem for society, too. Not just parents. We need help. This could happen to anyone. A daughter has lost her brother. A son has lost his future. [P15]
‘I just keep going because I have two other boys, my babies, they keep me going, but I would be lying if I didn’t say I have thought about whether it is worth carrying on. I have had some amazing help from my doctor and I am in a better place now—I cannot even begin to explain the bleakness and feeling of utter hopelessness at times. But, I do manage to live with what has happened and some days are just OK. I take a lot of medication. [P1]
Destructive Lifestyle Choices
I would say a complete and utter hyper transformation. I’m talking about you do not recognize your own son, because there’s stuff that’s coming out of his mouth, the way he’s dressing and his morals and his principles are completely out the window. Nothing. It’s just so alien, nothing you can do, his choice and he is 17 now. And, there’s like a hatred for the family, who become the enemy, and anyone who is not part of his sordid life—we are a decent hardworking family. [P3]
His mobile goes off all day and all night. He doesn’t sleep, he doesn’t rest. They are outside, circling like wild dogs. He is scared of no-one. I know he supplies drugs. He has money everywhere. He has no education—he was excluded in year 7 and never returned. He has no prospects, he can only carry on with his lifestyle—he likes it he thrives on it. The risk, the excitement. The glory. I have no choice. I have paid drugs debts twice now—I can’t do it anymore. We have other children. [P8]
He’s always liked nice things to be fair, he’s always wanted the best phone or the best trainers and while you do your best as a parent, they can’t have everything. Now he has everything and he keeps telling me I am not a victim mum, I am earning a living, doing what I want. [P17]
He tried to kill me with a kitchen knife because I told him some home truths. He is in prison now and so I guess he is safer. I love him, he’s my son. I keep going to visit him but he does not often see me, but I have got to remain hopeful for the future otherwise, what is there… but no-one else cares one jot. We are left to rot. [P5]
We’re coming up to 12 months since he went to secure, yeah. It took a lot to get him there, a lot of fighting because obviously the resources, it’s got massive cost implications. They don’t do it lightly, I get that, but to me it was all about keeping him safe, I just wanted him safe. But he isn’t safe because he will go back as soon as he is out. He has done it before and he will do it again but I have to keep trying to get him out although I think he has been brainwashed. [P11]
In my heart, I know he is not a victim anymore. He was once, but only for a short time. Now he is the villain, a groomer and a controller. He has been brainwashed and he is doing the same to others. He always has a knife or a gun in his car, I know this. Sometimes I can’t even get out of bed in the morning because the world is a black place right now. [P6]
When they got the final Care Order, I was completely devastated. I still am. I am a professional and I thought I’d never let my kids be taken away, but we had no choice. We stood in court and had a judge tell us that he was out of our parental control, that’s the hardest thing to hear. I know he is uncontrollable now. It’s so hard. This is a problem for society, too. Not just parents. We need help. This could happen to anyone. A daughter has lost her brother. A son has lost his future. [P15]
‘I just keep going because I have two other boys, my babies, they keep me going, but I would be lying if I didn’t say I have thought about whether it is worth carrying on. I have had some amazing help from my doctor and I am in a better place now—I cannot even begin to explain the bleakness and feeling of utter hopelessness at times. But, I do manage to live with what has happened and some days are just OK. I take a lot of medication. [P1]

Destructive lifestyle choices

Most parents (n = 16) explained they now believed their children appeared to have settled into a lifestyle that ‘suited’ them (see Table 4) and had quickly transitioned from being a victim, in which state they were manipulated and controlled, scared and intimidated, to being a willing ‘player’ because the rewards (money and status) far outweighed potential risks or because they had been ‘brainwashed’. All explained children had been brought up to develop agency and appreciate good behaviour and the value of education. Parents were keen to explain their ‘ordinariness’ with good jobs, decent stable homes and that their children wanted for very little, apparently highlighting that criminal exploitation for CL is a threat to all children.

Many described how it seemed their children had chosen to remain involved in CL and the devastating realization that they were now largely lost to them, and to society more generally. That, despite support and ample opportunity to move away from CL, children may have made a costs/benefits type decision to remain. Over half believed that their sons were now running drugs lines themselves and/or involved in coordinating drugs supply. Five parents reported their sons (aged between 15 and 17) were currently serving prison sentences for attempted murder, serious assault and for possession of firearms and knives, etc. Eight parents explained their children had been in and out of secure out-of-town accommodation over the past year, but had managed to escape and go missing on several occasions.

The psychological and physical impacts on children’s health and wellbeing were variously described as enduring, insidious and brutal. Details of near-death injuries requiring surgery and extensive hospital treatment were common because children had been shot, stabbed or beaten, sometimes at home with parents and siblings present. Children were described as hypervigilant and/or anxious and apparently insensitive or desensitized to the personal and wider impact of their lifestyle.

Parents (n = 14) explained the impact on their own mental health and wellbeing, that they had been treated for depression, anxiety and suicidal feelings, and that this had negatively affected their relationships with others including other children and partners. All variously described having to make terrible choices involving significant financial and personal sacrifices to support their children to try and ‘break away’ from CL, including paying drugs debts, turning a blind eye to illegal behaviours and buying drugs for their child. All but one parent reported sacrifices had thus far been in vain because of a widescale lack of understanding and general support for parents ‘like us’.

Discussion

Main finding of the study

Several main findings emerge. First, all parents who contacted the research team fell outside the prevailing vulnerable narrative (e.g. parents with poor mental health, drug and alcohol dependency, chaotic lives). All were frustrated by the ‘vulnerable’ narrative,1,2,4,5 which they perceived undermines widespread awareness leaving parents unprepared and ill-informed about the true threat of CL. The idea that children from ordinary or ‘good’ families who attend excellent schools in affluent areas of England with professional parents who provide a solid home environment are not at risk was seriously flawed, they believed. This narrative fuelled parent blaming, leaving them feeling isolated and less able to speak out. Second, having quickly reached out for professional help, all parents were extremely frustrated and disappointed by a lack of access to impactful and consistent provision to support their children, to protect them from serious physical and psychological harm and to turn them away from CL activity (e.g. safeguarding, criminal justice system and education). Third, once children were immersed in CL activity, the impact on children’s physical and psychological health and wellbeing appeared catastrophic, with serious and enduring carry over effects on parental mental health and wellbeing. Siblings were mentioned, but most parents were reticent to discuss siblings other than that they were cognizant of always having to protect and shield siblings, psychologically and physically38.

Parents generally recounted their experiences in a business-like, factual manner, seemingly hardened by what they endured, until discussing the victim/offender dichotomy. Verbalising their thoughts and concerns, and suggesting their children were no longer victims in the traditional sense because it appeared as if they had now chosen a lifestyle that would ultimately shorten their lives, often triggered highly emotional and trauma-like responses. In some cases, responses were so intense that the researcher halted interviews.

Finally, parents were adamant the victim window was short lived because of the child’s age. Intensive hyper-grooming and discursive hyper trust building via social media and other remote synchronous and in-person communicative processes desensitized and isolated children from peers and family, very quickly diminishing free will and agency.32,39 All parents believed the psychological damage caused was unassailable. In part, these findings concur with the literature on adult victims of human trafficking and child sexual exploitation, albeit the impact of trust-building, desensitization and coercive control appeared more immediate here.38–40

Generally, these data reveal a pattern of physical and psychological behavioural changes in children, offering potential for developing parent focused and parent-led education and information resources centred on patterns of behavioural cues that might otherwise be missed. All parents now recognized these behaviours were neither usual nor normal with 80% describing behaviour changes emerging while children were at junior school or having just moved to senior school, pre teenage and pre-adolescence. Accounts of the inadequacy of interventions, lack of safeguarding responses and poor societal understanding were also consistent, yet parents were unknown to each other and resided in very different areas of England.

One way of understanding these findings is with reference to the candidacy model, which identifies factors influencing behaviour of individuals, professionals and systems at points on the access route to healthcare services.40,41 Parental accounts are peppered with micro and macro complexities associated with identification, navigation and professional adjudication, albeit here associated with access to wider support service provision. Nonetheless, identification of candidacy for themselves and/or children did not appear to occur until children’s behaviour (physical and psychological) reached a point of crises (escalation and entrenchment). Even then, parents often waited before seeking help because of a lack of wider awareness. They tried to manage the situation themselves, struggling in the early stages to identify and recognize need, then feeling isolated by the prevalent parent blaming and vulnerability narrative. Parents were all able to communicate and articulate need, but report feeling morally and socially judged and often excluded from professional adjudication processes.

Navigating access to support became more and more effortful as children’s continued involvement in CL negatively impacted parental health and wellbeing. Parents reported that many of the services they approached felt impermeable at the time, having to fight hard for support and interventions because their children were not always categorized as victims and so were turned away by some professionals.

What is already known on this topic

We understand no empirical research has been conducted with parents of children involved in CL; however, the prevailing narrative is that most children are highly vulnerable because of their adverse life experiences and current circumstances. Furthermore, that children are subjected to extreme violence and intimidation to ensure compliance and that many children become line holders, seemingly transitioning from victim to offender.

What this study adds

Empirical understanding is vital for effective multi-agency policy and interventions. This research provides novel understanding through a parental lens, offering new insight into the ‘types’ of children and families drawn into CL and the devastating health and wellbeing impacts on children and families. Parental voices have yet to fully emerge, but findings indicate a need to (a) target the mental health and wellbeing and resilience of parents and carers, (b) raise awareness of the threat of CL to children from all socio-economic groups in all areas of the country, and (c) give parents a voice as a potential first line of defence, possibly involving them in national, regional and local approaches. Improved education in recognising potential signs early may disrupt initiation and grooming processes before escalation and entrenchment. A systematic public health approach, including multiagency responses and data sharing, as has been suggested to address Human Trafficking42,43 may be appropriate. Further developing Health Education initiatives (https://www.makingeverycontactcount.co.uk/) and adopting a 3 P’s approach: Prepare parents, Prevent escalation and entrenchment, and Protect children and families may be appropriate. There is opportunity to learn from claimed mistakes of the Contest strategy,44,45 for example, by avoiding assuming CL only affects specific ‘vulnerable’ groups, and being victim-focused in its widest sense by involving parents as well as agencies in creation and delivery.

Limitations

This sample comprised 24 mothers, but recruitment ceased within 72 h as potential participants exceeded our research capability. We do not know how representative our sample is, so future research should expand the sample including engaging with male parents and carers. Retrospective accounts were provided, which did not necessarily preclude perceptions. Accordingly, accounts be biased or subject to memory failures/interference. The psychological impact of experiences may also have affected memory for events, although unlikely given the consistency and coherence of accounts across the participant cohort.

Data availability

The data underlying this article cannot be shared publicly since it comprises audio in-depth interviews with vulnerable participants about children all of whom are currently engaged in criminal activity or serving prison sentences. Parts of anonymized transcriptions may be shared on reasonable request to the corresponding author, but only with additional permission from participants.

Coral J. Dando, Professor

Thomas C. Ormerod, Professor

Sally Atkinson-Sheppard, Dr

References

2.

Windle
 
J
,
Moyle
 
L
,
Coomber
 
R
.
‘Vulnerable’ kids going country: children and young People’s involvement in county lines drug dealing
.
Youth Justice
 
2020
;
20
:
64
78
.

4.

National Crime Agency
.
County Lines Drug Supply, vulnerability and harm
.
NCA
 
2018
. https://www.nationalcrimeagency.gov.uk/who-we-are/publications/257-county-lines-drug-supply-vulnerability-and-harm-2018/file August 2020, date last accessed.

5.

Public Health England
.
County Lines exploitation: applying all our health
.
PHE
 
2021
. https://www.gov.uk/government/publications/county-lines-exploitation-applying-all-our-health/county-lines-exploitation-applying-all-our-health January 2022, date last accessed.

6.

Coliandris
 
G
.
County lines and wicked problems: exploring the need for improved policing approaches to vulnerability and early intervention
.
Australasian Policing
 
2015
;
7
:25–9.

7.

Coomber
 
R
,
Moyle
 
L
.
The changing shape of street-level heroin and crack supply in England: commuting, holidaying and cuckooing drug dealers across ‘county lines’
.
Br J Criminol
 
2018
;
58
:
1323
42
.

8.

Spicer
 
J
.
‘That’s their brand, their business’: how police officers are interpreting County Lines
.
Policing Soc
 
2019
;
29
:
873
86
.

9.

Spicer
 
J
.
Between gang talk and prohibition: the transfer of blame for County Lines
.
Int J Drug Policy
 
2021
;
87
:
102667
.

10.

Children’s Society
(
2018
).
What is County Lines
. https://www.childrenssociety.org.uk/what-we-do/our-work/child-criminal-exploitation-and-county-lines/what-is-county-lines January 2020, date last accessed.

11.
12.

Coomber
 
R
,
Moyle
 
L
.
The changing shape of street-level heroin and crack supply in England: commuting, holidaying and cuckooing drug dealers across ‘county lines’
.
Br J Criminol
 
2018
;
58
:
1323
42
.

13.

McLean
 
R
,
Robinson
 
G
,
Densley
 
JA
. County Lines in context. In:
County Lines
.
Cham
:
Springer
,
2020
,
27
36
.

14.

Stone
 
N
.
Child criminal exploitation: ‘County Lines’, trafficking and cuckooing
.
Youth Justice
 
2018
;
18
:
285
93
.

15.

Densley
 
J
.
How Gangs Work
, Vol.
10
.
New York, NY
:
Palgrave Macmillan
,
2013
,
9781137271518
.

16.

Davenport
 
J
.
Children as young as 12 running drugs from London to Home Counties in major new grooming scandal
.
2017
; https://www.standard.co.uk/news/crime/children-as-young-as-12-running-drugs-from-london-in-new-county-lines-grooming-scandal-a3444111.html December 2020, date last accessed.

17.

Windle
 
J
,
Moyle
 
L
,
Coomber
 
R
.
‘Vulnerable’ kids going country: children and young people’s involvement in county lines drug dealing
.
Youth Justice
 
2020
;
20
:
64
78
.

18.

Baidawi
 
S
,
Sheehan
 
R
,
Flynn
 
C
.
Criminal exploitation of child protection- involved youth
.
Child Youth Serv Rev
 
2020
;
118
:
105396
.

19.

Olver
 
K
,
Cockbain
 
E
.
Professionals' views on responding to county lines-related criminal exploitation in the West Midlands, UK
.
Child Abuse Review
 
2021
;
30
:
347
, 362.

20.

Baldwin
 
SB
,
Fehrenbacher
 
AE
,
Eisenman
 
DP
.
Psychological coercion in human trafficking: an application of Biderman’s framework
.
Qual Health Res
 
2015
;
25
:
1171
81
.

21.

Hodge
 
DR
.
Assisting victims of human trafficking: strategies to facilitate identification, exit from trafficking, and the restoration of wellness
.
Soc Work
 
2014
;
59
:
111
8
.

22.

Iglesias-Rios
 
L
,
Harlow
 
SD
,
Burgard
 
SA
 et al.  
Mental health, violence and psychological coercion among female and male trafficking survivors in the greater Mekong sub-region: a cross-sectional study
.
BMC Psychol
 
2018
;
6
:
1
15
.

23.

Contreras
 
PM
,
Kallivayalil
 
D
,
Herman
 
JL
.
Psychotherapy in the aftermath of human trafficking: working through the consequences of psychological coercion
.
Women Ther
 
2017
;
40
:
31
54
.

24.

Dando
 
CJ
,
Brierley
 
R
,
Saunders
 
K
,
Mackenzie
 
JM
.
Health inequalities and health equity challenges for victims of modern slavery
.
J Public Health
 
2019
;
41
:
681
8
.

25.

Hopper
 
E
,
Hidalgo
 
J
.
Invisible chains: psychological coercion of human trafficking victims
.
Intercult Hum Rights Law Rev
 
2006
;
1
:
185
.

26.

Harding
 
S
.
County Lines: Exploitation and Drug Dealing Amongst Urban Street Gangs
.
Policy Press
, Bristol,
2020
.

27.

Baldwin
 
SB
,
Fehrenbacher
 
AE
,
Eisenman
 
DP
.
Psychological coercion in human trafficking: an application of Biderman’s framework
.
Qual Health Res
 
2015
;
25
:
1171
81
.

28.

Bennett
 
N
,
O’Donohue
 
W
.
The construct of grooming in child sexual abuse: conceptual and measurement issues
.
J Child Sex Abus
 
2014
;
23
:
957
76
.

29.

Craven
 
S
,
Brown
 
S
,
Gilchrist
 
E
.
Sexual grooming of children: review of literature and theoretical considerations
.
J Sex Aggress
 
2006
;
12
:
287
99
.

30.

McAlinden
 
AM
.
`Grooming' and the Sexual Abuse of Children: Institutional, Internet and Familial Dimensions
.
Oxford University Press
, Oxford,
2012
.

31.

Ost
 
S
.
Child Pornography and sexual Grooming: Legal and Societal Responses
.
Cambridge University Press
, Cambridge,
2009
.

32.

Lorenzo-Dus
 
N
,
Kinzel
 
A
,
Di Cristofaro
 
M
.
The communicative modus operandi of online child sexual groomers: recurring patterns in their language use
.
J Pragmat
 
2020
;
155
:
15
27
.

33.

Robinson
 
G
,
McLean
 
R
,
Densley
 
J
.
Working county lines: child criminal exploitation and illicit drug dealing in Glasgow and Merseyside
.
Int J Offender Ther Comp Criminol
 
2019
;
63
:
694
711
.

34.

O'Hagan
 
A
,
Edmundson
 
CJ
.
County lines: the exploitation of vulnerable members of society
.
Forensic Res Criminol Int J
 
2021
;
9
:
47
57
.

35.

Sturrock
 
R
,
Holmes
 
L
.
Running the risks
.
2015
; https://www.oscb.org.uk/wp-content/uploads/2019/04/Catch22-Running-The-Risks.pdf March 2020, date last accessed.

36.

Windle
 
J
,
Briggs
 
D
.
Going solo: the social organisation of drug dealing within a London street gang
.
J Youth Stud
 
2015
;
18
:
1170
85
.

37.

Braun
 
V
,
Clarke
 
V
.
Using thematic analysis in psychology
.
Qual Res Psychol
 
2006
;
3
:
77
101
.

38.

Contreras
 
PM
,
Kallivayalil
 
D
,
Herman
 
JL
.
Psychotherapy in the aftermath of human trafficking: working through the consequences of psychological coercion
.
Women Ther
 
2017
;
40
:
31
54
.

39.

Razi
 
A
,
Kim
 
S
,
Alsoubai
 
A
 et al.  
A human-centered systematic literature review of the computational approaches for online sexual risk detection
.
Proc ACM Hum Comput Interact
 
2021
;
5
:
1
38
.

40.

Mackenzie
 
M
,
Conway
 
E
,
Hastings
 
A
 et al.  
Is ‘candidacy’ a useful concept for understanding journeys through public services? A critical interpretive literature synthesis
.
Soc Policy Adm
 
2013
;
47
:
806
25
.

41.

Dixon-Woods
 
M
,
Cavers
 
D
,
Agarwal
 
S
 et al.  
Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups
.
BMC Med Res Methodol
 
2006
;
6
:
35
.

42.

McCoig
 
A
,
Campos-Matos
 
I
,
Such
 
L
.
Exploring a public health approach to modern slavery: potential, problems and translating principles into practice
.
J Pov Soc Just
 
2022
;
30
:1–10.

44.

HM Government
(
2018
). Contest.
The United Kingdom’s strategy for countering terrorism
. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/716907/140618_CCS207_CCS0218929798-1_CONTEST_3.0_WEB.pdf March 2022, date last accessed.

45.

Judge AM, Murphy JA, Hidalgo J, Macias-Konstantopoulos W.

Engaging survivors of human trafficking: complex health care needs and scarce resources
.
Ann Intern Med
 
2018
;
168
:658–63.

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