That the Parliament welcomes the publication of the Best Services Trial (BeST?) findings in Nature Medicine on 1 May 2025, which was a randomised control trial led by Professor Helen Minnis at the University of Glasgow and run in partnership with the National Society for the Prevention of Cruelty to Children (NSPCC) that looked at improving the mental health of children up to five years old in foster and kinship care; understands that this study, funded by the National Institute for Health and Care Research (NIHR), the largest of its kind, compared the impact of an infant mental health service delivered by a multidisciplinary team, known as the New Orleans Intervention Model, with that of the social work care and support families usually receive; further understands that, although the study found limited impact of the intervention itself, it revealed several aspects of the Scottish care system that could be impacting babies and young children’s mental health; understands that the study found that the rate of children getting into a permanent placement in England, where a judge oversees the process, was nearly four and a half times faster compared to Scotland, and that the long timescales in Scotland also impacted costs; supports the researcher’s calls for authoritative and consistent oversight of a child’s journey through Scotland’s care system, encouraging strict adherence to court-mandated timescales, balancing time for the birth family to access relationship-focused, therapeutic support with making timely decisions about the young child’s future; calls for infant-parent relationship teams to become an integral part of social and legal systems, and believes that the current review of the Children’s Hearing System and the forthcoming Promise Bill present incomparable opportunities to embed BeST? learning to transform the social care and legal system to uphold the distinct needs and rights of babies in, and around, the care system in Scotland.
Supported by:
Jeremy Balfour, Miles Briggs, Foysol Choudhury, Dr Sandesh Gulhane (Registered interest)
, Craig Hoy, Paul Sweeney, Mercedes Villalba, Brian Whittle