Interview

Change

Community

Politics

9 October 2023

6 min read

The thin place family-making creates

Fixing a broken adoption system leads to a 'thin place' – one where family-making transcend traumas. Belle Tindall meets Tarn Bright of Home For Good.

Belle Tindall

Belle is the staff writer at Seen & Unseen.

Three young children run away into the distance down across a field of long grass.

Towards a thin place.

Photo by Jordan Whitt on Unsplash.

‘The thin place’ is one of those wonderfully old terms; fifth century old, to be exact. It’s what Celtic Christians labelled the precise places where it felt as though this world and another would meet. Those places were thin because the atmosphere they provided made it appear as though there was very little separation between humanity and the divine. The seen and the unseen, residing in particularly close proximity.

Being Welsh, I have a soft spot for anything remotely ‘celtish’. Being a lover of anything enchanting, I swoon at such a beautiful notion. Being a Christian, I happen to believe that thin places are real.

Here’s the interesting thing though, when the Celts used this phrase, it was pertaining to a geographical area – a Welsh waterfall, an Irish woodland, a Scottish Loch (sorry England, I’m sure your Anglo-Saxons were just as appreciative of you). But when Tarn Bright, the CEO of Home for Good, used this phrase just last week, it was when talking about the UK’s care system.

Quite the unexpected twist, isn’t it?

But you need to spend approximately three minutes in Tarn’s presence to agree with her. In fact, whenever I find myself chatting to anyone from Home for Good, an organisation that is intent on ‘finding a home for every child that needs one’, I find myself in a very thin place indeed.

As a way of explaining myself (and Tarn), allow me to briefly turn my attention to just one of the things that make Christianity ever so slightly odd: the Christian God is a family. I know, I know - it’s intricate, it’s complicated, it’s paradoxical, but it’s absolutely core to the way Christians perceive… well…. everything.

Father, Son, Holy Spirit – the Holy Trinity. All distinct, all one, all God. If I were NT Wright or Jane Williams, perhaps I would feel confident enough to explain this thoroughly. But I’m not, so I won’t. Instead, I’m hoping that you’ll take my word for it, follow my (or rather, Tarn’s) line of argument, and seek out the details later.

Deal? Deal.

So, here we all are acknowledging that Christianity has a family as God, that there has been relationship from the very beginning of time. And so, it follows that Christianity also hinges on a family-making-God, one who ‘sets the lonely in families’, to borrow a phrase. Hence, the thin place. Tarn’s profound thinking is that when we, as humans, put families together, there’s very little separation between us and the God who has always been determined to do the very same thing. If those families are formed biologically – wonderful. If a family is put together through a combination of circumstance and choice – that is just as legitimate and just as thin.

I struggle to think of a more beautiful thought.

Blasting through such trauma, is the immense joy of Home for Good finding and supporting a young couple who adopted all five children.

While I could expend thousands of words waxing-lyrical about such things, I’d be remiss to not tell you anything of Home for Good aside from its somewhat sacred (in my over-emotional opinion) nature. Let’s take it from the beginning.

Home for Good was thought up nearly ten years ago, at a garden party hosted in a vicarage; one flowing with Pimms and finger sandwiches. While the setting may be charmingly quaint, the content of the meeting was of the utmost seriousness. Desperate shortage of foster carers and adoptive parents in the UK was making headline news, and several Christian leaders, many of whom were foster carers or adoptive parents themselves, committed to work together to raise the profile of fostering and adoption within the UK Church.

And so, Home for Good was born.

You see, a child will enter the UK care system every fifteen minutes, there are more children in the care system right now than ever before. Each and every one of those children has intrinsic worth and value, all of them have experienced loss and trauma, many have suffered abuse or neglect. The reality is that there just aren’t enough carers to ensure that these children have somewhere stable to call home. It’s one of those vast and painful realities we find hard to digest. And yet, Home for Good not only acknowledges the tragedy, it tackles it head-on.

Active in all four UK nations, Home for Good is working to find a home for every single child: through fostering, adopting and supported lodgings.

You may be asking yourself where on earth they’re finding these homes.

Well, they’re finding them in the fifty thousand churches across the UK. Not ‘churches’ as in the grand (or perhaps not so grand) building next to your favourite coffee shop, but ‘Church’ as in the tens of millions of people who flow in and out of those buildings. We’re talking the people, not the places. Home for Good practically equip, support and train those who want to invite children into their families, while also mobilising churches to be welcoming and understanding places for these families to be. Because, if we are thinking of family as in ‘nuclear family’; that all important two adults to two-point-five children ratio, we are thinking too rigidly. And, contrary to popular belief, we are not thinking along very Christian lines either.

It struck me, while speaking with Tarn, that the work that Home for Good do is also thin in another way: the space between profound pain and immense joy is, and perhaps always will be, very thin indeed. For example, Tarn told me a story of five siblings who were in very real risk of losing each other. There seemed to be very little hope of finding a stable home for all five of them, as there simply aren’t enough carers who are able to take on siblings. And once separated, even if only intended to be a temporary measure, the chances of those siblings living together again are practically non-existent. It’s hard to fathom looking straight into such huge pain on such little faces. That’s the type of pain that, if we’re honest, we’d like to pretend doesn’t exist. But it does. And it’s in closer proximity than we allow ourselves to realise. But then, blasting through such trauma, is the immense joy of Home for Good finding and supporting a young couple who adopted all five children. This isn’t a story of rescue, Tarn will stand for no such thing, rather it is a story of family-making. The type that Tarn, with her own beloved adopted sons, knows well.

Unconditional love, deep belonging and unwavering devotion had been ‘professionalised out of the system’.

As well as working on a local level, Home for Good have built up an immense influence on a national level. Since Tarn’s been the CEO, she has worked with (all seven) Children’s Ministers in Westminster. As she subsequently observes, the system is not of conscious design. Rather, it consists of a conglomeration of reactive policy ‘add-ons’. Although there are people devotedly working within the system who are intent on doing the best for children, it is deeply and undeniably stretched. What’s more, inputting into the ‘once in a lifetime’ independent review, Tarn and her team were able to explain how unconditional love, deep belonging and unwavering devotion had been ‘professionalised out of the system’. Somewhere along the line, we have stopped asking ‘what the child’s heart needs’. And yet, Tarn notes that how we treat our children now will directly affect how our world works in a generation’s time.

If this is not a justice issue of the most profound kind, it’s hard to imagine what is.

And so, there we have it. Home for Good, the thinnest place imaginable. The place where every child is fought for. The place where family is re-imagined. The place where I abandon every ounce of professionalism, as I put all my energy into holding back embarrassing tears. The place that is, thankfully, quite used to such reactions.

Article

Ageing

Care

Change

Death & life

20 September 2024

6 min read

A Tolkien poem helps a nurse understand the ravages of dementia

'Not all who wander are lost.'

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

An elderly woman wearing headphone looks up and to the side with a big smile.

Playlist for Life

Not all who wander are lost.

Often written on a care home wall, on an inspirational poster, these words are usually set against a forest background, or compass, for added effect. They have also been used as the title of a conference paper discussing so-called smart trackers for people with dementia, whilst, Not all who wander need be lost is the title of a concise guide to navigating the heartbreaking challenges when a loved one is diagnosed with Alzheimer’s disease or other dementia.

As a care home nurse for more than ten years, I have seen residents wander - not lost but “walking with purpose”, as it is sometimes known in the caring community. “Nobody gets up and walks without a reason,” says Suzanne Mumford, Care UK's Head of Nursing, Care and Dementia; perhaps they are easing pain, or boredom, or looking for something that they can’t describe. I remember residents exploring, enquiring into self-made mysteries solvable only by themselves, examining everything from door handles to another resident’s buttons, even escaping with surprising speed. Walking with them, often in silence, can bring a sense of relief, comfort and companionship.

What I didn’t know was that this is a quotation from a poem by JRR Tolkien, published in The Fellowship of the Ring seventy years ago. The actual line is - “Not all those who wander are lost”.

All that is gold does not glitter,
Not all those who wander are lost;
The old that is strong does not wither,
Deep roots are not reached by the frost.

From the ashes a fire shall be woken,
A light from the shadows shall spring;
Renewed shall be blade that was broken,
The crownless again shall be king.”

We first hear this poem in Chapter Ten of Book One, as Frodo reads it in the postscript of a letter from Gandalf. As I read it, the imagery of being lost, withered, frost-bitten, in darkness, burned and broken, speaks something, in poetic picture language, of the ravages of dementia, the harrowing losses, the valley of tears. It brings to mind residents unaware of familiar objects or surroundings, looking straight through loved ones without a flicker of recognition, losing also language, continence, mobility and the ability to swallow.

The TV presenter Fiona Philips recalled an agonising decline in her mother as she succumbed to Alzheimer’s, describing how, in the final stages, her mother “spent whole chunks of time just sitting and staring ahead, only able to give out a series of sounds”. Fiona herself now lives with dementia. “'It’s devastated my family and it’s the biggest health and social care challenge we face as a country,” she says.

I once interviewed retired doctor Jennifer Bute, who lives with dementia. She talked of time travel (perceiving herself as living in a time from her past); disorientation to place and person; frightening hallucinations when old memories are seemingly ‘unlocked’; and ‘emotional unzipping’ when agitation and anxiety increase, often in the late afternoon or evening in something poorly understood as a symptom, known as ‘sundowning’.

Yet there is something more to this poem – each of the pains has a promise – not all who wander are lost; the old that is strong does not wither; and, most poignantly, deep roots are not touched by the frost. In dementia, it is true that deep roots are untouched, that an enduring aspect of a person’s identity never truly withers, though it may be mostly unseen. Something remains. Oliver Sacks the famous neurologist emphasised that, even in the late stages of Alzheimer’s, the person is still ‘alive inside’ (the inspiring documentary with this title is recommended). In stunning real-life stories, he has shown how music appears to ‘call back the self’, awakening moods, memories and thoughts that had seemingly been lost. He refers to music’s extraordinary ‘neural robustness’ and describes one man, unable to tie his tie or find his way to the stage, yet able to perform a perfect piano solo. In one life-affirming, must-watch, tear-jerking video, gospel music was shown to enliven, calm, focus and engage a man simply known as Henry.

Watch Henry

Singing can “provide islands of arousal and awareness like nothing else can”, according to Alicia Clair, Professor of Music Therapy. I’ve seen singing bring the person into the present for a passing moment, illuminating a face that seemed far away. One otherwise-silent lady completed the chorus of ‘Daisy, Daisy’ before descending into dementia again. Others have laughed, clapped, danced, embraced and even shed a silent tear during music therapy sessions, when music elicits memory. Doll therapy meanwhile has sometimes restored and revealed a sense of nurture, purpose, care and pride, with residents feeding their new friend before accepting their own food, folding its clothes and taking care of it cradled in their arms. Though it divides opinion, a doll can preserve dignity if it de-escalates agitation or engagement in physical or verbal abuse; a sense of dignity also comes from the person being able momentarily to give care rather than receive it.

“From the ashes a fire shall be woken, A light from the shadows shall spring; Renewed shall be blade that was broken,” continues Tolkien's poem, and, though not the original intention, these powerful images of renewal and restoration paint a picture of something known as “paradoxical lucidity”, or unexpected cognitive lucidity and communication in some patients with severe dementia, especially around the time of death (though sometimes long before).

Anecdotes are recorded of “unexpected, spontaneous, meaningful, and relevant communication or connectedness in a patient who is assumed to have permanently lost the capacity for coherent verbal or behavioral interaction due to a progressive and pathophysiologic dementing process”. Some scientists are seeing them as a paradigm shift in the understanding and perhaps even treatment of dementia. I will never forget when a woman in the late stages of dementia, with little spoken language, was brought back to the nursing home weeks after hospital admission; she had been perilously ill. With bright eyes, she took my arm and, as if the mist had cleared for a moment, spoke warmest words of thanks to me for helping her on the day she collapsed. In another fleeting and irreproducible moment, a lady wished me happy birthday, before continuing her silent walk around the home. Witnessing such an event is ethically and emotionally transformative.

The concept of remaining ‘alive inside’ even when abilities, language and memory are eroded by dementia is taken to the next level in Christianity, which teaches that life continues even after death itself. The Bible speaks of new life beyond the grave; the fire shall be woken, a light shall spring. And there will be a crown (and the gold will glitter). The Crown of Life is referred to, being bestowed upon "those who persevere under trials." Dementia is one of life’s severest trials; a cross to bear. In the 1912 hymn “The Old Rugged Cross”, another cross is spoken of, being the cross of Christ at his crucifixion. Clinging to that cross, living out a Christian life, the hymnwriter wrote of “exchanging the cross for a crown” at life’s end. After ashes, hope awaits the Christian.

Playlist for Life is a charity encouraging people to create playlists for people living with dementia.

Playlist for Life