Please use this identifier to cite or link to this item:
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Governing Parental Drug Use in the UK: What's Hidden in "Hidden Harm?"
Author(s): Whittaker, Anne
Martin, Fiona
Olsen, Anna
Wincup, Emma
Keywords: parental drug use
child welfare
policy analysis
risk governance
social ecology
Issue Date: 13-Jul-2020
Citation: Whittaker A, Martin F, Olsen A & Wincup E (2020) Governing Parental Drug Use in the UK: What's Hidden in "Hidden Harm?". Contemporary Drug Problems.
Abstract: In 2003, the UK Advisory Council on the Misuse of Drugs published Hidden Harm, the product of an inquiry that exposed the ‘problems’ of parental drug use and its neglect by professionals. It outlined an extensive program of reforms designed to protect children from harm. Despite its far-reaching influence, it has rarely been subject to scrutiny, with analyses focusing on its impact instead. Drawing on Bacchi’s post-structuralist ‘What’s the Problem Represented to be’ approach, we examine problematizations within Hidden Harm and their implications for the governance of family life. We illustrate how Hidden Harm produced a simplified version of parenting and child welfare within the context of drug use by largely equating drug use with ‘bad’ parenting and child maltreatment and by ignoring the social determinants of health and the wider social ecology of family life. Using a tried-and-tested driver of policy change, Hidden Harm created a ‘scandal’ about the lack of intervention by professionals that was used to justify and legitimize increased state intervention into the lives of parents who use drugs. Hidden Harm proposed simplistic ‘solutions’ that centred on drug treatment, child protection and the responsibilization of professionals to govern ‘risky’ parents. We argue these rationalities, subjectivities and strategies serve to marginalize and stigmatize families further and hide alternative approaches to understanding, representing and responding to the complex needs of children and families who are disproportionately affected by health and social inequalities. By uncovering what is hidden in Hidden Harm, we aim to stimulate further research and theoretically informed debate about policy and practice related to child welfare, parenting and family life within the context of drug use. We conclude with some ideas about how to reframe public discourse on parents who use drugs and their children, in tandem with collaborative responses to alleviate child poverty and inequalities.
DOI Link: 10.1177/0091450920941267
Rights: Whittaker A, Martin F, Olsen A & Wincup E, Governing Parental Drug Use in the UK: What’s Hidden in 'Hidden Harm'?, Contemporary Drug Problems (Forthcoming). Copyright © 2020 The Authors. Reprinted by permission of SAGE Publications. DOI:
Notes: Output Status: Forthcoming/Available Online
Licence URL(s):

Files in This Item:
File Description SizeFormat 
Whittaker_et_al_2020_ACCEPTED_Contemporary_Drug_Problems.pdfFulltext - Accepted Version855.09 kBAdobe PDFView/Open

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.