A 10-year-old girl I look after – lets call her Sarah – has the “worst” case history I have ever read.  The word “worst” is in inverted commas because there is something slightly uncomfortable about comparing different children’s experiences.  The children I look after have all had, by any measure, terrible early years, and to say one is the worst implies the others are better. But there really is no getting round it – Sarah’s is the worst.

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