In the UK, an increasing number of children are living in families dealing with multiple adverse issues, in relation to parental substance misuse, domestic abuse and poor mental health affecting parenting. Often coined: toxic trio indicators, we prefer the term 'co-occurrence' factors, for which traditional single interventions do not work or are often not enough to bring about the change needed to keep children safe. Necessary interventions are frequently delayed due to the onset of court proceedings, lack of funding or awaiting assessments of the family, affecting the child's stability.