The review of the first incident resulted of care that emphasizes choice and client-centred care.” in the Representative determining that The most recent census data shows that the area has one of. [...] In February 2000, when Paige was almost seven, the MCFD office in Kamloops received a report that her mother was using crack cocaine in front of her daughter and that there was no food in the home. [...] The stress of taking on this responsibility can contribute to school difficulties even in bright children, high levels of anxiety and depression, a lack of a sense of self, social isolation, feelings of helplessness and hopelessness and the misuse of substances. [...] Paige was placed Child in the Home of a with her maternal grandmother in a ministry-supported Relative program (CIHR) Child in the Home of a Relative (CIHR) arrangement. [...] According to the report, the mother was cooking crack cocaine over the stove in the presence of her daughter.