Working with Families where there is Parental Substance Misuse - - PowerPoint PPT Presentation
Working with Families where there is Parental Substance Misuse Families First Is a multi agency team, set up in 1999 to work with the children of families who are negatively affected by their parents / carers substance misuse Is a
Is a multi agency team, set up in 1999 to
work with the children of families who are negatively affected by their parents / carers substance misuse
Is a partnership between RCT Children’s
Services, Treatment Education and Drugs Services (TEDS) and Cwm Taff NHS Trust
Assess the impact of Parental drug and alcohol use on children and the unborn
By exploring and evaluating drug and alcohol misuse to gain an understanding of its effects on family life. By Considering the effects substances can have on a persons parenting capacity.
Rituals Roles Routines Com m unication Social Life Finances Relationships and I nteractions
avoid family breakdown and build positive relationships to improve attachment between the parent/ carer and the child
change
may be able to help them further
Cycle of Change Parenting experiences Resilience and vulnerability matrix Family focused intervention Relapse prevention Impact of substance misuse on parenting Build on positive families experiences
Education on the effects of substance
misuse on the pregnancy and their unborn baby
Prepare women for the birth in relation to
Neonatal Abstinence Spectrum Disorder including treatment in hospital and care
Support in the home following the birth of
the baby
Support families to sustain positive
change
Referrals accepted as soon as pregnancy
disclosed
Assessment/ pattern of use Affects of drugs on the unborn/ pregnancy Neonatal Abstinence Scoring Patterns of neonatal withdrawal Admission to SCBU and treatment Care of baby with withdrawal
Support and advice in caring for baby Relapse prevention Practical help/ assist with hospital
appointments etc.
Support for parent/ experiences from
childhood
Impact of substance misuse on parenting Vulnerability/ resilience matrix Evaluation/ discharge
Behavioural disturbance, antisocial behaviour (conduct disorders)
Emotional difficulties
Behavioural problems and achievement at school
Social isolation, because they feel that it is too problematic or shameful to bring friends home, or because they are not able to go out with friends as they have responsibilities of caring for other family members (e.g. siblings or the misusing parents)
‘precocious maturity’ They also tend to have a more difficult transition from childhood to adolescence and increased likelihood of being referred to social services because of child protection concerns Velleman & Templeton (2007)
Support them to understand their feelings
and to feel better about themselves
Assist children and Young People to deal
with the effects of having a parent or carer who misuses substances
Help children talk about worries and
concerns
Offer time out activities Signpost the child or young person to
help them further
The child’s relationship with their
The child’s feeling about events in
Important people in the child’s life Protective environment Hobbies and interests
Children and Young People aged 0-17
years, of parents and or carers who misuse drugs or alcohol and who live in RCT
Parents and or carers who misuse drugs
Pregnant women and their partner who
misuse drugs or alcohol
Families First will accept referrals from
any service within RCT as well as self referrals
I don’t have to choose anymore between eating or using
What families have said
I feel I can now make the right choices We found it a great help to talk things through
I am now starting a new life, I am going to be strong and able and I’m going to move forward with my children and live a good life
How can you be a good father when you are that self destructive?
I like the changes I have made to my life
When I was coming
thinking ‘God I chose heroin over my own life and put it before my children’s lives’
The book I made is to help you understand about how I feel about lots of things
7 week programme consisting of 3
Delivered via multi agency approach Various methods of delivery used in
Do the family meetings and follow the rules.
The Programme Has Helped Us To
Keep Doing At Home What I Learn Here. To Communicate Without Shouting
Get Up Early On School Days.
The programme has helped us to think about doing more things together.’
Have Fun
Nadia Rees Strengthening Fam ilies Coordinator 0 1 4 4 3 8 2 3 9 5 0
Fam ilies First Unit 2 Fairw ay Court Treforest I ndustrial Estate Tonteg Road Treforest Rhondda Cynon Taff CF3 7 5 UA Tel : 0 1 4 4 3 8 2 3 9 5 0