Families can work time to end the blame game
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Families can work – Time to end the blame game PowerPoint PPT Presentation


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Families can work – Time to end the blame game. Deborah Cameron, Chief Executive add action. Drugs, alcohol & families. 360,000 adult problem drug users in UK < 3 m adults with alcohol dependency 8 m adults with alcohol use disorder 1.5 m children in substance misusing homes

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Families can work – Time to end the blame game

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Families can work time to end the blame game

Families can work – Time to end the blame game

Deborah Cameron, Chief Executive

addaction


Drugs alcohol families

Drugs, alcohol & families

  • 360,000 adult problem drug users in UK

  • < 3 m adults with alcohol dependency

  • 8 m adults with alcohol use disorder

  • 1.5 m children in substance misusing homes

  • > 1 m children whose parents abuse alcohol

  • At least 350,000 where there is drug taking


Consequences for children

Consequences for children

  • Loss of respect

  • Worry about parents

  • Disrupted education

  • Angry, disaffected & potentially emotionally stunted

  • Risk of physical neglect – accidents

  • Risk of abuse

  • 7 times more likely to use drugs as adults


Addaction s vulnerable children

Addaction’s vulnerable children

  • 27,000 service users

  • 26% acknowledge dependent children =

  • 10,000 children living with Class A drug users

  • Some services – 50%-66% =

  • Up to 30,000 children affected

  • About 3,000 service users under 18

THE

EVIDENCE


Families can work time to end the blame game

We are potentially working with more children than adults


The family issues

The family issues:

  • Families often ignored

  • BUT relatives may be harmed

  • Often provide support

  • OR they may be part of the problem

    And they are blamed


Addaction s work to support families

Addaction’s work to support families

  • Maya Project, South London

  • Mother & baby service, Glasgow

  • Addaction Hackney – access to child care & a safe environment

  • Working with the whole family - Breaking the Cycle and Youngaddaction plus pilot programmes

  • Pilots independently evaluated by MHRDU at University of Bath

  • Addaction Derby Open College Network (OCN) qualifications


The challenge

The challenge

  • Treatment model based on individual pathology, not social system

  • No resources invested in measuring impact

  • Adults reluctant to share information about family

  • Fear that children will be removed

  • Professionals expect chaotic families to meet unrealistic targets


Introducing alpana

Introducing Alpana

  • Alpana Ali lives in London’s Bengali community.

  • She began using heroin and crack cocaine 5 years ago when her marriage ran into problems.

  • Her daughter, Amita, 11 years old, was placed in local authority care.

  • Her husband Darshan does not understand drug use or how it could be treated. His English was poor.


Alpana what we did

Alpana: What we did

  • Supported Alpana to engage with local community treatment service, where she received a script for methadone.

  • There was pressure from Alpana’s husband and family to give up her methadone treatment:

    In partnership with Bengali speaking co-worker, we supported father and maternal grandparents to:

    Increase awareness about drugs and treatment

    Re-build trusting relationships

    Talk to children about drugs

    Help mother to complete treatment


Alpana and the result

Alpana: And the result

  • Alpana has been drug-free for 3 months

  • We worked with social services to review family progress and look at alternatives to adoption for Alpana’s daughter. Children’s Services plan to return Amita permanently to family

  • She will be soon be returned to her grandparents care and into her father’s custody.

  • Alpana and her husband are expecting their second child - we have drawn up a child protection plan for the unborn child.


What have we learned so far

What have we learned so far?

  • Training & support for front line staff is fundamental

  • Complex problems need tailor-made multi-agency solutions

  • If risk assessment allows ….

  • Give families a real chance ….

  • People can make extraordinary changes

  • Essential to share thoughts, concerns & ideas between agencies


To conclude

To conclude:

  • Substance misusing parents are usually keen to give their children a better life

  • If professionals recognise this, it can make all the difference

  • Really practical help is crucial – many services are not family friendly

  • Honesty is essential


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