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Alcohol Awareness for Parenting Professionals. Possible harm. Being drunk more often Taking day off for hangover Accidents, rows or injuries due to drink Getting in trouble due to drink Doing something you wouldn’t do normally and regretting it Drinking more than you planned.

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Presentation Transcript
possible harm
Possible harm
  • Being drunk more often
  • Taking day off for hangover
  • Accidents, rows or injuries due to drink
  • Getting in trouble due to drink
  • Doing something you wouldn’t do normally and regretting it
  • Drinking more than you planned
probable harm
Obsessive thinking

Gulping first drink

Being first to finish

Needing, not choosing a drink

Spending more than you can afford

Secret drinking

Hiding drink evidence

People telling you they are worried

Probable harm
dependence icd 10
Sense of compulsion

Impaired capacity to control use and amount

Withdrawal states (nausea, shakes etc)

Tolerance

Preoccupation with alcohol

Use despite harm

Dependence ICD 10
7 aspects of family life affected
Roles

Rituals

Routines

Social life

Finances

Communication

Conflict

(Velleman, 1993)

7 aspects of family life affected
parenting impacts on children 1
Emotional unavailability and inconsistency

Unpredictable parental behaviour

Social exclusion

Too much responsibility

Child as ally, protector or carer

“don’t talk, don’t trust, don’t feel”

Parenting impacts on children (1)
parenting impacts on children 2
Witness or experience physical,verbal and sexual abuse

Self blame

Long term effects into adulthood

Foetal Alcohol Syndrome

Parenting impacts on children (2)
protective factors for children
Protective factors for children
  • Resilience
  • High self esteem
  • Self efficacy
  • Problem solving skills
  • At least one good parent relationship
  • Good support network beyond family
slide10

The Cycle of Change (Prochaska and DiClimente)

Pre-contemplation

Contemplation

Action

Maintenance

Relapse

Success

barriers to treatment concrete
Lack of awareness from families

The need to keep the secret

Lack of service provision

Lack of interagency communication

Parental consent lacking

Insufficient resources

Barriers to treatment (concrete)
barriers to treatment conceptual
Use and misuse – a cultural norm

Perception of children not ‘neglected enough’ for intervention

Opening up the problem “floodgates” if alcohol tackled

Individualistic treatment approaches

Barriers to treatment (conceptual)
frames for brief advice
FRAMES for Brief Advice
  • Feedbackabout personal risk or impairment
  • Responsibility for change (rests with the individual)
  • Advice
  • Menu of options and strategies for change
  • Empathy
  • Self-efficacy
types of brief advice
Information re alcohol & other issues (e.g.units and health issues)

Advice giving

Realistic feedback

Unit tally

Empathy & support

Encouragement

Referral

Types of Brief Advice