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Information For:. Foster/ Adoptive Parents And Other Care Givers. Presented By:. Mike P. McGuire 2 nd Judicial District Department of Correctional Services- Iowa. We Will Cover:. The Impact of Methamphetamine on the Family System.

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information for

Information For:

Foster/ Adoptive Parents

And

Other Care Givers

presented by

Presented By:

Mike P. McGuire

2nd Judicial District Department of Correctional Services- Iowa

we will cover
We Will Cover:
  • The Impact of Methamphetamine on the Family System.
  • The implications for Foster/Adoptive Parents and Caregivers.
  • Related System Issues.
  • Strategies to Increase Positive Outcomes for Children, Families, and Caregivers.
drugs are a serious problem
DRUGS ARE A SERIOUS PROBLEM

6th highest criminal caseload of the 94 districts in the United States

drugs are a serious problem5
DRUGS ARE A SERIOUS PROBLEM

69%

62.3%

41.2%

14.2%

Drug Trafficking Cases

Meth Cases

methamphetamine is
Methamphetamine Is:
  • Highly Addictive
  • Initially Very Appealing to Many
  • Initially a Performance Enhancing Drug
  • A Drug That Knows No Boundaries
  • A Drug That Can Severely Impact a Persons Ability to Function Normally and Especially to Parent!
methamphetamine users
Methamphetamine Users:
  • Most Often Have Other Drug History
  • Substance Use Has Started in Adolescence or Before
  • Have Friends and Acquaintances that are Drug Users
  • Rarely Pay for the Drug Initially
  • Usage Often Quickly Escalates “Just Live to Use Meth”
the impact on families
The Impact on Families:
  • Issues of Abuse and Neglect are Significant.
  • The Exposure of Children to Toxins Where Meth is made or Used is a Huge Problem.
  • Infants Who Were Perinatally Exposed Can Have a Wide range of Issues
  • Living Environment is Often Very Poor
  • In Iowa Estimates Are Approximately 50% of Child Welfare Cases are Meth Related*
  • Iowa Dept. of Human Services “Methamphetamine and Child Welfare-Carol Gutchewsky
healthy and troubled families
Healthy Families

Provide Safety

Self-care

Open communication

Individualized roles

Continuity

Troubled Families

Safety jeopardized

Co-dependency

Closed communication

Family roles

Chaos

HEALTHY AND TROUBLED FAMILIES

Information from the Children of Alcoholics Foundation

children of meth using parents
Children of Meth Using Parents
  • Are Often in the Caretaker Role
  • Learn Not to Trust
  • Have Issues with Attachment
  • Are Often Exposed to Violence, Drug Sales, Sexual Issues, and Drugs Themselves
methamphetamine exposed infants dr rizwan shah md faap blank children s hospital des moines iowa
Methamphetamine Exposed InfantsDr. Rizwan Shah, MD, FAAPBlank Children’s Hospital-Des Moines, Iowa
  • Symptoms May Vary and Can Be Difficult to Diagnose
  • Treatment Should be Based on Symptoms and Not Merely the Fact that Infant Was Drug Affected
  • May be at Risk for Problems Later in Life
  • Not All Infants/Children Exposed Will Have Problems
slide14
Dr. Shah’s Study Included 368 Infants and Children with Methamphetamine Accounting for 76% of the Cases
symptoms of meth exposed infants and children i
Symptoms of Meth Exposed Infants and Children I
  • NB to 4 Weeks (Dopamine Depletion Syndrome)
  • Lethargic-Excessive Sleep
  • Poor Suck and Swallow Coordination
  • Sleep Apnea
symptoms of meth exposed infants and children ii
Symptoms of Meth Exposed Infants and Children II
  • Four Weeks to Four Months Age
  • CNS Immaturity (effects on motor development)
  • Sensory Integration Problems-Tactile, Defensive, Texture Issues
  • Neurobehavioral Symptoms-Interaction-Social Development
symptoms of meth exposed infants and children iii
Symptoms of Meth Exposed Infants and Children III
  • Six Months to Eighteen Months
  • The “Honeymoon Phase”
  • Symptom Free Period
symptoms of meth exposed infants and children iii18
Symptoms of Meth Exposed Infants and Children III
  • Eighteen Months to Five Years
  • Sensory Integration Deficit (same as II)
  • Less Focused Attention
  • Easily Distracted
  • Poor Anger Management
  • Aggressive Outbursts
  • Speech Language and developmental Problems can occur
despite the challenges these kids face
Despite The Challenges These Kids Face:
  • We Must Guard Against Labeling!
methamphetamine and parenting
Methamphetamine and Parenting
  • Understanding the Use of Methamphetamine and Its Various Effects is Helpful in Understanding its Impact on Parenting
methamphetamine
METHAMPHETAMINE

Psychological Effects

  • Irritability
  • Anxiety
  • Hallucinations
  • Paranoia
  • Cognitive impairment
  • Aggressiveness
methamphetamine22
METHAMPHETAMINE

Behavioral Signs

  • Insomnia
  • Extreme hyperactivity, excessive talkativeness
  • Change in attitude or personality
  • Changes in friends or hiding of associates
  • Change in activities
  • Drop in performance
  • Loss of interest in family
physical signs of use
Physical Signs of Use
  • Weight Loss
  • Darkness Under the Eyes-”Sunken In”
  • Oily hair/Skin
  • Odor
  • Teeth Problems
  • Skin Sores (“Crystal Mites”)
  • Dilated Pupils
  • Can’t Sit Still
the hierarchy of use
The Hierarchy of Use
  • Users Will Frequently Escalate in:
  • How They Use
  • How Much They Use
  • How Frequently They Use
how used
How Used:
  • Drink It
  • Snort It
  • Smoke It
  • Shoot It
not all meth is created equally
Not All Meth is Created Equally
  • Can be significant differences in Purity
  • Powdered Meth vs. Ice or Glass
  • Cutting or “Stepping On It” Changes Purity
issues in foster care and adoption
Issues In Foster Care And Adoption
  • Safety Issues
  • Foster/Adoptive Parents Need Information
  • Training Issues
  • Working With Birth Families
  • Support For Families
  • Relative Caregiver Issues
safety issues
Safety Issues
  • Starts with Making Sure That DEC (Drug Endangered Children) Protocols are Followed
  • National DEC Protocol Offers Guidelines for Decontamination, Evaluation, Treatment, and Placement for Children Found in Drug Labs.
providing information to foster adoptive parents
Providing Information To Foster/Adoptive Parents
  • Foster/Adoptive Parents Want and Need to Know as Much Case History as Possible.
  • This Should Include Information About the Family Background, Degree and Type of Drug Exposure
  • Also, Informing Families as Soon as Possible What is Expected of Them is Vital
families need training
Families Need Training
  • Training Should be Practical, Realistic, and Offer Strategies that Help Families Deal with Drug Affected Kids and Parents
  • Information on Drug Awareness Gives Families a Working Knowledge
  • Training Should Also Address the Effects of Actual, Environmental, and Social Exposure to Drugs.
working with birth families
Working With Birth Families
  • Once Kept Apart in Many States, Foster and Adoptive Parents Are being Asked to do More with Birth Families
  • Working Together Helps to Increase Positive Outcomes for Children and Families
  • Foster/Adoptive Parents Should Receive Specific Training on This Topic.
  • Safety for Families Working with Meth Affected Families Must be a Top Priority!
support for families
Support For Families
  • Many States Have Statewide Foster/Adoptive Parent Support Associations
  • NFPA and NACAC Provide Resources on a National Level
  • Many Local Groups Exist for Families as Well
  • Specialized Support Groups can be Helpful
  • All of These Types of Groups Provide Support, Training, Resources for Families
relative caregiver issues
Relative Caregiver Issues
  • Presents many of the Same Issues that Foster/Adoptive Parents Face-However, Additional Dynamics are Present!
other system issues
Other “System” Issues
  • Child Welfare Systems Often Too Overloaded to Provide Support to Families
  • Issues with “Concurrent Planning” Can be Difficult For Families
  • Lack of Training for System Professionals About Drugs
  • Addicted Parents Trying to “Beat The System” and Kids Being Returned to Unsafe Situations
the time paradox
The “Time Paradox”
  • Clock Starts Ticking When Child Removed
  • Effective Meth Recovery Needs to Be Long term
  • Parents Dealing With Loss, Grief, Recovery Issues, etc.
  • Time Can “Run Out” Before Issues Are Appropriately Dealt With
strategies that can help
Strategies That Can Help
  • Coordinated Efforts That Include Prevention, Treatment, and Enforcement Working Closely With Child Welfare Agencies
  • Utilizing Treatment Approaches that Offer Long Term Support and Monitoring (i.e. Drug Court)
  • Promoting an Atmosphere of Teamwork Between Foster/Adoptive Families, Birth Families, and Child Welfare Agencies is Best Practice
  • Licensing Practices that Promote Smoother Transitions to Permanency (Dual Licensing)
the iowa foster and adoptive parent association
The Iowa Foster and Adoptive Parent Association
  • Offers Support and Training to Families.
  • Liaison program
  • Adoption Information Specialist
  • FAIR Line
  • Special Activities Throughout the Year
training
Training
  • 6 Hour Comprehensive Drug Awareness
  • 6 Hour “Working with Birth Families”
  • DEC Training
  • Numerous Other 2-6 Hour Classes for families