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Parental Drinking:keeping the child in mindAlcohol Action Ireland27th May 2009Wendy RobinsonChildren & Families Substance ...
The Bottom Line   Children are multi-sensory   Problems for parents are problems for children   Children thrive in home...
Parental Problems   Alcohol and drug misuse   Domestic violence   Mental Health- Where the parents ability to be  prese...
Parental SubstanceMisuseFigures for illicit drugs:   Between 200,000 and 300,000 children in England    and Wales (2-3% c...
Irish DataChildhood Study 2009 – Alcohol Action IrelandWe can say that, due to parental drinking:   90,000 children witne...
Parent – ChildRelationship   Attachment is key   Humans need attachments   We will adapt in order to achieve them   Se...
Predicting SecureAttachment   Environmental factors   (nb. mediated by quality    of attachments)   Parental attunement...
Parenting Style ofProblem Drinkers   Inconsistent   Unpredictable   Ambivalent   Chaotic   Authoritarian   Neglectful
Family Environment   Violence in the home   Marital Conflict   Separation, divorce, loss of parent   Inconsistent and ...
Childs Experience
Childs Experience   Parents arguing, unhappy and preoccupied
Childs Experience   Parents arguing, unhappy and preoccupied   Violence between parents
Childs Experience   Parents arguing, unhappy and preoccupied   Violence between parents   Parents not united in parenti...
Childs Experience   Parents arguing, unhappy and preoccupied   Violence between parents   Parents not united in parenti...
Childs Experience   Parents arguing, unhappy and preoccupied   Violence between parents   Parents not united in parenti...
Childs Experience   Parents arguing, unhappy and preoccupied   Violence between parents   Parents not united in parenti...
Childs Experience   Parents arguing, unhappy and preoccupied   Violence between parents   Parents not united in parenti...
Childs Experience   Parents arguing, unhappy and preoccupied   Violence between parents   Parents not united in parenti...
Childs Experience   Parents arguing, unhappy and preoccupied   Violence between parents   Parents not united in parenti...
Resulting Problems forChildren?   Anti-social behaviour   School problems   Emotional difficulties   Friendship/relati...
Wider impact:   Schools and education   Safeguarding children/CPR   Fostering and Adoption   Youth Offending   Primar...
Trauma and distress   ‘When children are distressed they are at the mercy of these    states. Until these states are brou...
Key Issues for children
Key Issues for children   Attachment and Bonding
Key Issues for children   Attachment and Bonding
Key Issues for children   Attachment and Bonding   Identity and Self Image
Key Issues for children   Attachment and Bonding   Identity and Self Image
Key Issues for children   Attachment and Bonding   Identity and Self Image   Separation and Loss
Key Issues for children   Attachment and Bonding   Identity and Self Image   Separation and Loss
Key Issues for children   Attachment and Bonding   Identity and Self Image   Separation and Loss   Control and Suppres...
Key Issues for children   Attachment and Bonding   Identity and Self Image   Separation and Loss   Control and Suppres...
Key Issues for children   Attachment and Bonding   Identity and Self Image   Separation and Loss   Control and Suppres...
Protective Factors   A non-drinking parent - time and attention   Cohesive parental relationship - united front   Cohes...
How can we help?   Strategic lead  policy and practice developments   Acknowledge the impact of alcohol on parenting   ...
Example:UK Policy & Practice Framework   ACMD Hidden Harm   Alcohol Harm Reduction Strategy   National Drug Strategy  ...
Main messages:   Parental problem drug & alcohol use can and does    cause serious harm to children   Reducing this harm...
Lord Laming Report 2009:The Protection of Children in EnglandRecommendations for parental alcohol & drug use:   “It is vi...
Safeguarding childrenand supporting families
Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene   effectively
Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene   effectively
Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene   effectively2...
Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene   effectively2...
Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene   effectively2...
Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene   effectively2...
Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene   effectively2...
And more….
And more….5. Services working with problem alcohol users should see the   well-being of children as being of paramount imp...
And more….5. Services working with problem alcohol users should see the   well-being of children as being of paramount imp...
And more….5. Services working with problem alcohol users should see the   well-being of children as being of paramount imp...
And more….5. Services working with problem alcohol users should see the   well-being of children as being of paramount imp...
And more….5. Services working with problem alcohol users should see the   well-being of children as being of paramount imp...
Why is it hard torespond?   Normalisation of alcohol in society   Illicit drugs seen as more risky   Knowledge and comp...
A pessimists problem isan optimists opportunity!   Collaboration towards common goal – we all want    the same thing   B...
Best Practice GuidanceNo need to reinvent the wheel!   Supporting children affected by parental alcohol misuse: A Toolkit...
Challenges &OpportunitiesChallenges:   Change is slow…for individuals, for families, for communities   Cross sector issu...
For more information pleasecontact:Wendy Robinson Consultancy9a Nelson RoadWhitstableKentEnglandCT5 1DP01227 772712
Parental Drinking: Keeping The Child in MInd
Parental Drinking: Keeping The Child in MInd
Parental Drinking: Keeping The Child in MInd
Parental Drinking: Keeping The Child in MInd
Parental Drinking: Keeping The Child in MInd
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Parental Drinking: Keeping The Child in MInd

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Transcript of "Parental Drinking: Keeping The Child in MInd"

  1. 1. Parental Drinking:keeping the child in mindAlcohol Action Ireland27th May 2009Wendy RobinsonChildren & Families Substance Misuse Consultant
  2. 2. The Bottom Line Children are multi-sensory Problems for parents are problems for children Children thrive in homes high in love, attention and routine, and low in tension, aggression and unpredictability
  3. 3. Parental Problems Alcohol and drug misuse Domestic violence Mental Health- Where the parents ability to be present for their children is overshadowed by adult concerns
  4. 4. Parental SubstanceMisuseFigures for illicit drugs: Between 200,000 and 300,000 children in England and Wales (2-3% children under 16) 41,000 – 59,000 in Scotland (4-6% children under 16) Figures for alcohol: Upwards of 1 million in UK
  5. 5. Irish DataChildhood Study 2009 – Alcohol Action IrelandWe can say that, due to parental drinking: 90,000 children witnessed parental conflict 71,000 children felt afraid or unsafe 71,000 children take care of parents or siblings Domestic Abuse National Study 34% cases alcohol identified as a trigger to abusive behaviour 1/4 severe cases alcohol always involved
  6. 6. Parent – ChildRelationship Attachment is key Humans need attachments We will adapt in order to achieve them Secure attachments are essential for subsequent mental health, self-esteem and positive relationships
  7. 7. Predicting SecureAttachment Environmental factors (nb. mediated by quality of attachments) Parental attunement Parental responsiveness Repeats of joyful interactions
  8. 8. Parenting Style ofProblem Drinkers Inconsistent Unpredictable Ambivalent Chaotic Authoritarian Neglectful
  9. 9. Family Environment Violence in the home Marital Conflict Separation, divorce, loss of parent Inconsistent and ambivalent parenting Unpredictability Role reversal Lack of routines and rituals
  10. 10. Childs Experience
  11. 11. Childs Experience Parents arguing, unhappy and preoccupied
  12. 12. Childs Experience Parents arguing, unhappy and preoccupied Violence between parents
  13. 13. Childs Experience Parents arguing, unhappy and preoccupied Violence between parents Parents not united in parenting role
  14. 14. Childs Experience Parents arguing, unhappy and preoccupied Violence between parents Parents not united in parenting role Inconsistent boundaries and rules
  15. 15. Childs Experience Parents arguing, unhappy and preoccupied Violence between parents Parents not united in parenting role Inconsistent boundaries and rules Negative family atmosphere
  16. 16. Childs Experience Parents arguing, unhappy and preoccupied Violence between parents Parents not united in parenting role Inconsistent boundaries and rules Negative family atmosphere Low level of enjoyable family activity
  17. 17. Childs Experience Parents arguing, unhappy and preoccupied Violence between parents Parents not united in parenting role Inconsistent boundaries and rules Negative family atmosphere Low level of enjoyable family activity Financial hardship
  18. 18. Childs Experience Parents arguing, unhappy and preoccupied Violence between parents Parents not united in parenting role Inconsistent boundaries and rules Negative family atmosphere Low level of enjoyable family activity Financial hardship Poor relationship with one or both parents
  19. 19. Childs Experience Parents arguing, unhappy and preoccupied Violence between parents Parents not united in parenting role Inconsistent boundaries and rules Negative family atmosphere Low level of enjoyable family activity Financial hardship Poor relationship with one or both parents Increased risk of abuse and neglect
  20. 20. Resulting Problems forChildren? Anti-social behaviour School problems Emotional difficulties Friendship/relationship difficulties Adolescence Transition to adulthood
  21. 21. Wider impact: Schools and education Safeguarding children/CPR Fostering and Adoption Youth Offending Primary Care Community Safety Workforce
  22. 22. Trauma and distress ‘When children are distressed they are at the mercy of these states. Until these states are brought under control, the child must use all their resources to cope. While they are doing that, they can do nothing else.’ Tronick and Weinberg, 1997 When caregivers not only fail to provide comfort at times of extreme stress, but are themselves the principal source of that stress.
  23. 23. Key Issues for children
  24. 24. Key Issues for children Attachment and Bonding
  25. 25. Key Issues for children Attachment and Bonding
  26. 26. Key Issues for children Attachment and Bonding Identity and Self Image
  27. 27. Key Issues for children Attachment and Bonding Identity and Self Image
  28. 28. Key Issues for children Attachment and Bonding Identity and Self Image Separation and Loss
  29. 29. Key Issues for children Attachment and Bonding Identity and Self Image Separation and Loss
  30. 30. Key Issues for children Attachment and Bonding Identity and Self Image Separation and Loss Control and Suppression of Needs/Feelings
  31. 31. Key Issues for children Attachment and Bonding Identity and Self Image Separation and Loss Control and Suppression of Needs/Feelings
  32. 32. Key Issues for children Attachment and Bonding Identity and Self Image Separation and Loss Control and Suppression of Needs/Feelings Trust
  33. 33. Protective Factors A non-drinking parent - time and attention Cohesive parental relationship - united front Cohesive family - activities and affection Rituals maintained - special occasions Influence of important others - stable adults Things outside the home - own interests Deliberate planning for the future  Vellerman & Orford
  34. 34. How can we help? Strategic lead  policy and practice developments Acknowledge the impact of alcohol on parenting capacity and child welfare Bridge the gap between adult and child services Promote working together across sectors and services
  35. 35. Example:UK Policy & Practice Framework ACMD Hidden Harm Alcohol Harm Reduction Strategy National Drug Strategy Every Child Matters- All identify the why and the how in relation to meeting the needs of children affected by parental alcohol and drug misuse
  36. 36. Main messages: Parental problem drug & alcohol use can and does cause serious harm to children Reducing this harm should become a main objective of policy and practice Effective treatment of parents can have major benefits for the child Joint strategic approach centrally and regionally, and services working together is essential
  37. 37. Lord Laming Report 2009:The Protection of Children in EnglandRecommendations for parental alcohol & drug use: “It is vital that professional staff working with adults are trained to identify and assess the needs of, and risk of harm to children and young people. These issues are a consistent feature of Serious Case Reviews, demonstrating how seriously they put children at risk of significant harm. All police, probation, adult mental health and adult drug and alcohol services should have well-understood referral processes which prioritise the well-being of children. These should include automatic referral to social care where domestic violence or drug or alcohol abuse may put a child at risk of abuse or neglect.”
  38. 38. Safeguarding childrenand supporting families
  39. 39. Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene effectively
  40. 40. Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene effectively
  41. 41. Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene effectively2. Important to remember that keeping the well-being of children as paramount usually means supporting parents and keeping families together
  42. 42. Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene effectively2. Important to remember that keeping the well-being of children as paramount usually means supporting parents and keeping families together
  43. 43. Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene effectively2. Important to remember that keeping the well-being of children as paramount usually means supporting parents and keeping families together3. Should not and need not be an either/or
  44. 44. Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene effectively2. Important to remember that keeping the well-being of children as paramount usually means supporting parents and keeping families together3. Should not and need not be an either/or
  45. 45. Safeguarding childrenand supporting families1. Huge challenge to accurately and fairly assess and intervene effectively2. Important to remember that keeping the well-being of children as paramount usually means supporting parents and keeping families together3. Should not and need not be an either/or4. Requires a high degree of multi-agency partnership working, and open minded professional approach
  46. 46. And more….
  47. 47. And more….5. Services working with problem alcohol users should see the well-being of children as being of paramount importance
  48. 48. And more….5. Services working with problem alcohol users should see the well-being of children as being of paramount importance
  49. 49. And more….5. Services working with problem alcohol users should see the well-being of children as being of paramount importance6. Those working with children and families should understand why and how to act when a parent has alcohol problems.
  50. 50. And more….5. Services working with problem alcohol users should see the well-being of children as being of paramount importance6. Those working with children and families should understand why and how to act when a parent has alcohol problems.
  51. 51. And more….5. Services working with problem alcohol users should see the well-being of children as being of paramount importance6. Those working with children and families should understand why and how to act when a parent has alcohol problems.7. Need to develop united strategic and service approaches despite timescale and priority conflicts.
  52. 52. Why is it hard torespond? Normalisation of alcohol in society Illicit drugs seen as more risky Knowledge and competence Professional legitimacy Complex and multidimensional needs Culture of specialists and experts
  53. 53. A pessimists problem isan optimists opportunity! Collaboration towards common goal – we all want the same thing Bridge the gap between adult alcohol treatment and child welfare - vigilant towards professional bias The family is the client and children are the priority Changes in parenting now, changes in alcohol use over time
  54. 54. Best Practice GuidanceNo need to reinvent the wheel! Supporting children affected by parental alcohol misuse: A Toolkit www.alcoholandfamilies.org.uk Working with children and families of problem alcohol users: A Service Development Toolkit www.bath.ac.uk Adult Drug Problems, Children’s Needs: Assessing the impact of parental drug use www.ncb.org.uk Seeing & Hearing the Child: Rising to the challenge of parental substance misuse www.nspcc.org.uk Building Resilience in Families Under Stress: Supporting Families affected by parental substance misuse www.ncb.org.uk
  55. 55. Challenges &OpportunitiesChallenges: Change is slow…for individuals, for families, for communities Cross sector issue – no-one solely responsible Children need to believe all is well – parents are perfect! “It never did me any harm”Opportunities: New evidence points the way Small changes- big impact Working together Everyone benefits when families do well
  56. 56. For more information pleasecontact:Wendy Robinson Consultancy9a Nelson RoadWhitstableKentEnglandCT5 1DP01227 772712
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