Post on 28-Dec-2015
transcript
Eclypse - lifeline project
Safeguarding and family interventions
Janine Day – Service ManagerAmy Wilson – Family Team Senior practitioner
Outline Lifeline - Eclypse model of working to
safeguarding children affected by parental substance misuse
Overview of the services strategic representation
Our Approach and practice in working with children and families affected by parental substance misuse
Partnerships developed along the way
Emerging outcomes
Manchester Safeguarding Children Board (MSCB) Sub
groupsMSCB ExecutiveMSCB Executive
Policy & Procedure
Sub-Group
Policy & Procedure
Sub-Group
Communication
Subgroup
Communication
Subgroup
Workforce development
Sub-Group
Workforce development
Sub-Group
Child Death Overview
Panel
Child Death Overview
Panel
6 District Safeguarding practice Fora
6 District Safeguarding practice Fora
Safeguarding Practice
Improvement Group
Safeguarding Practice
Improvement Group
Child Death and Critical
Incident Panel
Child Death and Critical
Incident Panel
Multi agency training poolMulti agency training pool
Lifeline Eclypse.... Eclypse is Lifeline Manchester’s Drug & alcohol
service for children, young people and families.
The Family team (2 year pilot) provides specialist interventions with children and families affected by parental substance use.
Eclypse Treatment team provides specialist interventions to children and young people who use substances.
Specialist posts within the service include:- Family therapist, Mental health, Specialist drug trainer & practitioner
Eclypse Service
FAMILY SERVICE
One to one support for parents and children
Strengthening Families programme
Family focus Sessions
Therapeutic interventions
Group work
Family activities
Community events
TREATMENT TEAM
Eclypse Treatment team provides specialist interventions to children and young people who use substances.
Individual care planned interventions
Specialist posts within the service include:- Family therapist, Mental health, Specialist drug trainer & practitioner
Assessment process
Referral: Appointment offered within 7 days
3 Way consultation: Information sharing
Assessment
Risk review
Care Plan
12 week review of treatment cycle
Exit plans
Outcome monitoring (PILOT)
What are we assessing for within a strengths based model
Parallel assessment’s from the child and the parent and professionals known to the family
The impact of substance use on the family
• Risk and protective factors for the individual and the family and how these impact on family functioning
• Parenting capacity and the families perception
• Relationships, support network, parent child attachment
• Social, emotional and physical functioning
Embedding safeguarding
Effective partnership working
Empower families to safeguard each other and themselves
Parenting skills
Challenging family members
Promoting and increasing protective factors
Escalation SG concerns
Attachment Cycle
Child Experiences need or discomfortChild Experiences need or discomfort
Child Relaxes trust develops
Child Relaxes trust develops
Adult responds, soothes, makes eye contact, satisfies need
Adult responds, soothes, makes eye contact, satisfies need
Secure attachmentSecure attachmentSecure attachmentSecure attachment Protests, signals for help
Protests, signals for help
Attachment Cycle
Child gives up, no trust, rage develops
Child gives up, no trust, rage develops
Parent does not respond or responds with anger or resentment
Parent does not respond or responds with anger or resentment
Child protests even loader
Child protests even loader
Parent does not respond or responds inconsistently
Parent does not respond or responds inconsistently
Protest signals for help or cries
Protest signals for help or criesDisturbed
attachment cycleDisturbed
attachment cycle
Child experiences need or discomfort
Child experiences need or discomfort
Starting to think about changeRealisation of negative effectsAmbivalent
Starting to think about changeRealisation of negative effectsAmbivalent
Not wanting to changeDefensiveChaotic Substance useRisk BehavioursIsolation from family/friends
Not wanting to changeDefensiveChaotic Substance useRisk BehavioursIsolation from family/friends
Accessing supportPlanning and executing changeAccessing detox/rehab or treatment
Accessing supportPlanning and executing changeAccessing detox/rehab or treatment
Maintaining the changePotential changes to environmentRelapse prevention work
Maintaining the changePotential changes to environmentRelapse prevention work
Lapse may involve a ‘one off’ use or full relapse into previous levels of substance use and risk taking behaviours.Higher potential for overdose
Lapse may involve a ‘one off’ use or full relapse into previous levels of substance use and risk taking behaviours.Higher potential for overdose
Projecting fantasy onto childrenPromises Some denialLack of confidence
Projecting fantasy onto childrenPromises Some denialLack of confidence
DenialPotential for neglect/abuse of child and Domestic AbusePoor or inappropriate supervisionClosing doorsUnable to maintain any routines for childrenPoor cleanliness
DenialPotential for neglect/abuse of child and Domestic AbusePoor or inappropriate supervisionClosing doorsUnable to maintain any routines for childrenPoor cleanliness
Making future plansMood swingsRole change-starting to parentSetting boundariesPotential away from family if attending residential treatment
Making future plansMood swingsRole change-starting to parentSetting boundariesPotential away from family if attending residential treatment
Not talking about issues for fear of relapseScaredMaintenance of routines and boundaries within the homePotential to return to employment or educationPaying more attention
Not talking about issues for fear of relapseScaredMaintenance of routines and boundaries within the homePotential to return to employment or educationPaying more attention
Dip in parenting capacityPotential return to chaotic substance useGuiltBlaming children or other for lapse
Dip in parenting capacityPotential return to chaotic substance useGuiltBlaming children or other for lapse
Child seeking answersLonely/isolatedDenialYoung carers and developed self care skillsAnger/resentment/frustration
Excited but anxious about changesHopeNot believing in change
Rebellious in light of new boundariesClingy due to poor attachment Having to speak to multiple professionalsWary of changes and fear of disappointment
Enjoy time with parentWary of other substance using adultsSmile more and appear relaxedInsecurePotential to be placed back with parent at this stage-feel loss for previous carers (may be grandparents etc)Different routines
Anger and hatredDisappointmentBroken promisesChild unaware of cycle and lapse-feels world has collapsed and nothing will changeBack to beginningFear
Partnership working
• Child in Need
• Sure start centers
• Education
• Family Intervention support service (FIP)
• School nurses
• Child social care
• Adult treatment services
• Specialist midwifery – specialist nursing partnership
Emerging Outcomes
Improved health – Sexual health screening, contraception, BBV screening and vaccinations
Improved engagement and retention with other services
Reduction in substance use
Increase in parents employment status
Improved attendance at school
Relapsing parents seeking support to safeguard their children
Resources
Useful information & resources
www.exchangesupplies.org.uk
www.alcoholconcern.org.uk
Alcoholandfamilies.org.uk/briefings/13.7.pdf