1. Slide 1 National Treatment Agency for Substance Misuse: Whole family support - families and recovery Whole family support - families and recovery Emma Pawson Families and Young People Manager

2. Slide 2 National Policy Context  Families already key element of new Drugs Strategy and recovery agenda  The Munro Review calls upon adult services to respond to the needs of the whole family

3. Slide 3 Parental Substance Misuse  Drugs: 34% clients in drug treatment are living with a child; a further 18% have children not currently living with them  Alcohol: Up to 3 million children live with a dependent drinker  Safeguarding: Alcohol is a factor in 50% child protection cases; drugs and alcohol a factor in three out of four serious case reviews. The adult is often not in treatment.  Offending: 162,000 children have a parent in prison  Poor outcomes: Parental drug misuse doesn’t automatically mean poor parenting, but their children often have poor outcomes  Looked After Children: A sixth of under 18s in treatment are Looked After Children (unpublished data from 1 st Quarter of 2011- 12)

4. Slide 4 Bottling it Up: The Next Generation  2.6 million children in the UK are living with a parent who drinks at hazardous levels.  Around 33,000 adults who are in treatment for alcohol problems also have parental responsibilities.  Between 2010 and 2011, 12,248 people used Turning Point's alcohol treatment services and nearly half (5,326) were parents, of whom more than a third (1,925) were mothers.  The average alcohol consumption of parents was 30 units per day - 24 for mothers and 33 for fathers. Turning Point, December 2011

5. Slide 5 Treatment Completions Parent: 303 day episode on average for planned, 221 day planned. Not parent: 268 day episode on average for planned, 237 day unplanned

6. Slide 6 Treatment strengthens local safeguarding and family support work  Families with multiple needs require multi agency support to keep children safe and to maximise their life chances  But, multi agency response can only be realised with support of Health and Well-being Boards, DCS, DPH and LCSB  Recovery-focused drug treatment delivered in collaboration with children’s and adult social care reduces safeguarding risks and helps addicted parents stabilise, recover and look after their children

7. Slide 7 Recovery is the goal  Whole family approach  Build families strengths and resilience to help them thrive in independence and a healthy and safe environment  Have parental status in mind at all times- from early assessment – family assessment tools and care plans, risk assessments  Multi agency response – reduce duplication Joint work with FIPs Joint work and pathways with social care Work with family centres, health visitors, sure start etc  Flexible treatment responses to family needs e.g. parental care plans

8. Slide 8 Workforce Recovery parental treatment options – recovery groups, parenting groups, whole family recovery panels Recovery advocates – peer mentors Change stigma and culture Enhance skills and confidence of workers Family recovery champions