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Responding to addiction in the Family

Responding to addiction in the Family. Helen Garratt. Why so little action?. Know about the effects of drinking on families and children – good solid research base yet slow to develop practice in mainstream services. AQUARIUS.

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Responding to addiction in the Family

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  1. Responding to addiction in the Family Helen Garratt

  2. Why so little action? Know about the effects of drinking on families and children – good solid research base yet slow to develop practice in mainstream services

  3. AQUARIUS • Open to seeing family members but historically only in response to contact made by people to us • Lacked model/intervention base • Led to staff concern/reluctance

  4. AQUARIUS • Roots in research • UKATT - SBNT • Specialist posts and Family Alcohol Team – complex high need/Child protection _ home visits, good rapport with difficult to engage families

  5. Trainers on the national Alcohol Concern Parenting training • Research project with Orford, Velleman and Copello to develop family work interventions in a mainstream service 5 Step and SBNT (2006/07)

  6. Involving Family Members Across the Organisation (IFMO)

  7. Making It Happen • Important People – CEO & Trustees • Investment – money, time, resources, interest with reports, support • Key powerful players – managers and senior practitioners (ah!) • Sell the project to the workforce (ah!)

  8. Difficulties • Tension between wanting to improve practice provide guidance/support and the constraints of research • Recording – paper vs electronic • Supporting documentation – Family assessment forms and DV

  9. Difficulties • Huge organisational/service changes • External forces/shifts in focus • Differences in commissioning

  10. Successes • Family work in our business plan • Family work champions • Family work now included on ILLY • Case management reports • New work streams – Derby, Choices, Wolverhampton, Kinship carers

  11. Successes • Strengthening existing contracts – Sandwell carers, Family drug service, Family alcohol service, Tier 3, Solihull and Dudley • Having a voice – recent consultation in Birmingham strong family members presence

  12. Successes • Impacting on commissioning – egRecovery & Living Well in Birmingham the number of family members seen • 2010/2011 = 42 • 2012/2013 = 362 • Target = 330 30% of engaged clients

  13. Next steps • Internal – review our written documents listen to our champions/staff disseminate the research communicate the good news

  14. Next steps • External – keep on spreading the word

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