Lifelines Think Family approach
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Transcript Lifelines Think Family approach
Eclypse - lifeline project
Safeguarding and family
interventions
Janine Day – Service Manager
Amy 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 groups
MSCB Executive
Policy &
Procedure
SubGroup
Communicati
on
Subgroup
Workforce
development
Sub-Group
Multi agency training pool
Child Death
Overview
Panel
Safeguarding
Practice
Improvement
Group
Child Death
and Critical
Incident
Panel
6 District Safeguarding practice
Fora
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
Safeguarding families in
practice
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 discomfort
Child
Relaxes
trust
develops
Secure attachment
Adult responds,
soothes, makes
eye contact,
satisfies need
Protests,
signals for
help
Attachment Cycle
Child gives
up, no trust,
rage develops
Child
experiences
need or
discomfort
Disturbed attachment
cycle
Parent does not
respond or
responds
inconsistently
Child
protests
even loader
Protest
signals for
help or
cries
Parent does not
respond or
responds with
anger or
resentment
Lapse may involve a ‘one off’ use or full relapse
into previous levels of substance use and risk
taking behaviours.
Higher potential for overdose
Not wanting to change
Defensive
Chaotic Substance use
Risk Behaviours
Isolation from family/friends
Dip in parenting capacity
Potential return to chaotic substance
use
Guilt
Blaming children or other for lapse
Anger and hatred
Disappointment
Broken promises
Child unaware of cycle and lapse-feels
world has collapsed and nothing will
change
Back to beginning
Fear
Pre
Contemplation
Lapse/Relapse
Maintaining the change
Potential changes to environment
Relapse prevention work
Contemplation
Starting to think about change
Realisation of negative effects
Ambivalent
Projecting fantasy onto children
Promises
Some denial
Lack of confidence
Maintenance
Not talking about issues for fear of relapse
Scared
Maintenance of routines and boundaries within the
home
Potential to return to employment or education
Paying more attention
Enjoy time with parent
Wary of other substance using adults
Smile more and appear relaxed
Insecure
Potential to be placed back with parent at
this stage-feel loss for previous carers (may be
grandparents etc)
Different routines
Denial
Potential for neglect/abuse of child and Domestic
Abuse
Poor or inappropriate supervision
Closing doors
Unable to maintain any routines for children
Poor cleanliness
Child seeking answers
Lonely/isolated
Denial
Young carers and developed
self care skills
Anger/resentment/frustration
Excited but anxious about
changes
Hope
Not believing in change
Action
Accessing support
Planning and executing change
Accessing detox/rehab or treatment
Making future plans
Mood swings
Role change-starting to parent
Setting boundaries
Potential away from family if attending
residential treatment
Rebellious in light of new boundaries
Clingy due to poor attachment
Having to speak to multiple professionals
Wary of changes and fear of
disappointment
We offer an open door service into a system of joined up
support at every point of entry
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
Thank you
Questions &
Answers
[email protected]
[email protected]
Resources
Useful information & resources
www.exchangesupplies.org.uk
www.alcoholconcern.org.uk
Alcoholandfamilies.org.uk/briefings/13.7.pdf