Interim Inverclyde Procedure. To Accompany

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1 Children Affected by Parental Alcohol and/or Drug Use Interim Inverclyde Procedure To Accompany Getting our Priorities Right:- Updated good practice guidance for all agencies and practitioners working with children, young people and families affected by problematic alcohol and/or drug use 1

2 Table Of Content 1.0 INTRODUCTION INVERCLYDE PROFILE KEY PRINCIPLES PROCEDURE OVERVIEW SINGLE AGENCY PROCEDURES FOR RESPONDING TO CONCERNS Alcohol and Drug Services / Practitioners Service users who do not attend Children and Families Social Work Adult Services / Practitioners Children s Services / Practitioners MULTIAGENCY PROCEDURE UNBORN CHILD INFORMATION SHARING, CONFIDENTIALITY AND CONSENT INFORMATION SHARING CONFIDENTIALITY CONSENT ASSESSMENT APPENDICES

3 FOREWORD The purpose of this procedure is to provide a good practice framework for practitioners working with vulnerable children and families affected by problematic parental alcohol and/or drug misuse to support a consistent service response. We have set this in the context of the national GIRFEC approach and the Recovery Agenda, both of which focus on whole family recovery that is based on early intervention 1. A key part of this service delivery is based on effective and on-going coordination and communication, between services working with vulnerable children and adults that involve all members of the family with caring responsibilities. Our aim remains to help motivate adults to explore ways to enable positive choices for themselves and their children. Sharon McAlees Chair of Inverclyde Child and Protection Committee Cllr Joe McElwee Chair of Inverclyde Alcohol Drug Partnership 1 Scottish Government (2013) Getting Our Priorities Right p2 3

4 1.0 INTRODUCTION This document aims to assist practitioners to effectively and consistently manage situations where they are working with a family where there is a child or young person affected by parental or carer alcohol and/or drug misuse. This document provides procedural guidance to support the effective local implementation of Getting Our Priorities Right (GOPR) guidance published by the Scottish Government in 2013 ( GOPR is a comprehensive practice framework for all child and adult service practitioners working with vulnerable children and families affected by problematic parental alcohol and/or drug misuse. This document has been developed by Inverclyde s Children Affected by Parental Substance Misuse Group (CAPSM) group, a collaboration between Inverclyde Child Protection Committee (ICPC) and Inverclyde Alcohol and Drug Partnership (IADP). This guidance is consistent with Inverclyde s implementation of Getting it Right for Every Child for a single planning process based on the wellbeing of the child and their identifying risk and need. It is also consistent with the recovery agenda in Inverclyde which places an emphasis on a whole family approach when assessing need and aiming to achieve overall recovery. The introduction of the Named Person Service in Inverclyde and revision of the child s plan process, to comply with the statutory obligations in the Children and Young People (Scotland) Act 2014, will result in some changes to the procedure. Once full arrangements are in place the document will be updated to reflect any new practices required. 1.1 Inverclyde profile Inverclyde faces considerable issues with substance misuse; demographics around these issues are published in a range of ADP and other local documents. In summary, the local profile of alcohol and drug misuse related needs indicate: - Most recent drug misuse prevalence data reports Inverclyde as having the highest drug misuse prevalence in Scotland. Inverclyde prevalence rate is 3.2 % of population For Scotland the rate is 1.7%. Inverclyde also has a higher estimated drug misuse prevalence rates among younger population groups than Scotland. 4

5 - Alcohol misuse across Scotland is reported as some as the highest in Europe. Although the situation is one of moving in the right direction, Inverclyde reports among the highest rates of alcohol related harm in Scotland. Most recent National alcohol related harm data reports alcohol rate deaths in Inverclyde as 27.9% per 100K population compared to 21.2% per 100K population for Scotland. Alcohol related hospital admissions in Inverclyde were 852 per 100K population Inverclyde compared to a rate of 693 per 100K population for Scotland. There is national recognition of the lack of comprehensive information about children affected by parental substance misuse. The CAPSM group are responsible for gathering and updating information on the scale of CAPSM locally to support better understanding on the scope and scale of the issue. 5

6 2.0 KEY PRINCIPLES The following key principles that will inform all aspects of work to support children affected by parental alcohol and/or drug misuse Children have a right to protection from all forms of abuse, harm and exploitation 2. Children and young people should get the help they need; when they need it; for as long as they need it; and their wellbeing 3 is always paramount. 3. Children and young people must be listened to, understood and respected. Their views should be taken into account in every intervention. 4. Where there may be risk of significant harm to a child or young person, child protection procedures must be followed immediately there are no other parallel pathways do not delay. 5. Prevention and early intervention is critical to prevent further escalation, damage and/or difficulties later. 6. Services must work in partnership with parents, striving to establish honest and trusting working relationships with an explicit shared understanding of the needs and concerns of everyone in the family. 7. Child protection, recovery and wider family support concerns must be brought together as part of a co-ordinated approach to giving children, young people and families the best support possible. 2 Adapted from Working with Families Affected by Problematic Alcohol and/or drug misuse in North Ayrshire 3 For the purposes of this Practitioner s Guide Wellbeing is defined as the GIRFEC Eight Indicators of Wellbeing (SHANARRI) Safe; Healthy; Achieving; Nurtured; Active; Respected; Responsible; and Included, in which all children and young people need to progress, in order to do well now and in the future. 6

7 3.0 PROCEDURE Children affected by parental alcohol and/or drug misuse will usually be identified by either a children s service or practitioner (for example, a school, early years establishment or a health visitor) or by a service or practitioner working with the parent or carer (for example drug or alcohol service, criminal justice social worker, housing officer, GP or midwife from special needs in pregnancy service). Services for children affected by parental alcohol and/or drug misuse and their families is often provided by a multiagency support network including children and families social services, alcohol and/or drug services, universal services and third sector partners. These practitioners provide a supportive team around the child. The procedure outlined below applies to all those who work with children affected by parental alcohol and/or drug misuse and their families 3.1 Overview Identification of Parent with Alcohol and/or Drug Misuse Problem Single agency 1 gathers information and makes an initial assessment (using tools recommended in section 6 as appropriate) Consult within agency to determine if single agency response is likely to be sufficient or multi-agency response is likely to be required Single agency assessed as sufficient 2. Wellbeing Concern 3 :- Multiagency response required Child Protection response required Support Plan and monitoring arrangements put in place no Notification to Lead Professional or Social Work Duty Service who will decide on the need for a multiagency meeting re the specific case Multiagency Assessment Undertaken 7 yes Child s Plan Developed and Core Group Established As per Child Protection Procedures

8 1 Single agency may refer to an individual practitioner (such as a GP) team or service. 2 This may include a service from universal services or the voluntary sector with consent from the service user. Where a single practitioner, service or team decide that a multiagency response is not required they should clearly record the reasons for this decision and the evidence on which this decision is based within their case files. 3 A wellbeing concern for a child or young person exists where observation and assessment indicates that one or more aspects of wellbeing is, or is at risk of being, adversely affected by any matter. Wellbeing is at the heart of Getting it Right for Every Child. The approach uses eight areas of wellbeing that are the basic requirements for all children and young people to grow and develop and reach their full potential. These elements of wellbeing are:- Safe, Healthy, Achieving, Nurtured, Active, Respected, Responsible and Included. 3.2 Single Agency Procedures for Responding to Concerns Procedures for practitioners working in the following services are given in more detail below Alcohol and Drug Services Children and Families Social Work Adult Services (including G.P.s) Children s Services (including Children s Health Services and Education Services) Please refer to the appropriate procedure for your agency for details. 8

9 3.2.1 Alcohol and Drug Services / Practitioners Where an individual is referred or self-refers to alcohol or drug services information about whether or not they are a parent or have significant caring responsibilities for children should be gathered at the earliest opportunity 4. This should include undertaking a check on SWIFT to determine if the children are known to Children and Families Services. Significant Harm If an immediate risk of significant harm is identified then a referral should be made under child protection procedures without delay. Additional information is gathered and assessed as part of the Single Shared Assessment process. This should help determine the level of risk to the safety and wellbeing of the child. Any wellbeing concern can be addressed by alcohol or drug services or by a request for a service from universal services or the voluntary sector. o o o Include any actions to promote wellbeing of the child within the single agency support plan The CAPSM information in the Single Shared Assessment should be repeated within 6 months or more frequently if circumstances change or if the service user is due to be discharged. Always remain alert to changes in circumstances which may increase a child s vulnerability and where there is a risk of significant harm initiate Child Protection procedures. Wellbeing concern requires a multiagency response o Share concerns with lead professional or social work services who will decide if there is a need to arrange a multiagency meeting including the named person for the child to make arrangements for a multiagency assessment. Risk of significant harm o Share concerns with social work services as per child protection procedures. A referral under child protection procedures can be done without consent from the service user but it is good practice to notify the service user that this will be done except where this would place the child at increased risk. 4 This should be done by the Initial Contact Worker (Alcohol Services) or the Duty Worker (Drug Services) 9

10 Overview of Procedure for Alcohol or Drug Services / Practitioners Agency / Professional Referral Self Referral Review Referral and undertake SWIFT check Seen by Initial Contact Worker / Duty Worker who completes referral information including basic information regarding child care responsibilities. SWIFT check undertaken Single Shared Assessment (SSA) started at first appointment (incorporating extended CAPSM Assessment 1 ) Service user has child care responsibilities Yes No Single Agency Response sufficient 2 Wellbeing concern that requires multiagency response Risk of Significant harm - Child Protection Response required Remain alert to changes in circumstances Remain alert to changes in circumstances Share concerns with lead professional or social work services who will arrange a multiagency meeting if required. Notify to Social Work Services as per child protection procedures Review CAPSM information in SSA within 6 months or on discharge Review CAPSM information in SSA within 6 months or on discharge 1 If the service user does not attend and there is an indication that there are child wellbeing concerns these concerns should be discussed with the lead professional or children and families social work services (see section ) 2 This may include a service from universal services or the voluntary sector with consent from the service user. 10

11 Service users who do not attend Where a service user does not attend for their assessment appointment or is discharged from alcohol or drug services due to lack of engagement the worker who made the initial referral should be notified. Where a service user who self-referred does not attend for their assessment appointment or is discharged from alcohol or drug services due to lack of engagement and there is an indication that a child s wellbeing may be at risk, the potential risk should be discussed with the lead professional for the child (where there is one) or the social work duty team for children and families. In such circumstances it may be appropriate to consider a joint home visit. Service user does not attend appointment Offer follow up appointments as per agency procedure Service user does not attend case reviewed for additional service response need and decision is to Was service user referred by an agency? Yes No Notify referrer and remind of responsibility for wellbeing of children Does Service user have known childcare responsibilities? Yes No If wellbeing concerns or risks discuss with lead professional for child or social work children and families duty team Consider a joint home visit if appropriate 11

12 3.2.2 Children and Families Social Work Concerns that a child may be affected by parental alcohol and/or drug misuse may come to the attention of children and families social work services through a referral from another agency or part of the service, as a direct referral from an individual or member of the public or through direct work with a family on other issues. The procedure to be followed is outlined below. Overview of Procedure for Children and Families Social Work Referral of adult service user to appropriate recovery resource Concern that a child may be at risk or in need as a result of parental alcohol and/or drug misuse Assessment of Risk and Needs Undertaken Risk of Significant Harm Yes No Implement Child Protection Procedures Is the child already known to social work services? Yes No Consider new information as part of ongoing review of Child s Plan Risk to wellbeing associated with parental substance misuse Yes No Arrange a multiagency meeting to make arrangements for assessment. Unless otherwise indicated refer back to universal services 12

13 Where a child is already receiving a service from children and families social work services the additional risk will be assessed and managed through existing arrangements or through child protection processes if required Adult Services / Practitioners Any service/practitioner working with a service user who has an alcohol and/or drug misuse problem (including GPs, mental health services, hospital staff etc.) should consider whether or not the service user is a parent and/or has caring responsibilities for a child. Where they know this to be the case they should consider whether they believe there is a risk of significant harm to the child. If they believe this to be the case they should notify social work children and families services of their concerns, following child protection procedures. This should be done regardless of whether the practitioner is making a referral for the adult to alcohol or drug services. A referral under child protection procedures can be done without consent from the service user but it is good practice to notify the service user that this will be done except where this would place the child at increased risk. If the practitioner has concerns for the wellbeing of a child but does not believe they are at risk of significant harm they should contact children and families social work services to discuss their concerns. Where a referral is being made to alcohol or drug services any information held by the referrer regarding the service user s children or caring responsibilities should be shared as part of the referral documentation or on Sky Gateway. This would include sharing information on the number and ages of children, whether they live in the same household as the child(ren) and whether a family is already known to social work children and families services, including where a child is subject to child protection procedures or a compulsory supervision order. Where this information is not known this should be noted on the referral. Service users should be advised that this information is routinely provided as part of the referral process. 13

14 Overview of Procedure for Adult Services / Practitioners Service User with Alcohol and/or Drug Misuse Service user has caring responsibilities for a child (enquire if not known) Service User accepts referral to drug or alcohol services Concern that child is at risk of significant harm No Yes Make referral to Alcohol or Drug Service (see appendix 1) Include information about child care responsibilities Remain alert to changes in circumstances Notify children and families social work services as per child protection procedures Service user attends alcohol or drug service No Yes Referrer will be notified that service user has failed to attend and the number of appointments offered Reconsider child s circumstances. If wellbeing concerns share with lead professional or children and families social work duty services who will decide on the need for a multiagency meeting to make arrangements for a multiagency assessment. 14

15 3.2.4 Children s Services / Practitioners Children s Services Practitioners (including teachers, health visitors, school nurses, youth workers etc.) who becomes concerned that a child s wellbeing is at risk and this is thought to be linked to their parent or carer s substance misuse should follow the procedure outlined below. Children s services practitioners can also encourage and support a parent or carer to seek help for their alcohol and/or drug misuse from their GP or from Inverclyde Integrated Alcohol Service or Inverclyde Integrated Drug Service. Parents / carers can be supported to self-refer by phone or in person, or the Children s Services practitioner can submit a referral on their behalf (with the individuals consent) (see appendix 1 for referral details). The CAPSM checklist has been developed to provide guidance for staff on the information to gather to supplement their generic wellbeing assessment where there is parental alcohol and/or drug misuse (appendix 3) Overview of Procedure for Children s Services / Practitioners Concern that a child may be at risk or in need Assessment of Risk and Needs Undertaken (use CAPSM checklist to inform assessment) Risk of Significant Harm Yes No Notify children and families Social Work Services as per child protection procedures Can the agency or service address the child s wellbeing needs? Yes No Identify actions to address the child s wellbeing needs Monitor and Review Share concerns with lead professional or children and families social work duty service who will decide on the need for a multiagency meeting re the specific case. 15

16 3.3 Multiagency procedure If there are concerns that a child is at risk of significant harm then child protection procedures should be initiated without delay 5. The following procedure applies to all agencies from the point of the decision that a multiagency response is required to promote the wellbeing of a child(ren) but that child protection procedures are not required. Overview of Multi-Agency Procedure Child in need of Multiagency response to meet their needs Share concerns with Lead Professional (where known) or with children and families social work duty team Lead professional / children and families Social Work Services arrange multiagency meeting (including named person) and agree who will initiate the Child s Integrated Assessment and support plan and who will form the core group Undertake Integrated Assessment using specialist CAPSM supplementary assessment tools as required Develop a Child s Plan Monitor and Review at Core Group

17 4.0 Unborn Child The Inverclyde Special Needs in Pregnancy Service (SNIPS) and the Inverclyde SNIPS multiagency liaison group are key to the effective assessment and management of risk and provision of services to meet the needs of pregnant women who have alcohol and/or drug misuse problems and their unborn babies. A practitioner who becomes aware of a pregnant service user /patient who is misusing alcohol and/or drugs must pass on information to the designated lead for child protection within their service, their line manager, or directly to the special needs in pregnancy service (SNIPS) depending on service procedures. The member of staff (or the designated child protection lead or manager) should make a referral to the Special Needs in Pregnancy Service (SNIPS) for Inverclyde (see appendix 1) The SNIPs midwife will assess the needs of the service user and the risk to the unborn child and refer the case to the SNIPs multiagency liaison group. This should result in a pre-birth assessment and, if required, the development of a multiagency plan to protect and promote the wellbeing of the unborn child before and after birth. A decision will be made as to whether there is a risk of significant harm in which case Child Protection Procedures will be followed and a pre-birth Child Protection Case Conference will be held to determine the need for the unborn child s name to be placed on the child protection register. Guidance on the impact of substance misuse during pregnancy can be found in Getting Our Priorities Right, Updated Good Practice Guidance (2013). The guidance also includes more information on sharing information pre-birth (p75). Special Needs in Pregnancy Services (SNIPS) across the Greater Glasgow and Clyde Health Board Area are currently under review by NHS Greater Glasgow and Clyde. This guidance will be revised if required following the outcome of this review. The procedure outlined below should be adopted where a practitioner, from any agency or service, becomes aware that a service user is pregnant while misusing alcohol and/or drugs (including methadone). 17

18 Overview Of Procedure where there is Alcohol and/or Drug Misuse During Pregnancy Pregnancy plus Alcohol and/or Drug Misuse Refer to SNIPS midwife Discuss at Liaison Group and Assess using Pre-birth Assessment Single Agency response sufficient Wellbeing concerns Multiagency response required Risk of Significant harm SNIPS midwife provides antenatal care or refers to universal services for antenatal /postnatal care Core Group established and Family Support Plan developed As per Child Protection Procedures 18

19 5.0 Information Sharing, Confidentiality and Consent Information gathering, sharing and exchanging is not a one-off event but a continual process. 5.1 Information Sharing It is a common misconception that data protection legislation prevents practitioners from sharing personal information and in some cases sensitive personal information. Nothing in Scottish, UK and/or European Law and/or in the Scottish child protection legislative, policy and/or practice environments prevents practitioners from sharing personal information and in some cases sensitive personal information where they are worried or concerned about a child or young person s wellbeing. On the contrary, practitioners are, within certain limitations and constraints, empowered to do so. Practitioners should however share only what they consider to be necessary, legitimate, appropriate and proportionate on a need to know basis. 5.2 Confidentiality Where a practitioner believes, in their professional opinion, that there is risk to a child or young person that may lead to harm, proportionate sharing of information is unlikely to constitute a breach of the Data Protection Act It is very important that the practitioner uses all available information before they decide whether or not to share. Experience, professional instinct and other available information will all help with the decision making process as will anonymised discussions with colleagues about the case. If there is any doubt about the wellbeing of the child and the decision is to share, the Data Protection Act should not be viewed as a barrier to proportionate sharing. 5.3 Consent Consent should only be sought when the individual has a real choice over the matter. If a practitioner has a genuine, professional concern in relation to a child or young person s wellbeing that they believe must be shared with another service, agency and/or practitioner with or without consent, there is no requirement to seek consent and you should rely on one of the other conditions for processing as outlined in Schedule 2 or Schedule 3 of the Data Protection Act In such cases, where information will be shared, consent should not be sought, as to do so would give the subject (child or young person and/or their parents/carers) a false belief that they can control the decision, which they cannot. 19

20 6.0 Assessment Assessment is a continuous process not a one off event. For guidance on assessment and planning for children in need of support from services please refer to GIRFEC Website 6 and the GOPR Guidance on Best Practice 7. A number of tools are recommended to assist staff in Inverclyde undertake assessments where children are affected by parental alcohol and/or drug misuse. These tools and frameworks are listed below

21 Tool / Framework 5 GIRFEC Questions Inverclyde Integrated Assessment Framework National Risk Framework to support the assessment of children and young people Resilience Matrix Inverclyde Child Protection Investigation Framework and CP1 template Graded Care Profile Alcohol and Drug Services Single Shared Assessment Child Care element How should it be used Used at the early stages of working with a child or parent / carer when a concern has been identified. Appropriate for use by any practitioner to help them form an opinion regarding what action they need to take (if any). Used when a Multi-agency assessment of the holistic needs of a child is required. A lead professional will be identified to lead on the assessment with direct contributions from practitioners from other services who know the child and family. Provides a range of elements that can be used individually or in combination, by a single practitioner or jointly as part of a multiagency assessment. Should be considered by any practitioner when an assessment of risk to a child is indicated. A visual tool to help analyse information and inform risk assessment. It can be used in conjunction with any information gathering and assessment process. Used by Qualified Social Workers to assist them to fulfil their duty to investigate child protection concerns under Child Protection Procedures Used by any professional providing support to parents and children where there are concerns of neglect or poor quality of physical care Used routinely by workers in Drug and Alcohol Services for every new service user to gather a wide range of information about the adult including significant information about their parenting responsibilities and the impact of their alcohol and/or drug misuse on children in their care. Uses the Wellbeing indicators and the Outcome Star for drugs and alcohol. This assists workers to analyse the level of risk to a child(ren) associated with a service user s alcohol and/or drug misuse and allows informed decisions to be made. Where to find it Appendix 2 Available via Sharepoint, from any Social Work Children and Families Team or on the intranet site for core organisations. ons/2012/11/ /0043/ jpg Available to Social Workers via the Social Work Digest electronic folder org/professionals/ Appendix 3 and available from Integrated Alcohol Service or Integrated Drug Service 21

22 Tool / Framework Inverclyde CAPSM Checklist FAST Screening Tool Getting Our Priorities Right Checklist How should it be used For use by universal services undertaking a wellbeing assessment on a child where there is parental alcohol and/or drug misuse. The checklist can assist services to take account of parental substance misuse as part of their assessment of a child s wellbeing. For use by universal services and children and families services to quickly detect hazardous drinking Standard checklist from national GOPR Guidance can be used where more information is required about problematic alcohol and/or drug use and its impact on the family. Any service in touch with a family affected by parental alcohol and/or drug misuse can use this checklist, either in its entirety, or by selecting sections that are appropriate to their role. Where to find it Appendix 4 and available on line via CPC website org/professionals/ Appendix 5 ons/2013/04/2305 Appendix 3 - pages

23 7.0 Appendices Appendix 1 Referrals 1 Making a referral to Integrated Alcohol Service Alcohol Services are provided by Integrated Alcohol Services WELLPARK CENTRE, 30 REGENT STREET, GREENOCK Inverclyde Integrated Alcohol Service is a joint team of NHS and council services which provides treatment and support for people experiencing alcohol problems. The service also works with young people, local groups, organisations, families and communities to reduce the risk of harm caused by alcohol misuse. How to Access Services? The Integrated Alcohol Service will accept self-referrals (by phone or in person) and referrals from GP, social worker and other agencies. Access to these services is obtained by having an assessment of need carried out. This assessment of need identifies the appropriate service to be delivered. HSCP or other council employees wishing to refer a service user should complete the referral form which can be found on the ADP website or on the Inverclyde Council ICON page or on the intranet site for core partners. GPs should make a referral using Sky Gateway. Staff from any other organisation (including 3 rd sector) should phone for information. 2 Making a Referral to Integrated Drug Service Drug Treatment services in Inverclyde are provided by the Inverclyde Integrated Drugs Team. CATHCART CENTRE 128 CATHCART STREET GREENOCK PA15 1BQ Tel: Fax: Open Monday Thursday 9:00am - 4:45pm Friday - 9:00am - 3:45pm 23

24 The Integrated Drugs Team provides services to service users, carers and families. The service supports people who, in addition to a drug problem, experience social, mental or physical health problems or use other substances. How to Access Services? The Integrated Drugs Team operate a self-referral system and referrals can also be made from GP, social worker and other agencies. GPs should make referrals using Sky Gateway. 3 Making a Referral to Special Needs in Pregnancy Service (SNIPS) Where it becomes known that a woman with a drug and/or alcohol misuse problem is pregnant the worker should phone the Special Needs in Pregnancy Service on and ask for the Special Needs in Pregnancy Service. Having discussed the case with the SNIPS midwife the worker should follow up the telephone call with an , giving the details of the pregnant woman and their own details. The chair of the SNIPs Liaison Group should also be copied into the referral (details available from SNIPS). 4 Notifying concerns to Social Work Children and Family Duty Team Where a concern about a child s safety or wellbeing has been identified as part of an assessment process the lead professional should be contacted (where known) or the concern discussed with the social work Children and Families duty team on Where there are immediate concerns for the safety of a child, these concerns should be notified to social work or the police without delay. Inverclyde Social Work Services (office hours) Strathclyde Police (24 hours) 101 Standby Social Work Services (Out of Hours) Where a notification of concern is made by phone this should be followed up in writing using the shared referral form ( 24

25 Appendix 2 5 GIRFEC Questions 1 What is getting in the way of this child or young person s wellbeing? 2 Do I have all the information I need to help this child or young person? 3 What can I do now to help this child or young person? 4 What can my agency do to help this child or young person? 5 What additional help, if any, may be needed from others? 25

26 Appendix 3 Single Shared Assessment Single Shared Assessment Children Affected by Parental Substance Misuse Section Home Situation Who do you live with: Name DOB (or age if DOB not known) Relationship Do you have a partner? Yes/No Are they involved with services? Yes / No Are there other alcohol/drug users within your home? Yes/No Household Circumstances (present family status, childcare issues arrangements, partner/other drink/drug use, relationships, domestic problems) Adult Care Responsibility: Yes / No Name DOB Address Yes Main Carer No Legal Status Has there been any Adult Protection concerns for you or others? Is any Further Action Required? Yes/No (if yes give details) 26

27 The following questions relating to children are based on the Wellbeing indicators of being: safe, healthy, active, nurtured, accepted, respected, responsible and included. Information on Children Does service user have children: Yes / No Do they live with service user: Yes / No Name DOB Address Early Years Establishment / School Main Carer Yes No Legal Status Does partner have children: Yes / No Do they live with service user: Yes / No Name DOB Address Early Years Establishment / School Main Carer Yes No Legal Status Do you have any child care responsibilities at all? Children seen by addictions staff: Yes / No If appropriate inform service user that a home visit may take place once allocated a key worker. Relatives/Other Agency arranging childcare: (Details) Social Worker (Details) Heath Visitor / School Nurse (Details) Head Teacher (Details) 27

28 Children s Health Issues/GP details of each child (Details) When was the child last seen by GP / Hospital? Progress at School / Early Years Establishment (Details) Service user s perceived effects of their own (and/or partner s) drug/alcohol use on children? (Does the child know? What has child said? What do they know? What have you told them? How do they feel about you and your drug use?) What arrangements are made for children when alcohol/drugs are being pursued/consumed? (Where is your child when you use alcohol/drugs? Has your child ever seen you using alcohol/drugs? Have they ever seen you under the influence? Are there other alcohol/drug users present?) What arrangements are made for safe storage of alcohol/illegal drugs/paraphernalia/medicines? Do you have a safety box Yes / No 28

29 Any other relevant parenting / childcare issues (What activities does your child like/participate in? Mealtimes / Bedtimes / Homework routines in the house, what activities do you do with your children?) Does your child sleep with you? If so, please highlight the dangers of sleeping in the same bed /couch with a baby or young child. 29

30 Summary of children s needs incorporating the Wellbeing Indicators. Do you have any concerns about the child in respect of the wellbeing indicators below: INDICATORS Safe YES DON T KNOW Adversity / Vulnerability factors Resilience / Protective factors Healthy Active Nurtured Accepted Respected Responsible Included Summary Decisions 1. Single Agency Response Yes/No (alcohol / drug services action plan sufficient) 2. Wellbeing Concern Yes/No (Share concerns with lead professional or social work services) 3. Risk of Significant Harm Yes/No (Notify Social Work Services as per child protection procedures) Action Plan Child 30

31 31

32 Appendix 4 Inverclyde CAPSM Checklist This checklist is intended for use by universal services undertaking a wellbeing assessment on a child where there is parental alcohol and/or drug misuse. The checklist can assist services to take account of parental substance misuse as part of their assessment of a child s wellbeing. No Question Yes No Not Sure 1 Are you seeking support for your substance use at the moment? If so, what support/treatment are you receiving? Notes 2 Are your children aware of any support you are receiving? 3 Have you any other children who are not living with you at the moment? 4 Is the parent/carer on any prescription medication? Is there evidence of safe storage of any prescribed medications, illicit drugs and associated paraphernalia? 5 Is there anyone living in the home who is being supported by alcohol/drug treatment services? 6 Are there any other adults visiting the home who may be using illegal substances? 7 Are there signs of illegal substance use within the home environment? 8 Do the parent / carer / partners have the responsibility of caring for another person s child or children? 32

33 What is the information telling me? Using the Checklist above, practitioners should analyse the information gathered asking the key question, what is this information telling me? Practitioners should consider the information gathered and identify the key risk factors for the child or young person or the parent/carer and wider world. The Checklist will highlight the specific areas of concern / need / risk (your evidence) but you should give an overview of what you consider to be the key issues. You then need to form a view as to the level of concern / need / risk for the child or young person or the parent/carer, taking account of the interaction between the child or young person or the parent/carer and their wider world. What is the information telling you about the level of concern / need / risk? What is the information telling me about the level of concern / need / risk? (Consider frequency, duration, severity, single or accumulative in nature significance of factors in reaching a conclusion about the level of concern / need / risk). NOTE: When assessing risk, consideration must be given to Domestic Abuse and any other known Indicators of Concern as described in the National Guidance for Child Protection in Scotland (2010). 33

34 Appendix 5 FAST / AUDIT SCREENING TOOL The information below may assist you to answer the following questions. This is one unit of alcohol Strong Lager 9% ABV (440mls) Beer/ Lager 4.5% ABV (Pint /Can/Bottle) Wine (e.g.buckfast) 15% ABV (750mls) Wine (Table) 12% ABV (750mls) Alcopops 5% ABV (330mls) Spirits 40% ABV (Litre) Spirits 40% ABV (700mls) Cider 4% ABV (Litre) Cider 4% ABV (500mls) White Cider 7.5% ABV (Litre) 4.0 Units 2.0 Units 11.0 Units 9.0 Units 1.5 Units 40.0 Units 30.0 Units 4.0 Units 2.0 Units 7.5 Units For drinks not shown you can calculate the number of units per drink at the link below FAST Men - How often do you have 8 or more units on one occasion? Women How often do you have 6 or more units on one occasion? How often during the last year have you been unable to do what was normally expected from you because of your drinking? How often during the last year have you been unable to remember what happened the night before because you had been drinking? In the last year has a relative or friend, doctor or other health worker been concerned about your drinking or suggested that you cut down? Scoring system Never Never Never No Less than monthly Less than monthly Less than monthly Monthly Monthly Monthly Yes, but not in the last year Weekly Weekly Weekly Daily or almost daily Daily or almost daily Daily or almost daily Yes, during the last year Your score Scoring: An overall total score of 3 or more is FAST positive. A positive Fast score indicates hazardous drinking. SCORE 34

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